Longevity, Biohacking Nick Engerer Longevity, Biohacking Nick Engerer

AKG supplementation improved my biological age in these three ways

IS AKG ANTI-AGING? AKG Supplement improves bio age

AKG supplementation improved three measures of biological age, and has now been permanently added to my longevity hacking stack.

AKG supplementation (also called “Alpha Keto Glutarate") caused a notable stir in the longevity community after a 2021 study in the journal Aging found it improved the biological age of 40 of 42 participants in a small study.

We recently discussed the outcomes of this study with TruMe Labs Co-Founder Yelena Budovskaya, who have now made the biological age measurement from this study available to the general public (via their “TruMe Age Explorer” test).

Naturally, this peaked my own curiosity - could I replicate these results in my own biological age?

After a bit of investigation, it became quite clear that I could. In fact, any one of you reading this could do the same. This post will show you how.

This type of self-experiment is quite straightforward. All you need is a before and after biological age test, a supply of AKG supplement (read our review here) and a scientific approach.

This is, after all, what we love to do here at Longevity Blog - guide our readers to develop their own longevity strategy through self-experimentation.

We have already posted on the reported benefits, basic science, best choice of supply for AKG supplementation in a previous post, so we will get straight into the self-experiment framework and results.

Alpha Keto Glutarate: Experimental framework

akg supplement benefits best source

Score a 10% discount of high quality, third party tested Alpha Ketoglutarate from DoNotAge with the discount code “longevityblog”.

Learn more about DoNotAge here.

Dosing of Ca-AKG commenced in November 2022 at 4x capsules of DoNotAge Ca-AKG at 400mg each, for a total of 1.2 grams of Ca-AKG. This was taken with my morning supplement stack, after breakfast.

This dose amount continued for the first 3 months, before increasing the dose to 6x capsules to bring the dose to 2 grams per day.

Dosing remained at 2g/day for the remainder of the experimental period for a total 9 months.

In the 2021 Ca-AKG study from the Journal Aging, dosing was 1g/day for 7 months.

Biological Age Measurements

I measured my before and after biological age with Longevity Blog’s 3x favourite biological age tests (we tested nearly a dozen of them!):

  1. TruDiagnostic’s TruAge (save 15% with code ‘longevityblog’)

  2. TruMe’s TruAge Explorer (save 12% with code ‘longevityblog’)

  3. GlycanAge (save 15% with the code ‘longevityblog’)

Biological age measurements were taken in July 2022 and July 2023, which is my regular annual biological age testing window.

This did mean that 12 months passed between biological age measurements, with only 9 months of AKG supplementation. As you’ll soon see, results were still quite clear.

Blood Measurements

Self-ordered blood tests were ordered through Australian supplier i-screen, who allow you to order and review your own bloods without visiting a doctor.

Blood tests were selected to be very comprehensive. Allowing for the review of immune, liver, kidney function, hormone balance, lipids and more. I carefully chose these tests to have all of the required parameters for the Phenotypic Age” biological age estimate, providing a fourth type of biological age to test.

Blood tests were closely aligned with AKG supplementation start and ending dates.

A note for your own self-experimenting, you don’t need exact matching between supplement start/end and blood testing. Focus on what’s doable for you - the main thing is that you don’t change any other lifestyle or supplement factors until you’ve completed your follow-up testing.

AKG Self-experiment results

There was a clear improvement in biological age by multiple measures, we’ll work through them sequentially, and then come back for a discussion about interpreting the results.

Make it stand out

Whatever it is, the way you tell your story online can make all the difference.

The TruAge Explorer test kit. From only $90USD using the discount code ‘longevityblog’.

RESULT: TruMe Age

In July 2022, my TruMe biological age was 38.9 years, or 2.3 years older than my chronological age.

After 9 months of Ca-AKG supplementation, my TruMe biological age dropped to 37.9 years (-1.0 years), however during this period I aged +1 year. This result is 0.4 years older than my chronological age.

Overall, my biological age result improved by 1 year as compared to my chronological age, with an overall improvement of 2 years.

RESULT: Trudiagnostic extrinsic age

TruDiagnostic’s TruAge Complete biological age test kits provide significantly more comprehensive results than any other biological age test.

This includes estimates of both extrinsic and intrinsic biological age, and an estimate of your telomere length biological age.

You can learn more about the differences between extrinsic and intrinsic age in our interview series with Co-Founder of TruDiagnostic Ryan Smith - part 1 and part 2.

AKG supplementation did not have a significant impact on my intrinsic age, however, there was a notable change in extrinsic biological age. Which dropped from 27.56 years (-9 years from chronological age) to 25.10 years (-12 years from chronological age).

I’ve also supplemented with Nicotinamide Mononucleotide and measured biological age before and after using the Phenotypic Age method. Curious? So were we… read the post!

Again, while one year passed, my biological age actually became younger. This time, 3 years of total improvement.

This result is particularly interesting, given AKG’s known role in improving immune system health, but we’ll save that for the discussion.

RESULT: GLYCANAGE

Unfortunately our GlycanAge biological age test was lost in transit and we do not have the after results from this test.

RESULT: Phenotypic Age

In one of our first posts on biological age, we introduced three free ways to estimate your biological age.

Tabulated results across the three tests. Don’t forget that I aged one chronological year over the course of the experiment!

One of these estimates is called Phenotypic Age", and I have now been tracking mine for the past three years, and have been able to find blood tests reaching back all the way back to 2015 to re-calculate (age 30).

After 9 months of AKG supplementation, my Phenotypic Age improved from 30 years old to 27 years old (-3 years). Given that I also aged +1 year chronologically, this is a net result of -4 years.

This biological age estimate is much more sensitive to changes in diet, lifestyle and day to day ups and downs, so we need to consider this result conservatively.

Only once before have I seen a similar improvement (-3.5 years) in my biological age, which was after I self-experimented with NAD boosting supplement Nicotinamide Mononucleotide.

Selected blood results

In the following, I share all blood results that had a significant change over the experimental period, did not have other confounding factors and for which there was scientific research on AKG supplementation that supports a causal link.

All test data presented here is through self-ordered blood test provider i-screen (Australia).

Liver Function

Nov 2022 to Aug 2023 liver markers showed statistically significant improvement. Note that my liver markers are at time elevated because I am an endurance athlete.

Inflammation

Nov 2022 to Aug 2023 high sensitivity CRP, a key marker of inflammation, reached the lowest levels of all time. Even below the levels had 10+ years ago.

LDL-C

Nov 2022 to Aug 2023 saw a 10%+ drop in LDL-C, which, which is significant as it is now at the lowest level I have ever measured. Noteworthy after the March 2021 test, I eliminated dairy from my diet and LDL-C plummeted!

DHEA

Dehydroepiandrosterone sulfate (DHEA) levels are closely linked with cellular energy production, and many important bodily systems are downstream. My levels appeared to climb by 25% post AGK supplementation.

akg supplementation: DISCUSSION

You don’t have to use supplements to improve your biological age. Nick did it by adding more plants to his diet, read about it here.

Interpreting the results of a self-experiment is a very important step. It is very tempting to see rdata in results form and try to form a conclusion straight away. To bring in tools from science, we must discuss the results first!

If you’ve ready any of my previous self-experiments, you’ll know that how the self-experiment was controlled is pivotal. In essence, this means limiting as much as possible, any external factors which could ‘confuse’ the results.

When you come to complete you own self-experiments, you need to balance several factors.

First, you need to try the intervention long enough for it to have effect on the variables you are measuring.

In this example, we are looking at biological age changes, which in the case of epigenetic tests like TruMe Labs or TruDiagnostic, take around 3-6 months for effects to be observable.

AKG supplementation has an immediate on cellular energy production, but the flow on effects to the epigenome need significant time (months). In the case of the research study on Ca-AKG and biological age, the results were measured at 7 months of supplementation on average.

My selected period of 9 months allows for enough time for the AKG supplement to imprint on my epigenome and brought it into alignment with my annual biological age testing regimine.

Second, to effectively determine how long the self-experiment will run for, you need also consider controlling other variables which might effect the result.

You’ll want to run the self-experiment for long enough to impact the measurement variables you’re after, but not so long that you cannot control other variables that might impact the result.

Hear from our Founder Nick on biological age testing and how you can change diet, sleep, exercise and stress to improve yours! Read more

In the case of biological age tests, the most influential factors to control are:

  • diet

  • sleep

  • stress

  • exercise

  • pollution/smoking

  • supplements

  • COVID-19

Well Controlled

In my own case, I have a very regimented lifestyle. I keep to my triathlon and strength training with daily walks (exercise). I sleep a solid 7-8 hours a night, with a consistent bedtime. I live in a rural area with very low levels of air pollution and have not moved in the experimentation window.

No major changes to my exercise, sleep or environmental pollutants were observed.

My diet is a dairy-free, mediterranean-esque diet focused on plant diversity and high protein intake (meat, fish, poultry, eggs, whey protein isolate). I know that this diet works well for me based on my blood tests and biological age data, and I’ve not made any significiant changes to it.

These factors therefore can be considered to be well-controlled, for the purposes of impacting the epigenome.

Not Well Controlled

Stress however, was an unavoidable confounder.

I went through several major life changes over the self-experimentation period, and stress was at times at very high levels, often for weeks at a time. I do believe this negatively impacted by biological age results.

I also contracted COVID-19 in May 2023, which likely also negatively impacted my biological age result, with both experts - Ryan at Tru Diagnostic and Yelena at TruMe Labs suggesting I leave at least two months after my recovery before re-testing. I followed these instructions.

Conclusion: Ca-AKG positively impacted by biological age

Given that the not well controlled self-experiment results would raise by biological age, but that I measured improvements to biological age across three different tests, as well as in several important longevity blood measurements (LDL-C, DHEA, ALT/AST, hsCRP) - I believe there is a solid and clear conclusion.

Ca-AKG supplementation at 1-2g/day positively impacted by biological age.

Note that I do not say ‘reversed’ my biological age, as I do not believe that these tests are able to substantiate that claim.

However, given there was a 3.1 year mean improvement in biological age between these three tests, I can conclude that Ca-AKG will become a permanent addition to my longevity supplement stack.

And through this example, you are now empowered to run the same experiment. This is incredibly important, as if you run the math - taking 1-2g of Ca-AKG per day (using your 10% discount code ‘longevityblog’ at DoNotAge), it will cost you $630 to $1200 USD per year.

This is not a small investment - you want to know the supplement is working for you.

The method and example laid out here can help you answer that question! It did for me!


PARTNER Discount Code!

A part of our mission is to make your longevity budget stretch further.

Through our collaboration with TruMe Labs, we have a negotiated an industry leading 15% off coupon code for our readers.

Use the code “LONGVITYBLOG” at CHECKOUT TO SAVE 15%!

And through continued collaboration with DoNotAge, we are offering a 10% off discount for their Calcium Alpha-Keto Glurate supplement as well!

Use the code “Longevityblog” at checkout to save 10% on AKG



FDA & TGA DISCLAIMER

This information is intended for educational purposes only and is not meant to substitute for medical care or to prescribe treatment for any specific health condition. These blog posts are not intended to diagnose, treat, cure or prevent any disease, and only may become actionable through consultation with a medical professional.

Read More
Longevity, Biohacking Longevity Blog Team Longevity, Biohacking Longevity Blog Team

AKG supplement benefits your biological age? An Interview with Dr. Yelena Budovskaya of TruMe Labs

AKG Supplement benefits - A Younger YOU?

The AKG supplement has many benefits. However, the most powerful of them might just be making you biologically younger!

The AKG supplement “Alpha Keto Glutarate" has a wide array of benefits:

  • It improves muscle growth and athletic recovery

  • Delays fatigue in sport performance

  • Reduces muscle breakdown during exercise

  • Improves the health of skin by increasing collagen production

  • May improve bone density

  • Appears to improve immune function

  • Scavenges excess blood nitrogen and ammonia, improving detoxification

But perhaps most excitingly, recent evidence shows that it just might make you younger.

For many, this is a startling claim, so let us explain it in more detail.

First, as we will explore in our expert interview today, we can now measure biological age - meaning how old your body is, biologically (rather than just chronologically) - at home for only $100.

And second, in both animal models and in humans, AKG supplementation has been found to:

  • Improve the biological age of 40 humans by a median of 8+ years (clinical trial)

  • Change gene expression (epigenetics) to a younger state

  • Alter cellular signalling to be more youthful

  • Possibly be reducing wrinkles

  • May be reversing or delaying hair greying (in mice evidence is strong, in humans, anectdotal)

This is nothing short of groundbreaking information for wellness enthusiasts and longevity hackers everywhere.

If we’ve managed to catch your attention, please keep reading!

Alpha Keto Glutarate Supplement Benefits - The Why and How

Alpha Keto Glutarate is a pivotal molecule for your energy metabolism (interacts with the Krebs cycle).

The TruAge Explorer test kit. From only $100USD using the discount code ‘longevityblog’.

It is produced in your skeletal muscle and is involved in the balance of many key processes that regulate levels of carbon, ammonia and nitrogen across the body.

The reason that the AKG supplement seems to be involved with regulating aging is that the levels of Alpha Keto Glutarate decrease with age. This means that many cellular functions do not perform optimally, with many knock-on effects.

By supplementing with AKG, we may be delaying these effects significantly.

We’ve recently composed a more thorough review of AKG supplementation which you can read here.

As we move ahead, we are going to focus on the technology you can use to test whether or not AKG improves your own biological age and understand in a bit more detail why AKG supplementation might be one of the most powerful longevity interventions you can try at home.

AKG Supplementation and Biological Age - From Expert Dr Yelena Budovskaya

AKG is actually balancing a basic metabolic process within your body, specifically the Krebs cycle...

What we see with alpha ketoglutarate is it influencing not just the methylation process, but also the methylation of certain sites associated with younger age.

Another example are the molecules called integrins that are key parts of our skin health... People do report less wrinkles and much better quality of skin.
— Dr Yelena Budovskaya, CEO & Co-Founder TruMe Labs

At Longevity Blog, we are fascinated by all things related to longevity technology. We define this sector as anything tech that is helping you stay healthier for longer.

In our post today, we are focusing on the intersection between two such technologies.

Calcium Alpha-Ketoglutarate - a longevity supplement, which we source from DoNotAge.

And, biological age testing, specifically the most affordable high quality offering on the market - the TruAge Explorer from TruMe Labs.

The unique nature and power of this combination cannot be understated. Here we have two technologies which together have been shown in clinical research, to improve the youthfulness of 40 (out of 42) human subjects.

The question is then of course - could it do the same for you?

The fantastic news is that both of these technologies are available to you in the safety and comfort of your own home.

With a bit of careful forethought, you can run your own self-experiment to see if AKG can improve your biological age for only a few hundred dollars (with our unique discount codes).

To understand how this all works in more detail, we reached out to CEO and Co-Founder of TrueMe Labs, Dr Yelena Budovskaya to learn about how biological age testing works and why Alpha Keto Glutarate appears to be so powerful for maintaining your health as you age.

Let’s hear what she has to say…


NOVEMBER 2023 UPDATE:

Nick has now completed his 9 month self-experiment with Ca-AKG. Read the results here!


PARTNER Discount Code!

A part of our mission is to make your longevity budget stretch further.

Through our collaboration with TruMe Labs, we have a negotiated an industry leading 15% off coupon code for our readers.

Use the code “LONGVITYBLOG” at CHECKOUT TO SAVE 15%!

And through continued collaboration with DoNotAge, we are offering a 10% off discount for their Calcium Alpha-Keto Glurate supplement as well!

Use the code “Longevityblog” at checkout to save 10% on AKG


This interview was conducted in November 2022 over Zoom and is an audio transcript with minor edits for clarity, brevity and correctness.

Alpha Keto-Glutarte, biological age & More

Longevity Blog (LB):  

Yelena, thank you so much for joining us today, we're really excited to talk with you about biological age testing. You've co-founded TruMe Labs and you offer the TruAge Explorer test kit.

We might hear about biological age testing all of the time, but it's still a new concept to most people. And it's fundamental for the rest of this discussion.

An important important place to start: how do we determine biological age?

Yelena Budovskaya (YB):  Biological age is the age an individual would be if they lived a perfectly healthy life, and did not take any anti aging supplements. His physiology will be representative of that generic age group. Your biological age is the physiological state of your body, not the years by calendar.

Interview excerpt: Biological age testing - how it works, what it means (in three minutes)

Biological age - How young you are on the inside

Your true biological age... might be a little bit behind... or it might be faster than your chronological age. But in any case, it is more representative of your health...

LB: In that way, we're looking at an age that tells you what you “look like” biologically, not necessarily what the clock says. But instead, comparing you to other people than other populations saying, do you look older or younger at a cellular level?

What would you add to that?

YB: We look at how your cells and in particular how your DNA looks after all you put it through over the years. How that information is written on your DNA is reflecting your physiological state.

This physiological state is your true biological age. So it might be a little bit behind your chronological age. It might be faster than your chronological age. But in any case, it's more representative of your health rather than your calendar years.

Biological Age Reveals How Old You Really Are - for ONLY $100USD

Nick with an AKG supplement from DoNotAge

LB: So ‘biological age’ is comparing your biology with other healthy individuals in your age group to see how you stack up in terms of biological years accumulated or not accumulated.

In this space, we've had biological age testing for a few years now, but they've traditionally been quite expensive, costing $400-$500 US dollars per kit. One of the most attractive aspects of the TruAge Explorer biological age test kit is that it's very affordable.

Talk to us about the innovations that are occurring at TruMe Labs in terms of biological age testing. How can you offer a biological age kit for only $100 US dollars?

Speaking of supplements - Our Founder Nick tried the supplement Nicotinamide Mononucleotide and measured biological age before and after. Curious? So were we… read the post!

YB: Our journey actually started quite a while ago. I spent so many years studying the natural genetics of the aging process.

One of the things that I noticed is that we cannot stop human beings from aging. But nor can we stop them from trying to extend their lifespan - people are always going to be searching for the answer to their aging process.

With the expansion of internet and social media what's happened is more individuals are reading new innovative science in longevity and they think “Okay, I'm gonna start taking that supplement tomorrow. If it works on mice, it should work on me”.

When I first started in this field, it shocked me to see a lot of people who take a lot of supplements without really checking whether or not it's actually working for them.

self-experiments & biological age tests

LB: It is so refreshing to hear you say this. Part of our philosophy at Longevity Blog is to guide people to know the answer to what works for them! Go on.

When I first started in this field, it shocked me to see a lot of people who take a lot of supplements without really checking whether or not it’s actually working for them.

 YB: Then we start thinking - how can we measure if these interventions works? And of course that means we needed a biomarker of aging. Today, we know many companies are spending the time looking at biomarkers of aging.

I really liked what Steve Horvath, Hanham and other centers in genetics were doing, because it looks like that biomarker was actually very simple to adapt to home testing.

LB: This is referring directly to epigenetic biological age clocks, based on DNA methylation data. 

YB: Yes, but DNA methylation is a very dynamic process. We started the development of our test kit with several basic requirements in mind.

Firstly, how can we make our test very accurate. So deviation from the number that we predict, should not be more than five years.

Second, it should be affordable - no more than $120. About the cost of three months worth of vitamins.

Feeling impatient and just want to learn about Alpha Keto-GluTArate and biological age? Just Scroll down a few sections!

Third, it should be fast, because the tests that we've previously done take 8 to 10 weeks to complete. We wanted to have a two week turnaround time. And no needles!

LB: That’s a great answer, we can see that affordability was actually just one part of your holistic thinking about how you might produce a quality and low cost kit.

Does the AKG supplement actually work? What about other longevity supplements?

We love the part of the story where you referred to how others were taking supplements without knowing if the are actually working for them. This is precisely one of the things we talk about on Longevity Blog, repeatedly.

In your answer you mentioned accuracy - we want to get into some of the details around the accuracy and precision of your test. But first, we’ve just introduced the concept of “epigenetic” age testing where the test is looking at the epigenome and particularly these sites called CpG islands.

These locations control turning the genetic code on or off in our bodies. Please briefly tell our audience a bit about that process of on/off in the epigenome.

If you want to go deeper on biological age clocks, epigenetic aging and what all of these terms mean, check out our interview with Ryan Lewis, Founder at TruDiagnostic.

YB: Even at birth, we already have some level of methylation happening in the body. And as you mentioned, this is the CpG sites on our genome. These CpG sites are located all throughout genome.

In some cases they are in the “promoter region” of the gene. Methylation at these locations prevents the cellular machinery from binding this region before the gene and expressing it.

In some way, epigenetics is a dynamic mechanism instructing the cell to turn on and off genes to fine tune how the genes are working together.

DNA Methylation and Biological Aging

LB: Why is this turning on/off of genes important for aging/longevity?

You don’t have to use supplements to improve your biological age. Nick did it by adding more plants to his diet, read about it here.

YB: DNA methylation is happening all the time. DNA is methylated and demethylated. Certain genes activate expression and other genes repress the expression.

This is how the body is fine tuning its function throughout life. It can be associated with the biomarkers for almost every single physiological process with the body.

 LB: With aging, tracking this process is incredibly complex. Some of the other technologies we looked at for biological age testing might look at hundreds of thousands to millions of points in the epigenome.

However, your biological age test kit has actually boiled it down to looking at just nine locations in the epigenome. Clearly those are very closely related to aging.

Can you help our readers understand how there could be this reduction from millions of points in the epigenome in some of the fancier, more expensive test kits down to just nine points in your TruAge Explorer test?

Low Cost Biological Age Testing: How TruMe Labs Made it Happen

Test your biological age for $100USD with TruMe Labs and our discount code “longevityblog”

YB: When we first studied epigenetic connections to aging, we looked at the whole genome, because we didn't know much. We didn't know where this information was actually kept.

Any model that uses epigenetics to calculate biological age is a statistical mathematical model. It converts DNA methylation data into the number that corresponds to the biological age.

As we have studied this more we have realised that not all the biomarkers are the same. Some of them actually influence and can predict your biological age more. Most others have a miniscule influence on the equation.

We have identified the methylation markers that change with age, which are promoters of those genes. These markers should also be age regulated (changing its expression with age).

When we put these constraints over our algorithm development, we end up only with 30 CpG sites. But still, 30 was too many sites for the affordability and scalability of the process that we were developing.

So we distilled it to the best performers (9 of them). Afters some early testing and improvements, we validated it within a clinical trial setting and we saw that our deviation from the chronological age of the healthy individual was only 3.8 years, which met our accuracy target.

How does TruAge Explorer Compare to More Expensive Biological Age Tests? 

LB: What an interesting story to follow. You've described this process of thinking about how to constrain a very complicated problem through the lens of affordability and the very dynamic relationship between gene expression and aging. 

You’ve mentioned accuracy again, so let’s discuss this in more detail. You've done a comparison with your kit to the MyDNAge test.  That test kit uses a much larger portion of the epigenome (approximately two thousand CpG data points). And yet there's a really strong correlation between the outputs from your algorithm and theirs.  

Tell us what that reveals about these nine CpG sites and the way you've just constructed the test?

YB:  Well, of course I think it tells you that we're probably found the CpG sites that are more dynamically changing with age and that methylation within those sites is clearly important for measuring a normal natural aging process.

The main reason our accuracy is comparable to another test in the market is because we are actually using different technology.

We don't use next generation sequencing (NGS), because we wanted to keep the cost down. NGS is quite expensive unless you sequence hundreds of patient samples at the same time.

We are instead using single sequencing, which allows us to sequence at a greater depth. In other words we sequence the same region many, many, many times over.

Low Cost Biological Age Test, the Makings Of

LB: Let's help our readers understand in a bit more detail. Just so it's nice and clear.

You've described Next Generation Sequencing, which enables many samples to be computed in parallel. However this is not the route that you've chosen, as you’ve pursued affordability. Explain to us again, what the difference in your single sequencing approach means for the consumer.

YB: What we do is sequence only one sample at a time. From this one sample, one fragment at a time.

Altering CpG sites in action. By sleeping better, Stacey improved her biological age from TruMe Labs. Read their female biohacking guide here!

Let's say we are sequencing nine fragments, the nine CpG sites. This means we sequence each of the CpG sites separately.

For each of the sites, we look separately at all the messages we get to calculate the percentage of methylation at that particular site.

This means we get thousands to tens of thousands of messages that we aggregate together to calculate the percentage over one CpG site.

As a result, we can use statistics over these many messages to see how clean the sample was.

There's one positive side and one negative side of this approach. The positive side is, because we sequence it so deeply, it means that we can actually capture miniscule changes of methylation, which can have acute effects on your biological age.

The negative part is that our test is much more sensitive to your lifestyle changes than tests using the NGS approach.

Is the TruMe Age Explorer Precise? Repeatable results are key for self-experimentation

LB:  Both the price point and the sensitivity to lifestyle changes make the TruAge Explorer a very nice tool for self experimentation.

accurate biological age test

Read our interview with Ryan Smith at TruDiagnostic to understand the importance of accuracy and precision for biological age testing.

Let's talk a little bit about error and precision in the test kit. We recently discussed these concepts with Ryan Smith of TruDiagnostic. Talk about your test through the lens of accuracy and precision.

YB:  Yeah, so we actually tested two aspects of precision and accuracy.

The first was precision. Let's say, I give you five tests today and you collect your saliva across five samples. So the sample is the same, right? It was put in the paper at the same time, and was sent to us in the same envelope. So what is the result is going to be? 

We actually tested this quite a bit and the result is that we predict biological age from these five samples to within 3 to 4 months of each other.

Then a second aspect of this is actually a bit tricky but super important to understand. And I'm not sure very many people actually understand it.

LB: Our audience will! Give it to us.

YB: Every single biological age algorithm, including ours, uses the chronological age to standardize your biological age number. This presents an issue - why is the chronological age the standard?

Well, we don't have any other markers right now that reliably would predict that. So that's why we still use it. And this is why I keep bringing up this healthy individual who does not take any anti-aging therapies, who would live a healthy life and overall being healthy in perfect health today. What is their biological age?

We make the assumption that their biological age is equal to their current chronological age.

Then we took individuals between ages 40 to 75 that were absolutely healthy. No chronic diseases, no big problems. When measured the biological age of these individuals (150 of them) we realised that were within plus or minus 3.8 years of that person's chronological age.

This is why we know that even with multiple repeats of the same test, we can say that we can predict person chronological age plus minus 3.8 years.

We get biological age as a starting point, do something to change the biological age and then compare follow-up results to your first biological age test.

The goal is to make that number smaller (“younger”).

TruMe AGe Explorer: Precise to within 3 months, accurate to within 4 years

LB:  This is a really fascinating point that you're making. We are going to try to say it back to you in different terms.

You're saying here is that to know how “accurate” a biological age test result, we have to find a compare that to a source of truth. When we consider “what is the right answer?” or what is the “true age” of a given person, TrueMe Labs construct this by looking at both the biological age and chronological age of many healthy individuals across different ages, statistically.

Here, you found an accuracy of plus or minus 3.8 years.

YB: Exactly. But I want to add to that.

If you personally are taking a biological age test, the most important thing is actually comparing your own results after an intervention. We get biological age as a starting point, do something to change the biological age and then compare follow-up results to your first biological age test.

The goal is to make that number smaller (“younger”).

AKG Supplement BenefitS Video: Reducing Biological Age

AKG supplement benefits for biological age with Dr Yelena Budovskaya of TruMe Labs.

LB:  This is great, because you're coming back around to the concept of self experimentation.

We believe this is true value of biological age tests. They are giving you a reference point from which to improve.

This is why it's so important to pick a kit that you can afford that you have confidence in, and to keep using it. Because you get your baseline result and then try to improve and see what works for you.

We have a really great example in the literature of this - your company the TruMe Labs technology worked participated in a clinical study published in the journal Aging back in 2021.

November 2023 Update: Nick’s 9 month self-experiment with Ca-AKG results are in! See how much his biological age improved.

There were 42 participants self-experimenting with an alpha ketoglutarate supplement (AKG), which we've just recently written about on the blog. Your TruMe Explorer test kit had an important role in that study.

Can you tell us about this study?

YB:  This study was done in collaboration with Ponce de Leon Health, who are producing the akg supplement. They wanted to give their clients the opportunity to be sure that their product works.

In this study, the result showed that so many of the participants actually decreased their biological age significantly. They also reported that they don’t have gray hair anymore and that their skin health improved.

We saw that on average there was 8.8 years of healthy lifespan reversal. Only two people actually did not improve their biological age.

AKG Supplement Benefits: Why it Works on Biological Age

 LB: We love this.  We think this is the longevity science of the future, particularly as longevity technologies move faster and faster.

This is why finding a kit that we can use for self experimentation is so important.

akg supplement benefits best source

Score a 10% discount of high quality, third party tested Alpha Ketoglutarate from DoNotAge.

Learn more about DoNotAge here.

How do you think the alpha ketoglutarate supplement is working on these nine CPG sites in a way that improves biological age? What’s happening here?

YB:  I think the AKG supplement is actually balancing a basic metabolic process within your body, specifically the Krebs cycle. AKG is also important for increasing the activity of demethylase, which is the enzyme that the methylate the genome.

What we see with alpha ketoglutarate is it influencing not just the methylation process, but also the methylation of certain sites associated with younger age.

Another example are the molecules called integrins that are key parts of our skin health. They are important for wound repair and skin elasticity. We observed that some of those markers actually methylated more with alpha ketoglutarate.

Maybe that's why there's such a great effect on skin. People do report less wrinkles and much better quality of skin.

The Future of Biological Age Testing

LB: Thank you for diving into that. Our audience loves looking after their skin health!

As we move to close the interview, can you share us your your vision for biological age testing? Where is it going over the next five years? What will become possible?

YB:  We think that the most important thing right now is not actually making more precise biological age measurements.

Instead, we intend to expand our portfolio with genetic tests which give you information is how your DNA by drivers of aging. For example, how you are are affected by your diet taken or by the air you breathe, or your stress levels, or level of inflammation in your body. This could also included your hormone status.

We are going to be combining epigenetic and genetic tests together to deliver this information. So this is where we're heading next.

Dr Yelena Budovskaya’s Longevity Strategy

I also finally tested alpha ketoglutarate on myself. It actually did work and I love it!

LB: That's an exciting vision. We love that you have this idea of combining different types of data in practical way for people to influence their longevity, at ho

We're going to wrap up the interview here. But before we go, we'd like to ask every guest to just share one or two things that they do to look out for their longevity each day.

Hear from our Founder Nick on biological age testing and how you can change diet, sleep, exercise and stress to improve yours! Read more

YB: Personally, I have always been fighting with weight loss. I was also guilty of taking too many supplements.

Now I practice intermittent fasting and am trying to get my feeding window to just six hours a day. It seems to work great for me. I like the effect this is having on my body.

I also finally tested alpha ketoglutarate on myself. It actually did work and I love it!

Everything else I am trying, I aim to be very thoughtful and self-experimenting with one intervention at a time.

LB:  Thank you for your answer Yelena, and thank you again for joining us on Longevity Blog today. It was a pleasure.

YB:  Thank you. I'm looking forward to see what result you get from your AKG self-experiment!


FDA & TGA DISCLAIMER

This information is intended for educational purposes only and is not meant to substitute for medical care or to prescribe treatment for any specific health condition. These blog posts are not intended to diagnose, treat, cure or prevent any disease, and only may become actionable through consultation with a medical professional.

Read More
Longevity, Biohacking Longevity Blog Team Longevity, Biohacking Longevity Blog Team

Calcium AKG Alpha Keto Glutarate Supplement Review

What is Alpha Keto Glutarate?

Alpha Keto Glutarate supplementation appears to slow or even improve biological aging. But will it work for you? We dig into the details!

Alpha Keto Glutarate or “AKG” is an important molecule involved in energy metabolism, specifically the Krebs cycle. As its name suggests, it is related to the amino acid L-glutamine, which is produced in the skeletal muscle.

AKG is produced in your body and plays several important roles, including in nitrogen, carbon and ammonia balance.

One very important fact to note about Alpha Keto Glutarate levels in the human body is that they are known to decrease with age, and important cellular functions begin to decrease along with them.

Boosting AKG levels through supplementation may have very significant longevity benefits, but such evidence is in the very early stages of research in humans.

That said, some of that new research is quite exciting - read on.

AKG supplement benefits and safety

AKG supplement use has been around for quite a while and the molecule is very safe to use.

More traditional use of Alpha Keto Glutarate supplementation includes kidney support, intestinal repair, liver support and even the treatment of cataracts.

These uses of AKG are well documented in the scientific literature, with hundreds of studies available for reference.

Alpha Keto Glutarate Supplement Benefits

  • Boosts muscle growth and athletic recovery

  • Can help prevent breakdown of muscle during exercise

  • May delay the onset of fatigue in sport performance

  • It increases collagen production and may improve bone density

  • It appears to improve immune function

  • It collects excess nitrogen and ammonia from the blood, improving detoxification

  • More recently - it has been linked to specific longevity benefits, such as improving biological age (more on this shortly)

  • Its role in gene expression (epigenetic) and cell signalling is in the early stages of research, but it is clear that AKG helps preserve youthful cellular function

Alpha Keto Glurarate Safety

Is Alpha Keto Glutarate safe? Are there side effects?

Yes, very much so. In fact, we were able to find no known adverse effects from AKG supplementation for doses up to 2g per kilo of bodyweight (that’s much more than you’ll need to take!).

How much AKG supplement should I take?

This entirely depends on your reason for taking an AKG supplement in the first place.

Here are three examples!

You are an athlete looking to improve sports performance or recovery. You’ll supplement anywhere from 1 to 15 grams per day. You can take it before exercise to limit muscle breakdown during the activity. Or you can take it afterwards to improve recovery.

As a bodybuilder, your goals are to increase muscle mass. You’ll likely be taking Arginine Alpha Ketoglutarate (AAKG) and doses will vary from 3 to 10g prior to your hypertrophy workouts.

Nick has now completed his own self-experiment with Ca-AKG, dosing at 2g/day. Read about how to replicate this yourself and see his results in detail here!

As longevity enthusiast and wellness biohacker (that’s us!), you most likely want to see if you can improve your biological age with Calcium AKG supplementation. At this stage, we have limited evidence of the dosing protocols, with one study using 1g/day (with impressive effects on biological age!).

The remainder of this post will focus through the lens of the longevity biohacker. However, our chosen supplier of Calcium AKG + our 10% discount may still be valuable to you as an athlete or bodybuilder, so scroll on ahead anyway!

Calcium Alpha Keto Glutarate for Longevity

To understand the applications for Calcium AKG for ‘anti-aging’ / longevity benefits, there are three key milestones to review

50% improvement in lifespan in C. elegans after AKG supplementation. Source: Nature

AKG supplement and Longevity in Worms

The first is a foundational research study in 2014 which grabbed a lot of attention, as AKG supplementation increased the lifespan of C. elegant (nematodes, a type of ‘worm’) by nearly 50%.

The primary mechanism for doing so was believed to be the inhibition of ATP synthase and TOR (the worm version of the mTOR pathway).

AKG supplement and Longevity in Mice

Secondly, a follow-up study in 2020 looked into the Calcium Alpha Ketoglutarate form of AKG in mice. In this study, middle aged mice received an AKG supplement, as as result male mice lived 10% longer and females 20% longer.

Observed benefits of Calcium Alpha Keto Glutarate supplementation in mice, who lived up to 20% longer. Source: Cellular Metabolism

The mice had fewer grey hairs and remained stronger and less frail than their peers. A key mechanism of action was believed to be a widespread reduction in inflammation (“inflammaging“ is one of the primary ways in which humans lose function and resilience with age).

AKG supplement and Longevity in Humans

Third, and most importantly, a 2021 study in the journal "Aging" made a startling discovery.

Across a cohort of human trial lists taking 1g/day of a Calcium AKG supplement for approximately 7 months - there was a median improvement in biological age of 8.5 years.

This is a very significant change/result! To put this in perspective, our Founder Nick has only been able to improve his biological age by 3 (read here) to 6 years (see here) and to date he has not been successful in improving his epigenetic biological age at all.


By the way….

The biological age test used in this Ca-AKG supplement study is the TruMe Age Explorer test.

This epigenetic biological age test kit is available to try at home for only $103USD when you use our discount code ‘longevityblog’ to save 15%.

If you order two kits (essential for doing before & after self-experimentation…) the cost per kit with our discount drops to $88USD.

When you consider that alternative epigenetic age tests costs $300-$500USD, this offer looks pretty appealing!

We’ll be interviewing Co-Founder Dr. Yelena Budovskaya in an upcoming post to discuss how this test works in more detail!

It’s the most affordable test on the market and is very fast and easy to complete.


AKG Supplement Review

AKG chemical structure before bonding with either L-Arginine or Calcium. Image Source: Pubchem

Given this encouraging result, a natural follow-up question from the longevity enthusiast is of course ‘where can I get myself some AKG??”.

We were of course curious ourselves.

There are two primary forms of Alpha Keto Glutarate supplements.

The first is Arginine Alpha Ketoglutarate (AAKG). In this formulation, AKG is bound to the amino acid L-arginine. L-Arginine is a good choice as it is involved in nitric oxide regulation and dilates blood vessels. This delivers more nutrition to the skeletal muscle and can increase insulin by up to 10-15%, meaning more muscle growth.

alpha keto glutarate pubmed

Research studies on Alpha Keto Glutarate over time

The second formulation is Calcium Alpha-Ketoglutarate. And if you’ve been reading closely, you’ll realise that this is the form of AKG supplement which has shown longevity benefits in both rodents and humans. By using calcium, the absorption of AKG in the small intestine is improved.

This is important as only 20% of oral AKG supplement intake makes it to the liver and then into the bloodstream, where its beneficial effects can take effect.

Given the improved absorption and the direct connection to the biological age improvement, we think that it will be pretty clear to you that a Ca-AKG supplement makes more sense for the longevity enthusiast.

What is the best AKG supplement?

By narrowing the search to a Calcium Alpha Keto Glutamate supplement, the list of options for supplying yourself with Ca-AKG for your own self-experiment narrows considerably.

As with any self-experiment, you’ll want to only add a Ca-AKG supplement to your stack and watch changes over time. One notable exception is taking a B6 vitamin (or B-complex) supplement along with it to increase absorption.

Reviewing the available Ca-AKG supplement options then narrows further, as we are only considering a pure formulation. Longevity Blog was able to identify approximately 3-4x options with global shipping and sufficient reputation for quality assurance.

Nick is preparing a video series on Ca AKG supplementation and his self-experiment to reduce his epigenetic biological age.

Our recommendation: Alpha Keto Glutarate Supplement - DoNotAge

Our recommendation (which is not entirely unbiased - read more here) is to purchase from DoNotAge.

This is partially based on our intimate knowledge of the manufacturing process, including products quality and purity.

It also based on our ability to reduce your costs (part of our goal at Longevity Blog is to help stretch your longevity budget further!).

Working the math, if you select the bulk 366 capsule option, which qualifies for free shipping in the United States, DoNotAge’s Ca-AKG costs $1.92/USD for a 1200mg dose (three capsules).

This drops to $1.72USD per 1200mg dose with 10% discount code ‘longevityblog’.


PARTNER Discount Code!

A part of our mission is to make your longevity budget stretch further.

Through our collaboration with DoNotAge, we are pleased to offer a 10% off coupon code for our readers. This applies to all DoNotAge products, not just Ca-AKG.

Use the code longevityblog at checkout to save!


CAN CALCIUM ALPHA KETO GLUTARATE REVERSE BIOLOGICAL AGE?

We’re not huge fans of calling it ‘reversing’ biological age, but this is the most common search term used by people looking for this answer.

Instead, we want you to think of biological age as a subjective number that you can improve.

After all, our Founder Nick has improved his biological age many times, using different biological age tests and approaches (read here and here, for example).

Here we are yet again - wanting to know, can a longevity supplement improv your biological age?

There is only one way to find out - it’s self-experiment time!

Soon, we’ll reveal the dosing strategy and before and after testing approach required to put Ca-AKG’s claims to the test!


FDA & TGA DISCLAIMER

This information is intended for educational purposes only and is not meant to substitute for medical care or to prescribe treatment for any specific health condition. These blog posts are not intended to diagnose, treat, cure or prevent any disease, and only may become actionable through consultation with a medical professional.

Read More