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Supplements for adults over 60

Bone, muscle, brain, and cardiovascular evidence after age 60.

Several supplements have RCT evidence specifically in older adults. Vitamin D3 + calcium reduce fracture risk in the WHI cohorts. Protein supplementation at 1.2–1.6 g/kg/day (PROT-AGE consensus) preserves muscle and reduces sarcopenia. Creatine improves both muscle and cognitive function in ageing populations (Xu 2024 meta-analysis). Magnesium and B12 deficiency are common after 60 and should be tested. Omega-3 has heart-failure evidence at 2,000–4,000 mg/day. The list below prioritises supplements where the evidence is strongest specifically in adults over 60.
96
Creatine monohydrate
Performance · Cognition
Tier 1
94
Oat beta-glucan (cholesterol)
LDL cholesterol · FDA health claim · Soluble fibre · Heart health · Evidence
Tier 2
92
Protein supplementation (clinical sarcopenia)
Muscle · Aging · Sarcopenia
Tier 1
88
Vitamin B1 (Thiamine, clinical)
Neurology · Alcohol recovery · Energy
Tier 2
88
L-Leucine (standalone)
Muscle protein synthesis · mTOR · Sarcopenia · Leucine threshold
Tier 1
86
L-Theanine + caffeine (cognitive stack)
Focus · Alertness · No jitters · 2:1 ratio · Studied combination
Tier 2
84
Whey protein
Muscle synthesis · Sarcopenia
Tier 1
83
Vitamin D3
Bone · Immunity · Muscle
Tier 1
82
Magnesium
Sleep · Cognition · Metabolic
Tier 1
82
Vitamin B12
Vegans · Elderly · Cognition
Tier 2
81
Methylcobalamin (high-dose neurological)
Neuropathy · Nerve repair · Sleep-wake cycle
Tier 2
81
Potassium supplementation (clinical)
Blood pressure · Cardiovascular · Electrolyte
Tier 1
80
Calcium
Bone · Muscle · Nerve
Tier 1
80
L-Carnitine
Male fertility · Cardiac · Fat metabolism · Exercise recovery
Tier 1
79
Omega-3 (EPA/DHA)
Cardiovascular · Inflammation
Tier 1
79
Calcium carbonate/citrate (bone health)
Bone density · Osteoporosis · Pregnancy
Tier 1
79
Limosilactobacillus reuteri DSM 17938
Infant colic · Gut health · Bone density
Tier 2
78
Folate (5-MTHF)
Pregnancy · Methylation · Mood
Tier 1
78
Glycine
Sleep · Collagen synthesis · Metabolic
Tier 2
77
Vitamin D3 liquid drops
Bone · Immunity · Flexible dosing
Tier 2
77
Folic acid (synthetic)
Pregnancy · Neural tube defects · Prenatal · MTHFR consideration
Tier 2
77
Acerola cherry extract
Immunity · Antioxidant · Skin · Vitamin C
Tier 2
76
Vitamin C (moderate dose)
Immunity · Collagen · Antioxidant
Tier 2
76
Tyrosine (L-tyrosine)
Focus · Stress resilience · Cognition
Tier 2
76
Ferrous bisglycinate (gentle iron)
Anaemia · Pregnancy · Iron deficiency
Tier 1
Educational reference, not medical advice. Discuss any supplement change with a qualified clinician before acting on this list.
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