best anti-aging nootropic supplements

The 6 Best Nootropics for the Aging Brain

David Tomen
Author:
David Tomen
29 minute read

Key Takeaways

  1. Various cognitive enhancers such as Alpha GPC, CDP-Choline, and Coenzyme Q10 (CoQ10) are beneficial for the aging brain.
  2. Essential vitamins and minerals like Vitamin B12, Vitamin D, and Magnesium support brain health.
  3. Natural nootropics including Ashwagandha, Bacopa Monnieri, and Ginkgo Biloba can aid in maintaining cognitive function.
  4. Substances like CBD Oil and Turmeric provide additional benefits for brain health.
  5. Exploring a combination of these nootropics, under professional guidance, could lead to a personalized regimen for promoting brain health in aging individuals​.

Many of us know people who’ve lived past 90. And enjoyed a well-functioning brain until the very end. So we know it’s possible to maintain a fully optimized brain throughout life.

Most of us also know someone who’s quality of life has declined with Alzheimer’s, Parkinson’s or dementia. Neurodegenerative disease affects not just one person. Close family and friends are impacted as well.

But memory loss is NOT a normal part of aging.

Recent research in aging and brain function have found that as we get older individual brain molecules, cells, cerebral circulation, and even the physical shape of your brain are affected in some way.

Some of these changes begin right around your 21st birthday. So if you’re a ‘young’ neurohacker, this post is for you as much as it is for the aging Baby Boomer or senior citizen.

And a study recently published in 2024 showed that the human body ages in “bursts”. With rapid changes occurring at around 44 and then another ‘burst’ around 60 years old.

We also know that your brain responds to the same types of insults we throw at it as the rest of your body. Attacks by stress, nutritional deficiencies, poor diet, toxins, not enough exercise or sleep all affect cognitive performance.

But the human brain has an amazing ability to repair and maintain itself even into old age. All we have to do is give it what it needs to survive and thrive. And worries about dementia or memory loss go away.

In this post we’ll take a look at what can go wrong as your brain ages. And we’ll identify the nootropic supplements that can correct those problems. Before they cause any lasting damage. Our goal is to maintain full, or even optimized cognitive abilities until the very end.

The Dementia Epidemic

Much of the problem with the rise in dementia and many other neurodegenerative diseases comes from the way age-related cognitive decline is dealt with by modern medicine.

If you’re dealing with memory loss or other mental performance issues, simply putting a label on it is not helpful. Naming the problem does nothing to help you identify and treat the underlying causes of the disease.

But we do know that environmental toxins, exercise, deficiencies in hormones, inflammation, lack of vitamins and omega-3 fats, and stress all affect brain function.

So the best place to start dealing with a problem like cognitive decline is to get to the bottom of what’s causing it.

Simple genetic testing can tell you if you carry a gene that puts you at a higher risk for developing Alzheimer’s.[i] You can also find out if your brain and body have a harder time detoxing from heavy metals. Or a gene variant is making it difficult for you to lower your cholesterol.[ii]best nootropic supplements to prevent Alzheimer's

If you have low thyroid function or sex hormones, heavy metal toxicity, inflammation or deficiencies in certain vitamins, minerals, antioxidants or fatty acids – you will experience a decline in cognitive functions.

And if left unchecked could develop into dementia, Alzheimer’s or some other neurodegenerative disease.

For most people, changes in your diet and the right nootropic supplement stack can make a profound difference in cognition and memory. Stacking the odds in your favor so you can avoid cognitive dysfunction altogether.

Mental decline occurs over time. Sometimes quickly, and sometimes over many years. But it never gets better. Unless you do something about it.

So if you’re dealing with memory loss, it’s up to you to do whatever you need to and determine what imbalances are present in your brain and body. And then use the list of nootropics below to figure out how to fix them.

No single treatment or nootropic stack works for everyone. Because everyone is different. So each issue investigated here offers several different options for you to try.

Choose one or two from each category and see how they work for you. A little trial and error on your part could mean a sound mind and great memory well into old age.

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Free radicals and Cognitive Decline

Extensive research has shown that oxidation of DNA, proteins and lipids by free radicals are responsible for functional decline in your brain.[iii]

It’s estimated that 10,000 oxidative interactions between DNA and free radicals in each of your brain cells occur every day. And as you get older, at least 1 of every 3 proteins per cell is dysfunctional because of oxidative damage.

Free radical and oxidative damage to the brain is by no means the only cause of cognition problems. But the role of free radicals in cognitive dysfunction is a major issue. And one that can be effectively controlled with daily use of nootropic supplements.

Looking for the best nootropics to support cognitive function and prevent mental decline? Here’s a list of nootropics that can defend against oxidative damage and free radicals. Choose one or two for your nootropic stack.

  1. Alpha Lipoic Acid (ALA) is a Must

    Alpha Lipoic Acid (ALA) – This naturally-occurring, sulfur-containing fatty acid is unique among other antioxidants. Because it is both water- and fat-soluble.

Alpha Lipoic Acid has the unique ability to neutralize free radicals in all cell environments. This potent antioxidant can even reduce brain damage after a stroke.[iv] Alpha Lipoic Acid boosts the synthesis of acetylcholine and increases glucose uptake in brain cells.

ALA regenerates other depleted antioxidants (Vitamins C & E, glutathione), and recycles CoQ10. Reducing inflammation, and getting rid of heavy metals. Boosting cellular energy and memory.

Alpha Lipoic Acid should be part of every nootropic stack. Recommended dosage is 50 – 600 mg per day depending on your neurohacking goals. See dosage notes in my full ALA review for more.

  1. Coenzyme Q10 (CoQ10) Preserves Brain Health

    Coenzyme Q10CoQ10 is a natural antioxidant synthesized in every single cell in your body and brain. CoQ10 helps produce adenosine triphosphate (ATP). Your brain cells’ source of energy produced in mitochondria. It takes fat and other substances and converts them into usable energy.

Studies show that supplementing with CoQ10 protects against brain cell damage by raising energy levels. It preserves brain function, and helps fight mental illness and migraines.

You have two CoQ10 options for your nootropic stack – ubiquinone and ubiquinol. If you’re under 25 and in good health you can likely get the benefit of CoQ10 with the less expensive ubiquinone. Over 25 and you’re better off with Ubiquinol.

Recommended Coenzyme Q10 dosage for nootropic use is 200 – 400 mg per day.

You can get therapeutic doses of Alpha Lipoic Acid (as Bio-Enhanced® R-Lipoic Acid) and CoQ10 (as MicroActive® Q10) in Performance Lab® Energy.

  1. Creatine Protects Neurons from Toxins

    Creatine – This non-essential amino acid is synthesized in your liver. And used in your brain to recharge the Adenosine Triphosphate (ATP) that is produced in the mitochondria in your brain’s nerve cells.

ATP is directly involved in producing, packaging and secreting neurotransmitters. Helping boost intelligence, improve memory, facilitate faster thinking and improve mood.

Creatine fuels ATP which boosts cellular metabolism. Helping protect neurons from damage caused by toxins. Keeping cellular energy levels up also helps protect mitochondria against the assault of free radicals.

Recommended dosage for Creatine is 5 grams per day.

  1. Ginkgo Biloba Increases Cerebral Circulation

    Ginkgo Biloba – Ginkgo Biloba is one of the oldest species of trees on earth. And has been used in Chinese medicine for millennia. Ginkgo helps reduce oxidative stress by eliminating free radicals.

Ginkgo also increases nitric oxide levels which dilate blood vessels. Increasing cerebral circulation improves oxygen and glucose availability to neurons which improves memory, recall, cognition and learning.

A study with 31 stroke patients looked at the effects of supplementing with Ginkgo in stroke recovery. The patients were given 1,500 mg of Ginkgo per day. Researchers found the stroke patients using Ginkgo had lower oxidative stress, inflammation and better antioxidant levels. Along with a greater decrease in C-reactive protein and an increase in circulating antioxidants.[v]

Recommended nootropic dosage of Ginkgo Biloba extract is 120 – 240 mg per day.

  1. N-Acetyl L-Cysteine (NAC) Protects Against Oxidative Stress

    N-Acetyl L-Cysteine (NAC) – NAC is a derivative of the naturally occurring amino acid L-cysteine. And works by primarily helping restore your body’s natural antioxidant glutathione.

Glutathione is a potent antioxidant, anti-inflammatory and free radical scavenger. Supplementing with NAC modulates glutamate levels and dopamine release in your brain. And it helps restore dopamine receptors.

Adding NAC to your nootropic stack helps reduce irritability, anxiety and depression. And protects your brain from excess glutamate and oxidative stress. Recommended dosage of N-Acetyl L-Cysteine is 600 mg, 3-times per day.

  1. Pine Bark Extract (Pycnogenol) Supports Cognitive Function

    Pine Bark Extract (Pycnogenol®) – This extract of maritime pine bark offers several nootropic benefits to the aging brain. Pycnogenol prevents accumulation of oxidatively damaged proteins. And may reduce the risk of diseases like Parkinson’s, Alzheimer’s, and Huntington’s.

Pycnogenol helps increase cerebral blood flow by increasing nitric oxide which dilates blood vessels. It prevents decreases in dopamine and norepinephrine. And the glutathione (GSH) and GSH-disulphide reductase (GSSG-R) ratio. Neurotransmitter problems which contribute to hyperactivity in ADHD.

Studies show that Pycnogenol helps reduce DNA damage caused by oxidation. And it inhibits proinflammatory gene expression and glycation. Recommended dosage of Pine Bark Extract (Pycnogenol) is up to 300 mg per day.

Synapses and brain aging

Research over the last several years has shown that our brain has the remarkable ability to re-wire itself throughout life.brain supplements for dementia

Every time we have a new thought, encode a new memory or learn a new skill, we are building a new neural network in our brain.

Integral to these neural networks are neurons connected through their dendrites and axons via synapses.

The numbers and size of synapses change during aging. During normal, healthy brain aging, the numbers of synapses remain the same in most brain regions. In regions where they decrease, the remaining synapses may increase in size to compensate.[vii]

On the other hand, there is a profound decrease in synapse numbers in brain regions involved in learning and memory in people with Alzheimer’s.[viii] Other brain regions lose synapses in Parkinson’s and Huntington’s disease.

A reduction in number of synapses could be the cause of brain shrinkage as we get older. Our brain loses about 5% of its weight per decade after age 40.[ix]

Studies have shown that this synapse loss in neurodegenerative disorders occurs early in the disease process. Long before brain cell death and symptoms occur.

Most of the signal transduction pathways that regulate the health and survival of your neurons take place in synapses.

Research shows that synapse signaling systems are particularly vulnerable to oxidative stress and decreases in energy. (Refer to the previous section on “Free radicals…” for nootropics to prevent oxidative stress).

But we also know that age-related decreases in neurotrophic factor promotes synapse degeneration and brain cell death.[x]

We can help prevent age-related problems with synapses by using nootropics that will promote the growth of new synapses (synaptogenesis).

And we can increase Brain-Derived Neurotrophic Factor (BDNF) that boosts synapse growth and repair.

For a list of nootropics to increase BDNF, see the article:

13 Nootropics to Boost BDNF

Best Nootropics for Synapse Health

Below are some nootropic supplements to consider for synapse health and growth. Select one or two for your nootropic stack.

  1. Ashwagandha for Synapse Growth

    Ashwagandha – This ancient remedy is one of the most powerful herbs in Ayurvedic healing. Ashwagandha helps regenerate axons and dendrites of neurons. And helps reconstruct synapses.[xi]

Recommended nootropic dosage of Ashwagandha extract is 250 – 500 mg per day.

  1. Artichoke Extract Supports Memory Formation

    Artichoke Extract – This natural PDE4 inhibitor supports the secondary messenger Cyclic adenosine monophosphate (cAMP). cAMP helps stimulate the production of CREB (cAMP response element-binding protein). CREB is a protein needed for new neuron and synapse growth.

Increasing CREB enhances long-term potentiation (LTP). Which supports the formation of memory. Recommended nootropic dosage of Artichoke Extract is 900 mg per day.

  1. Berberine Improves Learning & Memory

    Berberine – Berberine increases glucagon-like peptide (GLP-1). GLP-1 is a peptide hormone that plays a crucial role in controlling diabetes. And is involved in cognition, learning and neuroprotection.

Studies have shown that GLP-1 enhances synaptic plasticity. It also reduces the aggregation of amyloid-β protein (Aβ), and the microtubule-associated protein Tau which are associated with Alzheimer’s Disease.[xii]

Berberine also works as an antioxidant. And is an acetylcholinesterase (AChE) inhibitor. Increasing acetylcholine levels improves learning and memory. Recommended nootropic dosage for Berberine is 900 – 1,500 mg per day.

  1. Forskolin Supports Long-Term Memory Formation 

    Forskolin – is the only known nootropic supplement to naturally and directly boost cAMP (Cyclic Adenosine Monophosphate). cAMP helps directly stimulate the production of CREB (cAMP response element-binding protein). CREB is a protein needed for new neuron and synapse growth.

Increasing CREB enhances long-term potentiation (LTP). Which supports the formation of long-term memory. Recommended nootropic dosage of Forskolin is 125 – 250 mg per day.

  1. Inositol (Vitamin B8) Strengthens Neural Communication

    Inositol (Vitamin B8) – Inositol is used in your brain as a “secondary messenger”. It facilitates communication between brain cells. All of your major neurotransmitters need inositol to relay messages.

Neurotransmitters, neuromodulators and hormones have been shown to exert their action via an intracellular (inside the cell) secondary messenger system in which the activated neuroreceptor stimulates the turnover of inositol phospholipids.

Lower than normal levels of myo-inositol in middle-aged adults can signal the initial stages of cognitive decline such as Alzheimer’s and dementia.[xiii] Recommended nootropic dosage of Inositol is up to 3 grams per day.

  1. Magnesium Supports Synaptic Plasticity

    Magnesium – Magnesium is the 4th most abundant mineral in your body. And critical for optimal memory and cognitive function. It is a cofactor in more than 300 enzymatic reactions in your body and brain.

Magnesium regulates the activity in neuron ion channels. Governing the flow of neurotransmitters. It also regulates brain synaptic plasticity. Which is critical for learning and memory.

Recommended nootropic dosage for Magnesium-L-Threonate is 1 gram per day.

  1. Pterostilbene Fights Aging in Brain Cells

    Pterostilbene – This naturally derived polyphenol antioxidant is gaining a reputation in the nootropics community for controlling brain inflammation, boosting dopamine, helping reverse cognitive decline and fighting brain cell aging.

Pterostilbene boosts insulin-like growth factor-1 (IGF-1), and modulates the receptor kinase pathway that is central in the learning and memory process.[xiv] It reduces reactive oxygen species (ROS), and increases the antioxidant glutathione and superoxide dismutase (SOD).

And Pterostilbene has been shown in clinical trials to elevate BDNF in the hippocampus. Improving learning and memory. Recommended nootropic dosage of Pterostilbene is 50 mg per day.

  1. Uridine Monophosphate Strengthens Brain Cell Membranes

    Uridine Monophosphate – Uridine is a precursor to Ribonucleic Acid (RNA). RNA provides instructions to your DNA to help create memory by facilitating connections between brain neurons (synapses).[xv]

Uridine is a precursor to the synthesis of phosphatidylcholine (PC). A phospholipid that is a primary component of healthy brain cell membranes. Uridine also promotes neurite and synapse growth.

Recommended Uridine Monophosphate nootropic dosage is 150 – 250 mg twice a day.

brain shrinkage treatment

Best Nootropics for Dementia & Alzheimer’s Disease

We have many nootropic supplement options that positively affect the various pathways involved in abnormal brain aging and neurodegenerative disease.

The big drug companies are also searching for disease-specific approaches to combat neurodegenerative diseases. In the case of Alzheimer’s for example, they’re looking for drugs that inhibit β- and γ-secretases that reduce production.[xvi]

Dementia is a huge problem and growing every day. It’s now the 6th leading cause of death in the USA.[xvii] You should be particularly concerned if you have a family member dealing with dementia or Alzheimer’s. Because certain genetic abnormalities put you at a higher risk for these neurodegenerative diseases.[xviii]

But it seems the executives of these big pharmaceuticals aren’t frequent visitors to Nootropics Expert. Because we’ve found several nootropic supplements that studies have shown specifically help fight the types of abnormalities that lead to dementia, Alzheimer’s, Parkinson’s and Huntington’s disease.

The key to neurodegenerative prevention with any of the following nootropics is to add them to your stack a couple of decades before symptoms of any of these diseases would normally show up.

  1. Huperzine-A 

    Huperzine-A – Boosts neuron resistance to beta-amyloid induced dysfunction that could lead to diseases like Alzheimer’s. Beta-amyloid affects ATP levels in mitochondria. Hup-A protects against this damage.[xix]

Recommended nootropic dosage for Huperzine-A is 200 mcg every 2nd or 3rd day.

  1. Resveratrol

    Resveratrol – Resveratrol activates AMPK which reduces levels of Amyloid-beta deposits in the cerebral cortex.[xx] Resveratrol prevents β-amyloid aggregation by scavenging oxygen free radicals, and inducing protective enzymes such as heme oxygenase. Again preventing the build-up of deposits causing Alzheimer’s.[xxi]

Resveratrol can also prevent Amyloid-beta proteins from clumping together into small collections of individual molecules called oligomers. This action alone has a profound effect on preventing Amyloid-beta damage and preventing Alzheimer’s.[xxii]

Recommended nootropic dosage for Resveratrol is 20 – 250 mg per day.

  1. Piracetam

    Piracetam – is used around the world to treat mild cognitive impairment in aging, brain injuries, dementia and Alzheimer’s Disease. Several studies show that Piracetam enhances ATP production, mitochondrial membranes and neurite outgrowth in neurons.

In one study researchers showed that Piracetam is able to repair mitochondria in those with mild Alzheimer’s and return cell function back to normal.[xxiii]

Recommended nootropic dosage for Piracetam is 1,600 mg 3-times per day.

  1. St. John’s wort

    St. John’s wort – Research shows that St. John’s wort extract decreases oxidative stress, prevents neurotoxicity, and controls inflammation. And may be an effective treatment for oxidative stress-related neurodegenerative disorders like Parkinson’s and Alzheimer’s.[xxiv]

Recommended nootropic dosage for St. John’s wort extract is up to 900 – 1,800 mg per day.

  1. Turmeric Decreases Inflammation

    Turmeric – Curcumin which is the most active compound that is isolated from turmeric, may help macrophages clear the amyloid plaques found in Alzheimer’s disease.[xxv]

Curcumin has anti-proliferative actions on microglia. The effect of curcumin on neuroglial cells involves decreased astrocyte proliferation, improved myelinogenesis and increased activity and differentiation of oligodendrocytes.

In other words, curcumin deals with activated microglia and reactive astrocytes around Amyloid-beta plaques in the brains of patients with Alzheimer’s.[xxvi]

Curcumin decreases the main chemical for inflammation and the transcription of inflammatory cytokines. The type of chronic inflammation found in the neurons of Alzheimer’s disease.[xxvii]

Several studies show Curcumin inhibits the inflammation which is linked to Alzheimer’s.[xxviii]

Curcumin binds to amyloid beta proteins found in Alzheimer’s disease and blocks its self-assembly.[xxix]

Studies show that heavy metals can induce Amyloid-beta aggregation and toxicity and are concentrated in the Alzheimer’s brain. Curcumin, by interaction with heavy metals such as cadmium and lead, prevents neurotoxicity caused by these metals.[xxx]

And finally, high-fat diets and increased blood cholesterol are linked to increased amyloid plaques. Curcumin inhibits cholesterol formation and decreases serum peroxides. Benefiting the prevention of Alzheimer’s disease.[xxxi]

If you did one thing to prevent Alzheimer’s and other neurodegenerative disease, add 750 mg of Turmeric Extract (95% curcuminoids) to your nootropic stack and take it 3-times per day for the rest of your life.

  1. Vinpocetine May Help Prevent Cognitive Disorders

    Vinpocetine – prevents the upregulation of NFκB (nuclear factor kappa-light-chain-enhancer of activated B cells). NFκB is a protein complex that controls transcription of DNA, cytokine production (signaling proteins) and cell survival. TNFα is a signaling protein (cytokine) involved in inflammation in neurons. Vinpocetine inhibits this action.

Vinpocetine also reduces the TNFα-induced expression of the mRNA of pro-inflammatory molecules such as interleukin-1β, monocyte chemoattractant protein-1 (MCP-1), and vascular cell adhesion molecule-1 (VCAM-1).

Researchers have found that Vinpocetine prevents this inflammatory response at the cellular nucleus level. This is a very big deal because TNFα contributes to the neuronal cell death found in Parkinson’s Disease.

And there is growing evidence that the accumulation of amyloid-β protein leads to an upregulation of interleukins and TNFα that contributes to neurodegeneration leading to Alzheimer’s Disease.[xxxii]

Recommended nootropic dosage of Vinpocetine is 10 mg 3-times per day.

memory supplements that work even for the aging brain

Vascular Dementia, Cerebral Circulation and Brain Aging

Your chances of developing White Matter Lesions (WML), strokes and dementia increase with age. If your family has a history of these types of diseases your chances are even higher.[xxxiii]

White matter lesions are damage to the white matter in your brain. The primary cause seems to be poor blood circulation. And the development of blood vessels too small to carry blood efficiently.

Blood vessel damage is associated with high blood pressure and small vessel disease. And puts you at a greater risk for stroke and other cognitive impairment.[xxxiv]

Dementia and vascular dementia seem to be related.[xxxv] Both types are associated with a host of brain problems including increased risk of Alzheimer’s, strokes, disorders of the blood-brain barrier, and atherosclerosis.

Research has shown that problems with cerebral blood flow, WML, and other associated brain cellular changes begin in mid-life.[xxxvi]

So it’s never too early to begin adding nootropics to your stack to help avoid these type of issues. Especially if you have a family history of dementia or stroke.

You may find that a nootropic you’re already using for boosting some other area of cognitive health also increases blood flow. Which protects your brain from dementia or a stroke.

Consider choosing one or two from the following list for better cerebral circulation and neuroprotection. And avoid developing dementia later in life.

  1. Cat’s Claw

    Cat’s Claw – This South American vine has potent anti-inflammatory and antioxidant effects that support DNA repair, immune function and normal cell division. Cat’s Claw also protects against damage from stroke.[xxxvii] Recommended nootropic dosage of Cat’s Claw standardized extract is up to 250 – 350 mg per day.

  1. Forskolin

    Forskolin – We use Forskolin as part of the CILTEP stack to increase cAMP. Which helps boost cognition, long-term memory and alertness. But Forskolin has also been used traditionally to treat hypertension (high blood pressure), congestive heart failure and angina (reduced blood flow to the heart).

Studies show that Forskolin’s ability to boost blood flow is related to its cAMP-elevating action. It works as a vasodilator which means it enlarges blood vessels. Allowing for freer flow of blood.[xxxviii] Nootropic dosage of Forskolin extract is 125 – 250 mg per day.

  1. Ginkgo Biloba

    Ginkgo Biloba – Studies consistently show that Ginkgo increases cerebral blood flow by increasing nitric oxide (NO).[xxxix] NO dilates blood vessels allowing for better elimination of free radicals and reducing oxidative stress. Providing more oxygen and glucose to neurons.

Recommended nootropic dosage of Ginkgo biloba extract is 120 – 240 mg per day.

  1. Oat Straw 

    Oat Straw – increases blood flow in the brain through several mechanisms of action. It contains the amino acid arginine which synthesizes to create nitric oxide (NO). NO dilates blood vessels allowing more blood to flow.

And avenanthramides (bioactive compounds unique in oats) have been shown to enhance nitric oxide (NO) production in human smooth muscle cells. Suppression of inflammatory cytokines in combination with increased nitric oxide increases blood flow.[xl] Recommended nootropic dosage for Oat Straw extract is 800 – 1,600 mg per day.

  1. Pine Bark Extract (Pycnogenol®)

    Pine Bark Extract (Pycnogenol®) – as a nootropic, Pine Bark Extract is used primarily to increase cerebral blood flow. It does it by increasing the activity of nitric oxide in the brain.[xli] Recommended nootropic dosage for Pine Bark Extract (Pycnogenol) is up to 300 mg per day.

  1. Piracetam

    Piracetam– several studies show that this original nootropic supplement increases cerebral blood flow. For example, one study showed Piracetam improving various language functions in stroke patients who were using 2,400 mg of Piracetam twice daily.[xlii] Recommended nootropic dosage for Piracetam is 1,600 mg 3-times per day.

  1. Phenylpiracetam

    Phenylpiracetam – chemists added a phenyl group to Piracetam to boost its bioavailability. And called this new nootropic Phenylpiracetam. It suppresses the constriction of blood vessels allowing for the freer flow of blood. More oxygen and nutrients get to brain cells which boosts alertness, cognition, focus and mood.[xliii]

Researchers in Moscow recruited 400 patients suffering from ischemic stroke. The team found that the group who received Phenylpiracetam  during the trial experienced a significant restoration in cognitive function, and resumed daily activities. Far better than the control group who took a placebo.[xliv] Nootropic dosage of Phenylpiracetam is 100 mg 2-times per day.

  1. Pramiracetam 

    Pramiracetam – this racetam is said to be 5 – 30 times more potent than Piracetam. It’s a favorite with students and executives for boosting cognition, focus, memory, and recall.

This nootropic has been tested to improve cognitive function after stroke or traumatic brain injury. Research shows Pramiracetam increases nitric oxide (NO) activity in your brain.[xlv] Recommend nootropic dosage for Pramiracetam is 250 – 400 mg up to 3-times per day.

  1. Resveratrol

    Resveratrol – some speculate that the Resveratrol found in red wine accounts for the “French Paradox”. And how the French can dine on baguettes, cheese, pâté and pastries. While avoiding putting on weight and living longer.

A research team at Northumbria University at Newcastle upon Tyne in the UK found that Resveratrol increased cerebral circulation. And this effect was entirely dependent on the size of the dose of Resveratrol. Even after a single dose.[xlvi] Recommended nootropic dosage for Resveratrol is 20 – 250 mg per pay.

  1. Vinpocetine

    Vinpocetine – is a semi-synthetic derivative of vincamine, an alkaloid derived from the lesser periwinkle plant (Vinca Minor L.). Vinpocetine is used primarily to increase cerebral blood flow.

Vinpocetine inhibits an enzyme called PDE1 (phosphodiesterase type 1) while reducing calcium levels in brain cells. When both of these are elevated, the smooth muscle in blood vessels contract, narrowing the diameter of blood vessels. And restricting blood flow to that area of the brain.

In two separate clinical studies, chronic ischemic post-stroke patients were treated with either a single infusion, or daily infusion of Vinpocetine for 2 weeks. Results showed increased cerebral blood flow especially in the thalamus, basal ganglia and visual cortex regions of the brain.[xlvii]

Vinpocetine should be part of every nootropic stack. Recommended dosage of Vinpocetine is 10 mg taken 3-times per day.

  1. Vitamin B3 (Niacin)

    Vitamin B3 (Niacin) – Studies have shown that supplementing with niacin improves cognitive function, enhances cellular energy, boosts cerebral circulation, increases endurance, switches ‘off’ aging genes, and extends life span.

Niacin supplementation has been used to treat addiction, ADHD, arthritis, Alzheimer’s Disease, depression, memory loss and schizophrenia. And for detoxing nearly every foreign substance that can find its way into your fat cells.

Researchers at Henry Ford Hospital in Detroit tested the hypothesis that niacin could increase synaptic plasticity and axon growth in stroke patients. In this study, Niacin increased synaptic plasticity and axon growth as a result of restored BDNF.[xlviii]

Recommended nootropic dosage of niacin is 1000 mg 3-times per pay. I recommend using Inositol hexanicotinate which is an extended-release version of niacin. And does not cause the typical niacin flush.

  1. Vitamin B6 (Pyridoxine)

    Vitamin B6 (Pyridoxine) – Vitamin Bis needed to regulate homocysteine. High homocysteine levels are linked to inflammation that can lead to blood vessel damage. And possible plaque buildup leading to heart attack or stroke.

Pyridoxal phosphate (pyridoxal 5′-phosphate, P-5-P, or PLP), the active form of Vitamin B6 helps control inflammation in your brain. Low levels of P-5-P are associated with severe inflammation.[xlix] Leading to neurodegenerative diseases like Alzheimer’s and Parkinson’s. And contributes to heart disease, arthritis, inflammatory bowel disease and diabetes.

Recommended nootropic dosage of Vitamin B6 (P-5-P) is up to 100 mg per day.

  1. Vitamin B12 (methylcobalamin)

    Vitamin B12 (methylcobalamin) – is essential for the synthesis of DNA, RNA and neurotransmitters, the maintenance of myelin sheaths protecting axons, and red blood cell formation.

Vitamin B12 is needed to regulate homocysteine. High homocysteine levels are linked to inflammation that can lead to blood vessel damage. And possible plaque buildup leading to heart attack or stroke.

Recommended nootropic dosage of Vitamin B12 (use the methylcobalamin version) is 1 mg per day.

anti-aging-nootropic-supplements

Neurotransmitter Decline and Brain Aging

Studies show that the major neurotransmitters dopamine and serotonin levels decline as we age.

Dopamine levels begin to decline by around 10% per decade starting in your early 20’s. Leading to declines in cognitive and motor performance. In other words, you don’t think as fast as you once did. And you don’t move as fast either.[l]

Serotonin and brain-derived neurotrophic factor also decline with age.[li]

The enzyme monoamine oxidase (MAO) increases with age which degrades serotonin, dopamine and norepinephrine. The more MAO increases, the more you experience its negative effects on memory, mood and behavior.[lii]

Monoamine oxidase inhibitors (MAOIs) have long been used to treat behavior disorders including depression.

But we have several natural nootropic options for increasing neurotransmitters like dopamine and serotonin. And we even have natural nootropic supplement alternatives for inhibiting MAO to keep neurotransmitter levels up as we age.

  1. 1.) Acetyl L-Carnitine (ALCAR)

    Acetyl L-Carnitine (ALCAR– a required cofactor for acetylcholine synthesis and works with CDP-Choline – helps transport of fatty acids into mitochondria to make ATP for more energy – it also boosts brain-derived neurotrophic factor (BDNF) needed for cell repair and neurogenesis

    Recommended dosage is 500 mg ALCAR twice per day

    2.) CDP-Choline (Citicoline)

    CDP-Choline (Citicoline) – needed for the synthesis of and works in synergy with ALCAR for producing acetylcholine for executive function, learning, memory, flow, and mood.

    Recommended nootropic dosage of CDP-Choline is 300 mg twice per day

    3.) GABA

    GABA – naturally produced in your gut and declines with age is your main inhibitory neurotransmitter – is anti-anxiety and may reduce depression – synthetic GABA is usually used in higher doses to encourage transport across the blood-brain barrier. A better option I suggest:

    PharmaGABA® 200 – 300 mg before bed.

    or

    4.) L-Glutamine

    L-Glutamine – is a precursor to glutamate which is a precursor to GABA and then Human Growth Hormone – it should also increase energy levels, reduce muscle fatigue, help heal a leaky gut and brain, reduce pain, and improve quality of sleep.

    Recommended nootropic dosage of L-Glutamine is 500 mg twice per day.

    5.) L-Tyrosine

    L-Tyrosine – is an amino acid produced by Phenylalanine in your body. L-Tyrosine is directly involved in creating dopamine, norepinephrine, and epinephrine in your brain and body. Dopamine declines by 10% per decade starting in your early 20’s.

    L-Tyrosine is also a precursor to thyroxine (your body’s main thyroid hormone). It also plays a role in controlling organs responsible for creating and regulating hormones in your body. Including your adrenal glands, pituitary gland and thyroid.

    L-Tyrosine can sharpen memory, is anti-anxiety, boosts mood, enhances libido, and protects brain nerve cells from neurotoxins.

    Typical dosage of L-Tyrosine is 500 mg – 2 grams per day.

    6.) L-Tryptophan

    L-Tryptophan – is an essential amino acid needed to synthesize serotonin which plays a role in mood, sleep, learning and even appetite control.

    Low levels of Tryptophan can result in short- and long-term memory loss. Supplementing with Tryptophan has been found to improve memory in healthy adults. Other neurotransmitters such as melatonin and beta-endorphin increase following Tryptophan supplementation.

    Recommended dosage for Tryptophan is 500 – 1,000 mg before bed.

    7.) Vitamin B-Complex

    Vitamin B-Complex – The B-Vitamins are arguably the most important anti-aging nootropic supplements we have availableVitamin B1 (Thiamine) is involved in the citric acid cycle that is used to produced adenosine triphosphate (ATP) energy within your mitochondria.

    Vitamin B3 (Niacin) is a precursor to NAD and NADH which provides electrons for ATP synthesis in your mitochondria. Niacin increases BDNF which is involved in synaptic plasticity and axon growth for memory and overall brain health. And it stimulates production of dopamine, norepinephrine and serotonin.

    Vitamin B5 (Pantothenic Acid) is essential for the synthesis of acetylcholine, epinephrine, and serotonin. And is at the heart of the citric acid cycle and electron transport chain which helps convert nutrients from food into energy which is used to make ATP in mitochondria

    Vitamin B6 (Pyridoxine) is a required coenzyme for the synthesis of dopamine, epinephrine, GABA, melatonin, norepinephrine, and serotonin. In fact, more than 140 distinct enzyme activities in your brain and body depend on the P-5-P version of Vitamin B6

    Vitamin B9 (Folate) is involved in gene expression, amino acid synthesis, myelin synthesis, and is required for the synthesis of the neurotransmitters dopamine, epinephrine, norepinephrine and serotonin.

    Vitamin B12 (methylcobalamin) is essential for the synthesis of DNA, RNA and neurotransmitters, the maintenance of myelin sheaths protecting neurons, and red blood cell formation. It’s also needed to regulate homocysteine. High homocysteine levels are linked to inflammation that can lead to blood vessel damage. And possible plaque buildup leading to heart attack or stroke.

    Choose a B-Complex vitamin that contains the highly bioavailable forms of folate (not folic acid), and methylcobalamin (not cobalamin).

    You can get effective dosages of L-Tyrosine, Citicoline, Pine Bark Extract, and the bioavailable forms of Vitamins B6, B9 & B12 in Mind Lab Pro

Reversing Brain Aging – Where to Start

Most of the nootropics reviewed here on Nootropics Expert could be considered “anti-aging” supplements.

We’ve tons of research that show taking the right nootropic supplements can optimize brain health. And protect you from cognitive decline well into the future.

But choosing the best nootropics for you can be a challenge.

We have dozens of nootropic supplements to choose from. Including amino acids, herbs, minerals, vitamins and even the racetam-family of nootropics.

The permutations and combinations to make your perfect anti-aging nootropic stack can melt your brain. Which is kinda’ counter to what we’re aiming for.

So here’s a suggestion…

Choose one or two from each of the categories listed in this post. Carefully review the full article on each to make sure you understand what each nootropic does. How they may interact with your prescription medications. Check out possible side effects. And select the lowest suggested dosage of each.

And you can save money and time with fewer capsules by including Performance Lab Energy® and Mind Lab Pro® in your supplement choices.

From what we know now, we can go a long way in giving your brain a chance to heal and recover if you have problems with things like memory or depression.

Even if you aren’t dealing with cognitive decline (yet), you need to take steps today to prevent the aging of your brain, and maintain lifelong optimal cognitive health.

As an Amazon Associate I earn from qualifying purchases. This post may also contain other affiliate links and I will be compensated if you make a purchase after clicking on my links.

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[xxii] Ladiwala A.R., Lin J.C., Bale S.S., Marcelino-Cruz A.M., Bhattacharya M., Dordick J.S., Tessier P.M. “Resveratrol selectively remodels soluble oligomers and fibrils of amyloid Abeta into off-pathway conformers.” Journal of Biological Chemistry. 2010 Jul 30;285(31):24228-37 (source)

[xxiii] Stockburger C., Kurz C., Koch K.A., Eckert S.H., Leuner K., Müller W.E. “Improvement of mitochondrial function and dynamics by the metabolic enhancer piracetam.” Biochemical Social Transactions. 2013 Oct;41(5):1331-4. (source)

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[xxv] Zhang L., Fiala M., Cashman J., Sayre J., Espinosa A., Mahanian M., Zaghi J., Badmaev V., Graves M.C., Bernard G., Rosenthal M. “Curcuminoids enhance amyloid-beta uptake by macrophages of Alzheimer’s disease patients.” Journal of Alzheimer’s Disease. 2006 Sep; 10(1):1-7. (source)

[xxvi] Ambegaokar S.S., Wu L., Alamshahi K., Lau J., Jazayeri L., Chan S., Khanna P., Hsieh E., Timiras P.S. “Curcumin inhibits dose-dependently and time-dependently neuroglial cell proliferation and growth.” Neuro Endocrinology Letters. 2003 Dec; 24(6):469-73. (source)

[xxvii] Giri R.K., Rajagopal V., Kalra V.K. “Curcumin, the active constituent of turmeric, inhibits amyloid peptide-induced cytochemokine gene expression and CCR5-mediated chemotaxis of THP-1 monocytes by modulating early growth response-1 transcription factor” Journal of Neurochemistry. 2004 Dec; 91(5):1199-210. (source)

[xxviii] Mishra S., Palanivelu K. “The effect of curcumin (turmeric) on Alzheimer’s disease: An overview” Annals of Indian Academy of Neurology. 2008 Jan-Mar; 11(1): 13–19. (source)

[xxix] Yang F., Lim G.P., Begum A.N., Ubeda O.J., Simmons M.R., Ambegaokar S.S., Chen P.P., Kayed R., Glabe C.G., Frautschy S.A., Cole G.M. “Curcumin inhibits formation of amyloid beta oligomers and fibrils, binds plaques, and reduces amyloid in vivo.” Journal of Biology and Chemistry. 2005 Feb 18; 280(7):5892-901. (source)

[xxx] Baum L., Ng A. “Curcumin interaction with copper and iron suggests one possible mechanism of action in Alzheimer’s disease animal models.” Journal of Alzheimer’s Disease. 2004 Aug; 6(4):367-77; discussion 443-9. (source)

[xxxi] Puglielli L., Tanzi R.E., Kovacs D.M. “Alzheimer’s disease: the cholesterol connection.” Nature Neuroscience. 2003 Apr; 6(4):345-51. (source)

[xxxii] Medina A. “Vinpocetine as a potent antiinflammatory agent” Proceedings of the National Academy of Sciences U S A. 2010 Jun 1; 107(22): 9921–9922. (source)

[xxxiii] Atwood L.D., Wolf P.A., Heard-Costa N.L., Massaro J.M., Beiser A., D’Agostino R.B., DeCarli C. “Genetic variation in white matter hyperintensity volume in the Framingham Study.” Stroke. 2004 Jul; 35(7):1609-13. (source)

[xxxiv] Kim K.W., MacFall J.R., Payne M.E. “Classification of white matter lesions on magnetic resonance imaging in the elderly” Biology and Psychiatry 2008 Aug 15; 64(4): 273–280. (source)

[xxxv] Gold G., Giannakopoulos P., Bouras C. “Re-evaluating the role of vascular changes in the differential diagnosis of Alzheimer’s disease and vascular dementia.” European Neurology. 1998 Oct; 40(3):121-9. (source)

[xxxvi] Wen W., Sachdev P. “The topography of white matter hyperintensities on brain MRI in healthy 60- to 64-year-old individuals.” Neuroimage. 2004 May; 22(1):144-54. (source)

[xxxvii] Kang T.H., Murakami Y., Takayama H., Kitajima M., Aimi N., Watanabe H., Matsumoto K. “Protective effect of rhynchophylline and isorhynchophylline on in vitro ischemia-induced neuronal damage in the hippocampus: putative neurotransmitter receptors involved in their action.” Life Sciences. 2004 Dec 3;76(3):331-43. (source)

[xxxviii] Wysham D.G., Brotherton A.F., Heistad D.D. “Effects of forskolin on cerebral blood flow: implications for a role of adenylate cyclase.” Stroke. 1986 Nov-Dec;17(6):1299-303. (source)

[xxxix] Mashayekh A., Pham D.L., Yousem D.M., Dizon M., Barker P.B., Lin DD. “Effects of Ginkgo biloba on cerebral blood flow assessed by quantitative MR perfusion imaging: a pilot study.” Neuroradiology. 2011 Mar;53(3):185-91. (source)

[xl] Wong R.H., Howe P.R., Coates A.M., Buckley J.D., Berry N.M. “Chronic consumption of a wild green oat extract (Neuravena) improves brachial flow-mediated dilatation and cerebrovascular responsiveness in older adults.” Journal of Hypertension. 2013 Jan;31(1):192-200 (source)

[xli] Rohdewald P. “A review of the French maritime pine bark extract (Pycnogenol), a herbal medication with a diverse clinical pharmacology.” International Journal of Clinical Pharmacology and Therapeutics. 2002 Apr;40(4):158-68. (source)

[xlii] Kessler J., Thiel A., Karbe H., Heiss W.D. “Piracetam improves activated blood flow and facilitates rehabilitation of poststroke aphasic patients.” Stroke. 2000 Sep;31(9):2112-6. (source)

[xliii] Mirzoian R.S., Gan’shina T.S. in Russian “[Mechanism of the cerebrovascular effect of piracetam].” Biull Eksp Biol Med. 1985 Jan;99(1):64-6. (source)

[xliv] Koval’chuk V.V., Skoromets A.A., Koval’chuk I.V., Stoianova E.G., Vysotskaia M.L., Melikhova E.V., Il’iaĭnen E.V. in Russian “[Efficacy of phenotropil in the rehabilitation of stroke patients].” Zh Nevrol Psikhiatr Im S S Korsakova. 2010;110(12 Pt 2):38-40. (source)

[xlv] Corasaniti M.T., Paoletti A.M., Palma E., Granato T., Navarra M., Nisticò G. “Systemic administration of pramiracetam increases nitric oxide synthase activity in the cerebral cortex of the rat.” Functional Neurology. 1995 May-Jun;10(3):151-5. (source)

[xlvi] Kennedy D.O., Wightman E.L., Reay J.L., Lietz G., Okello E.J., Wilde A., Haskell C.F. “Effects of resveratrol on cerebral blood flow variables and cognitive performance in humans: a double-blind, placebo-controlled, crossover investigation.” American Journal of Clinical Nutrition. 2010 Jun;91(6):1590-7. (source)

[xlvii] Vas A., Gulyás B., Szabó Z., Bönöczk P., Csiba L., Kiss B., Kárpáti E., Pánczél G., Nagy Z. “Clinical and non-clinical investigations using positron emission tomography, near infrared spectroscopy and transcranial Doppler methods on the neuroprotective drug vinpocetine: a summary of evidences.” Journal of the Neurological Sciences. 2002 Nov 15;203-204:259-62. (source)

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[xlix] Sakakeeny L., Roubenoff R., Obin M., Fontes J.D., Benjamin E.J., Bujanover Y., Jacques P.F., Selhub J. “Plasma pyridoxal-5-phosphate is inversely associated with systemic markers of inflammation in a population of U.S. adults.” Journal of Nutrition. 2012 Jul;142(7):1280-5. (source)

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Join The Discussion - 88 comments

Wong
February 1, 2021

Hi

Which nootropics do you think is good for anti ageing in terms of maintaining youthful looks? Do you think L carnosine and reservatrol is good?

    David Tomen
    February 2, 2021

    Wong, if you are talking about just your ‘outside’ appearance then L-Carnosine and Resveratrol are a good place to start. But if you want true anti-aging then please choose a couple of supplements from each category I’ve detailed above. When you fix the ‘inside’ it soon becomes evident on the ‘outside’ as well.

Anke Ahlbrink
October 1, 2020

Dear David,
i just started to take sublemnts for my ADD
I am 49 years old and i still have to find out what kind of medical stimulant i have to take. I hope i can find out the next month with my psychiatrist.
I suffer most from the condition Rejection Sensetive Dysphoria. Wich meens the emotional regulation. And also i have problems with planing and calculation…Working memory problems…
Can you give me some advices for my problem.
There are so many nootropics.
Thank you so much
Kind regarts from Germany

    David Tomen
    October 2, 2020

    Anke, Rejection Sensitive Dysphoria apparently has been identified as a genetic disorder. At least in part. And is currently treated (according to the Mayo Clinic) with blood pressure meds like clonidine and Guanfacine which work on α2A adrenoceptors which do not have an exact nootropic equivalent.

    But it’s also treated with MAOIs. And there are nootropics that also act like MAOIs. Including Ginkgo Biloba, Holy Basil, Berberine, Curcumin, and Oat Straw. The last one, Oat Straw is an MAOI-B which is closest to the prescription MAOI called Tranylcypromine.

    For working memory, use the search function above the menu bar top right and search for the keyword phrase “working memory” in quotations. You’ll get a list of nootropics that help working memory.

Jason
August 24, 2020

Hey David, I read ALA would cause mercury to be deposit in the brain if we have amalgam fillings is that true?

I also read ALA is anticholinergic.

    David Tomen
    August 24, 2020

    Jason, where do you guys find this stuff? Please share because both of these are news to me.

      David Wood
      February 11, 2023

      Ah – this is the work of Andy Cutler (a chemist out of Princeton) who did a lot of work on chelation and developed what’s known as the Andy Cutler Chelation protocol (ACC):

      The Mercury Detoxification Manual: A Guide to Mercury Chelation by Andrew Hall Cutler

      ALA does bind to mercury (and other heavy metals) and since it has a relatively short half life it can end up binding in one place but degrading before being excreted via the kidneys and redepositing it. Which could be anywhere but obviously everyone focusses on the brain.

      He developed a protocol based on a dosing frequency relative to the half-life of the chelator whereby you dose frequently enough to keep the mercury initially released bound long enough to be transported out (don’t ask me what happens to any mercury etc that is bound by your last dose…).

      There are very many people that have seen a lot of success with his protocol.

Rab
August 4, 2020

Hi David

Many thanks for your sterling contribution! I’m a convert to MindlabPro, PerformanceLab Energy(slightly less, as it is powerful & can interfere with my sleep patterns) and their multi-vitamin capsules.

But I’ve always been curious about their T-Booster for extra testosterone (I’m in mid-50’s). I’ve never seen you discuss it hence me asking you now- do you recommend it/take it?

    David Tomen
    August 6, 2020

    Rab, their T-Booster is a good supplement if you’re just looking to increase your levels by 1 – 200 points. Any more than that and it’s not for you.

Chiropractor In Marietta
July 3, 2020

Hi Tomen. What supplements would you prefer that contains all of the above? Any idea?

    David Tomen
    July 4, 2020

    I suggest choosing two nootropic supplements from each category in this post to take care of free radicals, synapses, neurodegeneration, and blood flow circulation.

    But for the neurotransmitters it depends on what each person is deficient in. And that means experimenting with precursors for each of the major neurotransmitters until you find which supplement makes you feel better.

    There isn’t a pre-made supplement containing all of the above nootropics that work for everyone because each of us is different with unique issues that need to be addressed.

Don
June 16, 2020

Has anybody used NT Factor for improving neural connections?

Rina
May 2, 2020

Hi, David.
I’m a 33 year old female and recently figured out that I have a significantly increased risk of both Alzheimer’s disease and Dementia with Lewy bodies due to having one copy of the APOE e4 allele, which is believed to cause buildups of amyloid plaques and lead to the death of neurons.
I have already been experimenting with nootropics to fight my extreme fatigue caused by severe Ehlers Danlos and Mast Cell Activation syndromes, but now I’m trying to decide which ones to add to reduce the risk of Alzheimer’s and dementia…
Should I focus mainly on the ones listed in the section “Alzheimer’s, dementia and brain aging” (Huperzine-A, Reservatrol, Piracetam, St. John’s wort, Turmeric, and Vinpocetine)?
Or should I rather include some from all or the categories you’ve listed above? Any recommendations?

Rina

    David Tomen
    May 4, 2020

    Rina, for Alzheimer’s and dementia prevention concentrate on the suggestions listed under that category. But you do not need all of them. I’d start with Resveratrol, Turmeric and Vinpocetine.

    Please read the separate linked review for each to see exactly how they work and dosage recommendations.

Eric Ellquist
November 23, 2019

Good stuff David, I wonder if there is an optimum time to take these various supplements, first thing in the morning, before bed? Since there are so many different supplements, surely there must be.

    David Tomen
    November 24, 2019

    Eric, it depends on the nootropic. If it’s something like Alpha Lipoic Acid which is dosed twice a day you’d do it morning and noon. Magnesium is 60 minutes before bed because it helps you sleep. Vitamins are generally morning and noon.

    Every single nootropic reviewed on Nootropics Expert and that is linked to in this post includes dosing recommendations which often includes timing during the day.

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