What holds up in older-adult trials

Cognition & Memory

Memory supplements are heavily marketed to people over 65. A small number correct real deficiencies; most large randomised trials of 'brain' supplements have been negative.

What the evidence says

  • Vitamin B12 deficiency is common after 65 and is a genuinely correctable cause of cognitive symptoms.
  • Large trials of ginkgo biloba did not prevent dementia in older adults.
  • Hearing correction, blood-pressure control, sleep and exercise have stronger cognitive evidence than any capsule.

Supplements in this topic

Omega-3

Omega-3 fish oil

Moderate evidence

Reduces triglycerides and may lower cardiovascular risk in high-risk groups. Benefits for cognition and mood are promising but less certain.

Verdict: Heart and triglyceride benefits are well-supported.

620 studies reviewed
High doses can increase bleeding risk
Herbs

Ginkgo biloba

No evidence

Despite popularity, large trials have not shown consistent memory or cognitive enhancement in healthy adults or dementia patients.

Verdict: No convincing evidence for cognitive enhancement.

220 studies reviewed
Blood-thinning interaction risk
Vitamins

Multivitamin

Limited evidence

For most well-nourished adults, multivitamins do not reduce mortality or prevent chronic disease. May help fill gaps in restricted diets.

Verdict: Insurance policy, not a longevity pill.

310 studies reviewed
Can lead to excessive intake of some fat-soluble vitamins

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