Western tradition · Neurohormone

Melatonin

Beyond sleep: melatonin is a potent mitochondrial antioxidant whose production declines ~80% from youth to old age.

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Origin & tradition

Not traditional as a supplement: melatonin's role as a sleep and circadian hormone was identified in the 1950s–60s.

Why longevity buyers care

Key active: Melatonin (N-acetyl-5-methoxytryptamine — pineal neurohormone).

Melatonin acts as a direct free-radical scavenger, mitochondrial membrane stabilizer, and circadian anchor. Its decline with age (~80% reduction) is considered a driver of circadian disruption and mitochondrial aging. Clinical trials cover sleep quality, cancer adjuvant, cardiovascular risk, and cognitive aging.

Effect summary

Studied health outcomes

Editorial summary — This table is curated by hand from published research consensus, not automatically calculated from our trial database. Grades reflect our interpretation of the literature. Treat as a starting point, not a definitive verdict. See the Evidence panel below for the underlying trial and paper counts sourced directly from ClinicalTrials.gov and PubMed.
Health outcomeEffectMagnitudeGrade
Sleep onset latencyDecreasesStrongA
Jet lag recoveryIncreasesStrongA
Circadian rhythm phase shiftIncreasesStrongA
Antioxidant / mitochondrial protectionIncreasesModerateB
Sleep quality (total)IncreasesModerateB

Grade: A = robust RCTs · B = several RCTs / meta-analysis · C = limited or mixed RCTs · D = observational or early data

Dosage guidance

How Melatonin is typically used

Typical dose
0.5–3 mg/night (lowest effective dose)
Form
immediate-release tablet or sublingual
Timing
30–60 minutes before intended sleep time

More is not better — 0.5mg is often as effective as 5–10mg for sleep onset, with fewer next-day effects. High doses suppress endogenous melatonin production. Use the lowest dose that works. Extended-release may help with sleep maintenance.

Informational only — not a prescription or personalised medical advice. Consult a qualified clinician before starting any supplement or medication.

Evidence summary

What the research actually says

82Evidence confidence
Extensive human-trial evidence1,185 randomized controlled trials · 661 meta-analyses / systematic reviews

Extensive human RCTs on sleep; growing trial base for aging endpoints

Melatonin acts as a direct free-radical scavenger, mitochondrial membrane stabilizer, and circadian anchor. Its decline with age (~80% reduction) is considered a driver of circadian disruption and mitochondrial aging. Clinical trials cover sleep quality, cancer adjuvant, cardiovascular risk, and cognitive aging.

5registered clinical trials reference this intervention
    2selected from 2+ PubMed papers (longevity / aging angle)
    Key active: Melatonin (N-acetyl-5-methoxytryptamine — pineal neurohormone).

    According to PubMed and ClinicalTrials.gov: trial counts from ClinicalTrials.gov, peer-reviewed literature from PubMed. Counts auto-refresh weekly; last checked 2026-06-12. They include trials across many endpoints, not only longevity.

    Informational only — not medical advice, a treatment claim, or a substitute for a qualified clinician. Evidence strength varies; we show mixed and null results on purpose.

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