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Longevity & Aging · Metabolic & Cardiometabolic

periodic fasting-mimicking diet cycles decreases biological age composite clinical biomarker aging-clock score

In plain terms: Can monthly fasting-mimicking-diet cycles make you biologically younger?

Insufficient Longevity & Aging 🔬 Includes disconfirming
RefutedContestedStrong support
consensus score 0.25
⚖️ Thin evidence — read the needle loosely. The score shows which way the studies lean, but there are too few independent, high-quality ones to place it firmly. Expect this to move as better evidence arrives.

A single small Longo-lab analysis reported about 2.5 years lower biological age, but biological-age clocks are a contested surrogate not a hard outcome and the deep sample was tiny (n=15) with no independent replication.

Evidence ladder

How far up the ladder this claim has climbed. A high consensus on a low rung means "consistent so far," not "proven in people."

Top evidence so far: Human trials (RCT / n-of-1)

MechanismIn-vitroAnimalObservationalRCTMeta-analysis

How the studies fall

1 support 0 contradict 1 tested null 0 mixed · 2 sources, 1 independent group

The evidence (2)

SourceGradeStanceQualityFinding
Lean
2018 · Lancet
RCT tested-null high Independent context: large diet RCTs demonstrate hard-endpoint change (diabetes remission) — the FMD claim rests on a soft surrogate (aging clock) not yet linked to morbidity/mortality outcomes in FMD trials.
Brandhorst
2024 · Nat Commun
RCT supports low Human Longo-lab secondary analysis: 3 FMD cycles associated with about 2.5-yr lower biological age on a validated clock, independent of weight loss; exploratory, small deep-analysis subsample (about n=15), single group.

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