NAD+ / longevity

Resveratrol

Also called trans-resveratrol, Polygonum cuspidatum extract, Japanese knotweed extract, stilbene

By Kymata Health editorial teamLast reviewed October 9, 2026 · What changed

Kymata Health may earn a commission from links on separate product pages. This page contains no product links. Educational reference, not medical advice.

Summary

Human results for resveratrol are inconsistent. Meta-analyses found no overall effect on blood pressure, glucose in people without diabetes, or memory, with some subgroup benefits at higher amounts. Plain trans-resveratrol reaches only low blood levels. Trials in older adults reported no significant adverse events, but long-term data are lacking.

Top graded outcomes:C evidence grade Blood pressureC evidence grade Fasting glucose, insulin and HbA1cC evidence grade HbA1c and fasting glucose (Cochrane review)

Key facts

Forms covered
Trans-resveratrol (the form in the pharmacokinetic trial); the pooled analyses do not break down the forms used[8][3]
Form differences
No head-to-head human outcome data between products in our sources; repeated doses gave low plasma levels with high person-to-person variation[8]
Top studied outcomes
Blood pressure: no overall effect, lower systolic at 150 mg/day or more (C); glucose: no effect without diabetes (C); memory and cognition: no effect (C)[1][2][4]
Studied dose range
10–1,000 mg/day in trials of 4 weeks to at least 3 months[3][7]
Safety
In a review of 10 trials in older adults, no study reported significant adverse events; adverse events were mild in a short dose-escalation trial; long-term effects and drug interactions are not well studied[9][8][10]
Evidence base
4 graded human outcomes on this page
Last reviewed
October 9, 2026

How it works

ProposedAntioxidant, anti-inflammatory and anti-aging activities have been attributed to resveratrol, largely from laboratory and animal research, while human trial results have been conflicting (proposed). In people, repeated doses produced relatively low plasma trans-resveratrol, with a half-life of 2–5 hours.[10][8]

What the human research says

Human trials only, one row per outcome. The form column shows what each trial actually tested. Grades follow our evidence-grading policy.

At a glance: strongest evidence per outcome

Evidence at a glance: strongest human evidence per outcome
OutcomeGradeEffectStrongest evidenceRows
MetabolicGrade CMixedMeta-analysis · n = 388 · 2014Form tested: Resveratrol2 rows
HeartGrade CMixedMeta-analysis · n = 247 · 2015Form tested: Resveratrol1 row
FocusGrade CNo effectMeta-analysis · n = 226 · 2018Form tested: Resveratrol1 row

Every graded row

Outcome
Form tested
Sort

Showing 4 of 4 outcomes. Human trials only.

OutcomeEffectGradeBest evidencePMID
Fasting glucose, insulin and HbA1cMixedGrade C

Meta-analysis · n = 388 · 2014

Adults with and without diabetes in 11 randomized controlled trials

Form: Resveratrol · Dose: Varied; results not affected by dose in subgroup analyses · Duration: Varied

No significant effect on glucose measures in people without diabetes. In people with diabetes, fasting glucose, insulin, HbA1c and insulin resistance fell.

24695890 (opens PubMed)Source [2]
Blood pressureMixedGrade C

Meta-analysis · n = 247 · 2015

Adults in 6 randomized controlled trials

Form: Resveratrol · Dose: Subgroups below and at or above 150 mg/day · Duration: Not stated in the abstract

No significant overall effect on systolic or diastolic pressure. In the higher-dose subgroup (150 mg/day or more), systolic pressure fell by 11.9 mmHg; meta-regression showed no dose effect.

24731650 (opens PubMed)Source [1]
Memory and cognitive performance; moodNo effectGrade C

Meta-analysis · n = 226 · 2018

Participants in 4 randomized clinical trials

Form: Resveratrol · Dose: Not stated in the abstract · Duration: Not stated in the abstract

No significant effect on learning, delayed recall, retention or recognition (effect sizes near zero). Two mood-scale items (vigor and fatigue) changed significantly; other mood measures did not.

28844841 (opens PubMed)Source [4]
HbA1c and fasting glucose (Cochrane review)No effectGrade C

Meta-analysis · n = 50 · 2020

Adults with type 2 diabetes in 3 randomized controlled trials

Form: Oral resveratrol, not combined with other polyphenols · Dose: 10, 150 or 1,000 mg/day · Duration: 4 to 5 weeks

Neutral effects on HbA1c, fasting glucose and insulin resistance (very low-certainty evidence). No adverse events were observed in the three trials.

31978258 (opens PubMed)Source [3]

Forms

FormElemental %Absorption (human data)GI toleranceStudied for
Trans-resveratrol (capsules, often from Japanese knotweed)Varies[8]Labels list mg trans-resveratrol; extract purity varies by productRepeated doses of 25–150 mg six times a day gave peak plasma levels of 3.9–63.8 ng/mL, with over 40% variation between people; bioavailability was higher after morning doses.[8]Adverse events were mild and similar to placebo in the dose-escalation trial.[8]Blood pressure, glucose, cholesterol, cognition

Studied doses

Doses studied in human trials ranged from 10 to 1,000 mg of resveratrol a day, in trials lasting from 4 weeks to at least 3 months.[3][7]

These are amounts used in research, not personal advice. Your clinician or pharmacist can say what fits you.

Interactions

Published interactions only: each row cites a source. No row means none was found in our sources, not that a combination is safe.

None found in our sources.

Who should be careful

People taking prescription medicines
Data on interactions between resveratrol and other therapies are still lacking, according to a 2020 review.[10]
High amounts
In older adults with overweight, high amounts raised some blood markers of cardiovascular risk, according to a 2024 systematic review.[9]
Before you start
Talk to your pharmacist or clinician before adding this supplement, especially if you take prescription medicines, are pregnant or breastfeeding, or have a chronic health condition.[9]

Talk to your pharmacist or clinician before starting a supplement, especially if you take prescription medicines.

Articles about Resveratrol

Plain-English answers to common questions, built on the evidence above.

Frequently asked questions

Does resveratrol lower blood pressure?

Not overall. A meta-analysis of 6 trials found no significant effect, though a higher-dose subgroup (150 mg/day or more) showed lower systolic pressure. Another meta-analysis of 10 trials found no effect.[1][5]

Does resveratrol lower cholesterol?

The meta-analyses disagree. A 2022 dose-response analysis found lower total cholesterol, triglycerides and LDL, while a 2015 analysis found no change and a slight drop in HDL.[6][5]

Does resveratrol help weight loss?

A meta-analysis of 28 trials found very small reductions in weight (about 0.5 kg) and waist size (about 0.8 cm), with no change in fat mass.[7]

Is resveratrol well absorbed?

Repeated doses produced relatively low plasma levels with large differences between people. Levels were higher after morning doses.[8]

Does resveratrol add to nicotinamide riboside?

In a 6-month trial in people with leg artery disease, resveratrol did not add benefit to nicotinamide riboside for walking distance.[11]

Is resveratrol safe?

Trials in older adults reported no significant adverse events, but long-term effects, the right amount and drug interactions still need study.[9][10]

Sources

  1. [1]Effect of resveratrol on blood pressure: a meta-analysis of randomized controlled trials.. Clin Nutr, 2015. meta-analysis PMID 24731650
  2. [2]Effect of resveratrol on glucose control and insulin sensitivity: a meta-analysis of 11 randomized controlled trials.. Am J Clin Nutr, 2014. meta-analysis PMID 24695890
  3. [3]Resveratrol for adults with type 2 diabetes mellitus.. Cochrane Database Syst Rev, 2020. meta-analysis PMID 31978258
  4. [4]Effect of resveratrol on cognitive and memory performance and mood: A meta-analysis of 225 patients.. Pharmacol Res, 2018. meta-analysis PMID 28844841
  5. [5]Lack of efficacy of resveratrol on C-reactive protein and selected cardiovascular risk factors--Results from a systematic review and meta-analysis of randomized controlled trials.. Int J Cardiol, 2015. meta-analysis PMID 25885871
  6. [6]The Effect of Resveratrol on Blood Lipid Profile: A Dose-Response Meta-Analysis of Randomized Controlled Trials.. Nutrients, 2022. meta-analysis PMID 36145131
  7. [7]Resveratrol supplementation significantly influences obesity measures: a systematic review and dose-response meta-analysis of randomized controlled trials.. Obes Rev, 2019. meta-analysis PMID 30515938
  8. [8]Pharmacokinetic and safety profile of trans-resveratrol in a rising multiple-dose study in healthy volunteers.. Mol Nutr Food Res, 2009. RCT PMID 19194969
  9. [9]Effects and safety of resveratrol supplementation in older adults: A comprehensive systematic review.. Phytother Res, 2024. systematic-review PMID 38433010
  10. [10]Potential Adverse Effects of Resveratrol: A Literature Review.. Int J Mol Sci, 2020. review PMID 32197410
  11. [11]Nicotinamide riboside for peripheral artery disease: the NICE randomized clinical trial.. Nat Commun, 2024. RCT PMID 38871717

What changed

  1. October 9, 2026 · all · new pageFirst draft. Every evidence-row PMID checked with NCBI E-utilities (esummary + efetch abstract) and re-read in an independent adversarial pass.Writer: Kymata Health editorial team · No credentialed reviewer yet

How we write, grade and correct these pages: editorial and evidence policy.

Supplement & Nutrient Encyclopedia. Educational information only; it is not medical advice and does not replace a clinician. Dietary supplements are not intended to diagnose, treat, cure or prevent any disease. Statements about supplements have not been evaluated by the FDA.

Supplements and vitamins: every page →Supplement & Nutrient Encyclopedia →Browse all topics →

Evidence-graded supplement stacks →