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    Supplement

    Melatonin

    Supplement
    Hormones
    5/10 Evidence

    The pineal hormone that signals darkness to the body and entrains circadian rhythm. Most over-the-counter melatonin products are dosed at 3–10 mg, which is 10–20 times higher than a typical physiological nighttime level (roughly 0.1–0.3 mg equivalent). Low-dose use (0.3–1 mg) is generally preferred by sleep researchers for circadian re-entrainment, while higher doses are used more for their sedative effect. Melatonin also has direct antioxidant and mitochondrial-protective activity in preclinical models, which drives separate longevity-research interest distinct from its sleep use — an area where human evidence remains limited.

    Mechanism of Action

    Melatonin is synthesized from serotonin via AANAT and ASMT enzymes in the pineal gland and released in response to darkness. It binds MT1 and MT2 receptors in the suprachiasmatic nucleus (the body's master clock) to entrain circadian rhythm and promote sleep-associated drops in core body temperature. Independently of its receptor-mediated circadian role, melatonin has direct free-radical-scavenging and mitochondrial-protective activity in cell and animal models, which is the mechanistic basis for longevity-related interest, though this has not been shown to extend human healthspan or lifespan.

    Dosing Protocol

    Recommended

    0.5–3mg

    Standard starting dose based on research

    Therapeutic Range

    0.3

    Minimum

    to

    5

    Maximum

    mg

    30–60 minutes before intended sleep time; for circadian re-entrainment (jet lag, shift work), timing relative to the target time zone matters more than the absolute dose

    Cycling Protocol

    Best used short-term or intermittently (jet lag, shift transitions, temporary sleep disruption); avoid indefinite nightly use above 1–3 mg without periodic reassessment, given limited long-term safety data at supraphysiologic doses

    Dosages are general guidelines. Individual requirements vary based on body weight, health status, and specific goals. Start with lower doses and adjust based on response.

    Benefits

    Primary Benefits

    • Modestly reduces sleep onset latency and helps re-entrain circadian rhythm for jet lag, shift work, and delayed sleep phase
    • Low doses (0.3–1 mg) approximate physiological nighttime levels and are generally preferred over high-dose sedative use for circadian applications
    • Direct antioxidant and mitochondrial-protective activity in preclinical models supports ongoing longevity research, though human evidence for anti-aging benefit is currently lacking

    Secondary Benefits

    Explored as an adjunct in some migraine and sleep-disrupted GERD protocols (limited evidence)
    Studied in shift workers for circadian-linked metabolic markers

    Safety Information

    Contraindications

    Do not use if any of the following apply:

    • •Autoimmune disease — melatonin can stimulate immune activity
    • •Pregnancy and breastfeeding — insufficient safety data at supplemental doses
    • •Children — use only under pediatric medical guidance
    • •A large 2025 retrospective analysis (130,828 adults with chronic insomnia, presented as a preliminary abstract at the American Heart Association Scientific Sessions 2025, not yet peer-reviewed) found higher rates of heart failure diagnosis, heart-failure hospitalization, and all-cause mortality in adults using melatonin for one year or more versus non-users. Causality is unconfirmed — it is observational, and chronic insomnia itself is an independent cardiovascular risk factor — but it supports using the lowest effective dose for the shortest necessary duration rather than indefinite high-dose use

    Drug/Supplement Interactions

    May interact with the following. Consult a healthcare provider before combining:

    Additive sedation with alcohol, benzodiazepines, and other sedative-hypnotics
    May increase bleeding risk with anticoagulants (theoretical, based on mild antiplatelet activity)
    Can modestly raise blood glucose — monitor alongside diabetes medications
    May interact with immunosuppressant medications due to immune-modulating effects

    Potential Side Effects

    Some users may experience:

    Grogginess or 'sleep hangover', especially at higher doses
    Vivid dreams or nightmares
    Daytime drowsiness, headache, dizziness
    Long-term high-dose safety is not well established (see cardiovascular signal above)

    This is not a complete list of interactions or side effects. Individual responses vary. Always start with the lowest effective dose and monitor your response. Report any adverse effects to your healthcare provider.

    Quality Markers

    Look for these specific quality indicators when sourcing this compound:

    • U.S. over-the-counter melatonin is regulated as a supplement, not a drug; independent testing matters — prior product-testing surveys have found actual content ranging from well below to nearly 5x the labeled dose in some products
    • Prefer products independently verified for label-claim accuracy (e.g., USP-verified or comparable third-party testing)
    • Immediate-release formulations suit sleep onset; extended or controlled-release formulations are sometimes preferred for sleep maintenance or in older adults

    Trusted Certifications

    NSF Certified
    USP Verified
    GMP Certified
    ConsumerLab Approved

    Note: Supplement quality varies dramatically between brands. Cheap supplements often contain fillers, incorrect doses, or contaminants. Investing in quality products from reputable manufacturers is essential for safety and efficacy.

    Evidence Profile

    Evidence Score

    5/10

    Moderate Evidence

    Some clinical trials with positive results, emerging research

    Classification:
    Strong for short-term, low-dose circadian and sleep-onset use; evidence for long-term or high-dose use — and for any longevity benefit — is limited, and a 2025 preliminary safety signal warrants caution with chronic high-dose use Evidence

    Evidence Scale

    8-10

    Strong

    5-7

    Moderate

    1-4

    Emerging

    PHS
    671
    / 1000
    T3
    Longevity Operator

    Sample member

    Longevity Operator

    The Peak Human Score · PHS v1

    One number for your longevity journey.

    FICO for credit. PHS for longevity. Eight biological domains collapsed into one provable score — intuitive at a glance, rigorous underneath.

    • Metabolic
    • Hormonal
    • Cardiovascular
    • Brain / Cognitive
    • Sleep
    • Musculoskeletal
    • Gut
    • Immunity / Inflammation