Aging Well with Botanicals:

Every night, a couple goes through the same routine. They call their daughter in another state and talk to their little grandson before his bedtime. Then she rubs a CBD-infused cream into her knees before bed (fifty dollars a jar –– she goes through one every six weeks; she found it after asking an AI chatbot what might help with joint stiffness). She smears NAD+ and collagen serum on her face, and a touch on his as well. He swallows a ginkgo capsule with his water, the way he’s done for years, because a friend once told him it was good for the memory; the bottle costs more than he’d like to admit out loud. On the nightstand between them sits a bottle of CBD tincture, a recent addition, sixty-some dollars, recommended by someone at the dispensary who seemed to know what they were talking about — they’ll wake up to take it in the morning. Everything else they know, they know from asking their phones — quick summaries, confident answers, delivered instantly (but no answer without a question preceding it).

They should be fine, right? All that information, right at their fingertips, sounding so sure of itself.

Except confidence isn’t the same thing as evidence, whether it’s coming from a friend, a salesperson, or an AI model summarizing the internet back to you in a reassuring tone. Some of what’s on that nightstand has real, decades-deep human research behind it — money spent on something genuinely studied, genuinely understood. Some of it doesn’t, not because it doesn’t work, but because the science simply hasn’t caught up yet — which doesn’t make it worthless, but does make it a different kind of purchase than a confident-sounding summary implies. Knowing which is which changes nothing about the routine itself. It just means finally understanding what you’re actually paying for and why — and not mistaking a fluent answer for a sourced one.

There’s a further “wrinkle” neither of them has likely considered: none of these three products exist in isolation from whatever else is in their medicine cabinet. Ginkgo has a well-documented interaction with blood thinners, increasing bleeding risk when combined with medications like warfarin or even daily aspirin. CBD is, in some ways, the most quietly complicated of the three: it inhibits liver enzymes responsible for metabolizing a wide range of common prescriptions, from statins to blood pressure medication to certain seizure drugs, meaning it doesn’t just do its own thing — it can change how well other medications work, or how strongly they hit. None of this makes any of these products dangerous outright. It does mean “natural” and “safe to combine with anything” were never the same claim, and a five-minute conversation with a pharmacist is worth more than any amount of confident-sounding online research.

Some of what’s ahead has real, decades-deep human research behind it. Some doesn’t — not because it doesn’t work, but because the science hasn’t caught up yet. Telling the two apart is a skill worth having for more than just this article, so it lives on its own, permanently, in Evergreen: How to Tell the Difference.

Everything here is general evidence, not a promise about you specifically. Your body might respond differently than the people in these trials did — and for a few items, science simply hasn’t caught up enough to say anything for certain yet.

10. Green Tea (EGCG)  —  Modest, real evidence for heart and metabolic health; not proven for brain protection.

EGCG, green tea’s main active compound, reliably lowers cholesterol and blood pressure across a review of 31 trials involving over 3,300 people. There’s genuine metabolic benefit too — reduced waist circumference and BMI when combined with diet and exercise. The popular “protects your brain” claim, though, currently rests on animal research, not human trials.
At tea-strength doses, it’s well-tolerated; concentrated supplements at much higher doses have been linked to liver toxicity in rare cases — a good example of dose making the difference between a beverage and a risk. Worth knowing: some of green tea’s metabolic benefits depend on caffeine working alongside EGCG, so decaf may not deliver quite everything the caffeinated trials showed.
I love green tea, but most is caffeinated — about a third of a cup of coffee’s worth. Go decaf if that matters to you.

$ · Vegan

9. CBD  —  Not proven for joint pain (15 of 16 published trials showed no benefit over placebo); doesn’t cloud thinking the way THC can.

CBD is popular for both pain relief and mental clarity. The clarity finding is genuinely reassuring — CBD doesn’t produce the same brain-activity changes THC does — but “won’t fog your mind” and “will sharpen your mind” are different claims, and only the first has real support.
CBD is processed through the same liver pathway responsible for a huge range of common medications — blood thinners, heart medication, antidepressants, and more — so it can change how strongly those medications hit, in either direction.
I use a tincture (CBD:CBG) after meals — yes, it’s expensive, no getting around that. What’s that got to do with anything? I can focus more clearly since I’m not on ADHD medication.

$$-$$$ · Vegan

8. Glucosamine & Chondroitin  —  Genuinely unclear; serious researchers disagree, and results depend heavily on which joint and which studies get pooled.

The largest, most rigorous trial (1,600 patients) found no significant relief overall, though it helped a smaller subgroup with more severe pain. Yet a large 2025 review of 146 studies found the large majority reporting positive outcomes. This isn’t bad evidence versus good evidence — it’s a genuinely mixed picture that serious people weigh differently.
Widely considered one of the safer supplement categories. Real interaction with blood thinners, and may raise eye pressure — worth knowing if you have or are at risk of glaucoma.
Never tried this, and it’s not usually vegan, but if my RA flares up again, I’d reconsider.

$$ · Vegan glucosamine exists (corn-fermented); vegan chondroitin is much harder to find

7. Collagen  — More promising but still unsettled, for joints; the positive studies are disproportionately industry-funded for skin, specifically.

A pooled analysis of 23 trials found real skin improvement — but when researchers separated studies by funding source, independently-funded research found no significant effect, while industry-funded studies found real benefit. The researchers’ own conclusion: there’s currently no clinical evidence collagen prevents or treats skin aging.
Joint and muscle-recovery outcomes look more genuinely promising, particularly at higher doses (10-20g/day) — this side of the evidence hasn’t been picked apart by funding source the way the skin claims have.
Hard pass — I didn’t even realize the molecule was too large to really absorb until I looked into it. And I’m vegan, so it’s a moot point. Have you tried it?

$$$ · No true vegan equivalent

6. Spirulina  —  Modest, real evidence for inflammation and cellular damage.

A dedicated trial in older adults found spirulina measurably strengthened the body’s own antioxidant defenses after 16 weeks — one of the few items on this list with research designed around this exact age group. Reasonable evidence also exists for cholesterol, triglycerides, and blood sugar improvement.
The real risk isn’t the algae itself — it’s contamination. Because spirulina grows in open water, poorly regulated products can pick up heavy metals or toxins from other algae species. Which brand you buy matters more than the ingredient itself here.List item
I adore spirulina smoothies after a workout, but they’re genuinely pricey.List item

$$-$$$ · Vegan, and a complete protein in its own right

5. Ashwagandha  —  Reliably lowers cortisol; doesn’t always make people feel less stressed, even when the biomarker improves.

A 2024 review pooling 15 trials found real reductions in anxiety scores and cortisol at 8 weeks. Worth being honest, though: the biomarker and the lived experience don’t always match — some trials find lower cortisol without people actually reporting feeling calmer. List item
This is one supplement with a genuine safety flag worth taking seriously: rare but real liver injury. Stop and seek care if you notice yellowing skin/eyes, dark urine, or unusual fatigue. It also interacts with thyroid medication, sedatives, and blood pressure meds — a longer interaction list than most items here.List item
No ashwagandha for me, unfortunately — all three of my conditions and four medications are counteractive to it. Too bad, I would’ve been interested. List item

$ · Vegan

4. Curcumin (Turmeric)  —  Real evidence for inflammation and mood/working memory; not proven for dementia prevention.

Curcumin’s best-established role is anti-inflammatory, confirmed across lab and human research. A 12-week trial in adults 50-80 found improved working memory and lower fatigue and tension compared to placebo — a genuinely solid, replicated finding.
The dementia-prevention claim, however, which is what curcumin is often sold on, isn’t currently supported — two respected review sources found no substantial evidence it improves cognition or prevents dementia in older adults. Generally well-tolerated; can interact with pain relievers and some diabetes medications
I love steeping turmeric tea with chai or lemon tea, oat creamer, and honey — sounds unusual, but it’s lovely. I feel like I can focus more clearly, which matters a lot with my ADHD. Do you have stories?List item

$$ · Vegan

3. Ginkgo Biloba  —  Doesn’t prevent memory decline, despite that reputation; does help circulation.

Two large, rigorous trials (GEM and GuidAge) found ginkgo doesn’t reduce dementia risk in older adults. Where it does have real support: improving pain-free walking distance in people with poor leg circulation — a narrower, less-marketed use than what most people buy it for.
However, the bleeding-risk picture is mixed: ginkgo alone doesn’t appear to meaningfully thin blood on its own, but combined with aspirin or other blood-thinning medications, real caution is warranted.
I can’t use this, unfortunately — ginkgo contains a compound that can trigger seizures, it may alter how my immunosuppressant works, and it doesn’t mix with my baby aspirin. Pbbbt. You?

$ · Vegan

2. Omega-3  —  Strong evidence for heart health broadly; not proven for stroke prevention specifically.

The strongest cardiovascular evidence on this whole list — real, replicated benefit at 1g/day, confirmed across multiple major trials. In older adults specifically, 12 weeks of daily use reduced arterial stiffness, an effect not seen in younger adults in the same study.
The blood-thinning question is genuinely contested among researchers — some data shows real bleeding risk at higher doses combined with blood thinners, other analyses find no significant risk at all. Standard doses (1-4g/day) appear safe for most people; check with your doctor if you’re on prescription anticoagulants.
I use Doctor’s Best Vegan D3 2500 IU in the morning with my medication. What about you?

$ · Vegan option available (D2 or lichen-derived D3)

1. Vitamin D  —  Strong evidence for bone health at the recommended dose; other benefits are earlier-stage.

Decades of randomized trials support supplementation for older adults specifically, particularly for preventing falls and fractures. The American Geriatrics Society recommends 1,000 IU/day as a reasonable minimum. Beyond bone health, research increasingly points to roles in immune function and mood, though that evidence is still developing.
Toxicity is real but rare, almost always from taking far more than typical doses (think 50,000 IU/day for months, not the 800–2,000 IU range in most supplements). Watch for interactions with digoxin (heart medication) and thiazide diuretics (common blood pressure meds).
I use Doctor’s Best Vegan D3 2500 IU in the morning with my medication. How do you?

$ · Vegan option available (D2 or lichen-derived D3)

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What Changes in the Endocannabinoid System After 50

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