COSMOS: COSMOS ancillary studies support a small multivitamin cognitive-performance signal, not demonstrated dementia prevention or three independent trial replications.
Boundary: Small score shifts or age-equivalent calibrations are not demonstrated rejuvenation.
Creatine postmenopausal bone 2-year trial: The larger two-year creatine-plus-training trial did not confirm the smaller study's femoral-neck bone-density benefit.
Boundary: Fracture prevention and universal creatine ineffectiveness are both unestablished.
NMN prediabetic-women trial: NMN improved a skeletal-muscle insulin-sensitivity readout in a small trial of prediabetic postmenopausal women, without establishing diabetes prevention or generalized metabolic rejuvenation.
Boundary: No diabetes-prevention, sarcopenia-prevention or aging-reversal claim is supported.
UA older-adult endurance trial: Urolithin A did not significantly improve the older-adult trial's primary walking or maximal ATP endpoints; secondary muscle-endurance signals remain exploratory context.
Boundary: Mitochondrial target engagement is not proof of frailty prevention or longer life.