NutriDex

The Supplement Research Compendium

⏳

Calcium Alpha-Ketoglutarate (Ca-AKG)

Calcium 2-oxoglutarate

A Krebs-cycle metabolite sold to cut 'biological age' — unproven.

Preliminary evidence ⏳Longevity
Evidence tier
Preliminary
Research weight
Citations
10 verified / 10
Classification
Longevity
❝
What the evidence says. Graded preliminary: the striking '8-year younger' claim comes from an uncontrolled, company-linked retrospective analysis of 42 customers, and the first proper placebo-controlled trial (ABLE, n=120) has not yet reported; the strongest data remain mouse studies. (Preliminary evidence: Early or small human trials; promising but not yet conclusive.)

What is Calcium Alpha-Ketoglutarate (Ca-AKG)?

Calcium Alpha-Ketoglutarate (Ca-AKG) (Calcium 2-oxoglutarate) is a longevity supplement used for lifespan and frailty benefits in mice (not yet shown in people). NutriDex grades the human evidence as Preliminary. Alpha-ketoglutarate (AKG) is a natural intermediate of the Krebs cycle, the chemistry cells use to make energy; blood levels fall with age. Interest exploded after a 2020 Buck Institute study in which calcium AKG given to middle-aged mice reduced frailty and modestly extended lifespan, especially in females. In humans, the headline claim — an average 8-year drop in DNA-methylation 'biological age' — comes from a 2021 retrospective analysis of 42 people taking the product Rejuvant for about 7 months, with no placebo group and authors linked to the manufacturer and test provider. A 2026 cross-sectional study of 4,260 epigenetic-test buyers found Rejuvant users had about 1.8 years lower age residuals, but plain AKG users showed no significant benefit, and healthy-user bias is likely. Older small RCTs showed 6 g/day AKG-calcium cut a bone-breakdown marker by 37% in osteopenic women without a significant bone-density difference. The 120-person placebo-controlled ABLE trial in Singapore will be the first real test.

Purported Benefits

✓Lifespan and frailty benefits in mice (not yet shown in people)
✓Possible slowing of bone turnover in postmenopausal women
✓Phosphate binder in dialysis (older medical use)
✓Claimed epigenetic-age reduction (uncontrolled data only)

Dosing & Compounds

Typical Dose
Longevity products typically supply 1 g/day of (often sustained-release) Ca-AKG, the dose now being tested in the placebo-controlled ABLE trial; no dose is proven to slow human ageing.
Active Compounds
Alpha-ketoglutarate (2-oxoglutarate)Calcium (~20% by weight)

Safety & Cautions

At 1 g/day Ca-AKG is generally well tolerated in short studies, but gastrointestinal upset (nausea, loss of appetite, diarrhoea) is the main side effect and led 29% of dialysis patients to stop higher-dose calcium ketoglutarate in one trial. Each gram supplies roughly 200 mg of calcium, which counts toward total intake for people with kidney disease, kidney stones or high blood calcium, and calcium can reduce absorption of thyroid hormone, tetracycline/quinolone antibiotics and bisphosphonates if taken together. Long-term safety for 'anti-ageing' use in healthy people has not been studied, and branded formulas often add vitamins A or D. Educational only — always check with your doctor or pharmacist before combining Calcium Alpha-Ketoglutarate (Ca-AKG) with any medicine.

Key Studies ★ 10 studies

Systematic review Niederegger 2026 ✓ PubMed
Systematic review of 15 studies: ornithine-AKG improved nitrogen balance and wound healing after burns, but cohorts small and heterogeneous.
RCT Sandalova 2023 ✓ PubMed
Protocol of ABLE: double-blind RCT, 1 g sustained-release Ca-AKG vs placebo for 6 months in 120 biologically older adults aged 40–60.
RCT Lim 2025 ✓ PubMed
ABLE fully enrolled 120 participants (from 467 interested) over 223 working days; efficacy results not yet published.
RCT Filip 2007 ✓ PubMed
RCT, 76 osteopenic postmenopausal women: 6 g/day AKG-Ca cut bone-resorption marker CTX 37% vs calcium alone; BMD difference 0.9% (not significant).
RCT Wirén 2002 ✓ PubMed
RCT, 20 post-surgery patients: AKG-enriched tube feeding did not improve nitrogen balance or reduce muscle breakdown vs standard feed.
RCT Birck 1999 ✓ PubMed
Crossover RCT, 28 dialysis patients: calcium ketoglutarate controlled phosphate as well as calcium acetate, with less hypercalcaemia (1 vs 8 patients).
Cohort Pabis 2026 ✓ PubMed
Cross-sectional cohort of 4,260 test buyers: delayed-release Ca-AKG + vitamins linked to 1.8-yr lower age residual; plain AKG not significant.
Review Gyanwali 2022 ✓ PubMed
Review: AKG extends lifespan in worms, flies and mice, but human data are sparse and dedicated ageing trials are needed.
Safety Bro 1998 ✓ PubMed
Crossover RCT in 19 dialysis patients: 29% stopped calcium ketoglutarate within 2 weeks for anorexia, vomiting or diarrhoea.
Cohort Demidenko 2021 ✓ PubMed
Retrospective, uncontrolled analysis of 42 Rejuvant users: DNA-methylation age fell ~8 years over ~7 months; authors note placebo-controlled testing is needed.

Common questions about Calcium Alpha-Ketoglutarate (Ca-AKG)

What is Calcium Alpha-Ketoglutarate (Ca-AKG) used for?

Calcium Alpha-Ketoglutarate (Ca-AKG) is most often taken for Lifespan and frailty benefits in mice (not yet shown in people), Possible slowing of bone turnover in postmenopausal women, Phosphate binder in dialysis (older medical use), Claimed epigenetic-age reduction (uncontrolled data only). A Krebs-cycle metabolite sold to cut 'biological age' — unproven.

Does Calcium Alpha-Ketoglutarate (Ca-AKG) work — what does the evidence say?

Preliminary evidence. Early or small human trials; promising but not yet conclusive. Alpha-ketoglutarate (AKG) is a natural intermediate of the Krebs cycle, the chemistry cells use to make energy; blood levels fall with age. Interest exploded after a 2020 Buck Institute study in which calcium AKG given to middle-aged mice reduced frailty and modestly extended lifespan, especially in females. In humans, the headline claim — an average 8-year drop in DNA-methylation 'biological age' — comes from a 2021 retrospective analysis of 42 people taking the product Rejuvant for about 7 months, with no placebo group and authors linked to the manufacturer and test provider. A 2026 cross-sectional study of 4,260 epigenetic-test buyers found Rejuvant users had about 1.8 years lower age residuals, but plain AKG users showed no significant benefit, and healthy-user bias is likely. Older small RCTs showed 6 g/day AKG-calcium cut a bone-breakdown marker by 37% in osteopenic women without a significant bone-density difference. The 120-person placebo-controlled ABLE trial in Singapore will be the first real test.

What is the typical dose of Calcium Alpha-Ketoglutarate (Ca-AKG)?

Longevity products typically supply 1 g/day of (often sustained-release) Ca-AKG, the dose now being tested in the placebo-controlled ABLE trial; no dose is proven to slow human ageing.

Is Calcium Alpha-Ketoglutarate (Ca-AKG) safe? Any cautions or side effects?

At 1 g/day Ca-AKG is generally well tolerated in short studies, but gastrointestinal upset (nausea, loss of appetite, diarrhoea) is the main side effect and led 29% of dialysis patients to stop higher-dose calcium ketoglutarate in one trial. Each gram supplies roughly 200 mg of calcium, which counts toward total intake for people with kidney disease, kidney stones or high blood calcium, and calcium can reduce absorption of thyroid hormone, tetracycline/quinolone antibiotics and bisphosphonates if taken together. Long-term safety for 'anti-ageing' use in healthy people has not been studied, and branded formulas often add vitamins A or D.

How many studies support Calcium Alpha-Ketoglutarate (Ca-AKG)?

NutriDex cites 10 sources for Calcium Alpha-Ketoglutarate (Ca-AKG), graded "Preliminary".

Cite this page
APA

Peh, D. (2026). Calcium Alpha-Ketoglutarate (Ca-AKG) (Calcium 2-oxoglutarate): Benefits, Dosage, Side Effects & Evidence. NutriDex — The Supplement Research Compendium. Retrieved 18 Oct 2026, from https://nutridex.info/s/ca-akg

BibTeX
@misc{nutridex_ca_akg,
  author       = {Peh, Daryl},
  title        = {Calcium Alpha-Ketoglutarate (Ca-AKG) (Calcium 2-oxoglutarate): Benefits, Dosage, Side Effects \& Evidence},
  year         = {2026},
  howpublished = {NutriDex --- The Supplement Research Compendium},
  url          = {https://nutridex.info/s/ca-akg},
  note         = {Reviewed by Dr Daryl Peh, MBBS Singapore, MMed FM. Accessed 2026-10-18}
}

For medical claims, citing the underlying primary studies linked above is preferred. NutriDex is an educational reference, not medical advice.

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