In animal studies, the key to engaging the sirtuin program appears to be keeping things on the razor's edge through calorie restriction — just enough… - David A. Sinclair

the Royal Society. Founded in the 1600s during the Age of Enlightenment and formerly headed by Australia's catalyst, the botanist Sir Joseph Banks, as well as such legendary minds as Sir Isaac Newton and Thomas Henry Huxley, the society's cheeky motto is a pretty good one to live by: "Nullius in Verba," it says underneath the society's coat of arms. That's Latin for "Take nobody's word for it."

Like rapamycin, metformin mimics aspects of calorie restriction. But instead of inhibiting TOR, it limits the metabolic reactions in mitochondria, slowing down the process by which our cellular powerhouses convert macronutrients into energy.20 The result is the activation of AMPK, an enzyme known for its ability to respond to low energy levels and restore the function of mitochondria. It also activates SIRT1, one of my lab's favorite proteins. Among other beneficial effects, metformin inhibits cancer cell metabolism, increases mitochondrial activity, and removes misfolded proteins.21

They have also evolved to require a molecule called nicotinamide adenine dinucleotide, or NAD. As we will see later, the loss of NAD as we age, and the resulting decline in sirtuin activity, is thought to be a primary reason our bodies develop diseases when we are old but not when we are young.