Evigrade

Fisetin (flavonol from strawberries, mangoes and onions)

Plant flavonol, supplement. Natural polyphenol from strawberries, mangoes, onions, apples. The biohacking industry positions it as a «senolytic» – an agent that clears senescent cells

ATC code: A11JA-FISETIN

Brand names – supplements: Bulk Supplements Fisetin, Life Extension Bio-Fisetin, Doctor's Best Fisetin, Thorne FisetinSupplements are not tested in clinical trials and are not registered as medications.

Updated · Methodology

Marketing claims without evidence base

The drug is promoted for these uses outside international guidelines. Each entry below is analyzed against AEMPS, FDA, EMA, Cochrane and major RCTs.

D

Anti-aging and longevity

Not recommended

Fisetin is a flavonol found in plants such as strawberries, mango and onion. It is marketed as an anti-aging and longevity supplement, often as a senolytic that clears senescent cells. In people, no convincing benefit for this use has been shown – there is no solid evidence that it slows aging or extends lifespan. What does help with healthy aging is well established: regular physical activity, sleep, a sensible diet, and keeping blood pressure, glucose and lipids in check, along with not smoking. Fisetin should not be taken instead of measures and treatments with proven benefit, since that can mean missing care that actually works.

D

Cancer prevention through supplements

Not recommended

Fisetin is sold as a «natural oncoprotector» via laboratory pro-apoptotic data on tumour cells. No RCTs with cancer incidence or mortality endpoints in humans. 2022 recommends against routine vitamin-mineral supplement use for cancer prevention (D recommendation). ESMO 2020 lists smoking cessation, weight normalisation, physical activity, alcohol restriction, UV protection, HPV and HBV vaccination, age-appropriate screening as primary prevention. If fisetin was recommended as «cancer prevention», consider seeking a second opinion from an oncologist.

D

Memory and concentration enhancement

Not recommended

Fisetin is a plant flavonol (from strawberries, mango, onion) marketed as a supplement for memory and concentration. There is no convincing evidence of benefit for this use; the human data on memory and attention do not back it up. What actually helps cognition: enough sleep, regular physical activity, and treating conditions that make it hard to focus. If memory or concentration worries you, talk it over with your doctor.

How to read tiers A–F
  • AStrong evidence – first or second line in international guidelines
  • BRecommended in selected cases
  • CStudy data contradict each other
  • DBenefit not proven, no documented harm
  • FDocumented harm, or risk without benefit

Mechanism of action

Fisetin (3,7,3',4'-tetrahydroxyflavone) is a natural flavonol from strawberries, mangoes, onions and apples. In laboratory models it has antioxidant activity, activates SIRT1, inhibits kinases (mTOR, PI3K) and raises glutathione. In 2018 the Mayo Clinic research group (Yousefzadeh) published a mouse study where fisetin showed senolytic activity – selective senescent cell clearance – and lifespan extension. Human translation is not confirmed in RCTs: a few clinical studies (NCT03675724, NCT03430037 in people with age-related frailty and chronic kidney disease) are in early phases; no endpoint results with lifespan. AEMPS does not register fisetin as a medicine. Oral bioavailability is low (<1%).

Safety

Contraindications

  • Pregnancy and lactation
  • Children under 18
  • Anticoagulant and antiplatelet therapy (theoretical risk, as with flavonols generally)
  • Active oncological disease on chemotherapy (theoretical interaction via CYP inhibition)
  • Active infection (theoretical immune response modulation)

Serious adverse effects

  • Allergic reactions (rare)
  • Theoretical interaction risk with CYP3A4 and CYP2C9 substrates
  • Masking of underlying disease symptoms with delayed specialist referral

Common adverse effects

  • Nausea, stomach discomfort
  • Headache
  • Weakness

Pregnancy: can you take Fisetin (flavonol from strawberries, mangoes and onions)?

No RCT data in pregnancy. AEMPS does not register fisetin as a medicine. Avoid in pregnancy.

Breastfeeding: can you take Fisetin (flavonol from strawberries, mangoes and onions)?

No data on milk transfer. Lactating women should avoid.

Reference information, not a clinical decision. Discuss feeding pauses or changes with your physician or an IBCLC.

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Frequently asked

What is Fisetin (flavonol from strawberries, mangoes and onions) used for?

Fisetin (flavonol from strawberries, mangoes and onions) is evaluated for the following indications with varying evidence strength: Cancer prevention through supplements (evidence tier D), Memory and concentration enhancement (evidence tier D), Anti-aging and longevity (evidence tier D). See the full indication matrix with dosing and citations above on this page.

What are the side effects of Fisetin (flavonol from strawberries, mangoes and onions)?

Common side effects of Fisetin (flavonol from strawberries, mangoes and onions) (≥ 1 in 100): Nausea, stomach discomfort, Headache, Weakness. See the Safety section for uncommon and serious reactions.

Is Fisetin (flavonol from strawberries, mangoes and onions) safe during pregnancy?

No RCT data in pregnancy. AEMPS does not register fisetin as a medicine. Avoid in pregnancy.

Is Fisetin (flavonol from strawberries, mangoes and onions) compatible with breastfeeding?

No data on milk transfer. Lactating women should avoid.

Who should not take Fisetin (flavonol from strawberries, mangoes and onions)?

Fisetin (flavonol from strawberries, mangoes and onions) is contraindicated in: Pregnancy and lactation; Children under 18; Anticoagulant and antiplatelet therapy (theoretical risk, as with flavonols generally); Active oncological disease on chemotherapy (theoretical interaction via CYP inhibition); Active infection (theoretical immune response modulation). Full list in the Safety section.

Other drugs in this group

Grape seed extract (Vitis vinifera, oligomeric proanthocyanidins), Horsetail, Indole-3-carbinol (I3C), Lecithin (soy or sunflower phosphatidylcholine), Black seed (Nigella sativa), Retinol, Turkey tail (Trametes versicolor, Coriolus versicolor), Biotin