From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Scope
Supplement × Supplement
Last verified
June 4, 2026
SynergyInsufficient evidence
What is happening. Pterostilbene is frequently paired with NAD precursors to support sirtuin activity. Methyl-group sufficiency, supported by B12 and folate, becomes relevant during this kind of methylation-intensive supplementation, making adequate B12 status supportive of overall methyl balance.
Mechanism. Pterostilbene is metabolized partly via methylation pathways, and stacks built around NAD and sirtuin activation draw on the methyl pool. B12 supports methionine synthase and S-adenosylmethionine regeneration, helping sustain methyl-group availability.
Recommendation. Maintain adequate B12 status when running methylation-relevant longevity stacks. No special separation is required; take with food.
Stack Score
How it moves the number.
Effect on the composite score
If both Pterostilbene and Vitamin B12 are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).
The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.
SourcesSources, by evidence tier.
Every claim on this page is cited. PMIDs link straight to PubMed.
Reference material
1- 1Riche DM, et al. Analysis of safety from a human clinical trial with pterostilbene. J Toxicol. 2013.Needs sourceNo link