The Universal Four
Creatine, vitamin D₃, magnesium glycinate, omega-3 — about $40 a month.
Problem
Your supplement stack has fifteen bottles. Most of them are there because a podcast host or a Substack you trust recommended them. You cannot say, for any given one, what specific marker moves if you take it. Where do you start cutting — and what, if anything, should everyone keep?
Solution
Keep these four. About $40 a month. Earn the rest from your data.
| Supplement | Dose | Cost/yr | Grade | Why it's universal |
|---|---|---|---|---|
| Creatine monohydrate | 5 g/day | $60 | A | Best evidence-to-cost ratio of any supplement ever. Muscle, cognition, cheap. |
| Vitamin D₃ | dose to 40–60 ng/mL | $60–$120 | A | Most adults are low. Confirm on 25-OH first, then dose. |
| Magnesium glycinate | 400 mg elemental, from glycinate | $120–$180 | A−/B+ | Most adults below replete. Glycinate for bioavailability, not to GI-upset you. |
| Omega-3 (EPA+DHA) | 2–4 g/day | $180–$360 | A | Especially if triglycerides or hs-CRP elevated. |
Total: about $40/month. That is the universal stack. Everything you add on top of it should be there because your specific data said so.
EPA+DHA is a real equivalent at the 2–3 g/day range. Check the label for actual EPA+DHA, not just "omega-3," which can include ALA that converts poorly in humans.
Discussion
The question I ask for every supplement before it makes the list: what blood marker changes if I take it, and am I willing to test to find out? These four all pass. Most of what gets marketed does not.
Creatine is the clearest example of an under-appreciated cheap win. Decades of outcome data for skeletal muscle. Increasingly convincing mechanistic and trial work for cognition and mood. No meaningful downside at 5 g/day. If you are reading this and you do not take creatine and you do not have a specific kidney contraindication, start.
Vitamin D is the clearest case for testing before dosing. A lot of people end up on 5,000 IU/day without ever checking their 25-OH — fine if they started at 22 ng/mL, excessive if they started at 48. Test, dose, re-test in 90 days.
See Also
- § 3.2 · Personalized Supplements — what to add only if your data asks for it
- § 3.3 · What to Ignore — the long list of products that do not make the cut