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Health › Memory & The Label, Line by Line31 min read

Two Tablets a Day With Six Lines and a Number Beside Each: Sage at Exactly the Dose of a Trial in Adults Over Sixty-Five, Blueberry at a Fraction of Its Trial, and Vinpocetine, Which the FDA Said in 2016 Isn't a Dietary Ingredient at All

Cognitex Elite is a forty-four-dollar bottle of sixty tablets from Life Extension, a Fort Lauderdale supplement house with a phone line answered around the clock and a return window of a full year: sage extract at 333 milligrams, wild blueberry extract at 200, an ashwagandha extract at 125, phosphatidylserine at 100, uridine at 50 and vinpocetine at 20, per two tablets. I read all six lines beside the trials they come from, read the 2016 notice in which the Food and Drug Administration said it tentatively considers the sixth line not a dietary ingredient, read the caution on the label that follows from it, and read the sixty reviews, two of which give it one star.

A man in his sixties reading the back of a dark blue bottle at the end of a long wooden kitchen table

Lloyd Barrett is the pen name of this desk.

The customers quoted on this page are real; their reviews are public on the seller's product page and were read there on September 9, 2026.

I haven't met them and know nothing about them beyond what they wrote.

The small photos beside their reviews are illustrations, not the reviewers.

Everything about the bottle, from the six lines on the panel to the one-year return window, comes from the seller's own label and pages, read the same day.

Most supplement labels keep something back.

This one doesn't, and that's exactly why it deserves a slow read.

Six ingredients, six numbers, no "proprietary blend," no asterisk where an amount should be.

A man can sit at the table with this label and check every line against the trial it came from, which is what I did, and which is what this page is.

Six lines, six numbers, and one of them the government has questioned.

What I found is a label that's honest about its amounts and quiet about one of them: the last line, vinpocetine, which the Food and Drug Administration said in 2016 it tentatively doesn't consider a dietary ingredient at all.

The label answers that with a caution for women of childbearing age, and this page will tell you what that caution rests on.

Two tablets a day, by the label. Every number on this page is for those two tablets.

Here's what the bottle is.

Cognitex Elite, from Life Extension, a company in Fort Lauderdale, Florida, that has sold supplements by catalog and phone for decades and prints a street address, a toll-free line answered twenty-four hours a day, and a return policy of a full year.

A white bottle of sixty vegetarian tablets, which at two a day is thirty days.

The listing sums it up in four words, attention, focus, memory and one about how you feel day to day, and this page discusses the first three and makes no claim about the fourth.

The panel, per two tablets: calcium and phosphorus from a binder, sage extract, wild blueberry extract, an ashwagandha extract, phosphatidylserine, uridine and vinpocetine, each with a milligram figure.

Then a caution in plain words: do not use if you are of childbearing age, pregnant or planning to become pregnant.

I did what I always do.

I read the label before the listing.

I read the trials behind each line, at the doses and in the forms they actually used, in people as old as I am when such trials exist.

I read the government notice behind the sixth line, and the label's caution beside it.

I read the sixty reviews' first page, including the two that give it one star.

And I read the return page, which is the most generous I've seen this year, and the contact page, which has no email for customers, only a phone that's always answered.

What I found is a label with the right kind of honesty, one line at exactly the dose of the best trial in men my age, three lines below their trials or beside trials in younger people, one line with no trial, one line with a government notice hanging over it, and a year to send it back.

One more thing before the first entry, because most of you got here from one of our own advertisements.

Those ads talk about a boxed cereal, three foods, three drinks, and three words or phrases a man is supposed to be able to say.

None of that is in the tablet, and I won't pretend it is.

It's on this page, in its place: the cereal, the drinks and the word test are the ninth entry, and the honest version of every headline we run is in the guide linked at the foot.

Entry one · The bottleA White Bottle, Sixty Tablets, and a Panel With Six Lines and a Binder

This is what's on the table.

The bottle of Life Extension Cognitex Elite tablets, from the seller's photograph
The bottle, from the seller's own photograph. Sixty tablets, six lines with an amount beside each, and a caution most labels don't carry.

A dark blue plastic bottle with the company's name and its snowflake mark, the words Cognitex Elite, two small seals for gluten-free and non-GMO, and a line about brain health with the asterisk every supplement carries.

The back is the panel, and I'll read it to you in the seller's order, per two tablets:

Calcium, as dicalcium phosphate, 200 milligrams.

Phosphorus, as dicalcium phosphate, 160 milligrams.

Sage extract, leaf, standardized to 2.5 percent rosmarinic acid, 333 milligrams.

Wild blueberry extract blend, fruit, 200 milligrams.

An ashwagandha root-and-leaf extract sold under the Sensoril name, standardized to 10 percent of its marker compounds, 125 milligrams.

Phosphatidylserine, 100 milligrams.

Uridine-5'-monophosphate, disodium, 50 milligrams.

Vinpocetine, 20 milligrams.

Other ingredients: cellulose, stearic acid, calcium silicate, croscarmellose sodium, silica, a coating of hypromellose, glycerin and water, maltodextrin, vegetable stearate.

The directions: take two tablets, or as recommended by a healthcare practitioner.

Then the caution, in its own box: "Do not use if you are of childbearing age, pregnant or planning to become pregnant."

Six lines with a number each, and one caution that belongs to the sixth.

A label that prints its amounts is a label you can argue with, and the next six entries do.

A man's hands tipping two tablets from a dark blue bottle beside a coffee mug and a newspaper

Entry two · SageThree Hundred and Thirty-Three Milligrams, the Exact Number From a Trial in Twenty Adults Over Sixty-Five

The line with the best trial in people my age, and the one where the number on the label and the number in the trial are the same.

Sage is the gray-green kitchen herb of the Thanksgiving stuffing, and its dried leaf and its extracts have been tested for memory in healthy people more than most herbs have.

The trial that matters here was small and careful: twenty healthy adults over sixty-five, average age seventy-three, each took several doses of a standardized sage leaf extract and a placebo on different days, and were tested through the day. [1]

A single dose of 333 milligrams was tied to better secondary memory across the day and better accuracy of attention than placebo, and the other doses helped less. [1]

This tablet holds 333 milligrams of a standardized sage extract per two tablets.

The same 333 milligrams, a different extract.

That's the honest headline for this line, and it needs three qualifiers.

First, the trial's extract was standardized by its own maker and this one is standardized to 2.5 percent rosmarinic acid by a different maker, so the number matches and the powder may not.

Second, the trial measured a single dose over a day, not two tablets a day for months, so it tells you about an afternoon, not a year.

Third, twenty people is twenty people.

A bunch of fresh gray-green sage leaves beside a wooden spoon on a wooden table

In younger adults the same herb has been tried as plain dried leaf: thirty healthy young people took single doses of 300 or 600 milligrams, and the higher dose was tied to better performance on a computerized multitasking battery. [2]

Those were people in their twenties, and the dose that worked was nearly twice this line.

Sage at 333 milligrams: the one line on the panel at exactly the dose of its trial in adults over sixty-five, measured over a day, in twenty people, with a different maker's extract. The best line here, and it's still a single afternoon's evidence.

Entry three · BlueberryTwo Hundred Milligrams of a Dried Extract, and a Trial That Used a Daily Glass of Concentrate

The line the color of the label, and the one whose trial used something you'd recognize as fruit.

Wild blueberries are the small, dark, low-bush berries of Maine and Quebec, and their purple pigments are what the research is about.

The trial in older adults used a concentrate, not a powder: twenty-six healthy adults, average age sixty-eight, drank a daily blueberry concentrate providing 387 milligrams of the purple pigments for twelve weeks. [3]

On brain scans the blueberry group showed more blood flow and more task-related activity, and on a working-memory test the improvement was borderline. [3]

That's a scan result and a borderline test, in twenty-six people, at a daily glass.

This tablet holds 200 milligrams of a "wild blueberry extract blend," and the label doesn't print how much of that is the purple pigment.

A dried extract and a concentrate aren't the same thing, and 200 milligrams of a blend can't be set beside 387 milligrams of pigment without a number the label doesn't give.

A cup of the berries on your oatmeal is the version of this line with no arithmetic to do.

Blueberry at 200 milligrams of an unlabeled blend, against a twelve-week trial of a daily concentrate in twenty-six people that moved a scan and barely moved a test. A real fruit, a fraction of the trial, and the label doesn't say how small a fraction.

A man in his sixties eating oatmeal with blueberries at a long table beside a dark blue bottle and writing a figure on a napkin

Entry four · AshwagandhaOne Hundred and Twenty-Five Milligrams of One Extract, and a Trial of a Different One in Fifty-Nine Twenty-Three-Year-Olds

The line most bottles sell for reasons this page won't discuss, and the one whose memory trial is in people forty years younger than me.

Ashwagandha is a shrub of India whose root has been used there for centuries, and in the last few years it has turned up in every third supplement on the shelf.

This tablet holds 125 milligrams of a root-and-leaf extract sold under the Sensoril name, standardized to ten percent of its marker compounds.

The memory trial I could find in healthy people used a different preparation: fifty-nine healthy young adults, average age twenty-three, took a single 225-milligram dose of a liposomal root-and-leaf extract, and then 225 milligrams a day for thirty days. [4]

They scored better than placebo on some measures of word recall, reaction time, picture recognition and attention, and the word "some" is the study's own. [4]

Different extract, nearly twice the dose, and people young enough to be my grandchildren.

What that trial tells a man of sixty-four about 125 milligrams of a different extract is very little, and I'd rather say so than borrow it.

Ashwagandha at 125 milligrams of one extract, against a trial of another extract at 225 milligrams in fifty-nine people in their twenties that found gains on some measures. A real plant, the wrong trial, and a line along for reasons this page doesn't discuss.

Entry five · Phosphatidylserine and uridineOne Hundred Milligrams at the Trial's Dose, With a Result the Placebo Matched, and Fifty Milligrams of a Line With No Trial

Two lines that sound like chemistry class, one with a proper trial in people my age and one with none.

A bowl of steamed soybeans in their pods beside a small dish of dried beans on a wooden table

Phosphatidylserine is a fat that sits in the membranes of every cell, brain cells included, and the supplement version is made from soybeans.

It has one of the better trials in this whole field: seventy-eight Japanese adults aged fifty to sixty-nine with memory complaints took 100 or 300 milligrams a day, or a placebo, for six months. [5]

The result is the kind you have to read twice.

Test scores rose in all three groups, the placebo group included, and only the people who started with relatively low scores showed a rise on the phosphatidylserine that the study counted, mostly in delayed recall of words. [5]

So the dose here, 100 milligrams, is the trial's dose, in a plant form the trial used, and the trial's main comparison came out even.

The right amount of the right thing, with a result that says the placebo did about as well.

Uridine is a building block of the body's genetic messengers, found in small amounts in foods like organ meats and tomatoes, and this tablet holds 50 milligrams of its salt.

I could find no trial of uridine alone on memory or attention in healthy adults, and the label doesn't claim one, so this line gets a sentence: it's there, and nobody has tested it on its own.

Phosphatidylserine at 100 milligrams: the trial's dose, in the trial's form, with a six-month result the placebo matched.

Uridine at 50: a real nutrient with no trial of its own.

One honest line and one quiet one.

A man in his sixties reading a printed page at a long kitchen table and making a pencil note

Entry six · VinpocetineTwenty Milligrams of a Compound the FDA Said in 2016 Isn't a Dietary Ingredient, and the Caution on the Label That Follows

The line this page exists for, and the one the listing says the least about.

Vinpocetine is not a plant.

It's a compound made in a laboratory from a substance found in the leaves of the lesser periwinkle, the small blue flower that carpets the shade under old trees, and it has been sold in American supplements for years.

In September 2016 the Food and Drug Administration published a notice in the Federal Register asking for public comment on its tentative conclusion that vinpocetine is not a dietary ingredient and is excluded from the definition of a dietary supplement under federal food law. [6]

That's the government's own words, and the notice is linked at the foot of this page.

A "tentative conclusion" with a request for comment is not a ban, and the compound is still on shelves, this bottle included.

But it means the sixth line of this panel is one the agency that regulates supplements has said, on the record, may not belong on a supplement panel at all.

The same record explains the caution on the label.

In 2019 the National Toxicology Program announced draft reports on studies of what vinpocetine does to development before birth, [6] and the label's line, "do not use if you are of childbearing age, pregnant or planning to become pregnant," is the company's answer to that.

I'm a man of sixty-four, and so are most of you, so the caution isn't about us.

The notice is, though, because it's about whether the line should be there for anyone, and ten years on I can't find that the question has been closed.

I could find no trial of vinpocetine on memory or attention in healthy adults to set beside the 20 milligrams, so I won't invent one.

What I can tell you is what the label says, what the notice says, and that they're on the same bottle.

Vinpocetine at 20 milligrams: a laboratory compound with a 2016 government notice saying it tentatively isn't a dietary ingredient, a 2019 program of developmental studies, and a label caution that follows from them. The line to ask the pharmacist about, with the notice in your hand.

Entry seven · The binderTwo Hundred Milligrams of Calcium and One Hundred and Sixty of Phosphorus, From the Glue That Holds the Tablet Together

The two lines at the top of the panel, and the two that aren't ingredients in the sense you'd mean.

Dicalcium phosphate is a white powder tablet makers use to bulk up and bind a tablet, and this one holds 360 milligrams of it per two tablets.

The label does what the law allows and counts it as 200 milligrams of calcium and 160 of phosphorus, which puts two nutrients at the top of the panel that are really the tablet's own body.

Two hundred milligrams of calcium is about what's in a small glass of milk, and nobody is buying this bottle for it.

It's worth a sentence only because a man told to watch his calcium should know it's there, and because it tells you how the rest of the panel was written: everything counted, nothing left out, and the reader left to sort the actives from the glue.

Three hundred and sixty milligrams of a binder counted as two nutrients. Not a fault, just a label that counts everything, and a reason to read past the first two lines.

Entry eight · The reviewsSixty Reviews, Two of Them One Star, and the Six I Kept

The seller's page shows sixty reviews with an average of four and a half stars, through a review system that marks confirmed buyers, and I read the first page of twenty-five, most recent first.

Sixteen of those carry the buyer's mark, and I kept six of them, all with the mark.

I also read the two one-star reviews on the page, and you should know what they say.

One, without a buyer's mark, says the tablets made her forgetfulness worse and she won't buy again; the other, from a fifty-five-year-old woman, says it helped her memory but that she put on weight and doesn't understand why.

I don't know what to make of either, and neither do you, which is why they're mentioned here and not quoted as evidence.

One five-star reviewer says he takes two tablets twice a day, which is double the label's dose, and I left him out and I'm telling you he's there.

I threw out a review that credits a specialist's advice, one written for elderly parents, one about a friend's recommendation, and a dozen that are one or two words long.

The six I kept are real customers, quoted word for word from the seller's product page; the small photos beside them are illustrations, not the reviewers.

Illustrative portrait, not the reviewer
Lisa Confirmed Buyer
★★★★★
Really like this product. I know when I do not take it my mind is clouded.
Illustrative portrait, not the reviewer
Stephanie Confirmed Buyer
★★★★★
I believe this is working for me. First bottle and will continue to purchase.
Illustrative portrait, not the reviewer
Charlie Confirmed Buyer
★★★★★
Cognitex Elite has helped I feel like I not as forgetful and my focus is better...I would recommend this product to anyone that has been a little more forgetful...
Illustrative portrait, not the reviewer
DEA Confirmed Buyer
★★★★★
This is an amazing product. Not only does it give clarity of mind but it resets something in my brain to encourage exercise. That wasn't advertised nor expected! Thank you. ( But they taste awful and are hard to swallow.. do they come in capsules?)
Illustrative portrait, not the reviewer
GRACE Confirmed Buyer
★★★★★
I am 84 now. Last year I noticed little changes in my memory. I decided to try Life Ext3nsion Cognitex as my husband believed they had the best products and the best results. He held a full time job as a system analyst until he was 83. I bought my first bottle in July of 2021. I am not exaggerating at all when I say I noticed a difference right away.
Illustrative portrait, not the reviewer
LINDA Confirmed Buyer
★★★★★
I have been using this supplement for three years now and I am very pleased with the results

Read those the way I did.

Lisa notices the days she skips it, which is the most common thing customers of any memory product say and the hardest thing to tell from habit.

Stephanie is on her first bottle.

Charlie describes being less forgetful and recommends it to the forgetful, which is a customer's sentence, not a trial's.

DEA gives it five stars and then tells you it tastes awful and is hard to swallow, and asks for capsules, which is the most useful line on the page.

Grace is eighty-four, her husband worked until eighty-three, and she noticed a difference right away, in her own words and with her own spelling.

Linda has taken it for three years.

That's a customer's long habit, and it doesn't tell you what the tablets did, only that she kept buying them.

Nobody I kept describes a trial result, because the trials say what they say and customers say what they feel.

Six people who bought it, two who gave it one star, and one who takes double the dose: that's the honest shape of the reviews.

Entry nine · The bowl and the cupThe Cereal, the Three Drinks, the Three Foods and the Word Test From Our Own Advertisements

Our advertisements have been saying, in one version or another, that a boxed cereal, three foods and three drinks have something to do with memory, and that there are three words or phrases a man ought to be able to say.

You're owed the honest version, on one entry, so here it is.

A bowl of cereal beside its box, a mug of coffee and a dark blue bottle on a long wooden table

Start with the bowl.

A frosted, honey-coated or chocolate cereal is mostly refined starch and added sugar, and a serving can carry more sugar than a cookie.

No cereal "ages the brain faster than time."

Nobody has measured any such thing, and that phrase was written to be clicked.

What the studies do say is duller, and worth more.

In the Framingham Heart Study, adults who drank more sugary beverages scored lower on tests of memory, and daily fruit juice went the same way. [7]

In a Brazilian study of 10,775 adults followed for eight years, the ones who ate the most ultra-processed food, and the sweet cereal shelf is part of that, lost ground on tests of thinking about a quarter faster than the ones who ate the least. [8]

Both are associations across a population, not a sentence on your bowl.

And a quarter faster than slow is still slow.

The same Framingham families, in a different analysis, scored better on memory tests when their diets carried more choline, [9] which is eggs, milk, meat and beans, and a better argument for breakfast than for any tablet.

The three drinks.

The "evening drink" in our advertisement is alcohol, and it's the one with the strongest case behind it: in 550 British civil servants followed for thirty years, the more a person drank, the faster their scores fell on a word-fluency test, and light drinkers had no edge over those who didn't drink at all. [10]

The second is sugar in a glass: soda, sweetened tea, the tall flavored coffee from the counter, which is a soft drink with coffee in it.

The Framingham finding above is about sugary drinks, and those are sugary drinks. [7]

The third, in one of our headlines, was coffee.

That was our worst headline.

Plain black coffee and plain tea aren't the drinks any of those studies were about.

Keep your coffee.

These tablets have no caffeine, and taking them doesn't change what's in your mug.

The three foods.

Processed meat, fried food, and the white-flour shelf: pastries, packaged cakes, white bread.

Our advertisement says "just stop eating these three."

The research says something slower.

In 960 older adults followed for nearly five years, the ones whose meals looked most like the MIND pattern, vegetables, berries, nuts, whole grains, beans, fish and olive oil, held their thinking scores better, and the gap between the top and bottom thirds worked out to about seven and a half years of age. [11]

That's a pattern over years, not a list of three, and it can't be sold in a headline.

Which is exactly why our headline doesn't say it.

Notice, too, that the berries in that pattern are the ones on line three, eaten by the cup rather than pressed into 200 milligrams of a blend.

Less sugar in the bowl and the glass.

Less alcohol in the evening.

Keep the coffee.

Eat more like the Mediterranean shelf and less like the vending machine.

Every one of those costs nothing, and none of them is in the tablet.

The three words, or the three phrases.

There's no such list.

What our advertisement borrowed from is the short, scored mental-status test clinicians have given at the bedside since the 1970s: the date and the place, a few words to hold in mind and give back a minute later, a sum, naming, repeating one sentence, copying a drawing.

It's given in person and read against your age and your schooling by someone trained to do it, and a low score is a reason for a proper look, not a verdict.

Stumbling on a word when you're tired or being timed means nothing on its own.

Nothing begins at a word.

If the worry behind the click is real, that's fifteen minutes with your own clinician, and it costs you nothing from me.

And the advertisement about the things some men take every day.

That one sits closest to real research, and it's the one an advertisement has no business acting on.

Some kinds of daily medicine, including a few sold over the counter for allergies and for the night, are on the lists pharmacists check for people over 65.

Don't stop or change any of it because of an advertisement, ours included. Put everything you take in one bag, this bottle included, take it to the pharmacist, and ask one question: is anything here a poor choice at my age?

Vinpocetine is worth naming at that counter, with the government notice from entry six in your hand, and so is the sage if you take anything that a strong herb might sit badly with.

The guide at the foot of this page has that section written out, with the studies.

So if you clicked on the cereal, here's where the cereal went: onto the long table next to a bottle that has nothing to do with it, where the real answer was always a plainer bowl and a cup of the berries.

Entry ten · What it isn'tSix Things Two Tablets Won't Do

  • It won't give you a trial's worth of blueberry. Two hundred milligrams of a blend with no pigment figure, against a daily concentrate of 387 milligrams of pigment in a twelve-week trial that moved a scan and barely moved a test.
  • It won't give you the ashwagandha of its trial. That trial used a different extract at nearly twice the dose in people in their twenties.
  • It won't turn the phosphatidylserine result into a win. The trial used this dose for six months and the placebo group's scores rose about as much.
  • It won't settle the vinpocetine question. The FDA said in 2016 it tentatively isn't a dietary ingredient, and the bottle is still on the shelf with a caution on it.
  • It won't act on any condition a clinician has named. It's a dietary supplement, and its own label carries the sentence that says so.
  • It won't do the fourth thing in the listing's four-word promise. This page discusses attention, focus and memory and makes no claim about how you feel day to day.

If that list annoys you, I'd rather you were annoyed now than a year from now, which, to be fair, is exactly how long this seller gives you to send it back.

Entry eleven · The routineIf You Do Buy It: One Bottle, the Notice in Your Pocket, Two Tablets a Day, One Notebook

If you're going to spend the money, spend it as a test with a date on it, and take the sixth line to the pharmacist before you start.

  • Buy one bottle, not the three-pack. Thirty days is the test, and the seller gives you a year to return it anyway.
  • Print entry six, or the government notice it links to, and take it with the bottle to the pharmacist. Ask whether the vinpocetine line is a poor fit with anything else you take.
  • Take the two tablets every day, at the same time, as the label says. The sage trial was a single afternoon; the phosphatidylserine trial was six months. A tablet on the days you remember tests nothing.
  • Keep the berries on the oatmeal. The blueberry trial used a daily glass, and a cup of fruit is closer to it than 200 milligrams of a blend.
  • Write one line a day in a notebook. Not "sharper" or "foggier." What you were doing at ten, and how it went.
  • On day thirty, read the thirty lines. If they read better than the month before, you've found a habit; buy a second bottle, not a three-pack. If they don't, you've found out for forty-four dollars, and the return window is a year.

Look at that list the way I do.

Four of the six things cost nothing.

The bottle is the one you'll pay for, and the pharmacist and the notebook are the ones that will do the work.

A man's hands writing a line in a small notebook beside a coffee mug and a dark blue bottle on a long table

Entry twelve · Who it's forWho It Suits, and Who It Doesn't

This is worth a look if:

  • You want a label that prints every amount, and you've now read what each amount is worth.
  • You want the sage line at the dose of its trial in adults over sixty-five, and you understand that trial was one afternoon in twenty people.
  • You've read entry six, you're a man, and you'll take the vinpocetine question to the pharmacist before you start.
  • You can hold two ideas at once: a company that prints its amounts and answers the phone at three in the morning, and a sixth line the government has questioned.
  • You'll run one bottle as a thirty-day test with a notebook, knowing you have a year to send it back.

Give it a miss if:

  • You're a woman of childbearing age, pregnant or planning to be. The label says not to use it, and this page says the same.
  • You want the blueberry of the trial. That was a daily glass of concentrate, not 200 milligrams of a blend.
  • You want something that acts on a condition a clinician has named. This is a dietary supplement.
  • You want the fourth word in the listing's promise. This page doesn't discuss it.
  • You'd rather not take a line the FDA has said, on the record, it tentatively doesn't consider a dietary ingredient. That's a fair position, and it's the sixth line.

Entry thirteen · Where it's soldFrom a Florida Company With a Street Address, a Phone Answered All Night, and a Year to Send It Back

The bottle is sold by Life Extension on its own website, and that's the only place this page links to.

A quiet palm-lined boulevard in South Florida with low office buildings and a delivery van far down the road

The company is reachable in every way but one.

Life Extension Foundation Buyers Club, Inc., with a street address in Fort Lauderdale, a customer line that answers seven days a week around the clock, a chat window, and a contact form; there's no customer-service email, and the only email addresses the company prints are the ones on its legal pages.

The label calls the tablets vegetarian, gluten-free and non-GMO, and prints a lot number and a phone number for reporting problems.

The current price is shown on its page, not here.

The day I read it, one bottle cost about what a good steak dinner costs, which is under a dollar and a half a day, and the seller's subscription program knocked a few dollars off.

Buy one bottle.

Thirty days is a test.

A three-pack of something you haven't tried is a bet, even with a year to send it back.

Now the two things that matter more than the price.

First, shipping.

The listing advertises shipping at no charge with its subscription program; for a single bottle, the shipping charge is shown at the seller's checkout, and this page doesn't link to the subscription.

Second, the return policy, which is the best line on the label.

The seller's page says: a one hundred percent no-hassle return policy valid for up to a full year after purchase, subject to terms and conditions.

Supplements bought through its website or call center can be returned for a refund, exchange or replacement up to 365 days after purchase, and you're asked to give a reason and say how you'd like the refund.

Not every product is eligible for online returns, the page says, and the details are in a list of questions on that page.

A year to send it back is the most generous line on the label.

Three hundred and sixty-five days is longer than any other return window on this desk this year, and it changes the arithmetic of trying a bottle.

Keep the order number, and read the terms on the seller's page before you count on it.

Everything in two tablets

IngredientAmount per serving
sageXtra™ sage (Salvia officinalis) leaf extract, standardized to 2.5 % rosmarinic acid333 mg
Wild blueberry extract blend (fruit)200 mg
Sensoril® ashwagandha (Withania somnifera) root and leaf extract, standardized to 10 % withanolide glycoside conjugates125 mg
Phosphatidylserine100 mg
Uridine-5'-monophosphate, disodium50 mg
Vinpocetine20 mg
Calcium and phosphorus, as dicalcium phosphate200 mg calcium · 160 mg phosphorus
Other ingredients: microcrystalline cellulose, stearic acid, calcium silicate, croscarmellose sodium, silica, coating (hypromellose, glycerin, purified water), maltodextrin, vegetable stearate—

Full details on each ingredient are in the guide linked at the bottom of this page.

The ingredient and advertising guide linked at the foot of this page goes through every one of the six lines and the binder.

What each ingredient is.

What the research does and doesn't show, at what dose and in what form.

What the government notice on vinpocetine says, with the link.

And which of our own headlines it does and doesn't support.

Print it and take it to the pharmacist if you take anything daily.

It's written for that.

See the current price on the seller's site

Cognitex® Elite · 60 vegetarian tablets

Two tablets a day of sage, wild blueberry, ashwagandha, phosphatidylserine, uridine and vinpocetine from a Fort Lauderdale supplement house with a toll-free line answered around the clock.

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Sold by Life Extension of Fort Lauderdale, Florida, a company with a street address and a customer line answered around the clock · A one-year return window on purchases from its website, subject to the seller's terms · The label says not to use it if you are of childbearing age, pregnant or planning to become pregnant

QuestionsWhat Readers Ask Me Before Their First Bottle

Questions readers ask

Is this medicine?

No. It's a dietary supplement, six ingredients and a binder in a coated tablet, sold by a Florida company.

The label carries the standard sentence every American supplement carries, the one that says the FDA hasn't evaluated its claims.

Does it have caffeine?

No. Sage, blueberry, ashwagandha, phosphatidylserine, uridine, vinpocetine and a binder.

Whatever wakes you up is your coffee.

What's the vinpocetine problem, in one paragraph?

In September 2016 the Food and Drug Administration published a notice saying it had tentatively concluded that vinpocetine is not a dietary ingredient and is excluded from the definition of a dietary supplement, and asked for public comment. The compound is still sold, this bottle included, and the label carries a caution for women of childbearing age that follows from later developmental studies.

The notice is linked at the foot of this page; take it to the pharmacist.

Why does the label say women of childbearing age shouldn't take it?

Because of the sixth line. In 2019 a federal toxicology program announced draft reports on what vinpocetine does to development before birth, and the label's caution is the company's answer.

The caution isn't about men; the notice about whether the line belongs on a supplement at all is about everyone.

Which of the six lines actually does something?

The sage comes closest: 333 milligrams, the exact dose tied to better memory and attention over a single day in twenty adults over sixty-five, with a different maker's extract. The phosphatidylserine is at its trial's dose, and that six-month trial came out about even with placebo.

The blueberry and ashwagandha are below or beside their trials, the uridine has no trial, and the vinpocetine has a government notice instead of one.

Will it help my memory?

I can't tell you that, and you should be wary of any page that does. One line is at its trial's dose for one afternoon; the rest are below their trials or beside trials in younger people.

What the customers I kept describe is a first bottle, a clouded day when they skip it, and a three-year habit.

Can I take it alongside what I already take?

Ask your clinician or pharmacist and take the ingredient guide with you. Vinpocetine is the line to name, with the government notice, and a strong sage extract is worth naming too.

Two minutes at the pharmacy counter answers it.

Are the reviews real?

They're public on the seller's page and the six I quote carry its buyer mark. Two one-star reviews are on the same page, and I've told you what they say.

One five-star reviewer takes double the dose, and I left him out.

Does it ship to me?

The seller ships within the United States and abroad through its international line. Shipping for a single bottle is charged at checkout; the listing advertises shipping at no charge with its subscription program, which this page doesn't link to.

What if it arrives and I don't like it?

The seller's page says purchases from its website can be returned for a refund, exchange or replacement up to 365 days after purchase, subject to its terms. Keep the order number.

Read the questions on that page before you count on it; not every product is eligible for online returns.

Your advertisement was about a cereal, or three foods, or three drinks. Where is that on this page?

On entry nine, in full, with the studies. The short version: less sugar in the bowl and the glass, less alcohol in the evening, keep your plain coffee, and eat more like the Mediterranean shelf, berries included.

None of it is in the tablet, and the ingredient and advertising guide at the foot goes through every headline we run and says which ones overstate.

Your advertisement said something about three phrases, or spelling three words. Is there a test I can take?

Not on a screen. The words and phrases come from the short mental-status test clinicians give in person, and it's read against your age and schooling by someone trained to do it.

Nothing begins at a word. If the worry behind the click is real, ask your clinician for the proper test.

It's fifteen minutes.

The short versionEverything Above, in Sixty Seconds

  • A bottle of sixty coated tablets from Life Extension of Fort Lauderdale: sage extract 333 milligrams, wild blueberry extract 200, an ashwagandha extract 125, phosphatidylserine 100, uridine 50 and vinpocetine 20 per two tablets, with 360 milligrams of a binder counted as calcium and phosphorus, no caffeine, thirty days to the bottle.
  • Sage: the exact dose of a single-day trial in twenty adults over sixty-five, with a different extract. [1] Blueberry: a fraction of a daily concentrate in a twelve-week trial of twenty-six. [3] Ashwagandha: a different extract's trial at nearly twice the dose in fifty-nine twenty-three-year-olds. [4] Phosphatidylserine: the trial's dose, six months, placebo about even. [5] Uridine: no trial. Vinpocetine: a 2016 FDA notice saying it tentatively isn't a dietary ingredient, and a label caution. [6]
  • Sixty reviews at four and a half stars; six quoted with the buyer's mark; two one-star reviews described; one double-doser left out.
  • A year to return it, subject to the seller's terms; a phone answered around the clock; no customer email.
  • The cereal, three drinks, three foods and the word test from our own advertisements, on entry nine: less sugar, less alcohol, keep the coffee, more like the Mediterranean shelf, and no test on a screen. None of it is in the tablet.
  • The honest use: the government notice to the pharmacist first, one bottle, two tablets a day for thirty days, berries on the oatmeal, and a notebook.
A long wooden table with a dark blue bottle, an empty mug, a bowl with a few blueberries, a folded newspaper and a closed notebook with a pencil

The last lineWhat Six Honest Numbers Are Actually Worth

Here's the whole thing in one breath.

Six lines with a number each, from a company that prints everything and answers the phone.

One line at the exact dose of its best trial, for one afternoon.

Three lines below or beside their trials, one with no trial, and one the government has said, on the record, may not belong on a supplement label at all.

And a year to send it back.

Judge the tablet by its six numbers.

If you're a man who wants a fully printed label, the sage at its trial dose, and a seller who gives you a year, and who'll take the sixth line to the pharmacist before he starts, that's worth one bottle.

Not because of the four-word promise on the listing.

Because you'll know exactly what each of the six numbers is worth, and exactly which one to ask about.

Take the notice to the pharmacist, buy one bottle, take the two tablets every day, keep the berries on the oatmeal, and write one line a day for thirty days. The notebook is a better judge than I am, and the seller gives you a year to disagree with both of us.

Check the current price and availability

Cognitex® Elite · 60 vegetarian tablets

Two tablets a day of sage, wild blueberry, ashwagandha, phosphatidylserine, uridine and vinpocetine from a Fort Lauderdale supplement house with a toll-free line answered around the clock.

CHECK AVAILABILITY

Sold by Life Extension of Fort Lauderdale, Florida, a company with a street address and a customer line answered around the clock · A one-year return window on purchases from its website, subject to the seller's terms · The label says not to use it if you are of childbearing age, pregnant or planning to become pregnant

P.S. If you take one thing from this page, take the two numbers.

Three hundred and thirty-three milligrams of sage, the one line at its trial's dose.

Twenty milligrams of vinpocetine, the one line with a government notice instead of a trial.

Everything else about this bottle sits between those two.

P.P.S. If the afternoon fog has been with you for a year, and it's there before the coffee too, talk to your own clinician before you buy anything.

Two tablets with breakfast are a small habit.

They were never going to answer a question a clinician answers in fifteen minutes and a blood test.

P.P.P.S. And if you do order it, keep the notebook, and keep the order number.

When the bottle is empty, you'll have thirty lines about your own mornings and eleven months left on the return window, and both are worth more than the bottle, whichever way the lines turn out.

References

11 sources, numbered in order of appearance.

  1. Scholey A.B. et al. (2008). Psychopharmacology 198(1):127-139 doi.org
  2. Kennedy D.O. et al. (2006). Neuropsychopharmacology 31(4):845-852 doi.org
  3. Bowtell J.L. et al. (2017). Applied Physiology, Nutrition, and Metabolism 42(7):773-779 doi.org
  4. Leonard M. et al. (2024). Nutrients 16(12):1813 doi.org
  5. Kato-Kataoka A. et al. (2010). Journal of Clinical Biochemistry and Nutrition 47(3):246-255 doi.org
  6. Federal Register, 81 FR 61694 (September 7, 2016); Federal Register (June 3, 2019) federalregister.gov
  7. Pase M.P. et al. (2017). Alzheimer's & Dementia 13(9):955-964 doi.org
  8. Gonçalves N.G. et al. (2023). JAMA Neurology 80(2):142-150 doi.org
  9. Poly C. et al. (2011). American Journal of Clinical Nutrition 94(6):1584-1591 doi.org
  10. Topiwala A. et al. (2017). BMJ 357:j2353 doi.org
  11. Morris M.C. et al. (2015). Alzheimer's & Dementia 11(9):1015-1022 doi.org