This page describes pharmacological agents that may have legal restrictions, side effects, and drug interactions in your jurisdiction. Information is for educational research only — consult a clinician before considering any compound.
Urolithin A
Urolithin A is a small molecule your gut bacteria normally make from ellagitannins (pomegranate, walnut, certain berries) — and its job is…
Aliases (7)
Overview
What is Urolithin A?
Urolithin A is a metabolite produced by gut bacteria from ellagitannins (in pomegranates, walnuts, berries). Only ~40% of people produce sufficient urolithin A from diet, prompting the development of direct-supplement forms (Mitopure / Timeline Nutrition).
Key Benefits
Induces mitophagy (clearance of damaged mitochondria), improves muscle function and endurance in aging adults (clinical trials), may extend healthspan, reduces inflammation, and supports muscle recovery.
Mechanism of Action
Activates mitophagy via PINK1/Parkin and other mitophagy regulators, selectively removing dysfunctional mitochondria while stimulating mitochondrial biogenesis. The net effect is a healthier mitochondrial pool, enhanced cellular energetics, and improved muscle performance.
Pharmacokinetics
▸Brand options3 known
StatusNot regulated. **FDA self-affirmed GRAS status (Mitopure, 2019; FDA "no questions" letter GRN 791)** for use up to 1000 mg/day in food and beverages. Sold OTC as a dietary supplement / functional ingredient. Not on WADA prohibited list. EU Novel Food authorized (EFSA 2021). Health Canada NHP licensed.
Research Protocols
Disclaimer: These are commonly discussed research protocols and not medical advice.
Peptide Interactions
Different mitochondrial layer — MOTS-c is metabolic-signaling (AMPK activation, exercise-mimetic), UA is quality-control (mitophagy + biogenesis). Mechanisti…
(Elamipretide): Cardiolipin stabilization + ETC efficiency. Different mitochondrial layer (structural/functional vs turnover). Mitochondrial peptide stack tr…
(NMN, NR, NAD+ precursors): Substrate for sirtuin/PARP activity. Synergistic with UA via different mechanism (substrate provision vs damaged-mitochondria cle…
Both induce autophagy (spermidine is broad-spectrum autophagy inducer; UA is selective mitophagy). Mechanistically additive; some longevity protocols stack b…
Electron transport chain support. Different mechanism from UA but compatible — Q10 supports the *function* of mitochondria; UA improves the *population quali…
Synthetic Q10 analog. Same logic as ubiquinol — different layer, compatible.
(the user already running): Phosphocreatine energy buffering. Compatible; no interaction.
UA's mitophagy effect plus exercise-induced mitochondrial biogenesis are mechanistically additive. Best-case use of UA is in trained populations who are alre…
UA is unusually clean on interaction profile.
stacking with high-dose anti-inflammatory regimens (concurrent NLRP3-targeted drugs, high-dose curcumin + boswellia + omega-3 megadose) is unstudied — likely…
Quality Indicators
Tested third-party COA
Reputable brands publish a Certificate of Analysis for identity, potency, and contaminant testing.
GMP-certified manufacturing
Look for cGMP / NSF / USP certifications on the label.
Proprietary blends
Avoid products that hide individual ingredient amounts inside a "proprietary blend."
No origin or sourcing info
Unbranded or no-COA capsules from anonymous sellers carry quality and adulteration risk.
What to Expect
- Week 1Baseline tolerability. Most chronic-use supplements have no acute signal.
- Week 2-4Subtle baseline shift — sleep quality, mood, recovery markers.
- Week 4-8Reach steady state. Re-assess subjective + objective markers.
- Month 3+Long-term maintenance dose if benefit confirmed; otherwise stop.
Side Effects & Safety 4
Side Effects
- 1Mild GI (occasional nausea, soft stool, bloating in first 1–2 weeks). Usually self-resolves. Lower-frequency than placebo in some trials — UA is genuinely well-tolerated.
- 2Headache (rare, 1–3% in trials, indistinguishable from placebo).
- 3Mild GI persistence (uncommon beyond week 2).
- 4Subjective fatigue or "off-day" in a small subset during first 1–2 weeks (paradoxical; possibly mitophagy-driven temporary mitochondrial turnover before biogenesis catches up).
When to Stop
- No reported SAEs in human trials at doses up to 1000 mg/day for 4 months. Andreux 2019, Singh 2022, Liu 2022 all clean.
- Theoretical: Excessive mitophagy could in theory stress cells with already-marginal mitochondrial reserve (mitochondrial disease patients); not seen in any trial population. Not relevant for healthy adults.
- Theoretical: Inflammation suppression via NLRP3 could theoretically interact with infection-fighting capacity; no clinical signal.
- First 2 weeks of any new cycle: monitor GI tolerance. Take with food if any nausea.
- No cumulative-cycle concerns — multi-year continuous use has not produced safety signals in long-term Mitopure user data.
- Drug interactions: essentially none documented (see Drug Interactions).
- Pregnancy / lactation: No data. Avoid.
- Mitochondrial disease patients: Theoretical concern, not validated. Discuss with specialist.
- Active malignancy: Theoretical concern (mitophagy and cancer biology have bidirectional effects); some preclinical UA-anticancer signal in specific cancer models, but not validated for use in active cancer patients.
- For the user: none of these apply.
References
Andreux et al. 2019 — Nature Metabolism Phase 1 trial (PMID 32694794)
first-in-human RCT, n=60 older adults, 4 weeks, 250–1000 mg/day, mechanism + biomarker confirmation
View StudySingh et al. 2022 — JAMA Network Open Phase 2 (PMID 35377427)
n=88 middle-aged sedentary, 4 months, 500/1000 mg/day, knee extension fatigue resistance + biomarker replication
View StudyLiu et al. 2022 — Cell Reports Medicine (PMID 35545678)
n=66 older adults, 16 weeks, 1000 mg/day Mitopure, muscle endurance + biomarker replication
View StudyRyu et al. 2016 — Nature Medicine (PMID 27400265)
seminal preclinical paper, C. elegans lifespan extension, mouse muscle function
View StudySingh et al. 2019 — Frontiers in Pharmacology open-label PK study
first-in-human PK + safety
View StudyD'Amico et al. 2021 — Trends in Molecular Medicine review
00080-1) — comprehensive mechanism review (Amazentis-affiliated)
View StudyAmazentis / Mitopure product information
vendor reference, Mitopure dosing + formulation
View StudySelma et al. 2017 — metabotype variation in human cohort
~40% non-producer prevalence
View StudyTomas-Barberan et al. 2014 — urolithin metabotype review
Gordonibacter / Ellagibacter conversion biology
View StudyGarcia-Villalba et al. 2017 — Gordonibacter ellagic acid conversion
microbiome biology
View StudyRenue By Science — generic Urolithin A product page
vendor reference, generic pricing
View StudyDouble Wood Supplements — Urolithin A
vendor reference, budget tier
View StudyCortes-Martin et al. 2018 — urolithin metabotype meta-analysis
population prevalence data
View StudyCortes-Martin et al. 2020 — urolithins and cardiovascular health review
preliminary cardiovascular data
View StudyEspin et al. 2017 — UA and inflammation review
NLRP3 / anti-inflammatory mechanism
View StudyTomas-Barberan et al. 2017 — UA metabotype individual variation
diet / lifestyle correlates
View StudyToney et al. 2023 — UA effects on cognitive function in older adults (preliminary)
small pilot, not yet large RCT
View StudyHeilman et al. 2017 — UA toxicology / safety review
preclinical safety
View StudyHow was your experience with this compound?
Anonymous · one vote per session · results below at 5+ votes.
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