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Supplement

Urolithin A

Supports broad cellular function with category-specific mechanisms.[3837,4062,4318, etc.]

Superscript reference numbers link to the Sources bibliography.

Strong Evidence
LongevityMetabolic HealthEnergy

Composite Rating

3.6/5

Blends evidence depth, community direction, safety friction, and completeness.

Evidence Intensity

90/100

High depth from human/RCT/meta counts

Community Direction

23

Positive Lean • confidence Moderate

Safety Friction

100/100

High signal from adverse/interaction markers

Data Completeness

100%

Studies 9 • mentions 9 • links 20

Not medical advice. This product is for educational and informational purposes only. It does not diagnose, treat, cure, or prevent any disease and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions regarding a medical condition.

FDA disclaimer: These statements have not been evaluated by the Food and Drug Administration. Dietary supplements are not intended to diagnose, treat, cure, or prevent any disease. Results may vary. Not intended for use by pregnant or nursing women, individuals under 18, or those with known medical conditions without physician consultation.

If you are experiencing a medical emergency, call 911 or your local emergency number immediately.

Implementation Blueprint

Goal alignment: Longevity, Metabolic Health, Energy.[96,279,315, etc.]

Dose guide: Human-study daily dose: 1000 mg/day (early-confidence extraction from PubMed abstracts)..[96,279,315, etc.]

Category: other.[96,279,315, etc.]

Category

Other

Evidence Tier

HIGH

Daily Guide

Human-study daily dose: 1000 mg/day (early-confidence extraction from PubMed abstracts).

Dosing Guide

Human-study daily dose: 1000 mg/day (early-confidence extraction from PubMed abstracts).[3837,, etc.]

At-A-Glance Evidence Architecture[3837,4062,4318, etc.]

Clinical Depth

Humans: 57 • RCTs: 15 • Meta: 0

Cohort / Real-World

Cohort signals: 0

Safety Markers

Adverse signals: 52 • Interactions: 65

Evidence Tracking

Freshness, trend, and study timeline for this item

Evidence Tracking

Status

New Evidence

Trend

↑ Growing evidence base

Depth

109 total studies · 3 recent

Timeline

20212025

Top Signal Metrics[3837,4062,4318, etc.]

In vitro / tissue

199

Animal-only studies

146

Total indexed

109

Interaction signals

65

Human studies

57

Safety adverse signals

52

Community Direction Mix[96,279,315, etc.]

Weighted direction score: 23 (Positive Lean)

Evidence Quality Summary[3837,4062,4318, etc.]

High when >=2 human meta-analyses, or >=5 human RCTs with substantial human literature volume.

In vitro / tissue

199

Animal-only studies

146

Total indexed

109

Interaction signals

65

Human studies

57

Safety adverse signals

52

Randomized trials

15

Meta-analyses

0

Study Type Breakdown

Distribution of evidence by study design strength

Randomized TrialsLevel 1b15
Human Studies (other)Level 3-442
All IndexedAll levels109
90

Evidence Strength: High

Composite of study volume, RCTs, and meta-analyses

Top Human Studies[3837,4062,4318, etc.]

PMID 35050355 • 2022 Jan 4

Effect of Urolithin A Supplementation on Muscle Endurance and Mitochondrial Health in Older Adults: A Randomized Clinical Trial.

JAMA Netw Open

Open PubMed

PMID 36175997 • 2022 Sep 30

The effect of high-polyphenol Mediterranean diet on visceral adiposity: the DIRECT PLUS randomized controlled trial.

BMC Med

Open PubMed

PMID 37743489 • 2023 Sep 25

The effect of polyphenols on DNA methylation-assessed biological age attenuation: the DIRECT PLUS randomized controlled trial.

BMC Med

Community Report Frequency[96,279,315, etc.]

Benefit reports: 5

Adverse reports: 2

No-effect reports: 1

Mixed reports: 1

Unclear reports: 0

Signal confidence: 0.47

Top Reported Effects[96,279,315, etc.]

Benefits

  • recovery: 3
  • energy: 2
  • improved: 2
  • sleep: 1
  • focus: 1

Adverse

  • anxiety: 2

No Effect

  • placebo: 1
  • hard to tell: 1

Insufficient empirical signal for a directional adjustment.

Reddit evidence: 8 mentions (confidence 0.47) across Supplements, Biohackers, ketoscience.

Amazon signal: 0 products scanned (confidence 0.00).

GNC signal: 0 products scanned (confidence 0.00) [BLOCKED].

PerimeterX / captcha block encountered.

Use adverse/interactions PubMed signal counts for screening; perform clinician review before high-dose or multi-drug stack use.

Community Evidence Examples[96,279,315, etc.]

post • r/Supplements • adverse

Urolithin A supplement reverses anxiety in rats by repairing mitochondria in neurons [This article](https://www.neuroleman.ch/urolithin-a-repairs-brain-mitochondria-reverses-anxiety-in-rats/) details how in a [study](https://www.biological…

Open mention

post • r/Biohackers • unclear

Distinct Roles of Urolithin A and Spermidine in Mitophagy and Autophagy: Implications for Dietary Supplementation | Nutrition Research Reviews (2025)

Open mention

post • r/Supplements • unclear

Effect of the mitophagy inducer urolithin A on age-related immune decline

Open mention

Retail Signal Examples

amazon

Amazon search for Urolithin A

Rating: n/a | Reviews: n/a

Open product

Primary Source Links

Evidence Sources

  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22urolithin%20a%22)%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22urolithin%20a%22)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22urolithin%20a%22)%20AND%20animals%5BMeSH%20Terms%5D%20NOT%20humans%5BMeSH%20Terms%5D

Scientific Evidence Notes[3837,4062,4318, etc.]

1. PubMed evidence summary: Urolithin A

PUBMED • Humans + preclinical triage

Counts aggregated from automated literature sweep and tiering rules.

Outcome: Tier HIGH; humans 57, RCTs 15, meta-analyses 0.[3837,4062,4318, etc.]

Open source
2. Effect of Urolithin A Supplementation on Muscle Endurance and Mitochondrial Health in Older Adults: A Randomized Clinical Trial.

PUBMED • 2022 • Human evidence curation set

PMID 35050355 from JAMA Netw Open.

Outcome: See linked PubMed abstract for methods and outcomes.[, etc.]

4062,
4318

Safety and Pitfalls

  • Elevated adverse/interactions signal in literature; review medications and conditions before use.[96,279,315, etc.]
  • High interaction-signal count detected in literature search.[96,279,315, etc.]
  • Potential side effect: anxiety[96,279,315, etc.]
  • Legacy caution group: Budget-conscious (premium priced)[96,279,315, etc.]
  • Legacy caution group: Younger individuals with good mitochondrial function[96,279,315, etc.]
Benefit
5 (56%)
Adverse2 (22%)
No Effect1 (11%)
Mixed1 (11%)
Open PubMed

PMID 35021194 • 2022 May 1

The effect of a high-polyphenol Mediterranean diet (Green-MED) combined with physical activity on age-related brain atrophy: the Dietary Intervention Randomized Controlled Trial Polyphenols Unprocessed Study (DIRECT PLUS).

Am J Clin Nutr

Open PubMed

PMID 41174221 • 2025 Nov

Effect of the mitophagy inducer urolithin A on age-related immune decline: a randomized, placebo-controlled trial.

Nat Aging

Open PubMed

PMID 39487653 • 2024 Dec

Assessment of Urolithin A effects on muscle endurance, strength, inflammation, oxidative stress, and protein metabolism in male athletes with resistance training: an 8-week randomized, double-blind, placebo-controlled study.

J Int Soc Sports Nutr

Open PubMed

PMID 34030963 • 2021 Jul

Impact of the Natural Compound Urolithin A on Health, Disease, and Aging.

Trends Mol Med

Open PubMed

PMID 33236953 • 2021 Mar 1

Sarcopenia in chronic liver disease: mechanisms and countermeasures.

Am J Physiol Gastrointest Liver Physiol

Open PubMed

PMID 39060742 • 2024 Sep

Mitochondria as Nutritional Targets to Maintain Muscle Health and Physical Function During Ageing.

Sports Med

Open PubMed

Human-study daily dose signal: 1000 mg/day (confidence LOW).

Extracted from 1 dosing mentions across 1 PubMed studies (mg/day).

Imported legacy community score: 8.0/10 (heuristic mapping confidence 1.00).

Imported legacy monthly cost signal: ~$60.00.

Legacy community note: Gaining rapid popularity in longevity and fitness communities. Users report improved energy and exercise endurance. Premium price point. MitoPure (Timeline) is the most studied brand.

post • r/ketoscience • no_effect

Effect of the mitophagy inducer urolithin A on age-related immune decline: a randomized, placebo-controlled trial (2025)

Open mention

post • r/Supplements • mixed

What Are the Best Anti Aging Supplements to Take in Your 30s for Long-Term Health? hey i’m in my 30s and been getting more into anti aging stuff lately. i already eat decent, stay active, try to sleep enough but i figured why not start doi…

Open mention

post • r/Biohackers • benefit

Urolithin A reduces cardiovascular disease biomarkers in humans sup y'all as part of my 2026 goals i want to get my longevity stack dialed in. i've had pomella (pomegranate extract) in my drawer for a while, which provides precursors for y…

Open mention

post • r/Supplements • benefit

Endurance athletes prepping for a race, what supplements do you think are game changers for performance and recovery? I will be participating in a few endurance races over the next 2 mos. Hyrox and Spartan DEKA for those familiar. They wil…

Open mention

post • r/Biohackers • benefit

Just Got Back from Eudemonia Summit - Here's Everything I Tried Just wrapped up a few days at Eudemonia and wanted to do a full product recap. I tried a ton of stuff, bought way too much, and had some really great conversations with founde…

Open mention

comment • r/Supplements • adverse

This aligns perfectly with the emerging 'Metabolic Theory' of mental health. We used to think anxiety was just a neurotransmitter issue (Serotonin/GABA). Now we are realizing it is often a **bio-energetic** issue. If neurons in the emotion…

Open mention

comment • r/Biohackers • benefit

# Abstract The increasing focus on longevity and cellular health has brought into the spotlight two key compounds, urolithin A (UroA) and spermidine, for their promising roles in autophagy and mitophagy. Urolithin A, a natural metabolite d…

Open mention
https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22urolithin%20a%22)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)%20AND%20randomized%20controlled%20trial%5BPublication%20Type%5D
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22urolithin%20a%22)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)%20AND%20meta-analysis%5BPublication%20Type%5D
  • https://pubmed.ncbi.nlm.nih.gov/35050355/
  • https://pubmed.ncbi.nlm.nih.gov/36175997/
  • https://pubmed.ncbi.nlm.nih.gov/37743489/
  • https://pubmed.ncbi.nlm.nih.gov/35021194/
  • https://pubmed.ncbi.nlm.nih.gov/41174221/
  • https://pubmed.ncbi.nlm.nih.gov/39487653/
  • https://pubmed.ncbi.nlm.nih.gov/34030963/
  • https://pubmed.ncbi.nlm.nih.gov/33236953/
  • https://pubmed.ncbi.nlm.nih.gov/39060742/
  • https://pubmed.ncbi.nlm.nih.gov/?term=Urolithin%20A
  • Community Sources

    • https://old.reddit.com/search.json?raw_json=1&sort=relevance&t=year&limit=12&q=%22urolithin%20a%22%20(supplement%20OR%20dosage%20OR%20stack%20OR%20side%20effects%20OR%20review)%20(subreddit%3ASupplements%20OR%20subreddit%3ANootropics%20OR%20subreddit%3ABiohackers%20OR%20subreddit%3Alongevity%20OR%20subreddit%3ANutrition%20OR%20subreddit%3AHubermanLab%20OR%20subreddit%3ASleep%20OR%20subreddit%3AFitness%20OR%20subreddit%3Aketoscience%20OR%20subreddit%3AStackAdvice)
    • https://old.reddit.com/r/Supplements/comments/1pwlm35/urolithin_a_supplement_reverses_anxiety_in_rats/.json?raw_json=1&sort=top&limit=25
    • https://old.reddit.com/r/Biohackers/comments/1psfcl6/distinct_roles_of_urolithin_a_and_spermidine_in/.json?raw_json=1&sort=top&limit=25
    • https://old.reddit.com/r/Supplements/comments/1osj96n/effect_of_the_mitophagy_inducer_urolithin_a_on/.json?raw_json=1&sort=top&limit=25
    • https://www.reddit.com/search/?q=Urolithin%20A
    3837,
    4062,
    4318
    Open source
    3. The effect of high-polyphenol Mediterranean diet on visceral adiposity: the DIRECT PLUS randomized controlled trial.

    PUBMED • 2022 • Human evidence curation set

    PMID 36175997 from BMC Med.

    Outcome: See linked PubMed abstract for methods and outcomes.[3837,4062,4318, etc.]

    Open source
    4. The effect of polyphenols on DNA methylation-assessed biological age attenuation: the DIRECT PLUS randomized controlled trial.

    PUBMED • 2023 • Human evidence curation set

    PMID 37743489 from BMC Med.

    Outcome: See linked PubMed abstract for methods and outcomes.[3837,4062,4318, etc.]

    Open source
    5. The effect of a high-polyphenol Mediterranean diet (Green-MED) combined with physical activity on age-related brain atrophy: the Dietary Intervention Randomized Controlled Trial Polyphenols Unprocessed Study (DIRECT PLUS).

    PUBMED • 2022 • Human evidence curation set

    PMID 35021194 from Am J Clin Nutr.

    Outcome: See linked PubMed abstract for methods and outcomes.[3837,4062,4318, etc.]

    Open source
    6. Effect of the mitophagy inducer urolithin A on age-related immune decline: a randomized, placebo-controlled trial.

    PUBMED • 2025 • Human evidence curation set

    PMID 41174221 from Nat Aging.

    Outcome: See linked PubMed abstract for methods and outcomes.[3837,4062,4318, etc.]

    Open source
    7. Assessment of Urolithin A effects on muscle endurance, strength, inflammation, oxidative stress, and protein metabolism in male athletes with resistance training: an 8-week randomized, double-blind, placebo-controlled study.

    PUBMED • 2024 • Human evidence curation set

    PMID 39487653 from J Int Soc Sports Nutr.

    Outcome: See linked PubMed abstract for methods and outcomes.[3837,4062,4318, etc.]

    Open source
    8. Impact of the Natural Compound Urolithin A on Health, Disease, and Aging.

    PUBMED • 2021 • Human evidence curation set

    PMID 34030963 from Trends Mol Med.

    Outcome: See linked PubMed abstract for methods and outcomes.[3837,4062,4318, etc.]

    Open source
    9. Sarcopenia in chronic liver disease: mechanisms and countermeasures.

    PUBMED • 2021 • Human evidence curation set

    PMID 33236953 from Am J Physiol Gastrointest Liver Physiol.

    Outcome: See linked PubMed abstract for methods and outcomes.[3837,4062,4318, etc.]

    Open source
    10. Mitochondria as Nutritional Targets to Maintain Muscle Health and Physical Function During Ageing.

    PUBMED • 2024 • Human evidence curation set

    PMID 39060742 from Sports Med.

    Outcome: See linked PubMed abstract for methods and outcomes.[3837,4062,4318, etc.]

    Open source