Urolithin A Benefits, Dosage and Side Effects: What Human Trials Show (2026)

Ingredient Guide

Urolithin A Benefits, Dosage and Side Effects: What Human Trials Show (2026)

By B Mishra, BSc Biology | Last checked: 14 November 2026

What two randomised trials found, how much to take, who it suits, and where to buy it outside the US.

Short answer: Urolithin A is a compound your gut bacteria make from pomegranates, walnuts and berries. In randomised trials, 500–1,000mg a day for four months modestly improved muscle endurance and strength in middle-aged and older adults. It is one of the better-supported longevity supplements, but the effects are small and the trials were funded by the company that makes the tested ingredient.

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Quick facts
What it is A postbiotic made by gut bacteria from ellagitannins (pomegranate, walnuts, berries)
Main claim Supports mitophagy, the recycling of worn-out mitochondria
Best human evidence Two randomised trials (2022), 500–1,000mg/day for 4 months
What improved Muscle endurance, some strength measures, some blood markers
What didn’t 6-minute walk distance and the main primary endpoints
Typical dose 500–1,000mg once daily
Safety Well tolerated in trials up to 4 months

What Is Urolithin A?

Urolithin A is produced in the gut when bacteria break down ellagitannins, plant compounds found in pomegranates, walnuts and some berries. The catch is that many people don’t have the gut bacteria to make much of it, so eating pomegranates doesn’t guarantee you get any. Supplements supply it directly.

Interest comes from mitophagy, the process cells use to clear damaged mitochondria. Animal studies first suggested Urolithin A could switch this process on, and that led to human trials.


What Do Human Trials Show?

Older adults (Liu et al., 2022)

In a randomised trial in 66 adults aged 65–90, 1,000mg of Urolithin A daily for four months did not improve the main outcomes, 6-minute walk distance and peak ATP production in muscle. It did improve muscle endurance in a hand muscle and a leg muscle, measured as the number of contractions before fatigue. Some blood markers, including CRP and certain ceramides, also fell compared with placebo.

Middle-aged adults (Singh et al., 2022)

In the ATLAS trial, 88 sedentary adults aged 40–64 took 500mg or 1,000mg daily for four months. Leg muscle strength improved by about 10–12% compared with placebo, and the higher dose improved some endurance measures. The primary endpoint, peak power output, was not significant.

Important context: both trials tested Mitopure, made by Amazentis/Timeline, and that company funded them. Other brands, including Aeternum, use the same molecule at the same doses, but their own products haven’t been trialled.

Urolithin A Benefits: What’s Supported and What Isn’t

Claim Evidence Verdict
Improves muscle endurance Two RCTs, modest effect Moderately supported
Increases muscle strength One RCT in middle-aged adults (~12%) Some support
Lowers inflammation markers Reduced CRP in one trial Early
Improves walking or fitness Primary endpoints not met Not supported
Extends lifespan Worms and mice only Not shown in humans
Improves skin or gut health Mostly lab and early data Unproven

How Much Urolithin A Should You Take?

Human trials used 500mg or 1,000mg once a day for up to four months. There’s no evidence that more than 1,000mg works better. Starting at 500mg is reasonable, and most of the trial benefit appeared at 1,000mg.


Side Effects and Safety

Urolithin A was well tolerated in both trials. Adverse events were similar to placebo and none were serious. Long-term data beyond four months is limited.

Speak with a healthcare professional first if you:

  • are pregnant or breastfeeding
  • have a serious medical condition or take several prescription medicines
  • are under 18

Where to Buy Urolithin A (and a US Warning)

Aeternum sells Urolithin A as 500mg capsules (£50 for 60) and as a powder with a 500mg scoop (£45 for 30g, about 60 scoops). That works out to about £0.75–£0.83 a day at 500mg. These are UK display prices on 14 November 2026. Aeternum doesn’t ship Urolithin A to the United States. US readers will need a US-available brand.

Prefer powder? See Aeternum Urolithin A powder. Read our full Aeternum review for the brand’s strengths and weaknesses.


Why Pomegranates Aren’t Enough for Most People

Your body only gets Urolithin A from food if your gut bacteria can make it. They convert ellagitannins from pomegranates, walnuts and some berries, first into ellagic acid and then into urolithins. People differ a lot in how well their microbiome does this.

In a 2022 study of 100 healthy adults who drank pomegranate juice, only around 40% produced meaningful levels of Urolithin A. The rest made little or none. Producers had more diverse gut bacteria. In the same study, taking 500mg of Urolithin A directly raised blood levels consistently, whatever the person’s gut type. That’s the main practical argument for supplementing rather than relying on diet.

Food source Contains Reliable Urolithin A?
Pomegranate (fruit or juice) Ellagitannins (punicalagins) Only if you’re a producer
Walnuts, pecans Ellagitannins Only if you’re a producer
Raspberries, strawberries Ellagitannins (smaller amounts) Only if you’re a producer
Urolithin A supplement Urolithin A itself Yes, regardless of gut bacteria

Capsules or Powder?

Aeternum sells both. The capsules are 500mg each, with a two-capsule (1,000mg) label serving. The powder comes with a 500mg scoop, has no fillers, and is slightly cheaper per gram. Choose capsules for convenience and exact doses. Choose powder if you want the lowest cost per dose and don’t mind measuring.

Capsules Powder
Dose per unit 500mg per capsule 500mg per scoop
UK price (14 Nov 2026) £50 for 60 capsules £45 for 30g
Cost per 500mg ~£0.83 ~£0.75
Best for Convenience, travel Lowest cost, flexible dosing

How to Take Urolithin A

  • Dose: 500mg a day to start; 1,000mg matches the higher trial dose.
  • Timing: once daily. In the older-adult trial it was taken in the morning on an empty stomach with water, but no trial has compared timings.
  • Duration: trial benefits appeared at two months and grew by four. Judge it after at least 8–12 weeks.
  • Combine with exercise: the trials studied mostly sedentary people. Exercise also triggers mitophagy, and no supplement replaces it.

Urolithin A vs CoQ10 vs NMN

These three are often stacked together, but they do different jobs. Urolithin A is meant to help clear out damaged mitochondria. CoQ10 is part of the mitochondrial energy chain itself. NMN feeds NAD+, a coenzyme mitochondria rely on.

Urolithin A CoQ10 NMN
Main idea Recycle damaged mitochondria Support the energy chain Raise NAD+
Best human evidence Modest muscle endurance gains Mainly heart and statin-related research Raises a blood marker
Aeternum sells it? Yes (not to the US) No Yes
Our guide This page — NMN vs NR

How to Check Quality

Urolithin A is a single molecule, so quality comes down to purity and dose accuracy. Before you buy any brand, look for a certificate of analysis (COA) from an independent lab. It should show purity (ideally over 98%), the batch number, and tests for heavy metals and microbes. Aeternum links to a current third-party COA on its Urolithin A page. Check that the batch on the certificate is recent.


Urolithin A FAQ

Can I get Urolithin A from pomegranates?

Only if your gut bacteria convert it, and many people’s don’t. Supplements deliver it directly.

How long does Urolithin A take to work?

In trials, endurance changes showed up at two months and grew by four months.

Is Urolithin A better than NMN?

They work on different pathways. Urolithin A has more functional muscle data; NMN mainly raises a blood marker. See our NMN vs NR guide.

Can I take Urolithin A with CoQ10?

No interaction is known, but no trial has tested the combination.

Is Urolithin A safe long term?

Trials lasted up to four months with no serious problems. Longer-term data is limited.

HealthyPa’s Verdict

Urolithin A is one of the few longevity supplements with modest but real functional results in randomised human trials. If muscle endurance as you age is your goal and you live outside the US, 500–1,000mg a day is a reasonable thing to try. Just don’t expect dramatic changes.

Sources

  1. Liu et al. (2022), JAMA Network Open: Urolithin A in adults aged 65–90
  2. Singh et al. (2022), Cell Reports Medicine: Urolithin A in middle-aged adults (ATLAS)
Medical disclaimer: This article is general information and does not replace medical advice, diagnosis or treatment. Supplements can cause side effects and interact with medicines. Speak with a qualified healthcare professional about your circumstances.

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