Skip to content

Can you take Urolithin A and NAD together?

4 min read

A recent human clinical trial demonstrated that Urolithin A supplementation improved muscle endurance in older adults, fueling a surge in interest for this powerful postbiotic. This raises a key question for many biohackers and health enthusiasts: can you take Urolithin A and NAD together to maximize cellular benefits?

Quick Summary

Combining Urolithin A with NAD or its precursors is a popular strategy in longevity supplements to support cellular energy production and mitochondrial health. This dual approach aims to both clear damaged mitochondria and fuel cellular function for enhanced vitality and overall well-being.

Key Points

  • Synergistic Action: Combining Urolithin A and NAD+ precursors creates a dual approach to cellular health, with UA cleaning up damaged mitochondria and NAD+ fueling cellular energy and repair.

  • Mitochondrial Optimization: Urolithin A promotes mitophagy, clearing out old mitochondria, while NAD+ enhances the function of the remaining and newly formed ones, leading to a more efficient mitochondrial network.

  • Common Combination: Many longevity supplement brands already combine UA with NAD+ boosters like NMN or NR, confirming the safety and rationale behind this approach.

  • Improved Performance: Research suggests the combination can enhance muscle strength and endurance by supporting mitochondrial function and energy production.

  • Broad Cellular Support: Beyond mitochondria, the combination supports DNA repair, reduces age-related inflammation, and offers a comprehensive anti-aging strategy.

  • Safety Profile: Both Urolithin A and NAD+ precursors are generally well-tolerated at typical dosages, though consulting a doctor is recommended before starting supplementation.

In This Article

The Complementary Roles of Urolithin A and NAD+

At a cellular level, aging is often linked to the decline of mitochondrial function. Urolithin A and NAD+ address this decline in two distinct but complementary ways. Urolithin A is a postbiotic that promotes a process called mitophagy—the selective clearance and recycling of old, damaged mitochondria. By acting as a cellular 'cleanup crew,' Urolithin A helps to remove non-functional energy-producing units from the cell.

On the other hand, Nicotinamide Adenine Dinucleotide (NAD+) is a vital coenzyme present in every cell of the body. Its levels naturally decline with age. NAD+ is crucial for numerous cellular processes, including energy production, DNA repair, and the activation of sirtuin proteins, which are important for longevity. You can think of NAD+ as the 'fuel' for the cell’s regenerative machinery. While Urolithin A improves the quality of the mitochondrial fleet by removing old parts, NAD+ provides the energy to power the creation of new, more efficient mitochondria.

The Synergy of Urolithin A and NAD+

When combined, Urolithin A and NAD+ form a potent duo for cellular health. Urolithin A's ability to clear out damaged mitochondria creates a healthier environment for the cellular machinery. This process sets the stage for NAD+ to perform its functions more effectively. Instead of simply trying to power a struggling system, the NAD+ can now focus its energy on a more robust and efficient cellular infrastructure. The co-supplementation approach has become a staple in advanced longevity formulas, with many products on the market containing both compounds or an NAD+ precursor like Nicotinamide Mononucleotide (NMN).

Potential Benefits of Co-Supplementation

  • Enhanced Mitochondrial Function: The combined action of clearing and refueling leads to a more efficient and powerful mitochondrial network.
  • Increased Cellular Energy: Improved mitochondrial performance and higher NAD+ levels can translate to increased cellular energy production and reduced fatigue.
  • Improved Muscle Health and Endurance: Studies on Urolithin A have shown it can boost muscle strength and endurance, an effect potentially amplified by the increased cellular energy from NAD+.
  • Supports DNA Repair: NAD+ is critical for activating enzymes involved in DNA repair. Combining it with UA's mitochondrial benefits can offer broader support for overall cellular health.
  • Broader Anti-Aging Support: By targeting both the cleanup and fueling aspects of cellular health, the combination provides a comprehensive approach to combating age-related decline.

Safety and Considerations for Combining Urolithin A and NAD

Both Urolithin A and NAD+ are generally considered safe at standard dosages. Human clinical trials for Urolithin A, often conducted with doses between 500 mg and 1000 mg, have reported no serious side effects. Any mild issues, such as digestive discomfort or muscle aches, were uncommon and generally transient. However, it is crucial to understand that research on the long-term effects of either supplement is still ongoing. Combining them does not appear to present harmful interactions based on current knowledge, with many commercial products successfully doing so. As with any new supplement regimen, it is vital to consult with a healthcare professional, especially if you have pre-existing health conditions or are taking other medications. This is particularly important for supplements that affect metabolic pathways, as there is always a theoretical potential for drug interaction.

Urolithin A vs. NAD+ Supplementation: A Comparison

Feature Urolithin A (UA) NAD+ (via precursors like NMN)
Primary Mechanism Promotes mitophagy (mitochondrial recycling and removal of damaged mitochondria). Increases NAD+ levels, which fuels sirtuin activity, energy production, and DNA repair.
Effect on Mitochondria Clears out old, less efficient mitochondria to improve overall quality. Provides essential fuel for the energy-making process within mitochondria.
Source Produced by gut bacteria from ellagitannins found in foods like pomegranates and nuts. Synthesized in the body from vitamin B3 forms (NMN, NR) or supplemented directly via IV.
Key Benefit Improved muscle strength and endurance, enhanced mitochondrial fitness. Supports energy metabolism, cognitive health, and genomic stability.
Optimal Use Foundation for mitochondrial 'recharge'. Energy production and cellular repair.

Conclusion

For those seeking to optimize cellular health, supplementing with both Urolithin A and NAD+ precursors appears to be a logical and potentially beneficial strategy. The two compounds act on different, yet synergistic, aspects of mitochondrial function: Urolithin A handles the cellular "cleanup," while NAD+ provides the vital "fuel" for energy and repair. This dual-action approach is already being utilized in many longevity-focused supplements and offers a comprehensive way to support healthy aging at a foundational level. However, always consult a healthcare professional before starting any new supplement regimen to ensure it is appropriate for your individual health needs. Research on the synergistic effects of Urolithin A and NAD+ continues, providing exciting insights into the potential of these compounds for enhancing human health and longevity.

Read more about how Urolithin A augments NAD+ and muscle function in this Nature study.

Frequently Asked Questions

Yes, taking Urolithin A and NAD+ precursors (like NMN or NR) together is generally considered safe. Many longevity-focused supplements combine these ingredients, and they target different aspects of cellular aging without known harmful interactions.

The primary benefit is a synergistic effect on mitochondrial health. Urolithin A recycles old, damaged mitochondria, while NAD+ provides the energy for cellular repair and renewal, leading to improved cellular energy, muscle function, and overall vitality.

Urolithin A works by optimizing mitophagy, the process of clearing out damaged mitochondria. NAD+, or its precursors, function as a fuel, boosting cellular energy production and activating enzymes involved in DNA repair and longevity.

While you can take either on its own, combining them is a popular strategy for a more comprehensive approach to cellular health. Urolithin A clears damaged components, and NAD+ fuels the regeneration, addressing two different phases of the mitochondrial life cycle.

Urolithin A is produced by gut bacteria from compounds in pomegranates and berries, but not everyone's microbiome can do this effectively. NAD+ levels decline with age, and while some foods contain precursors, supplementation is often used to ensure adequate levels are maintained.

Dosages vary by product and individual needs, but clinical trials for Urolithin A typically use doses between 500 mg and 1000 mg daily. For NAD+ precursors like NMN, typical daily dosages can vary widely. Consulting a healthcare professional is best for personalized advice.

Both supplements are generally well-tolerated. For Urolithin A, mild side effects like digestive upset or muscle aches have been occasionally reported. When combining, the risk of side effects does not appear to increase significantly, but individual reactions can vary. Always monitor your body and consult a doctor.

References

  1. 1
  2. 2
  3. 3
  4. 4

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.