What is known
Direct living-dog evidence identified through the cutoff is primarily pharmacokinetic and acute-safety evidence rather than efficacy evidence. A 2026 canine study found improved motility, antioxidant measures and mitochondrial-energy measures when urolithin A was added directly to chilled canine semen, but this was an ex vivo reproductive-biotechnology experiment and does not demonstrate systemic benefit from oral supplementation. Human randomized trials provide stronger translational evidence: urolithin A has altered mitochondrial-related molecular and metabolic markers and improved some muscle-endurance or performance measures, but an important older-adult trial did not significantly improve its primary 6-minute-walk or maximal ATP-production endpoints versus placebo. Preclinical evidence includes mitophagy induction, lifespan extension in C. elegans and muscle-function effects in rodents.