Sabrolithin® A&B (Urolithin A + Urolithin B)

Evidence Level
Limited
3 Clinical Trials
5 Documented Benefits
2/5 Evidence Score

Sabrolithin® A&B is a branded blend of urolithin A and urolithin B, postbiotic compounds in the urolithin family marketed for mitochondrial health, mitophagy, and muscle support. Honest framing is essential: the rigorous human clinical evidence in this space is overwhelmingly for urolithin A specifically, from trials using direct urolithin A (such as Mitopure®) showing improved mitochondrial biomarkers and muscle endurance/strength. Human data for urolithin B and for an A+B combination are much thinner and largely preclinical. A Sabrolithin® A&B page should make clear that the combination rides on urolithin A's established evidence base. It cross-references the site's urolithin A and Mitopure® entries.

Studied Dose Urolithin A 500–1,000 mg/day; no established human dose for urolithin B or an A+B blend (follow manufacturer guidance).
Active Compound Urolithin A and urolithin B — Sabrolithin® A&B; gut-derived postbiotic metabolites of ellagitannins, with urolithin A the clinically validated component.

Benefits

Mitochondrial Health Support (via Urolithin A)

Urolithin A, the validated component of the blend, supports mitochondrial health by promoting mitophagy. Clinical trials of direct urolithin A report improved markers of mitochondrial function, which is the core rationale for Sabrolithin® A&B.

Muscle Endurance and Strength (via Urolithin A)

Trials of urolithin A in middle-aged and older adults have reported improvements in muscle endurance and strength over months of use. Honest context: these results are for urolithin A specifically, not the A+B combination.

Mitophagy Activation

Urolithin A is among the most studied natural inducers of mitophagy, the cellular process that clears damaged mitochondria. This distinguishes it from ordinary antioxidants and underlies its longevity and muscle positioning.

Bypasses Gut-Conversion Variability

Only a minority of people efficiently convert dietary ellagitannins into urolithins. Supplying preformed urolithins directly bypasses this individual variability, a practical advantage of a urolithin supplement over pomegranate or walnut intake.

Emerging Urolithin B Interest (Preliminary)

Urolithin B has shown effects on muscle-protein pathways in preclinical models, prompting interest in combining it with urolithin A. Honest context: robust human evidence for urolithin B is lacking, so its contribution remains speculative.

Mechanism of action

1

Mitophagy Induction (Urolithin A)

Urolithin A activates mitophagy by upregulating pathways that tag and clear dysfunctional mitochondria, supporting renewal of the mitochondrial pool — the best-characterized mechanism in the urolithin family.

2

Mitochondrial Biogenesis Support

Beyond clearing damaged mitochondria, urolithin A is reported to support mitochondrial biogenesis signaling, helping replace cleared mitochondria with functional ones in muscle tissue.

3

Urolithin B Anabolic Signaling (Preclinical)

Urolithin B has been reported in preclinical models to influence muscle-protein synthesis and degradation pathways. This mechanism is the rationale for the A+B blend but has not been confirmed in rigorous human trials.

Clinical trials

1
Urolithin A Safety and Mitochondrial Signature

First-in-human randomized, double-blind, placebo-controlled study of direct urolithin A (single and 4-week multiple doses up to 1,000 mg/day) in healthy, sedentary older adults.

Healthy sedentary elderly adults.

Urolithin A was safe and bioavailable and induced a molecular signature of improved mitochondrial and cellular health, including favorable changes in skeletal-muscle mitochondrial gene expression. Establishes the urolithin A evidence the blend relies on.

2
Urolithin A and Muscle Strength/Performance

Randomized, double-blind, placebo-controlled trial of direct urolithin A (500 mg and 1,000 mg/day) over 4 months in middle-aged adults, assessing muscle strength, exercise performance, and mitochondrial biomarkers.

Middle-aged adults.

Urolithin A was associated with improved muscle strength and biomarkers of mitochondrial health. Results are specific to urolithin A and underpin the honest framing for the A+B blend.

3
Urolithin A and Muscle Endurance in Older Adults

Randomized clinical trial of direct urolithin A (1,000 mg/day) versus placebo in older adults, evaluating muscle endurance and mitochondrial health.

66 older adults.

Urolithin A significantly improved muscle endurance in hand and leg muscles versus placebo. Again, the evidence is for urolithin A specifically; A+B-combination human data remain thin.

Side effects and drug interactions

Common Potential side effects

Urolithin A is generally well tolerated in clinical trials.
Mild GI discomfort possible at higher doses.
Limited human safety data specifically for urolithin B and for an A+B blend.
No significant adverse events documented in published urolithin A trials.
Limited specific safety data in pregnancy and lactation; consult a clinician.

Important Drug interactions

Generally minimal drug interactions documented for urolithin A.
Theoretical caution with drugs affecting mitochondrial function (some chemotherapy agents).
Limited interaction data for urolithin B; use caution with prescription medications.
Consult a clinician when combining with cancer therapies or experimental longevity interventions.

Frequently asked questions about Sabrolithin® A&B (Urolithin A + Urolithin B)

What is Sabrolithin A&B?

Sabrolithin® A&B is a branded blend of urolithin A and urolithin B, postbiotic compounds in the urolithin family marketed for mitochondrial health, mitophagy, and muscle support.

What is Sabrolithin A&B used for?

Sabrolithin A&B is researched primarily for Longevity, Muscle & Recovery, and Energy. Urolithin A, the validated component of the blend, supports mitochondrial health by promoting mitophagy. Clinical trials of direct urolithin A report improved markers of mitochondrial function, which is the core rationale for Sabrolithin® A…

What is the recommended dosage of Sabrolithin A&B?

The clinically studied dose is Urolithin A 500–1,000 mg/day; no established human dose for urolithin B or an A+B blend (follow manufacturer guidance). Always follow the product label and check with a healthcare provider for personal advice.

Is Sabrolithin A&B safe, and does it have side effects?

For most healthy adults, Sabrolithin A&B is well tolerated at studied doses. Reported effects can include: Urolithin A is generally well tolerated in clinical trials. Mild GI discomfort possible at higher doses. It may also interact with some medications. Sabrolithin A&B is not right for everyone, so check with a healthcare provider first if you are pregnant or breastfeeding, have a medical condition, or take prescription medication.

Does Sabrolithin A&B interact with any medications?

Possible interactions include: Generally minimal drug interactions documented for urolithin A. Theoretical caution with drugs affecting mitochondrial function (some chemotherapy agents). If you take prescription medication, check with a pharmacist or doctor before using it.

How strong is the scientific evidence for Sabrolithin A&B?

NutraSmarts rates the evidence for Sabrolithin A&B as Limited (2 out of 5). It is backed by 3 clinical trials and 3 cited references summarized on this page. A higher rating reflects more, larger, and better-designed human studies.

References(3 citations)

Evidence ratings on NutraSmarts are based on the totality of human clinical research, with emphasis on randomized controlled trials, meta-analyses, and systematic reviews. The references below directly support claims made throughout this page.

  1. Andreux PA, Blanco-Bose W, Ryu D, Burdet F, Ibberson M, Aebischer P, Auwerx J, Singh A, Rinsch C. The mitophagy activator urolithin A is safe and induces a molecular signature of improved mitochondrial and cellular health in humans. Nat Metab. 2019;1(6):595-603. doi: 10.1038/s42255-019-0073-4.PubMedUsed to support: Anchors the honest framing: rigorous human evidence is for urolithin A specifically — it was safe and improved a mitochondrial/cellular-health signature.
  2. Singh A, D'Amico D, Andreux PA, Fouassier AM, Blanco-Bose W, Evans M, Aebischer P, Auwerx J, Rinsch C. Urolithin A improves muscle strength, exercise performance, and biomarkers of mitochondrial health in a randomized trial in middle-aged adults. Cell Rep Med. 2022;3(5):100633. doi: 10.1016/j.xcrm.2022.100633.PubMedUsed to support: Backs the muscle-strength benefit and the honest framing: the trial used urolithin A specifically, not an A+B blend.
  3. Liu S, D'Amico D, Shankland E, Bhayana S, Garcia JM, Aebischer P, Rinsch C, Singh A, Marcinek DJ. Effect of urolithin A supplementation on muscle endurance and mitochondrial health in older adults: a randomized clinical trial. JAMA Netw Open. 2022;5(1):e2144279. doi: 10.1001/jamanetworkopen.2021.44279.PubMedUsed to support: Backs the muscle-endurance benefit and reinforces that the validated evidence is for urolithin A, not urolithin B or an A+B combination.