Rung Five
Supplements
Unclear

Urolithin A

made by gut bacteria from pomegranates and berries; sold as pills. Longevity & fitness.

Verdict
UnclearThere isn't enough human evidence to say either way.
How sure
Rung 1 · UnprovenLab or animal data only, or never directly tested in people.

The rung shows how sure the science is, not how big the effect is. How to read these ratings

Cancers affected

None shown in people

What the evidence shows

A 2026 systematic review of urolithin A and colorectal cancer found only lab studies on cancer cells (15 of them) and said human trials are needed. Pomegranate juice itself is rated separately.

What to do

No reason to take it for cancer. Pomegranate and berries are fine as foods.

Sources

To take it to your doctor, print this page.

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Related

Every supplement we rated, or follow one cancer step by step: breast cancer, colorectal cancer, lung cancer and prostate cancer.