Alpha Lipoic Acid (ALA) vs Urolithin A

Side-by-side comparison of mechanisms, dosing, interactions, and stacking potential.

Alpha Lipoic Acid (ALA)Urolithin A
CategorySupplementsSupplements
Standard Dose300-600mg R-ALA daily
TimingOn empty stomach, 30-60 min before meals. Split doses for higher amounts.
Cycle Durationongoing or cycle 12 weeks on, 4 weeks off
Evidence Levelstrong_humanModerate-Strong

Mechanism

ALA is a dithiol compound that functions as a cofactor for mitochondrial alpha-keto acid dehydrogenases (pyruvate dehydrogenase, alpha-ketoglutarate dehydrogenase). Both ALA and its reduced form DHLA are potent antioxidants capable of regenerating other antioxidants including vitamin C, vitamin E, and glutathione. ALA activates AMPK, improving glucose uptake via GLUT4 translocation, and modulates NF-kB-mediated inflammatory signaling. It chelates redox-active metals (Fe2+, Cu2+).

Standard Dosing

300-600mg R-ALA daily

Timing

On empty stomach, 30-60 min before meals. Split doses for higher amounts.

Cycle Duration

ongoing or cycle 12 weeks on, 4 weeks off

Side Effects

  • GI upset/nausea
  • Skin rash
  • Hypoglycemia symptoms
  • Body odor changes

Contraindications

  • Thiamine (B1) deficiency (ALA increases thiamine demand)
  • Hypoglycemia-prone individuals without monitoring
  • Autoimmune thyroid conditions (monitor thyroid function)

Best Stacking Partners

NACCoQ10Acetyl-L-CarnitineBiotinChromium
B

Urolithin A

Supplements

Mechanism

Gut metabolite of ellagitannins that activates mitophagy — selective clearance of damaged mitochondria. Improves mitochondrial function, muscle endurance, and cellular energy production. Only ~40% of population can produce it endogenously.

Contraindications

  • Limited long-term safety data beyond 4 months

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