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BiologicalX

Comparison

Metformin vs Urolithin A

Side-by-side of Metformin and Urolithin A. Every row below is pulled from the compound schema and will update as our data grows. For deeper reads, follow through to each compound page.

Effects at a glance

Metformin

  • Reduces HbA1c by ~1.0 to 1.5 percentage points in type 2 diabetes; first-line agent in major guidelines
  • DPP trial: 31% reduction in T2DM incidence in adults with prediabetes over 2.8 years
  • Suppresses hepatic gluconeogenesis via AMPK activation and complex I inhibition
  • Long-term use depletes B12; annual monitoring recommended after year 2
  • Lifespan extension in non-diabetic humans is not established; TAME trial pending
  • MASTERS trial reported blunted resistance-training hypertrophy in older adults

Urolithin A

  • Gut-microbiome-derived metabolite of pomegranate and walnut ellagitannins
  • Roughly 40% of adults are 'urolithin producers' from dietary intake; ~60% are non-producers
  • Ryu 2016 (Nature Medicine) reported lifespan extension in C. elegans and muscle benefits in aged rodents
  • Andreux 2019 first-in-human trial (n=60) established safety and mitochondrial gene-expression upregulation
  • Singh 2022 (n=66, 4 months, 1000 mg/day) reported improved muscle endurance in older adults
  • Most human trial portfolio is Amazentis-funded; independent replication is thin

Side-by-side

Attribute Metformin Urolithin A
Category pharmaceutical supplement
Also known as Glucophage, Fortamet, Glumetza, dimethylbiguanide UA, Mitopure, ellagitannin metabolite
Half-life (hr) 6 17
Typical dose (mg) 1500 500
Dosing frequency 1 to 3 times daily with meals; XR once daily daily, morning with food
Routes oral oral
Onset (hr) 1 2
Peak (hr) 2.5 4
Molecular weight 129.16 228.2
Molecular formula C4H11N5 C13H8O4
Mechanism Suppresses hepatic gluconeogenesis primarily via AMPK activation and complex I inhibition; modestly improves peripheral insulin sensitivity and shifts gut microbiome composition. Induces mitophagy via potentiation of PINK1/Parkin signaling, leading to selective degradation of damaged mitochondria. Secondary anti-inflammatory effects via NF-kB modulation.
Legal status Prescription only (FDA approved for type 2 diabetes 1994) OTC dietary supplement (US GRAS 2018; EFSA Novel Food 2021)
WADA status allowed allowed
DEA / Rx Rx only (not a controlled substance) OTC supplement (not scheduled)
Pregnancy Category B; used in gestational diabetes and PCOS per current guidance Insufficient data; not routinely recommended
CAS 657-24-9 1143-70-0
PubChem CID 4091 5488186
Wikidata Q19484 Q27101321

Safety profile

Metformin

Common side effects

  • nausea
  • diarrhea
  • abdominal discomfort
  • metallic taste
  • decreased appetite
  • B12 depletion (long-term)

Contraindications

  • eGFR below 30 mL/min/1.73m2
  • acute or chronic metabolic acidosis
  • severe hepatic impairment
  • acute heart failure
  • iodinated contrast within 48 hours

Interactions

  • iodinated contrast media: renal injury risk; hold 48 hours peri-imaging(major)
  • alcohol (heavy use): elevated lactic acidosis risk(major)
  • cimetidine: raises metformin plasma levels via OCT2 inhibition(moderate)
  • insulin and sulfonylureas: additive hypoglycemia risk in combination(moderate)
  • dolutegravir: raises metformin exposure via OCT2(moderate)

Urolithin A

Common side effects

  • mild GI upset (rare)
  • soft stools (rare)

Contraindications

  • pregnancy and lactation (insufficient data)
  • active chemotherapy (consult oncology)

Interactions

  • chemotherapy agents: theoretical interaction with mitochondrial-targeting agents; consult oncologist(moderate)

Which Should You Take?

Urolithin A comes out ahead for most readers on the criteria we weight: 3 catalogued goals, OTC dietary supplement, oral dosing, with a Tier-A outcome catalogued. Metformin is the right call when one of the conditionals below applies.

  • If your priority is metabolic health and glucose control, pick Metformin.
  • If your priority is muscle hypertrophy, pick Urolithin A.
  • If your priority is mitochondrial function, pick Urolithin A.

Edge case: If you want to avoid prescription-only, Urolithin A is the more accessible choice.

Default choice: Urolithin A. Lower friction to source, a Tier-A evidence outcome catalogued, and broader goal coverage. Reach for Metformin only if your priority sits squarely in the goals it owns above.

This verdict is generated from each compound's schema (goals, legal status, evidence outcomes, dosing route). It updates automatically as our compound data evolves; the deeper read sits on each individual compound page.

Common questions

What is the difference between Metformin and Urolithin A?

Metformin and Urolithin A differ in category (pharmaceutical vs supplement), mechanism, and typical dosing. See the side-by-side table for full details.

Which has a longer half-life, Metformin or Urolithin A?

Metformin half-life is 6 hours; Urolithin A half-life is 17 hours.

Can you stack Metformin with Urolithin A?

Stack compatibility depends on mechanism overlap, legal status, and individual response. Check each compound page for specific interactions and contraindications before combining.

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