Longevity Fact Check: What Urolithin A Really Does to Your Immune System

Mark Hyman, MD Mark Hyman, MD Oct 31, 2025

Audio Brief

Show transcript
This episode challenges the common seasonal approach to immune health, advocating instead for a daily, long-term strategy focused on longevity. There are four key takeaways. First, supporting your immune system every day, not just seasonally, promotes long-term health and vitality. Second, optimizing mitochondrial health provides the immune system with essential energy for optimal function, preventing it from becoming tired and less effective. Third, consider supplementing with Urolithin A to combat mitochondrial decline and support a resilient immune system, especially since most people cannot produce it naturally from food. Fourth, addressing chronic low-grade inflammation, or inflammaging, is crucial for slowing the aging process and preventing related diseases. This approach repositions immunity as a cornerstone of overall longevity and well-being.

Episode Overview

  • This episode challenges the common, seasonal approach to immune health, arguing for a daily, long-term strategy focused on longevity.
  • It explores the critical link between the immune system, chronic inflammation (inflammaging), and the aging process.
  • The discussion highlights the vital role of mitochondrial health in powering an effective immune system.
  • It introduces Urolithin A as a key compound for revitalizing mitochondrial function and supporting a more youthful immune response.

Key Concepts

  • Immunity and Longevity: The immune system and the brain are identified as the two biological systems most closely linked to how long and how well we live.
  • Inflammaging and Immune Aging: As we age, our immune system becomes less efficient and enters a state of chronic, low-level activation. This process, known as "immune aging," fuels "inflammaging"—the low-grade inflammation that drives many age-related diseases.
  • Mitochondria as the Immune System's Power Source: The immune system is highly energy-dependent, and this energy is supplied by mitochondria. Poor mitochondrial function leads to a "tired" and sluggish immune system that is less effective at fighting threats and more likely to cause oxidative damage.
  • Urolithin A: A natural compound that supports mitochondrial health. While it can be derived from foods like pomegranates and walnuts, only 30-40% of people have the right gut bacteria to produce it naturally, making supplementation a practical option.

Quotes

  • At 00:29 - "A recent study identified the brain and immune system as the two key biological systems most closely linked to how long and how well we live." - Highlighting the paradigm shift from viewing immunity as just for fighting sickness to seeing it as a cornerstone of longevity.
  • At 01:23 - "Your immune system gets tired. It becomes less effective at defending you from the threats and more prone to creating damage through oxidative stress." - Explaining the direct consequence of declining mitochondrial energy on immune function.

Takeaways

  • Support your immune system every day, not just during cold and flu season, to promote long-term health and vitality.
  • Focus on improving mitochondrial health to provide your immune system with the energy it needs to function optimally.
  • Consider supplementing with Urolithin A to combat mitochondrial decline and support a more youthful, resilient immune system, especially since most people cannot produce it from food.
  • Addressing chronic, low-grade inflammation (inflammaging) is a critical strategy for slowing down the aging process and preventing age-related diseases.