Low Cellular Energy: Signs, Causes & Mitochondria Support

Learn the signs of poor cellular energy, why mitochondrial function declines with age, and science-backed ways to support mitochondrial health.

cells

What to know

  • Mitochondria produce the energy your cells need to support muscle function, movement, endurance, and recovery.

  • These cellular powerhouses can decline with age, making it harder for cells and muscles to meet their energy demands.

  • Exercise, strength training, good nutrition, and quality sleep can help support mitochondrial and muscle health as you age.

  • Urolithin A supports mitophagy and mitochondrial renewal, with human studies showing significant improvements in muscle health.

Poor cellular energy is driven by mitochondrial decline, which reduces muscle strength, endurance, and recovery capacity. Urolithin A activates mitophagy, the process that clears damaged mitochondria and drives renewal. Mitopure is the only clinically validated form of Urolithin A, shown to increase muscle strength by up to 12% vs. placebo in a 16-week trial.*

This article takes a closer look at what declining cellular energy looks like in everyday life and, more importantly, how you can support your mitochondrial health to enhance it.

What Is Cellular Energy?

Cellular energy is the energy your cells need to function, powering essential processes like movement, muscle contraction, repair, and maintaining healthy tissues. Mitochondria, the “powerhouses” of our cells, drive 90% of our energy by converting nutrients from food into usable energy. This form of energy is called ATP, and it powers essential processes in the body that help you optimally move, perform, and recover.

Supporting healthy mitochondria becomes particularly important as we age, when mitochondrial function and the body’s ability to clear damaged mitochondria can decline.[1] Mitopure (Timeline's patented, clinically validated form of Urolithin A) supports mitophagy, the body’s natural process for clearing damaged mitochondria and promoting mitochondrial renewal.[2] By helping maintain a healthier, more efficient mitochondrial network, Mitopure targets cellular health at its source, supporting the machinery our cells rely on to produce usable energy and maintain muscle function as we age.


Why Does Mitochondrial Function Decline With Age?

Several things contribute to age-related mitochondrial decline, including the accumulation of mutations in mitochondrial DNA, increased reactive oxygen species and oxidative stress, and lower levels of mitophagy. Mitochondrial function declines with age because the cell's quality-control systems slow down, letting damaged mitochondria build up.[3] Scientists now list both mitochondrial dysfunction and impaired mitophagy among the core hallmarks of aging.[4]

In human muscle, mitochondrial energy output falls steadily with age.[5] In the Baltimore Longitudinal Study of Aging, lower mitochondrial capacity tracked with lower fitness and muscle strength.[6] Mitopure supports this natural renewal process by activating mitophagy, and in human trials it improved markers of mitochondrial health.[7]

What Are the Signs of Poor Cellular Energy?

Signals that may be associated with declining mitochondrial function:[8]

  • Fatiguing more easily during exercise or everyday activities
  • Reduced endurance or stamina
  • Difficulty maintaining muscle and strength
  • Slower recovery after activity

Because mitochondria provide much of the energy our muscles need to work, age-related declines in mitochondrial function may show up in how well we move, exercise, and recover. These changes matter because maintaining muscle strength and endurance helps us stay active, independent, and physically capable as we age.

Several human clinical trials suggest that supporting mitochondrial health with Urolithin A may benefit physical function. In a 16-week trial of middle-aged adults, 500mg daily Urolithin A supplementation was found to:

As the only clinically validated form of Urolithin A, Mitopure is specifically designed to support mitochondrial health and help maintain muscle function as we age.

However, it’s important to know that poor cellular energy symptoms can have many root causes and don’t always signify mitochondrial dysfunction. Other potential triggers include inadequate sleep or nutrition, inactivity, stress, medications, or underlying health conditions. Always speak to your medical provider for a full assessment.

Why Should You Care About Cellular Energy?

Cellular energy matters because your muscles need a steady supply of ATP to climb stairs, carry groceries, exercise, and recover afterward. Healthy cellular energy is required to support:

  • Muscle strength and function
  • Endurance and physical performance
  • Recovery after exercise
  • Staying active and independent with age

Supporting cellular energy isn’t simply about feeling less tired. Your cells need a steady supply of energy to power the processes that keep your muscles and other tissues functioning properly. When mitochondria are working efficiently, they help muscles meet the energy demands of everything from exercise to climbing stairs, carrying groceries, and other everyday activities.[11]

Being able to tackle these everyday tasks becomes increasingly important with age, when maintaining strength, stamina, and physical function can have a meaningful impact on quality of life. Supporting mitochondrial health with Mitopure can provide the foundation your muscles need to stay strong and active over time.

How Can You Support Mitochondrial Health?

While mitochondrial function naturally changes with age, prioritizing good nutrition, movement, sleep, and the body’s natural cellular renewal processes can keep your mitochondria functioning efficiently. Supporting healthy mitochondria makes it easier to stay strong, active, and capable of engaging in the activities you enjoy.

Here are five key ways to support your mitochondrial health.

1. Move regularly

Aerobic exercise such as brisk walking, cycling, or running encourages the body to make mitochondrial adaptations that help muscles produce and use energy more efficiently. Even increasing everyday movement can help, such as taking the stairs, doing squats between work calls, and taking 5-minute walk breaks to get some fresh air.[12]

2. Strength train

Resistance training helps preserve muscle mass, strength, and physical function as you age. It is also shown to improve mitochondrial capacity,[13] which helps your body meet higher energy demands. Aim to work your major muscle groups (e.g., chest, back, legs, shoulders, and arms) at least twice per week.

3. Prioritize nutrition

Overall energy balance and diet quality influence mitochondrial health, with chronic overnutrition and poor-quality diets tending to impair function. On the flip side, nutrient-dense, calorie-appropriate diets supporting support mitochondrial health.[14]

4. Optimize sleep and recovery

Quality sleep and adequate recovery after exercise give your body time to repair and rebuild. Consistently poor sleep or neglecting recovery (such as skipping rest days or lighter, active recovery days) can also negatively affect metabolic health.[15]

5. Support mitophagy with Urolithin A

Urolithin A activates mitophagy,[16] which supports mitochondrial renewal. This postbiotic is produced from the digestive breakdown of compounds found in pomegranates, walnuts, and berries. However, not everyone has the gut bacteria needed to produce enough Urolithin A naturally.[17] Fortunately, Mitopure provides a highly pure, standardized form of Urolithin A, offering a consistent source regardless of your gut microbiome.[18]

What Does the Research Say About Mitopure?

Randomized, placebo-controlled trials show that Mitopure increases muscle strength and improves markers of mitochondrial health, and higher-dose studies point to benefits for muscle endurance.[19] The key human trials found:

  • Mitochondrial health: In the first human trial, 4 weeks of Urolithin A was safe in sedentary older adults and produced a molecular signature of improved mitochondrial health in muscle*.[20]
  • Muscle strength: In a 16-week trial of 88 sedentary middle-aged adults, 500 mg of Mitopure daily increased hamstring strength by up to 12%* and raised mitophagy-related proteins in muscle.[21]
  • Muscle endurance (1,000 mg): In 66 adults aged 65-90, 1,000 mg of Urolithin A daily improved muscle endurance in hand and leg muscles compared with placebo, though the primary walking-distance outcome did not change.†[22]

Together, these findings highlight the benefits of Mitopure, the only clinically validated form of Urolithin A, for muscle strength and endurance.

†Our clinical studies showed that sedentary adults aged 65-90 improved muscle endurance, measured as leg and hand repetitions to fatigue, after daily supplementation with 1,000 mg Mitopure®.

*Our clinical study showed that sedentary, middle-aged adults with an average BMI of 29.52 increased hamstring muscle strength.

In Summary: Healthy Mitochondria Support Cellular Energy

Healthy mitochondria are foundational to cellular energy, and optimizing them becomes increasingly important with age. Healthy lifestyle habits provide the foundation for mitochondrial health, while clinically studied Urolithin A can provide additional support. Mitopure, a highly pure form of Urolithin A, does this by promoting mitophagy and helping maintain mitochondrial and muscle function.

Frequently Asked Questions

What causes poor cellular energy?

Poor cellular energy can occur when mitochondria become less efficient at producing ATP, the energy your cells use to function. This can happen as mitochondria accumulate with age,[23] but can also be accelerated by poor nutrition, inadequate sleep, and a sedentary lifestyle.

How do I know if my mitochondria are healthy?

Reduced endurance, muscle function, or recovery may signify declining mitochondrial health.[24] However, these symptoms have many possible causes and don’t always tell the full story. Always consult with your doctor for a full assessment.

Can you improve mitochondrial function?

Yes, research suggests mitochondrial health and function can be supported and improved. Regular aerobic exercise and strength training are among the most established strategies, while adequate nutrition, sleep, and compounds such as Urolithin A may provide additional support.

What is mitophagy and why does it matter?

Mitophagy[25] is the body’s natural mitochondrial recycling process. This quality-control process helps maintain a healthier mitochondrial network for optimal cellular energy, supporting an active lifestyle. Mitophagy can become less efficient with age, and so diet, lifestyle, and mitochondrial health supplements like Mitopure can offer additional support.

How does Urolithin A support mitochondrial health?

Urolithin A activates mitophagy, helping the body clear damaged mitochondria and support mitochondrial renewal. Human clinical studies[26] on Mitopure, a highly purified form of Urolithin A, have also demonstrated improvements in biomarkers of mitochondrial health and measures of muscle strength or endurance.

How long does Urolithin A take to work?

Most benefits are observed within 2-4 months of consistent supplementation. Clinical studies of Urolithin A have reported improvements in markers of mitochondrial health after one month[27] and muscle strength after four months*.[28]

Authors

Melissa Mitri, MS, RD

Written by

Dietitian-Nutritionist, and Health Content Writer

Jen Scheinman, MS, RDN, CDN

Reviewed by

Director Science Communications

References

  1. ↑

    Xu, X., Pang, Y. & Fan, X. Mitochondria in oxidative stress, inflammation and aging: from mechanisms to therapeutic advances. Sig Transduct Target Ther 10, 190 (2025). https://doi.org/10.1038/s41392-025-02253-4

  2. ↑

    Andreux, P. A., Blanco-Bose, W., Ryu, D., Burdet, F., Ibberson, M., Aebischer, P., Auwerx, J., Singh, A., & Rinsch, C. (2019). The mitophagy activator urolithin A is safe and induces a molecular signature of improved mitochondrial and cellular health in humans. Nature metabolism, 1(6), 595–603. https://doi.org/10.1038/s42255-019-0073-4

  3. ↑

    Srivastava S. The Mitochondrial Basis of Aging and Age-Related Disorders. Genes (Basel). 2017;8(12):398. Published 2017 Dec 19. doi:10.3390/genes8120398

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    López-Otín, C., Blasco, M. A., Partridge, L., Serrano, M., & Kroemer, G. (2023). Hallmarks of aging: An expanding universe. Cell, 186(2), 243–278. https://doi.org/10.1016/j.cell.2022.11.001

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    Short, K. R., Bigelow, M. L., Kahl, J., Singh, R., Coenen-Schimke, J., Raghavakaimal, S., & Nair, K. S. (2005). Decline in skeletal muscle mitochondrial function with aging in humans. Proceedings of the National Academy of Sciences of the United States of America, 102(15), 5618–5623. https://doi.org/10.1073/pnas.0501559102

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    Gonzalez-Freire, M., Scalzo, P., D'Agostino, J., Moore, Z. A., Diaz-Ruiz, A., Fabbri, E., Zane, A., Chen, B., Becker, K. G., Lehrmann, E., Zukley, L., Chia, C. W., Tanaka, T., Coen, P. M., Bernier, M., de Cabo, R., & Ferrucci, L. (2018). Skeletal muscle ex vivo mitochondrial respiration parallels decline in vivo oxidative capacity, cardiorespiratory fitness, and muscle strength: The Baltimore Longitudinal Study of Aging. Aging cell, 17(2), e12725. https://doi.org/10.1111/acel.12725

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    Andreux, P. A., Blanco-Bose, W., Ryu, D., Burdet, F., Ibberson, M., Aebischer, P., Auwerx, J., Singh, A., & Rinsch, C. (2019). The mitophagy activator urolithin A is safe and induces a molecular signature of improved mitochondrial and cellular health in humans. Nature metabolism, 1(6), 595–603. https://doi.org/10.1038/s42255-019-0073-4

    Singh, A., D'Amico, D., Andreux, P. A., Fouassier, A. M., Blanco-Bose, W., Evans, M., Aebischer, P., Auwerx, J., & Rinsch, C. (2022). Urolithin A improves muscle strength, exercise performance, and biomarkers of mitochondrial health in a randomized trial in middle-aged adults. Cell reports. Medicine, 3(5), 100633. https://doi.org/10.1016/j.xcrm.2022.100633

  8. ↑

    Zhang X, Gao Y, Zhang S, Wang Y, Pei X, Chen Y, Zhang J, Zhang Y, Du Y, Hao S, Wang Y, Ni T. Mitochondrial dysfunction in the regulation of aging and aging-related diseases. Cell Commun Signal. 2025 Jun 19;23(1):290. doi: 10.1186/s12964-025-02308-7. PMID: 40537801; PMCID: PMC12177975.

  9. ↑

    Singh A, D’Amico D, Andreux PA, et al. Urolithin A improves muscle strength, exercise performance, and biomarkers of mitochondrial health in a randomized trial in middle-aged adults. Cell Reports Medicine2022;3(5):100633. doi:10.1016/j.xcrm.2022.100633

    Liu S, D’Amico D, Shankland E, et al. 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

  10. ↑

    Singh, A., D'Amico, D., Andreux, P. A., Fouassier, A. M., Blanco-Bose, W., Evans, M., Aebischer, P., Auwerx, J., & Rinsch, C. (2022). Urolithin A improves muscle strength, exercise performance, and biomarkers of mitochondrial health in a randomized trial in middle-aged adults. Cell reports. Medicine, 3(5), 100633. https://doi.org/10.1016/j.xcrm.2022.100633

  11. ↑

    Gonzalez-Freire, M., Scalzo, P., D'Agostino, J., Moore, Z. A., Diaz-Ruiz, A., Fabbri, E., Zane, A., Chen, B., Becker, K. G., Lehrmann, E., Zukley, L., Chia, C. W., Tanaka, T., Coen, P. M., Bernier, M., de Cabo, R., & Ferrucci, L. (2018). Skeletal muscle ex vivo mitochondrial respiration parallels decline in vivo oxidative capacity, cardiorespiratory fitness, and muscle strength: The Baltimore Longitudinal Study of Aging. Aging cell, 17(2), e12725. https://doi.org/10.1111/acel.12725

  12. ↑

    Cai J, Wang T, Li S. Mitochondria: the central hub linking exercise to enhanced cardiac function. Front Physiol. 2026 Feb 2;17:1747133. doi: 10.3389/fphys.2026.1747133. PMID: 41704821; PMCID: PMC12908174.

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    Flensted-Jensen M, Weinreich CM, Kleis-Olsen AS, Hansen F, Skyggelund NS, Pii JR, Whitlock R, Karlsen A, Ingersen A, Reihmane D, Weber D, Grune T, Pivovarova-Ramich O, Dela F. Resistance-based training improves mitochondrial capacity and redox balance in aging adults, independent of polyphenol supplementation. Redox Biol. 2026 Feb;89:103972. doi: 10.1016/j.redox.2025.103972. Epub 2025 Dec 17. PMID: 41496202; PMCID: PMC12808611.

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    Kyriazis ID, Vassi E, Alvanou M, et al. The impact of diet upon mitochondrial physiology (Review). Int J Mol Med. 2022;50(5):135. doi:10.3892/ijmm.2022.5191

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    Spiegel, K., Leproult, R., & Van Cauter, E. (1999). Impact of sleep debt on metabolic and endocrine function. Lancet (London, England), 354(9188), 1435–1439. https://doi.org/10.1016/S0140-6736(99)01376-8

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    Denk, D., Singh, A., Kasler, H.G. et al. Effect of the mitophagy inducer urolithin A on age-related immune decline: a randomized, placebo-controlled trial. Nat Aging 5, 2309–2322 (2025). https://doi.org/10.1038/s43587-025-00996-x

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    Cortés-Martín, A., , García-Villalba, R., , González-Sarrías, A., , Romo-Vaquero, M., , Loria-Kohen, V., , Ramírez-de-Molina, A., , Tomás-Barberán, F. A., , Selma, M. V., , & Espín, J. C., (2018). The gut microbiota urolithin metabotypes revisited: the human metabolism of ellagic acid is mainly determined by aging. Food & function, 9(8), 4100–4106. https://doi.org/10.1039/c8fo00956b

  18. ↑

    Singh, A., D'Amico, D., Andreux, P. A., Dunngalvin, G., Kern, T., Blanco-Bose, W., Auwerx, J., Aebischer, P., & Rinsch, C. (2022). Direct supplementation with Urolithin A overcomes limitations of dietary exposure and gut microbiome variability in healthy adults to achieve consistent levels across the population. European journal of clinical nutrition, 76(2), 297–308. https://doi.org/10.1038/s41430-021-00950-1

  19. ↑

    Singh, A., D'Amico, D., Andreux, P. A., Fouassier, A. M., Blanco-Bose, W., Evans, M., Aebischer, P., Auwerx, J., & Rinsch, C. (2022). Urolithin A improves muscle strength, exercise performance, and biomarkers of mitochondrial health in a randomized trial in middle-aged adults. Cell reports. Medicine, 3(5), 100633. https://doi.org/10.1016/j.xcrm.2022.100633

    Liu, S., D'Amico, D., Shankland, E., Bhayana, S., Garcia, J. M., Aebischer, P., Rinsch, C., Singh, A., & Marcinek, D. J. (2022). Effect of Urolithin A Supplementation on Muscle Endurance and Mitochondrial Health in Older Adults: A Randomized Clinical Trial. JAMA network open, 5(1), e2144279. https://doi.org/10.1001/jamanetworkopen.2021.44279


  20. ↑

    Andreux, P. A., Blanco-Bose, W., Ryu, D., Burdet, F., Ibberson, M., Aebischer, P., Auwerx, J., Singh, A., & Rinsch, C. (2019). The mitophagy activator urolithin A is safe and induces a molecular signature of improved mitochondrial and cellular health in humans. Nature metabolism, 1(6), 595–603. https://doi.org/10.1038/s42255-019-0073-4

  21. ↑

    Singh, A., D'Amico, D., Andreux, P. A., Fouassier, A. M., Blanco-Bose, W., Evans, M., Aebischer, P., Auwerx, J., & Rinsch, C. (2022). Urolithin A improves muscle strength, exercise performance, and biomarkers of mitochondrial health in a randomized trial in middle-aged adults. Cell reports. Medicine, 3(5), 100633. https://doi.org/10.1016/j.xcrm.2022.100633

  22. ↑

    Liu, S., D'Amico, D., Shankland, E., Bhayana, S., Garcia, J. M., Aebischer, P., Rinsch, C., Singh, A., & Marcinek, D. J. (2022). Effect of Urolithin A Supplementation on Muscle Endurance and Mitochondrial Health in Older Adults: A Randomized Clinical Trial. JAMA network open, 5(1), e2144279. https://doi.org/10.1001/jamanetworkopen.2021.44279

  23. ↑

    Xu, X., Pang, Y. & Fan, X. Mitochondria in oxidative stress, inflammation and aging: from mechanisms to therapeutic advances. Sig Transduct Target Ther 10, 190 (2025). https://doi.org/10.1038/s41392-025-02253-4

  24. ↑

    Zhang X, Gao Y, Zhang S, Wang Y, Pei X, Chen Y, Zhang J, Zhang Y, Du Y, Hao S, Wang Y, Ni T. Mitochondrial dysfunction in the regulation of aging and aging-related diseases. Cell Commun Signal. 2025 Jun 19;23(1):290. doi: 10.1186/s12964-025-02308-7. PMID: 40537801; PMCID: PMC12177975.

  25. ↑

    Picca A, Faitg J, Auwerx J, Ferrucci L, D'Amico D. Mitophagy in human health, ageing and disease. Nat Metab. 2023 Dec;5(12):2047-2061. doi: 10.1038/s42255-023-00930-8. Epub 2023 Nov 30. PMID: 38036770; PMCID: PMC12159423.

  26. ↑

    Singh A, D’Amico D, Andreux PA, et al. Urolithin A improves muscle strength, exercise performance, and biomarkers of mitochondrial health in a randomized trial in middle-aged adults. Cell Reports Medicine2022;3(5):100633. doi:10.1016/j.xcrm.2022.100633

    Liu S, D’Amico D, Shankland E, et al. 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

  27. ↑

    Andreux, P. A., Blanco-Bose, W., Ryu, D., Burdet, F., Ibberson, M., Aebischer, P., Auwerx, J., Singh, A., & Rinsch, C. (2019). The mitophagy activator urolithin A is safe and induces a molecular signature of improved mitochondrial and cellular health in humans. Nature metabolism, 1(6), 595–603. https://doi.org/10.1038/s42255-019-0073-4

  28. ↑

    Singh, A., D'Amico, D., Andreux, P. A., Fouassier, A. M., Blanco-Bose, W., Evans, M., Aebischer, P., Auwerx, J., & Rinsch, C. (2022). Urolithin A improves muscle strength, exercise performance, and biomarkers of mitochondrial health in a randomized trial in middle-aged adults. Cell reports. Medicine, 3(5), 100633. https://doi.org/10.1016/j.xcrm.2022.100633

† These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

References: *Nutrition studies: 500mg Mitopure® have been shown to (1) induce gene expression related to mitochondria function and metabolism and (2) increase the strength of the hamstring leg muscle in measures of knee extension and flexion in overweight 40-65 year olds. Data from two randomized double-blind placebo-controlled human clinical trials. **Nutrition NOURISH Study: 500mg Mitopure® have been shown to deliver at least 6 times higher Urolithin A plasma levels over 24 hours (area under the curve) than 8 ounces (240ml) of pomegranate juice in a randomized human clinical trial.

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