Akkermansia muciniphila is a bacterium that lives in the gut lining, and people with obesity or type 2 diabetes tend to have less of it. It is sold as a probiotic, live or pasteurized (heat-killed), for metabolic health and weight, and has been tested in a few human trials.
Also known as: Akkermansia muciniphila, pasteurized Akkermansia, A. muciniphila.
Akkermansia has no intake value or upper limit, and there is no NIH fact sheet for it. The 2019 pilot trial (Depommier) used 10 billion bacteria a day for 3 months. The European Food Safety Authority (EFSA 2021) concluded that 34 billion cells a day of pasteurized A. muciniphila is safe for adults, not including pregnant or breastfeeding women. These are study protocols, not a recommendation.
It is sold in the US as a dietary supplement. Under the 1994 dietary supplement law (DSHEA), FDA does not approve dietary supplements before they are marketed, and the maker, not FDA, is responsible for safety and labeling.
In a 3-month placebo-controlled pilot trial of 40 adults with overweight or obesity and insulin resistance, 32 of whom finished (Depommier 2019), live or pasteurized Akkermansia was safe and well tolerated. Pasteurized Akkermansia improved insulin sensitivity by about 29% and lowered insulin and total cholesterol compared with placebo; the drop in body weight (about 2.3 kg) was not statistically significant. In a 2026 trial of 90 adults (Mount), people who lost weight on an 8-week low-calorie diet and then took pasteurized Akkermansia for 24 weeks regained about 1.2 kg, compared with 3.2 kg on placebo. Some authors of that trial work for The Akkermansia Company.
EFSA reviewed pasteurized A. muciniphila as a novel food in the EU and found it safe at up to 34 billion cells a day for adults other than pregnant or breastfeeding women. No serious treatment-related side effects were reported in either trial, but the trials were small and short.
Akkermansia is a gut bacterium (live or pasteurized) that acts in the intestine, so there is no blood half-life to list.
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