6′-Sialyllactose: The Human Milk Molecule That Boosts Muscle Strength and Endurance

The Milk Molecule That's Changing Everything We Know About Muscle Strength.

When you think about building muscle, your mind probably goes straight to protein shakes, creatine, and consistent training, and you’d be right. Those pillars aren’t going anywhere. But what if there’s another piece of the puzzle we’ve been missing… something that works with your current routine, not against it?

Enter the gut–muscle axis, and with it, a naturally occurring compound called 6′-Sialyllactose, or 6′-SL.

6′-SL isn’t synthesized in a lab, nor is it some trendy exotic extract. It’s a specialized prebiotic sugar found in human breast milk, designed by nature to support growth, energy metabolism, and immune resilience during the most rapid phase of human development.

Now, emerging research suggests this molecule may also hold remarkable potential for muscle strength, endurance, fatigue resistance, and protection against muscle loss. And unlike many hyped-up performance supplements, 6′-SL comes with something rare: multiple peer-reviewed studies, clear physiological mechanisms, and a safety profile that’s difficult to match.

This isn’t about replacing protein or creatine. It’s about supporting your muscles through a completely different pathway, through the gut-muscle axis.

Let me walk you through what researchers have discovered, and why 6′-SL may be one of the best emerging tools for muscle health and performance.

What Exactly Is 6′-Sialyllactose?

6′-SL belongs to a family of compounds called Human Milk Oligosaccharides, or HMOs for short. These are complex sugars that make up the third most abundant component of breast milk, right after fat and lactose. For decades, scientists assumed these molecules were just filler, nutritionally inert substances that babies couldn't even digest. They were wrong.

It turns out HMOs play critical roles in immune function, brain development, and gut health.1, 2 But recent research has uncovered something a bit more unexpected: these molecules don't just benefit babies. They are shown to also have profound effects on adult muscle health, strength, and performance.

Among all HMOs, 6′-SL is standing out. It’s one specific molecule that’s now capturing the interest of exercise scientists, performance physiologists, and longevity researchers alike.

The Studies That Started It All.

It began with a simple question: Could 6′-SL actually enhance muscle performance in animals that were already healthy? No disease models, no deficiencies, just normal, young mice. Researchers weren’t trying to repair anything; they simply wanted to know if this molecule could elevate baseline muscle function.

What they found exceeded any expectation.

After twelve weeks of daily 6′-SL supplementation, the mice showed striking improvements across multiple measures of strength and endurance.¹ In an exhaustive treadmill test, essentially running until they physically couldn’t, the 6′-SL group ran about twenty percent farther than the controls. They also held out longer before fatiguing and generated significantly more total work.

And it didn’t stop at endurance.

Grip strength, a surprisingly powerful predictor of overall strength and even long-term health, also improved far more in the supplemented group.¹ While the control mice increased grip strength by about 96% over the study period, the 6′-SL group saw a jump of roughly 109% percent. On paper the difference might look modest, but in performance science, that gap is meaningful, especially when nothing else in their routine changed.

It's Not Just Performance. It’s Physical Muscle Growth.

Here's where things get even more interesting. The researchers not only measured what the mice could do, they also looked at what was happening inside their muscles.

Using body composition scans and tissue analysis, they discovered that the 6′-SL mice had physically larger muscles.1 Two key calf muscles, the gastrocnemius and soleus, were measurably heavier in the supplemented group. And this wasn't due to water retention or fat gain as body composition scans confirmed no increase in fat mass and no changes in bone density. The added weight came from actual muscle tissue.

Under the microscope, the difference was just as clear. With specialized staining, the researchers saw visibly thicker muscle fibers in the 6′-SL group. Quantitative measurements backed this up: the average diameter of individual fibers were significantly larger.

Even more telling were the levels of Myosin Heavy Chain, which is a key protein that enables muscle contraction and serves as a marker of muscle maturity and function. They found that these levels were elevated only in the 6′-SL group.1 More myosin means stronger, more functional muscle tissue!

In simple terms, 6′-SL was helping the muscles work harder, increase in size and grow stronger.

Less Burn, More Energy.

Anyone who has pushed through a hard workout knows that familiar burn — the moment your muscles feel heavy, your legs slow down, and every rep or stride takes way more effort. Much of that sensation comes from lactate, a byproduct that builds up when your muscles are working harder than your oxygen supply can keep up with.

In another study, researchers put mice through a twenty-minute treadmill run and measured their lactate levels immediately afterward. The difference was dramatic.
Control mice showed lactate levels around 10.8 millimoles per liter, a clear sign of heavy fatigue. The 6′-SL group, however, measured at just 5.5 millimoles per liter, nearly a fifty-percent reduction. The study’s graphs illustrate this clearly: throughout recovery, lactate levels in the supplemented mice remained consistently lower.

Lactate was not the only marker that shifted. Blood urea nitrogen, another indicator of muscle stress and breakdown, was also reduced in the 6′-SL group.
Together, these findings show that muscles supported by 6′-SL will tolerate exercise stress more effectively and recover with far greater efficiency.

The Metabolic Shift and How it Works.

The reason behind these effects is where the science becomes especially interesting.

Our muscles contain two primary types of fibers. Fast-twitch fibers generate power and speed; they contract quickly and forcefully but tire out more easily. Slow-twitch fibers are built for endurance. They are dense with mitochondria, and as the classic trope goes “the energy powerhouse of the cell,” and they rely on oxygen-based metabolism to produce energy with better efficiency.

The research here suggests that 6′-SL shifts muscle biology toward these endurance-oriented fibers. In supplemented mice, scientists observed higher expression of slow-twitch myosin heavy chain, the key protein marker of fatigue-resistant muscle. They also found increased levels of OXPHOS (oxidative phosphorylation) complexes, the mitochondrial method responsible for efficient aerobic (oxygen) energy production. Meaning the mitochondria and cell can “breathe” better and take in more oxygen efficiently.

In simple terms, 6′-SL is known not only as the supply fuel for the muscle, it also enhances the muscle’s energy production. This means that the muscle tissue is able to perform at a higher level for longer periods while generating less metabolic waste!

Perhaps Most Exciting: Protection Against Muscle Loss.

As we know, building muscle is important for a long life, but for many people, especially as we age, the bigger challenge becomes keeping it.

Muscle loss, or atrophy, can result from aging, illness, inflammation, prolonged inactivity, and even certain medications. Researchers wanted to see whether 6′-SL could help protect muscles from breakdown.

To test this, they used a well-established model: mice were given dexamethasone, a steroid known to trigger rapid muscle loss⁴ (Mind you, this steroid is often prescribed to patients suffering from auto-immune conditions, various types of cancer, and neurological conditions). This steroid activates specific biological pathways that lead to muscle atrophy.

Now for the results… Mice receiving only dexamethasone showed significant shrinkage across multiple muscle groups: the gastrocnemius, quadriceps, and tibialis anterior. In contrast, those supplemented with 6′-SL retained much more muscle mass.⁴ Microscopic analysis confirmed the difference: fibers in the dexamethasone-only mice were noticeably smaller, while fibers in the 6′-SL group remained closer to normal size.

Performance tests mirrored these findings. The supplemented mice maintained better balance and coordination and preserved more grip strength, key indicators of functional muscle health.

Going deeper here, at the cellular level, for those like myself who love the nitty gritty, dexamethasone activates specific proteins such as myostatin, MuRF1, and atrogin-1. These are molecular signals that instruct muscle cells to break down protein.⁴ 6′-SL was shown to SUPPRESS these signals, protecting muscle from the cascade that leads to atrophy.

These findings have shown that 6′-SL could benefit not only athletes but also aging adults, individuals recovering from injury or illness, and anyone facing inflammation-related muscle loss!

The Roundworm Evidence.

To see if these effects extended beyond mice, researchers turned to a “slightly" different model: C. elegans, a tiny roundworm widely used in biological research. Despite their size, these worms share key physiological pathways with humans, making them ideal for studying basic biological processes.

When supplemented with 6′-SL and put through swimming endurance tests, the worms showed results that echoed the findings in mice.² They exhibited increased endurance, healthier mitochondrial structure, and higher oxygen consumption, all clear indicators of improved metabolic health.

During exercise, 6′-SL prompted the worms to rely more on glycogen, the body’s preferred quick-access fuel, rather than fat.² This effect depended on two key cellular pathways: AMPK, a master regulator of energy metabolism, and the adenosine receptor, which responds to low energy or oxygen signals.

The fact that similar benefits appeared across such different species suggests these effects are rooted in fundamental biological mechanisms, rather than being isolated to a single experimental model.

Built on Nature's Blueprint. A Quick Word on Safety.

One of the most reassuring aspects of 6′-SL is that it isn’t a synthetic compound created in a lab. It’s a natural component of human breast milk, consumed safely by infants from day one.

This gives 6′-SL a built-in safety foundation that few supplements can match. Beyond this inherent compatibility, additional studies in rodents, piglets, and healthy adults have all confirmed its safety.¹ ³ ⁴ No liver toxicity, no kidney damage, and no concerning changes in blood lipids have been observed. High doses over extended periods have consistently shown an excellent safety profile.

In a world where many supplements come with caveats and warnings, 6′-SL stands out as exceptionally well-tolerated and naturally supported by our biology.

What This Means for You.

Let’s bring this back to real life. What do these findings mean for anyone interested in health and fitness?

First, 6′-SL could be a useful addition for anyone looking to build or maintain muscle, whether you’re an athlete chasing performance, a weekend warrior staying active, or someone focused on healthy aging and longevity.

Second, it highlights the importance of metabolic adaptation. What I mean by this, is it’s not about artificially forcing muscle growth like steroids. It’s about supporting your body’s natural systems, enhancing energy metabolism, improving mitochondrial efficiency, and protecting muscle from breakdown. The safe and healthy way.

Third, the implications for older adults and anyone facing muscle loss are particularly exciting. Sarcopenia, the age-related loss of muscle mass and strength, contributes to falls, fractures, reduced independence, and even higher mortality risk. If 6′-SL can help preserve muscle over time, it could be a meaningful tool for long-term health and functional strength.

The Bottom Line.

The science around 6′-Sialyllactose is still emerging, but what we know so far is exciting. Across multiple studies, using different animal models, and looking at various measures of muscle health, this compound consistently shows benefit. It increases muscle mass and fiber size. It improves strength and endurance. It reduces fatigue markers like lactate. It enhances mitochondrial function. And perhaps most importantly, it protects against muscle loss.

All of this comes from a molecule that evolution designed millions of years ago to nourish and protect developing infants. It turns out, those same protective mechanisms might just work in adults too.

If you're someone who cares about strength, longevity, and maintaining your physical independence as you age, 6′-SL deserves your attention. And if you're part of the health and wellness community, whether as a practitioner, educator, or informed consumer, this is a development worth following closely.

The most powerful innovations aren't necessarily new at all. They're just nature's wisdom, finally understood.

Written by:  Brandon Moase, CNP - The Nutritional Paradigm

References.

  1. Park, E.-J., Kim, L.-L., Lee, J.-O., Lee, H.-Y., Kim, Y.-A., & Go, H.-R. (2024). 6′-Sialyllactose Enhances Exercise Performance via Increased Muscle Mass and Strength. Nutrients, 16, 2600.
  2. Arellano Spadaro, J., Hishida, Y., Matsunaga, Y., van Es-Remers, M., Korthout, H., Kim, H.K., Poppelaars, E., Keizer, H., Iliopoulou, E., van Duijn, B., Wildwater, M., & van Rijnberk, L. (2023). 3′sialyllactose and 6′sialyllactose enhance performance in endurance-type exercise through metabolic adaptation. Food Science & Nutrition, 11, 6199–6212.
  3. Park, E.-J., Kim, L.-L., Lee, J.-O., Lee, H.-Y., Kim, Y.-A., & Go, H. (2024). 6′-Sialyllactose Alleviates Muscle Fatigue through Reduced Blood Lactate Level after Treadmill Exercise in Mice. Nutrients, 16, 2957.
  4. Go, H., Sung, N.J., Choi, J., Kim, L., & Park, E.J. (2024). 6′-sialyllactose prevents dexamethasone-induced muscle atrophy by controlling the muscle protein degradation pathway. Biochemical and Biophysical Research Communications, 736, 150892.