CofactorStatin-Depleted

CoQ10

Coenzyme Q10 (ubiquinone) is your mitochondria's spark plug. It's essential for the final step of energy production and doubles as a powerful fat-soluble antioxidant. Found in every cell but concentrated in heart, liver, and kidneys.

CoQ10 in the electron transport chain
Heart
Highest Concentration
ATP
Energy Production
40%
Decline by Age 80
Statins
Deplete It

What CoQ10 Does

Electron Carrier

Shuttles electrons between Complex I/II and Complex III in the electron transport chain. Essential for ATP production.

Antioxidant

Reduced form (ubiquinol) neutralizes free radicals in cell membranes and lipoproteins (like LDL).

Vitamin E Recycling

Regenerates vitamin E after it's been oxidized, extending its antioxidant capacity.

Heart Function

Heart has highest energy demands and CoQ10 concentration. Deficiency impairs cardiac function.

Cell Signaling

Influences gene expression and cell membrane fluidity. Affects inflammation and apoptosis pathways.

Blood Vessel Health

Supports endothelial function and may help with blood pressure regulation.

Ubiquinone vs Ubiquinol

Ubiquinone (Oxidized)

  • The oxidized form that accepts electrons
  • Standard CoQ10 supplements contain this form
  • Body converts it to ubiquinol as needed
  • More stable, less expensive
  • Fine for most people under 40

Ubiquinol (Reduced)

  • The active antioxidant form
  • Already reduced - ready to donate electrons
  • Better absorbed in some studies
  • May be better for older individuals
  • More expensive, less stable

The Statin-CoQ10 Connection

Statins block HMG-CoA reductase - the same enzyme needed to make both cholesterol AND CoQ10. This means every statin user is depleting their CoQ10 levels.

Muscle Pain

CoQ10 depletion may explain statin-induced myopathy. Muscles need ATP and can't make enough without CoQ10.

Fatigue

Less CoQ10 means less ATP production. Many statin users report unexplained fatigue.

Solution

100-200mg CoQ10 daily recommended for all statin users. Some countries require this on the label.

Who May Need More CoQ10

Age 40+

Production peaks around age 20-25 and declines steadily. By 80, levels may be 40-50% lower.

Statin Users

Mevalonate pathway blocked. Should supplement 100-200mg daily.

Heart Conditions

Heart failure, cardiomyopathy, and other conditions may benefit from higher doses (200-300mg).

Migraine Sufferers

Studies show 300mg daily may reduce migraine frequency. Mitochondrial dysfunction may be involved.

Food Sources

CoQ10 is found in foods but at much lower levels than supplements provide:

Organ Meats

Heart, liver, kidney (highest). Beef heart can have 11mg per 100g.

Fatty Fish

Sardines, mackerel, trout. About 3-6mg per 100g.

Other Sources

Beef, pork, chicken, peanuts, spinach, broccoli (1-3mg per 100g).

CoQ10 Discussion