As we age, a universal slowdown occurs at the cellular level. Our mitochondria, the "power house" of our cells, become less efficient. This age-related energy decline contributes to fatigue, muscle weakness, and a general slowing of bodily functions. [1] CoQ10, Urolithin A and NMN offer a way to fight back, each targeting a crucial part of the energy production and cellular repair mechanisms. [2]
NMN affects how cells handle energy and carry out repair, while CoQ10 affects how efficiently mitochondria turn energy sources into ATP. [3] [4] Urolithin A supports mitochondrial health by promoting the recycling of damaged mitochondria, which helps maintain overall energy function. [5] Because of this, all three can work in a complementary way in theory, but they each play distinct roles and cannot replace one another.
Table of contents
How Can We Get CoQ10 Naturally?
Your body can make CoQ10 on its own, and we also get small amounts from food. Natural dietary sources include oily fish like salmon and sardines, organ meats such as liver and heart, and to a lesser extent foods like beef, chicken, nuts, seeds, and whole grains. However, even a well balanced diet only provides relatively modest amounts of CoQ10 compared to what the body uses each day. [6]
The body’s own production of CoQ10 depends on a complex process that requires several nutrients, including B vitamins. This internal production tends to decline as we age, which is one reason CoQ10 levels are often lower in older adults. [7]
What Does CoQ10 Do in the Body?
CoQ10 (also known as Ubiquinone or Ubiquinol) is a fat-soluble, vitamin-like compound found in nearly every cell, with the highest concentrations in energy-demanding organs like the heart, liver, and kidneys. [6]
Essential for ATP Production: CoQ10 is a vital component of the Electron Transport Chain in the inner mitochondrial membrane. It acts as an electron carrier, which is essential for synthesizing Adenosine Triphosphate (ATP), the primary energy currency of the cell. [6]
Powerful Antioxidant: CoQ10 also functions as a potent antioxidant, protecting cell membranes and DNA from damage caused by harmful free radicals (oxidative stress), a key driver of aging and disease. [6]
What Current Research Says About CoQ10
🔎 Heart health
CoQ10 has one of the strongest research profiles among nutrients studied for heart health. In people with heart failure, adding CoQ10 to standard medical care has been linked to a lower risk of death and fewer hospitalisations. While it is not a replacement for medical treatment, the evidence supports CoQ10 as a meaningful and well-tolerated way to support heart function and overall cardiovascular resilience. [8] [9] [10]
🔎 Migraine support
Clinical studies consistently show that CoQ10 can help reduce how often migraines occur, particularly when taken regularly over time. By supporting energy production in brain cells, CoQ10 addresses a common underlying factor seen in migraine sufferers. For many people, it is viewed as a practical, non-drug option for migraine prevention. [11] [12]
🔎Muscle symptoms linked to statins
Statin medications are a common class of drugs that lower "bad" LDL cholesterol in the blood, reducing plaque buildup in arteries, and significantly lowering the risk of heart attacks and strokes. They reduce the body’s natural production of CoQ10, hence supplementation is widely used to help maintain normal muscle function. Several studies report reductions in muscle pain and weakness in people taking statins, and CoQ10 is commonly recommended for this purpose due to its strong safety profile. While individual responses vary, CoQ10 remains one of the most widely used and researched options for supporting muscle comfort in statin users. [13] [14]
Why Should We Consider Supplementing CoQ10?
Supplementing CoQ10 can be helpful because your natural levels tend to fall over time, even if your diet is good. As this happens, your cells become less efficient at producing ATP, which can show up as lower energy, slower recovery, or reduced physical performance. [7]
CoQ10 is absorbed more effectively when taken with dietary fat due to its fat-soluble nature. [15] Bioavailability varies significantly depending on formulation. Individual response, formulation quality, and dosage are more critical than the specific form in determining effectiveness. [16] Choose phytosomal CoQ10 supplements such as The V-Max by For Youth for the most bioavailable form of CoQ10.
Two common forms are:
Ubiquinone, the oxidised form.
Ubiquinol, the reduced form.
While ubiquinol is sometimes marketed as superior, clinical evidence does not show a universal advantage. Individual response, formulation quality, and dose appear to matter more than the specific form alone. [17]
Urolithin A: CoQ10’s Best Friend
CoQ10 is central to our cells’ energy production and also helps protect cells from oxidative stress. Natural levels decline with age, and certain medications such as statins can reduce them further, which is why supplementation is often considered to help maintain normal energy output. [7] [13]
Urolithin A supports cellular health in a different way. It promotes mitophagy, the process that clears out damaged mitochondria so healthier, more efficient ones can take their place. This helps maintain mitochondrial quality over time, rather than just supporting short term energy production. [5]
Combining CoQ10 and Urolithin A is a logical approach because they target complementary aspects of mitochondrial health. CoQ10 supports efficient ATP production and antioxidant protection, while Urolithin A helps maintain a healthier mitochondrial population. Together, they provide broader support for sustained energy, resilience, and healthy ageing.
The V-Max from For Youth uses Ubiqsome® CoQ10 Phytosome™, one of the most optimised delivery forms of coenzyme Q10 in ubiquinone form. Formulated with proprietary Phytosome™ technology and supported by scientific evidence, it is designed to deliver CoQ10 efficiently to target muscle cells while supporting overall mitochondrial health. It also includes MitoAge™ Urolithin A, one of the purest forms of Urolithin A, which supports cellular renewal, helps reduce inflammation, and promotes overall longevity.
CoQ10 Compared with NMN: Different Roles, Not Substitutes
CoQ10 is sometimes discussed alongside NMN, but the two compounds act on different biological layers.
CoQ10 functions directly in mitochondrial ATP production. [6]
NMN is a precursor to NAD+, a coenzyme involved in metabolic regulation, DNA repair, and cellular signalling.
NMN influences how cells manage energy and repair processes, while CoQ10 influences how efficiently mitochondria convert energy substrates into ATP. They are therefore complementary in theory, but they are not interchangeable. [3] [6]
Preclinical research suggests that combining NMN with CoQ10 may support mitochondrial health more broadly than either alone. However, human trials testing this specific combination remain limited.
CoQ10 and NMN: A Smarter Way to Support Energy and Ageing
Preclinical research suggests that combining NMN and CoQ10 may support cellular health more broadly than either alone
NMN influences how cells manage energy and repair processes, while CoQ10 influences how efficiently mitochondria convert energy substrates into ATP. They are therefore complementary in theory, but they are not interchangeable. [3] [6]
✅ CoQ10 works at the energy-production level
CoQ10 is directly involved in how your cells make energy. Inside each cell are mitochondria, which turn food and oxygen into ATP, the energy your body uses every second of the day. CoQ10 is part of this process itself. Without enough CoQ10, energy production becomes less efficient. This is why CoQ10 is closely linked to organs that need constant energy, such as the heart, muscles, and brain. [6]
✅ NMN supports the systems that manage energy and repair
NMN works further upstream. It is a building block for NAD+, a molecule the body uses to regulate metabolism, support DNA repair, and help cells respond to stress. Rather than making energy directly, NMN helps keep the systems that manage energy and maintenance running smoothly, especially as NAD+ levels naturally decline with age. [3]
✅ Why they are not substitutes
Because they act in different places, CoQ10 and NMN are not interchangeable. Taking NMN does not replace CoQ10’s role in energy production, and taking CoQ10 does not replace NMN’s role in cellular regulation and repair. Each supports a different part of the same overall picture.
✅ Why people combine them
From a biological point of view, the two are complementary. NMN helps support the body’s ability to regulate energy use and repair cells, while CoQ10 helps mitochondria turn fuel into usable energy efficiently. Using both together may support overall mitochondrial health more effectively than using either one alone.
At the same time, it is worth being clear that human trials are still limited. For consumers, the takeaway is that CoQ10 and NMN support different aspects of cellular energy, and using them together is a logical approach, even if long-term human data is still evolving.
How Much CoQ10/NMN Should I Take?
The right amount varies based on individual health and goals. Always consult a healthcare professional before starting any new supplement.
🔎 CoQ10
What's the Right Amount?
100–300 mg per day is commonly used in studies for general health. [18] These doses are recommended for most supplement brands because the oral bioavailability of CoQ10 is quite poor due to its high molecular weight and very low aqueous solubility.
🧬 For Youth RecommendationInstead of purchasing unnecessarily high doses, choose phytosomal CoQ10 supplements such as The V-Max by For Youth. Despite having ~27 mg CoQ10 per serving, studies have shown up to a five times improvement in oral absorption with Ubiqsome® CoQ10 Phytosome™ compared to non-phytosomal CoQ10 supplements. [21] [22] |
When Should I Take It?
With a High-Fat Meal: CoQ10 is fat-soluble and is best absorbed with food containing fat. [19] Taking it in the morning or afternoon is often recommended, as some people report trouble sleeping when taken at night. [20]
💡 For Youth RecommendationChoose phytosomal CoQ10 supplements such as The V-Max by For Youth. It is formulated with Phytosome™, a delivery system that significantly improves absorption and bioavailability. [23] |
🔎 NMN
What's the Right Amount?
Doses in human studies range from 250 mg to 500 mg per day for adults aged 30–60. Some recommend up to 750 mg for older adults. [24]
💡 For Youth RecommendationInstead of boosting NAD+ levels with unnecessarily high NMN doses daily, choose The Repair by For Youth. |
When Should I Take It?
In the Morning: Studies have indicated that NMN supplementation after breakfast led to a notable increase in NAD+/NADH levels, suggesting that morning intake may enhance metabolic responses throughout the day. [25] Morning intake of NMN was also associated with increased post-meal insulin levels, which is crucial for glucose metabolism and energy utilization. [26]
Does CoQ10 Have Side Effects?
CoQ10 is generally very well tolerated, even at high doses. Minor and infrequent side effects may include:
Stomach upset, nausea, vomiting, or diarrhea.
Headaches or dizziness.
Trouble sleeping (if taken too close to bedtime). [27]
⚠️ Important Drug InteractionsCoQ10 may decrease the effectiveness of the blood-thinning medications and could potentially interact with certain chemotherapy drugs. [28] [29] If you are on prescription medication, consult your doctor. |
CoQ10 Supports Your Peak Performance and Day-to-day Lifestyle
CoQ10 supports energy at its source, helping the body sustain vitality through the demands of modern life. It works quietly at a cellular level, supporting how energy is produced and used over time. This makes CoQ10 a considered choice for those who value long-term wellbeing, balance, and consistency, rather than short-term stimulation. [6]
Supports foundational energy that carries you through busy days and active moments
Helps maintain heart and muscle energy for ongoing mobility and strength
Encourages smooth, steady energy without reliance on stimulants
Supports vitality as part of a long-term approach to healthy ageing
Helps the body adapt to both physical demands and everyday stress
Integrates seamlessly into active, wellness-focused lifestyles
Works behind the scenes to support how you feel, day after day
Designed for those who prioritise balance, resilience, and lasting energy
Key Takeaways
To support heart health, CoQ10 is a strong choice due to its role in energy production and antioxidant protection for the heart. [6] For broader anti-aging and cellular repair: NMN may be more beneficial because of its role in boosting NAD+ and activating DNA repair mechanisms. [3]
Both CoQ10 and NMN are powerful supplements that address the root causes of age-related cellular decline by boosting energy and repair mechanisms.
You should consider combining CoQ10 and NMN to give your cells both the fuel they need in the form of NAD+ and the spark that helps turn that fuel into energy. Together, they can support stronger cellular vitality and healthier ageing over time.
⚠️ DisclaimerThe information in this article is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition or before starting any new supplement, diet, or exercise program. |
About For Youth
For Youth is a Science-led longevity brand focused on developing clinically relevant supplements that support healthy ageing and performance at the cellular level. Formulated in collaboration with leading academic researchers, the brand prioritises evidence-based ingredients, advanced delivery technologies, and transparent quality standards.
Read more about For Youth and our story here.
For media inquiries, please contact Zoë Gault, Co-Founder of For Youth via zoe[at]foryouth.co.
References
- Rodrigues, T. (2024). Mitochondria and Ageing (pp. 61–75). https://doi.org/10.1007/978-3-031-55022-5_6
- Qin, X., Li, H., Zhao, H., Fang, L., & Wang, X. (2024). Enhancing healthy aging with small molecules: Amitochondrial perspective. https://doi.org/10.1002/med.22034
- Liang, J., Huang, F., Hao, X., Zhang, P., & Chen, R. (2024). Nicotinamide mononucleotide supplementation rescues mitochondrial and energy metabolism functions and ameliorates inflammatory states in the ovaries of aging mice. MedComm, 5(10). https://doi.org/10.1002/mco2.727
- Hargreaves, I. (2022). The Therapeutic Importance Of Coenzyme Q10. Journal of Clinical and Medical Research. https://doi.org/10.37191/mapsci-2582-4333-4(2)-111
- Singh, A., D’Amico, D., Andreux, P., 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
- Pravst, I., Zmitek, K., & Zmitek, J. (2010). Coenzyme Q10 Contents in Foods and Fortification Strategies. Critical Reviews in Food Science and Nutrition, 50(4), 269–280. https://doi.org/10.1080/10408390902773037
- Peixoto de Barcelos, I., & Haas, R. H. (2019). CoQ10 and Aging. Biology, 8(2), 28. https://doi.org/10.3390/BIOLOGY8020028
- Martínez-García, I., Sequí-Domínguez, I., Rodríguez-Gutiérrez, E., & Pascual-Morena, C. (2023). Effect of coenzyme Q10 on cardiac function and survival in heart failure: an overview of systematic reviews and meta-analyses. Food & Function. https://doi.org/10.1039/d3fo01255g
- Borges, J. Y. V. (2024). The Role of Coenzyme Q10 in Cardiovascular Disease Treatment: An Updated 2024 Systematic Review and Meta-Analysis of Prospective Cohort Studies (2000-2023). https://doi.org/10.1101/2024.07.03.24309736
- Arun, A., & Frishman, W. H. (2025). Coenzyme Q10 in Heart Failure: Mechanisms and Therapeutic Potential. Cardiology in Review. https://doi.org/10.1097/crd.0000000000001056
- Ellouz, E., & Ketata, I. (2025). Prophylactic Effectiveness of Coenzyme Q10 for Migraine in Adults: A Systematic Review and Meta-Analysis of Double-Blinded Randomized Clinical Trials. Traditional and Integrative Medicine. https://doi.org/10.18502/tim.v10i3.19757
- Górski, M., Załęska, A., Bychowski, M., Kwaśna, J., Kaźmierczyk, I., Lenart, K., Homza, M., Zakrzewska, N., Bednarek, S., & Kulicka, J. (2025). The Role of Coenzyme Q10 in Modern Medicine: Insights into Energy Metabolism and Antioxidant Therapy. Quality in Sport, 37, 57174. https://doi.org/10.12775/qs.2025.37.57174
- Ahmad, K., Manongi, N. J., Rajapandian, R., Wala, S. M., Al Edani, E. M., Samuel, E. A., & Arcia Franchini, A. P. (2024). Effectiveness of Coenzyme Q10 Supplementation in Statin-Induced Myopathy: A Systematic Review. Cureus. https://doi.org/10.7759/cureus.68316
- Dohlmann, T. L., Kuhlman, A. B., Morville, T., Dahl, M., Asping, M., Orlando, P., Silvestri, S., Tian, L., Helge, J. W., Dela, F., & Larsen, S. (2022). Coenzyme Q10 Supplementation in Statin Treated Patients: A Double-Blinded Randomized Placebo-Controlled Trial. Antioxidants, 11(9), 1698. https://doi.org/10.3390/antiox11091698
- Rice, J. (2022). The Single-dose Absorption and Steady-state Bioavailability of Different Coenzyme Q10 Formulations. 21(1), 28–34.
- Mantle, D., & Dybring, A. (2020). Bioavailability of Coenzyme Q10: An Overview of the Absorption Process and Subsequent Metabolism. Antioxidants, 9(5), 386. https://doi.org/10.3390/ANTIOX9050386
- Zhang, Q., Xia, M., Zheng, C., Bao, J., Dai, W., & Mei, X. (2023). The Cocrystal of Ubiquinol: Improved Stability and Bioavailability. Pharmaceutics. https://doi.org/10.3390/pharmaceutics15102499
- Mantle, D. (2015). Coenzyme Q10 to treat and prevent heart disease. British Journal of Cardiac Nursing, 10(8), 382–387. https://doi.org/10.12968/BJCA.2015.10.8.382
- Thanatuksorn, P., Kawai, K., Hayakawa, M., Hayashi, M., & Kajiwara, K. (2009). Improvement of the oral bioavailability of coenzyme Q10 by emulsification with fats and emulsifiers used in the food industry. Lwt - Food Science and Technology, 42(1), 385–390. https://doi.org/10.1016/J.LWT.2008.03.006
- Rice, J. (2022). The Single-dose Absorption and Steady-state Bioavailability of Different Coenzyme Q10 Formulations. 21(1), 28–34.
- Petrangolini, G., Ronchi, M., Frattini, E., De Combarieu, E., Allegrini, P., & Riva, A. (2019). A New Food-grade Coenzyme Q10 Formulation Improves Bioavailability: Single and Repeated Pharmacokinetic Studies in Healthy Volunteers. Current Drug Delivery, 16(8), 759–767. https://doi.org/10.2174/1567201816666190902123147
- Rizzardi, N., Liparulo, I., Antonelli, G., Orsini, F., Riva, A., Bergamini, C., & Fato, R. (2021). Coenzyme Q10 Phytosome Formulation Improves CoQ10 Bioavailability and Mitochondrial Functionality in Cultured Cells. Antioxidants, 10(6), 927–943. https://doi.org/10.3390/ANTIOX10060927
- Kumbhar, S., Jagdale, V., & Bhatia, M. S. (2024). Phytosomes: A Cutting-Edge Platform for Phytochemicals Delivery by Enhancing Bioavailability. Jordan Journal of Pharmaceutical Sciences, 17(4), 794–810. https://doi.org/10.35516/jjps.v17i4.2488
- Lin, Y., Maier, A. B., Tao, R., Lin, Z., Vaidya, A., Pendse, S., Thasma, S., Andhalkar, N., Avhad, G., & Kumbhar, V. S. (2022). The efficacy and safety of β-nicotinamide mononucleotide (NMN) supplementation in healthy middle-aged adults: a randomized, multicenter, double-blind, placebo-controlled, parallel-group, dose-dependent clinical trial. GeroScience, 45(1), 29–43. https://doi.org/10.1007/s11357-022-00705-1
- Nicotinamide mononucleotide (NMN) intake increases plasma NMN and insulin levels in healthy subjects. (2023). Clinical Nutrition ESPEN, 56, 83–86. https://doi.org/10.1016/j.clnesp.2023.04.031
- Huang, H. (2022). A Multicentre, Randomised, Double Blind, Parallel Design, Placebo Controlled Study to Evaluate the Efficacy and Safety of Uthever (NMN Supplement), an Orally Administered Supplementation in Middle Aged and Older Adults. Frontiers in Aging, 3. https://doi.org/10.3389/fragi.2022.851698
- Kudalkar, S., Arya, S., & Pradhan, M. (2025). Coenzyme Q10: A Comprehensive Review of Its Roles in Mitochondrial Health and Systemic Function. International Journal of Health Sciences and Research, 15(9), 106–115. https://doi.org/10.52403/ijhsr.20250914
- Landbo, C., & Almdal, T. P. (1998). Interaction between warfarin and coenzyme Q10. Ugeskrift for Læger, 160(22), 3226–3227. https://pubmed.ncbi.nlm.nih.gov/9621803/
- Le, A. T., Hasson, N. K., Hasson, N. K., & Lum, B. L. (1997). Enhancement of warfarin response in a patient receiving etoposide and carboplatin chemotherapy. Annals of Pharmacotherapy, 31(9), 1006–1008. https://doi.org/10.1177/106002809703100910