What Is CoQ10 and Why Do People Take It?
- CoQ10 is a naturally produced substance in the body that acts like a vitamin.
- It helps produce energy from food and acts as an antioxidant, protecting cells from damage caused by free radicals.
- Natural CoQ10 levels in the body can decrease with age or due to certain medications like statins.
- Many people take CoQ10 supplements to potentially address fatigue, muscle soreness, or heart conditions.
- CoQ10 can interact with certain medications, particularly blood thinners like warfarin.
Coenzyme Q10, commonly known as CoQ10, has become a staple in the supplement routines of many Americans, particularly those over 45. Approximately 1 in 4 Americans in this age group take a supplement containing CoQ10. Its popularity stems from its potential benefits for heart health and energy production.
What is CoQ10?
CoQ10 is a naturally occurring substance in the body, often compared to vitamins due to its role in cellular functions. Unlike vitamins, CoQ10 is synthesized within the body and is found in nearly every cell, with high concentrations in organs that require significant energy, such as the heart, liver, kidneys, and muscles.
How CoQ10 Works in the Body
CoQ10 plays two important roles in your body:
- Firstly, it's a key player in energy production within your cells' mitochondria, helping to convert the food into a usable form of energy called ATP. This energy fuels everything your body does, from muscle movement to brain function.
- Secondly, CoQ10 acts as a powerful antioxidant, protecting your cells from damage caused by unstable molecules called free radicals. This protection against oxidative stress is essential for long-term health and can help combat the effects of aging and certain diseases.
While your body does make CoQ10 and you can get some from foods like meat, fish, and whole grains, levels can decline as you age or if you're taking certain medications.
Why Do People Take CoQ10 Supplements?
CoQ10 is widely available as an over-the-counter supplement in pharmacies, grocery stores, and online. Here are some common reasons why people choose to take CoQ10:
Age-Related Decline
As early as your 30s or 40s, your body may start to produce less CoQ10. This decline doesn't always cause noticeable symptoms, but some people report lower energy or fatigue that doesn't improve with sleep. Since CoQ10 plays a crucial role in converting food into usable energy, a shortage might make it harder to keep up with daily demands, especially in organs that require a lot of energy, such as the heart.
Impact of Prescription Medications
Another common reason for taking CoQ10 is related to prescription medications, especially statins. Statins are used to lower cholesterol and are among the most prescribed medications worldwide.
Statins work by blocking an enzyme pathway that your body also uses to make CoQ10. As a result, when you're on a statin, your CoQ10 levels can decrease as an unintended side effect. Some patients who take statins experience muscle aches, weakness, or cramping. While not every case is related to CoQ10, there's enough of a link that researchers continue to study whether this supplement might reduce these symptoms.
Heart Conditions
Some research suggests that CoQ10 supplements may help improve symptoms in those with heart failure. Studies have shown that patients with heart failure who took CoQ10 had fewer hospital visits and lower rates of heart-related deaths over a two-year period compared to those who took a placebo. While more research is needed, this has led many cardiologists and primary care doctors to include CoQ10 in discussions around heart support.
Migraine Prevention
Migraine prevention is another area where CoQ10 has been studied. It's believed that problems with energy production in brain cells may play a role in triggering migraines. Several studies have looked into CoQ10 for both adults and children with frequent migraines, with some showing fewer headache days and milder symptoms over time.
Fibromyalgia
Fibromyalgia is a condition that causes widespread pain, tiredness, and sleep problems. In some small studies, patients who took CoQ10 reported feeling more energy and less pain. Researchers believe this may have to do with how CoQ10 helps manage oxidative stress and supports cellular energy.
Fertility Support
In women, egg quality tends to decline with age. Since CoQ10 helps cells function and defend themselves against damage, there's interest in whether it might help preserve egg quality. In men, some studies have looked at CoQ
General Energy and Muscle Support
Others use CoQ10 as a general supplement for energy or muscle support, even if they don't have a specific diagnosis. Some athletes or patients recovering from illness have reported that it helps them bounce back more quickly, although the research here is mixed and not conclusive.
Note
It's important to remember that CoQ10 is not considered a treatment for any disease and is not meant to replace prescription medication. However, because it plays a role in how the body makes energy and protects against damage, many people with health conditions or those simply getting older are interested in how supplements might fill the gap when natural levels start to decline.
CoQ10 Supplements: What to Consider Before You Buy
If you're considering adding a CoQ10 supplement to your routine, the sheer number of options available can be confusing. To help you make an informed decision, here are some key things to keep in mind before you make a purchase:
Dose Matters, But More Is Not Always Better
- Commonly Used Doses: Most commonly used doses range from 100 mg to 300 mg per day, depending on the reason. Higher doses, up to 600 mg or more, have been used in clinical studies for conditions such as Parkinson’s or migraines, but not everyone needs that much.
- General Support: If you're taking CoQ10 for general support, a lower dose is usually enough. If you're trying it for a specific health reason, such as statin-related muscle pain or heart failure, it’s recommended to check with your doctor about the right amount.
Watch for Drug Interactions
Even though CoQ10 is considered safe for most people, it can interact with certain medications. The biggest concern is with blood thinners, such as warfarin (Coumadin). CoQ10 may reduce the effectiveness of this medication, which can increase your risk of blood clots.
Speak with Your Doctor
CoQ10 has been studied for a wide range of health conditions, and while it may not be the answer for everyone, it’s something many patients are curious about, especially as they get older or start new medications.
If you’re thinking about trying a CoQ10 supplement, the best place to start is a simple conversation with your doctor or pharmacist. They can help you decide if it makes sense for your health and make sure it does not interfere with your treatment plan.
References:
- Sood B, Patel P, Keenaghan M. Coenzyme Q10. In: StatPearls. Treasure Island, FL: StatPearls Publishing; January 30, 2024. Available from: https://www.ncbi.nlm.nih.gov/ books/NBK531491/
- Mortensen SA, Rosenfeldt F, Kumar A, et al. The effect of coenzyme Q10 on morbidity and mortality in chronic heart failure: results from Q-SYMBIO: a randomized double-blind trial. JACC Heart Fail. 2014;2(6):641-649. doi:10.1016/j.jchf.2014.06.008