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AVERY FISK · AF COACHING

Performance supplements

Coenzyme Q10

A compound involved in cellular energy production. Exercise studies give mixed results, so more CoQ10 in blood is not proof of better performance.

Human exercise trials with mixed findings

Also known as: CoQ10 · ubiquinone · ubiquinol

Coenzyme Q10 molecular structure
Structure reference · C59H90O4

Practical use

Reviewed practical notes

Define success first
Choose an outcome relevant to your training. A higher supplement concentration in blood is a different result.
Compare like with like
Record the formulation and keep the training comparison visible when interpreting a study.
Check the medication context
Have potential interactions reviewed before adding CoQ10 to an existing medication routine.

Exercise trial

Athlete trial

Safety and interactions

Overview

CoQ10 participates in mitochondrial energy transfer. Ubiquinone and ubiquinol are different forms; a result with one preparation cannot establish the same result for every product.

Risks and limitations

Digestive upset and insomnia can occur. CoQ10 can interact with warfarin and insulin and may be unsuitable with some cancer treatments. A supplement label does not resolve those interactions.

How to read this

Match the product and the performance test to the claim. Separate improvement from training itself from any additional improvement compared with placebo.

Research explained

A short study with an uncertain endurance result

Who was studied

41 trained and untrained men and women; randomized placebo comparison for 14 days.

What was found

Blood CoQ10 increased. The time-to-exhaustion result was a statistical trend (P=0.06), rather than meeting the study’s 0.05 threshold.

What it cannot establish

Short follow-up, mixed training backgrounds and one preparation. This result alone does not establish a reliable endurance benefit.

Read the original study

Ubiquinol alongside six weeks of athletic training

Who was studied

100 young German trained athletes, randomized to ubiquinol or placebo.

What was found

Both groups improved on the cycling-ergometer assessment. The additional improvement with ubiquinol was 0.08 W/kg compared with placebo (P<0.03).

What it cannot establish

Participants continued individual training. The specified cycling endpoint is not a measurement of muscle gain or a guaranteed improvement in every sport.

Read the original study

Read the comparison, not just the before-and-after

The athlete study reported improvement in both groups. Attributing the entire change in the supplement group to ubiquinol would overstate its measured contribution.

Supporting source

Sources

14-day exercise trial

Six-week athlete trial

NIH safety and interactions

Sources checked 2026-10-01.

General education; not a personal treatment plan.