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Can you take CoQ10 and ubiquinol together?

3 min read

CoQ10 exists in two forms: ubiquinone and ubiquinol. This raises the question of whether taking both is effective. While safe, combining both is generally unnecessary.

Quick Summary

Taking CoQ10 and ubiquinol simultaneously is not dangerous because the body converts CoQ10 to ubiquinol. The efficiency of this conversion decreases with age, making ubiquinol potentially more beneficial for older adults or those with health conditions.

Key Points

  • Redundancy: Taking CoQ10 and ubiquinol together is generally not needed because the body converts one into the other.

  • Form Difference: CoQ10 (ubiquinone) is the oxidized form; ubiquinol is the active form.

  • Age Considerations: For older adults, ubiquinol is often more effective.

  • Cost vs. Benefit: Standard CoQ10 (ubiquinone) is often more affordable for healthy, younger people.

  • Maximize Absorption: Take both forms with meals containing fats for better absorption.

  • Safety: Taking both is safe but provides no additional advantage, increasing the cost.

  • Consult a Professional: Consult a healthcare provider before starting any new supplement.

In This Article

Understanding the difference between CoQ10 and ubiquinol

Coenzyme Q10 (CoQ10) is a substance made naturally by the body, crucial for energy production within cells. It exists in two forms that constantly cycle to perform their functions.

  • Ubiquinone (CoQ10): This is the oxidized form and the most common form in supplements. The body uses it to generate energy in the mitochondrial electron transport chain. The body must convert ubiquinone to ubiquinol to function as an antioxidant.
  • Ubiquinol (Active CoQ10): This is the reduced, active form of CoQ10. It functions as a powerful, lipid-soluble antioxidant, protecting cells from damage by free radicals. Ubiquinol supplements can be more efficient for older adults or those with impaired conversion abilities because it bypasses the conversion step.

Why taking both is generally unnecessary

Since ubiquinone converts to ubiquinol within the body, taking both forms is essentially taking the same nutrient twice. For healthy, younger individuals, the body effectively converts ubiquinone to ubiquinol, so a standard CoQ10 supplement is sufficient. The body can use the ubiquinone from one supplement and convert it, making a second ubiquinol supplement redundant. Although it is safe to take both, there are no added benefits, and it increases the cost.

The body's natural conversion process

The body's ability to convert CoQ10 to its active ubiquinol form naturally declines with age, usually starting around 40. This is why ubiquinol supplements are often recommended for older adults. The conversion process becomes less efficient due to slower enzyme function, making a pre-converted form more beneficial.

Are there cases where taking both might be considered?

In very specific medical scenarios, a healthcare provider might suggest a combination approach, although this is rare. A doctor might recommend a high dose of ubiquinone alongside ubiquinol for a patient with a severe deficiency or a specific mitochondrial disorder. This is not standard practice and should only occur under professional medical guidance. For most consumers, choosing one form is the recommended approach.

Choosing between CoQ10 and ubiquinol

The choice between CoQ10 and ubiquinol depends on health needs, age, and budget. Both forms are safe and well-tolerated, with infrequent, mild side effects, such as digestive discomfort.

CoQ10 vs. Ubiquinol Comparison Table Feature CoQ10 (Ubiquinone) Ubiquinol (Active CoQ10)
Form Oxidized Reduced (active)
Absorption Lower; requires conversion in the body Higher; body-ready form
Cost More affordable More expensive
Recommended For Younger, healthy individuals Older adults (>50) and those with absorption issues or certain health conditions
Bioavailability Good, but dependent on body's conversion ability Superior, as it bypasses the conversion step
Antioxidant Power Active after conversion to ubiquinol Immediate and potent antioxidant effect
Stability More stable and less susceptible to oxidation Less stable; requires special packaging to prevent oxidation

How to maximize absorption of CoQ10 supplements

Certain practices can maximize absorption, regardless of which form is chosen, as CoQ10 is fat-soluble.

  • Take with a meal containing fat: Taking it with a meal containing healthy fats, such as avocado, olive oil, or nuts improves absorption.
  • Opt for soft gels: Oil-based soft gel capsules tend to absorb better than dry powder capsules or tablets.
  • Divide doses: For larger daily doses (100 mg or more), splitting the dose into two smaller doses taken with different meals can help maintain consistent blood levels.
  • Take it in the morning or afternoon: Some people may experience an energy boost from CoQ10, so taking it later in the day could interfere with sleep.

Conclusion

While there is no danger in taking CoQ10 and ubiquinol together, it is redundant and offers no additional therapeutic benefit over taking a single form. The core difference between them is that ubiquinone (CoQ10) is oxidized and needs conversion, while ubiquinol is the pre-converted, active form. Standard CoQ10 (ubiquinone) is sufficient and more cost-effective for healthy, younger individuals. However, for older adults or those with conditions that impair the body's conversion process, supplementing directly with ubiquinol can be more efficient and lead to higher blood levels. The best approach is to choose the form that aligns with your health needs and consult a healthcare professional to determine the most effective supplement. For more information, the National Center for Complementary and Integrative Health is a helpful resource.

The National Center for Complementary and Integrative Health

https://www.nccih.nih.gov/health/coenzyme-q10

Frequently Asked Questions

Individuals, especially older adults, may choose ubiquinol because their bodies' natural conversion of CoQ10 (ubiquinone) to its active form declines with age. Ubiquinol is already in the 'active' form and may be absorbed more effectively.

No, it is not dangerous. However, taking both at once is considered redundant and unnecessary because ubiquinol is simply the active form of CoQ10. It would be a wasteful use of money, as there are no added therapeutic benefits.

The main difference is their chemical form. CoQ10, or ubiquinone, is the oxidized form, and ubiquinol is the active form. The body must convert ubiquinone to ubiquinol to use it as an antioxidant, a step bypassed when taking a ubiquinol supplement.

CoQ10 supplements are associated with cellular energy production, acting as a powerful antioxidant, and promoting heart health. They may also lower the risk of heart failure and migraines.

Yes, CoQ10 can interact with certain medications. It may interfere with blood-thinning medications like warfarin and affect blood pressure and blood sugar levels. Always consult a healthcare provider before starting CoQ10, especially if taking prescription medications.

To improve absorption, take CoQ10 or ubiquinol supplements with a meal that includes dietary fat. They are fat-soluble, and healthy fats support their absorption. Many choose oil-based soft gel capsules for better absorption.

Yes, but some may experience an energy boost from CoQ10, potentially disrupting sleep. Taking it in the morning or afternoon is often recommended. However, consistent intake with food is more critical than timing.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.