Mitochondrial Mastery: Supplements, Exercise & Longevity Insights

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Dr. Mark Tarnopolsky is a world-renowned expert in mitochondrial health, muscle function, and ageing science. As a clinician-scientist at McMaster University, he has dedicated his career to understanding how we can optimise our mitochondria - the tiny powerhouses in our cells - for better energy, performance, and longevity.

This is for you if you’ve ever asked yourself: Why does energy fade as I age? How can I boost my endurance, strength, and resilience whatever age I am? And what are the best ways to support (even enhance) these powerhouses naturally?





We cover:

* Mitochondria 101 - why they’re central to health, ageing, and energy production

* Signs of mitochondrial dysfunction - fatigue, muscle loss, and cataracts

* Exercise for mitochondria – Endurance vs. resistance training benefits (on mitochondrial mass and function)

* Mitochondrial Biogenesis - how to double your mitochondria in 3 months

* Supplements demystified - the science on CoQ10, NAD precursors, beetroot extract, and urolithin A

* Aging & oxidative stress - mitophagy and why antioxidants alone won’t cut it

* Mark’s regimen - he practices what he preaches: the nutrition, supplements, and exercise strategies he uses to stay on top of his game (and hold a +68 VO2 max in his 60s)





What we do know? There’s no shortcut to better mitochondria. What we can do? We listen and we learn what Dr Mark describes to be the gold standard for optimising energy, longevity, and quality of life. Lace up your sneakers, team!

The Essential Role of Mitochondria in Health and Longevity: A Conversation with Dr. Mark Tarnopolsky​

Introduction
Dr. Mark Tarnopolsky, a world expert in mitochondria and mitochondrial medicine, joined us to discuss how these "cellular powerhouses" impact health and longevity. From their evolutionary origin to their role in aging, fitness, and chronic disease, Dr. Tarnopolsky explains the science behind mitochondrial function and provides actionable insights for improving mitochondrial health.


The Evolutionary Significance of Mitochondria

Mitochondria originated nearly two billion years ago when a symbiotic relationship formed between a bacterium and a proto-eukaryotic cell. This collaboration created eukaryotic cells—the foundation for all multicellular organisms, including humans. Mitochondria are essential for producing energy and detoxifying oxygen, which was increasingly present in Earth's atmosphere at the time.

Modern mitochondria rely on two sources of DNA:

  • Nuclear DNA (inherited from both parents) contains around 1,200 genes necessary for mitochondrial function.
  • Mitochondrial DNA (inherited exclusively from mothers) plays a central role in energy production.
Mitochondria extract energy efficiently from food, and when they fail, cells rely on anaerobic metabolism, which is far less efficient. This mitochondrial dysfunction manifests in reduced energy, muscle loss (sarcopenia), and accelerated aging.


Modern Lifestyle and Mitochondrial Health

Mitochondrial health is profoundly influenced by lifestyle, particularly exercise. Dr. Tarnopolsky highlighted the stark contrast between sedentary and active individuals:

  • Exercise & Mitochondrial Mass:
    Sedentary individuals have approximately 2% mitochondrial mass in their skeletal muscle, whereas trained athletes can double that to 4% in just three months. Exercise also boosts mitochondrial function in tissues like the heart, which naturally has a higher mitochondrial density (~20% of tissue mass).
  • Age-Related Decline:
    As we age, mitochondrial dysfunction contributes to physical declines, including reduced VO2 max, muscle thinning, cognitive decline, and sensory impairments like hearing loss and cataracts.

Exercise: The Key to Mitochondrial Optimization

Dr. Tarnopolsky emphasized that exercise is the most effective way to improve mitochondrial health. Here's what he shared:

  1. Endurance Training: Activities like running, cycling, and rowing are the gold standard for increasing mitochondrial biogenesis (the creation of new mitochondria).
    • Studies show a doubling of mitochondrial mass after three months of consistent endurance training at 65-70% VO2 max.
  2. High-Intensity Interval Training (HIIT): Short, intense bursts of activity are a time-efficient way to stimulate mitochondrial growth.
    • While effective, HIIT may pose a higher risk of injury, particularly for older individuals.
  3. Resistance Training:
    • For younger individuals, weightlifting primarily increases muscle size, not mitochondrial mass.
    • In older adults, resistance training also promotes mitophagy (the removal of damaged mitochondria) and improves mitochondrial function.
Practical Takeaway: A combination of endurance and resistance training is optimal for maintaining functional capacity, balance, and strength, especially as we age.


Supplements and Mitochondrial Health: The Reality

Dr. Tarnopolsky addressed the growing interest in supplements claiming to enhance mitochondrial function, including:

  • Antioxidants:
    While some believe antioxidants combat oxidative stress, studies have shown they can interfere with the body's natural adaptation to exercise. For example, high doses of vitamin C and E can blunt the benefits of endurance training.
  • NAD Precursors (e.g., NR, NMN):
    Despite promising results in animal studies, human trials have shown negligible effects on mitochondrial health, body composition, or glucose utilization.
  • Urolithin A:
    Marketed as a mitochondrial "purifier," Dr. Tarnopolsky highlighted significant flaws in the research, including small sample sizes and questionable data integrity.
Conclusion: Supplements may offer marginal benefits, but their effects are often overstated. Exercise remains the most reliable strategy for mitochondrial health.


Diet and Mitochondrial Function

Dr. Tarnopolsky recommends a balanced, nutrient-dense diet that avoids extreme restrictions. Key dietary principles include:

  • High Protein Intake:
    Protein needs increase with age to support muscle maintenance and repair. Dr. Tarnopolsky consumes a mix of whey and casein protein, creatine, and vitamin D to complement his training.
  • Minimize Processed Foods and Sugars:
    A diet rich in whole, unprocessed foods supports overall health and prevents conditions like fatty liver disease.
  • Ketogenic Diet:
    While the ketogenic diet has shown benefits for certain medical conditions like epilepsy, Dr. Tarnopolsky finds it impractical for the general population and cautions against its potential risks, such as fatty liver disease.

Dr. Tarnopolsky’s Personal Regimen

As a lifelong athlete, Dr. Tarnopolsky practices what he preaches. His daily routine includes:

  • Training:
    • 7 days a week of physical activity: a mix of endurance (running, cycling, skiing) and resistance exercises (push-ups, crunches, dumbbell workouts).
    • Regular sessions range from 60 to 90 minutes, with longer efforts on weekends.
  • Diet:
    • A high-protein breakfast with milk, multigrain toast, and berries.
    • A protein shake with creatine, vitamin D, and other supplements.
    • Dinner includes a large salad with nuts, cheese, and lean protein.
  • Supplements:
    • Multivitamin, omega-3 fish oil, vitamin D, and a custom mitochondrial enhancer containing alpha-lipoic acid, CoQ10, beetroot extract, and more.

Final Thoughts

Dr. Tarnopolsky emphasizes that improving mitochondrial health is less about chasing supplements and more about consistent, evidence-based lifestyle changes:

  1. Exercise regularly—combine endurance and resistance training.
  2. Eat a balanced, nutrient-dense diet.
  3. Avoid falling for supplement hype without robust evidence.
As Dr. Tarnopolsky puts it, "If it sounds too good to be true, it probably is." For reliable information, he advises using PubMed to assess the scientific evidence behind health claims.


For more insights from Dr. Tarnopolsky, visit PubMed or follow the latest research on mitochondrial health.
 
Last edited by a moderator:
 
From my neck of the woods.




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To view this content we will need your consent to set third party cookies.
For more detailed information, see our cookies page.

Dr. Mark Tarnopolsky is a world-renowned expert in mitochondrial health, muscle function, and ageing science. As a clinician-scientist at McMaster University, he has dedicated his career to understanding how we can optimise our mitochondria - the tiny powerhouses in our cells - for better energy, performance, and longevity.

This is for you if you’ve ever asked yourself: Why does energy fade as I age? How can I boost my endurance, strength, and resilience whatever age I am? And what are the best ways to support (even enhance) these powerhouses naturally?





We cover:

* Mitochondria 101 - why they’re central to health, ageing, and energy production

* Signs of mitochondrial dysfunction - fatigue, muscle loss, and cataracts

* Exercise for mitochondria – Endurance vs. resistance training benefits (on mitochondrial mass and function)

* Mitochondrial Biogenesis - how to double your mitochondria in 3 months

* Supplements demystified - the science on CoQ10, NAD precursors, beetroot extract, and urolithin A

* Aging & oxidative stress - mitophagy and why antioxidants alone won’t cut it

* Mark’s regimen - he practices what he preaches: the nutrition, supplements, and exercise strategies he uses to stay on top of his game (and hold a +68 VO2 max in his 60s)





What we do know? There’s no shortcut to better mitochondria. What we can do? We listen and we learn what Dr Mark describes to be the gold standard for optimising energy, longevity, and quality of life. Lace up your sneakers, team!

Listen closely!


Supplements demystified - the science on CoQ10, NAD precursors, beetroot extract, and urolithin A

16:38-17:17 (beetroot extract)

21:34-31:16 (NAD precursors, urolithin A and CoQ10)
 
Listen closely!


Supplements demystified - the science on CoQ10, NAD precursors, beetroot extract, and urolithin A

16:38-17:17 (beetroot extract)

21:34-31:16 (NAD precursors, urolithin A and CoQ10)
Need to write it down...
Do you have the paper of his work regarding the 2 x "big five"?
 
Supplements proven to increase endurance: Caffeine, Guarana, Creatine, Betaine (TMG).
Supplements claiming to increase muscle strength: MyoTor

Chemistry Labs sell a combo of Betaine and MyoTor that has nice reviews on GNC.com I would try first Betaine by itself, to see if MyoTor has any additional effect on top of that.
 
From the first post:

Dr. Tarnopolsky addressed the growing interest in supplements claiming to enhance mitochondrial function, including:

Antioxidants:
While some believe antioxidants combat oxidative stress, studies have shown they can interfere with the body's natural adaptation to exercise. For example, high doses of vitamin C and E can blunt the benefits of endurance training.
NAD Precursors (e.g., NR, NMN):
Despite promising results in animal studies, human trials have shown negligible effects on mitochondrial health, body composition, or glucose utilization.
Urolithin A:
Marketed as a mitochondrial "purifier," Dr. Tarnopolsky highlighted significant flaws in the research, including small sample sizes and questionable data integrity.
Conclusion: Supplements may offer marginal benefits, but their effects are often overstated. Exercise remains the most reliable strategy for mitochondrial health.
 
The feeling of fatigue that often comes with aging may have nothing to do with "mitochondrial health" and just focusing on that is elementary pseudo science. There are gazillions of factors at play.

1. You may have a thyroid problem.
2. Your immune system may be fighting something and using up energy. That's why you feel tired if you have a cold, intestinal infection, cancer, food allergy, gluten intolerance, Celiac etc.
3. Your digestion may start malfunctioning with aging. That leads to not being able to extract energy from food and to activation of the immune system if undigested food gets in the intestines. For example you may lack Hydrochloric acid (HCL) in the stomach due to erosive gastritis, which makes digesting protein problematic. You may lack digestive enzymes due to stomach bacterial infection (H. Pylori), which makes digestion of anything problematic. To find if this is the source of your fatigue supplement with digestive enzymes like AbsorbAid and try Betaine HCL to increase your stomach acid when you eat meat.
 

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