=====supplements==== ====Carnitine=== [[https://ods.od.nih.gov/factsheets/Carnitine-HealthProfessional/]] * synthesized endogenously in the liver, kidneys, and brain from the amino acids lysine and methionine * an essential cofactor that helps transport long-chain fatty acids into the mitochondria * also helps transport some toxic compounds out of the mitochondria * a strict vegetarian diet, for example, synthesizes approximately 14.4 mg/day carnitine - dietary requirement 15mg/d * The study found that L-carnitine significantly reduced rates of all-cause mortality, ventricular arrhythmias, and new-onset angina but did not affect risk of heart failure or myocardial reinfarction * ====Creatine=== ====pomegranate juice=== *Pomegranate contains substantial amount of ellagitannins (a type of polyphenol) *polyphenols thought to have role in ACE inhibition as well as increasing NO levels ====Red Yeast Rice & statins=== *contains monacolin K - has the same chemical structure as lovastatin *same action with same side effects *blocks liver HMG-CoA reductase to reduce cholesterol production *myopathy, hepatotoxicity, and diabetes mellitus being the most common adverse reactions *different statins metabolised differently - [[https://www.ncbi.nlm.nih.gov/books/NBK430940/| statin review]] *Fluvastatin, lovastatin, pravastatin, and simvastatin have a relatively short half-life. *atorvastatin and rosuvastatin have longer half-lives *HMG-CoA reductase inhibitors are excreted into bile and faeces ===Monacolin side effects:== *Digestive issues: Bloating, gas, heartburn, nausea, and stomach pain. *Headaches and dizziness: Mild neurological symptoms are frequently reported. *Muscle aches: Mild soreness and fatigue in muscles are common. {{:wiki:metabolic:coq10pathway.png?400|}} ====CoEnzymeQ10==== [[https://www.mdpi.com/1422-0067/21/18/6695]]