Overview
Mitochondrial dysfunction is a hallmark of ageing. This 8-week protocol restores NAD+, clears senescent mitochondria via mitophagy, and trains aerobic capacity — the three pillars of cellular bioenergetics.
Who this is for
- ·Adults 35+ noticing energy slumps despite good sleep
- ·Long-COVID or post-viral fatigue recovery
- ·Anyone with a family history of neurodegeneration
The four pillars
NAD+ restoration
Daily NMN, supported by TMG to manage methylation load.
Mitophagy activation
Urolithin A daily, 14-h overnight fast 5 nights/week.
Aerobic base
3× zone-2 sessions (45–60 min) + 1× VO₂max interval session.
Antioxidant defence
Omega-3, vitamin D3/K2, polyphenol-rich diet.
Phased timeline
Phase 1 · Weeks 1–2
Prime
Begin NAD+ and mitophagy stack
- NMN, Urolithin A, omega-3
- Baseline VO₂max test if possible
Phase 2 · Weeks 3–6
Load
Aerobic base + fasting window
- Build 3× zone-2 weekly
- 14h overnight fast
- Add 1× VO₂max session
Phase 3 · Weeks 7–8
Assess
Retest and personalise
- VO₂max retest
- Adjust NMN dose
- Consider MOTS-c if available
Daily schedule
07:00NMN 500 mg + Urolithin A 500 mg, fasted
08:00Zone-2 cardio 45 min, 3×/week
12:00Break fast: protein 40 g + omega-3 2 g + vitamin D3/K2
18:00Creatine 5 g + strength training 2×/week
21:00Magnesium glycinate 400 mg
Biomarkers to track
MarkerTargetRationale
VO₂max+10% over 8 weeksDirect mitochondrial capacity.
Resting heart rate−5 bpmAerobic adaptation.
Fasting insulin< 6 µIU/mLMitochondrial-metabolic coupling.
Cautions & contraindications
- · Active malignancy (NAD+ theoretical concern)
- · Pregnancy
Educational content only — consult a qualified physician before starting any protocol.
Selected references
- Mitochondrial dysfunction in ageingCell · 2023
- Urolithin A and mitophagy: RCT in older adultsNature Metabolism · 2022