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The High Level Guide · With Dr. David Rizik, MD

Statins and CoQ10, explained.

Why the medication protecting your heart can quietly lower a nutrient your muscles and mind depend on — written by the cardiologist who kept getting asked about it.

7 min read · Written by Dr. David G. Rizik, MD · Interventional cardiologist

First, the part I never want misheard

If your physician put you on a statin, keep taking it. Statins are one of the most important tools we have in cardiology, and they save lives every day. Nothing in this guide is a reason to stop — it’s a reason to understand what else is happening, so you can feel your best while you protect your heart.

With that said: after years in the cath lab and the clinic, I kept hearing the same thing from statin patients. “My heart numbers look great — but my legs ache, and I’m more tired than I used to be.” There’s a mechanism behind that, and most people are never told about it.

Keep taking your statin. Also understand what it’s quietly doing.

The pathway hardly anyone explains

Statins work by slowing an enzyme called HMG-CoA reductase. That’s how they lower cholesterol — and it’s exactly what you want them to do.

Here’s the wrinkle: that same pathway — the mevalonate pathway — is also the one your body uses to make Coenzyme Q10 (CoQ10). So when a statin slows that pathway to bring cholesterol down, it can lower your body’s CoQ10 at the same time. It’s not a flaw in the drug; it’s a side effect of how the chemistry is linked.

Why does that matter? CoQ10 is the spark plug of your mitochondria — the part of every cell that makes energy. Your most energy-hungry tissues — heart, skeletal muscle, brain — rely on it most. Lower CoQ10 is one of the leading explanations researchers give for the muscle aches and fatigue that some statin users report.

What the research actually says

I’m careful here, because this space is full of overstatement. What’s fair to say: a body of published research — including a meta-analysis in the Journal of the American Heart Association — has examined CoQ10 supplementation in the context of statin-associated muscle symptoms. The findings are studied and encouraging enough that replenishing CoQ10 is a reasonable, well-tolerated thing to discuss with your doctor.

It is not a cure, and results vary person to person. But the logic is clean: if a medication lowers a nutrient your muscles need, replacing that nutrient is a sensible conversation to have.

This is education, not a prescription or medical advice for your specific case. Heart + Body + Mind is a dietary supplement, not a treatment for any condition, and it is not a substitute for your statin. Always talk with your own physician about your medications.
The deep science

Three nutrients. One reason for each.

Heart + Body + Mind is deliberately simple — three well-studied ingredients that work together, in two softgels a day. No proprietary blend, nothing padded.

CoQ10CoQ10 · Ubiquinone

The replacement

The whole point. CoQ10 is what statins can deplete and what your mitochondria run on. We use it as the centerpiece — to help replenish what the mevalonate pathway gives up when your cholesterol comes down.*

Omega-3Omega-3 · DHA + EPA

The heart oils

Cardiovascular support. A bioavailable fish oil delivering the DHA and EPA fatty acids studied for supporting healthy triglycerides, circulation, and brain function — the nutrients most heart patients are told to get more of.*

Vitamin EVitamin E

The protector

The antioxidant. Fat-soluble vitamin E helps protect the omega-3 oils from oxidation and supports the body against oxidative stress — the quiet finisher that keeps the other two doing their job.*

Two softgels a day. Every ingredient and dose printed on the label. Third-party tested every lot.

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Why I built it

From the cath lab — not a marketing department.

Dr. David G. Rizik, MD

“I’ve placed thousands of stents and prescribed a lot of statins. I believe in them. But I got tired of telling patients ‘that fatigue might be the CoQ10’ and then sending them to a shelf full of products I couldn’t vouch for. So I built the one I could: real CoQ10, the omega-3s the heart needs, vitamin E to protect it — every dose disclosed, every lot tested. It’s the supplement I’m comfortable recommending to my own patients.”

David G. Rizik, MD · World-renowned interventional cardiologist · Co-founder, High Level Science
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Questions, answered

Everything you’re wondering.

Should I stop my statin if I take this?

No — please don’t. Heart + Body + Mind is designed to be taken alongside your statin, not instead of it. Keep taking your prescribed medication and talk with your doctor about adding CoQ10 support.

Do I have to be on a statin to take it?

Not at all. CoQ10, omega-3s, and vitamin E support heart, brain, and cellular energy for lots of people. The statin connection is simply the most common reason people come looking — but the formula stands on its own.

Why is the softgel black?

CoQ10 needs an opaque shell to stay stable and protected from light. Rather than use artificial dyes like most brands, we use a naturally derived dark shell. The color protects the most important ingredient inside.

How do I take it?

Two softgels a day — one in the morning and one before bed, or as directed by your healthcare professional. Each bottle is a full 30-day supply. Consistency is key.

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Sign up above with your phone number and email. We text you redemption instructions. Buy any two High Level Science products at GNC, text a photo of your receipt back, and we send you the cash value of one bottle within 48 hours.

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With love, David G. Rizik, MD + Ashley Parker Angel
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