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As we age, the transformation from Ubiquinone (CoQ10) to Ubiquinol becomes less efficient. That means that even if you have the right levels of Ubiquinone, your body may not be able to convert it as easily into Ubiquinol.
That's why adults over forty are encouraged to take a Ubiquinol supplement. Taking this form of CoQ10 means your body doesn't need to rely on its ability to transform Ubiquinone to Ubiquinol to create cellular energy.