Fork U with Dr. Terry Simpson

Mitochondria Matter: The Story of Aging


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The Mitochondria Problem: Why These Tiny Powerhouses Shape How We Age

Many people suddenly talk about mitochondria. You hear them in political speeches, on podcasts, and across social media. RFK Jr said he can “see” kids with weak mitochondria just by watching them walk through an airport. Others claim special diets or powders can “fix” aging by supercharging these organelles.

However, most of that chatter misses the actual science.

This post breaks down what mitochondria do, why they matter for aging, and how you can keep them healthy. No hype. No detox teas. Just biology you can use.

What Are Mitochondria?

Every cell in your body contains tiny structures called mitochondria. They act like miniature cells living inside your larger cells. Each mitochondrion even has its own DNA.

Mitochondria divide independently from your regular cells.

They manage your energy, converting glucose to ATP

Finally, mitochondria keep your organs working.

You inherit all your mitochondria from your mother, which is why scientists use mitochondrial DNA to trace ancestry.


How Did We Get Mitochondria? (A Very Old Story)

About 1.5 billion years ago, a simple cell swallowed a bacterium and refused to digest it. Instead, they formed a partnership.

The bacterium supplied energy.

The host cell provided safety.

That partnership became the mitochondrion. Every person alive today runs on that ancient deal.


What Do Mitochondria Do All Day?

 Mitochondria take glucose from your food and convert it into ATP — the energy your body uses to move, think, heal, and grow. This process runs every second of your life.

You cannot swallow ATP and get more energy. ATP supplements don’t work. Only your mitochondria make the usable fuel your body needs.


Why Young Mitochondria Work So Well

Young mitochondria act like teenagers. They run fast, bounce back quickly, and handle stress with ease. Cells constantly recycle old mitochondria through a process called mitophagy. This system works beautifully in childhood.

Fresh mitochondria power:

  • strong muscles
  • sharp thinking
  • fast recovery
  • healthy metabolism

When mitophagy runs smoothly, you feel energetic and resilient.


What Happens When Mitochondria Age

Aging slows everything down. Mitochondria begin to leak more “exhaust,” build up mutations, and lose efficiency. Damaged ones don’t get removed as well, because mitophagy weakens with age.

Unfortunately, mitochondria do something worse than slow down:

They fuse with healthy mitochondria.

Imagine pouring spoiled milk into a fresh gallon. The whole jug goes bad. Aging mitochondria do the same thing inside your cells. They spread dysfunction to the healthy ones.


How Aging Mitochondria Cause Trouble

As mitochondria fail, they change how cells function. They send distress signals back to the nucleus that alter gene expression. These messages push cells toward inflammation, stress, and survival pathways that your body normally keeps quiet.

Even more concerning, changes in mitochondrial shape — too much splitting (fission) and not enough merging (fusion) — appear in both aging and cancer. These shifts support tumor growth, help cancer cells spread, and make some treatments less effective.

Aging mitochondria increase the risk of:

  • brain fog
  • muscle fatigue
  • slower recovery
  • heart strain
  • metabolic slowdown
  • cancer-friendly environments

Mitochondria sit at the center of how we age.


Why “Mitochondrial Booster” Supplements Miss the Mark

Plenty of supplements promise to “repair” mitochondria. Many sound exciting:

  • NAD boosters
  • Urolithin A
  • peptides
  • antioxidant stacks

However, evidence in actual humans remains limited.

NAD boosters don’t show meaningful anti-aging benefits.

Urolithin A can help with muscle endurance, but doesn’t reverse aging.

Antioxidant megadoses may even interfere with exercise benefits.

People want a miracle switch. We don’t have one.


What Does Improve Mitochondrial Health

Good news: the basics still win. And they outperform supplements every time.

1. Resistance Training

Your muscles grow new mitochondria in response to lifting weights or doing body-weight exercises.

2. Zone 2 Exercise

This “comfortably challenging” aerobic zone trains your body to use oxygen better. You can talk, but you can’t sing.

3. Sleep

Your body repairs mitochondrial damage at night. Poor sleep means poor repair.

4. Mediterranean Diet

Whole foods, plants, nuts, fish, and olive oil protect mitochondria from inflammation and stress.

5. Treating Metabolic Disease Early

High blood sugar, high LDL, and high blood pressure destroy mitochondria faster than anything else.


Why Diet Tribes Get Mitochondria Wrong

Some diet influencers insist that insulin resistance is the One True Cause of aging and that keto or carnivore diets fix it all. That was tested in high-quality metabolic ward studies.

It failed.

Low-carb diets did not outperform other diets when calories and protein were controlled. Fat loss was the same. Metabolism behaved the same. Insulin wasn’t the magic dial.

Mediterranean-style eating continues to show the strongest data for longevity.


Alcohol Ages Mitochondria Fast

Your liver breaks down alcohol by generating large amounts of oxidative stress. That stress directly damages mitochondrial DNA, mitochondrial enzymes, and mitochondrial membranes.

It also disrupts their normal fuse-and-divide rhythm, which accelerates aging inside your cells. The hangover fades, but the mitochondrial damage does not.


Bringing It All Together

Mitochondria are real, essential organelles — not a buzzword. Yet some people use the term “mitochondria” the same way Deepak Chopra uses the word “quantum": to describe everything and explain nothing.

Here’s the truth:

When mitochondria age, you age.

Driving inflammation.

Increasing cancer risk.

Slowing your metabolism.

They weaken your heart and muscles.

Finally, they cloud your thinking.

If we’re going to blame mitochondria for aging, let’s at least understand them — and learn how to keep them healthy.

Strength training, aerobic exercise, sleep, nutrition, and treating metabolic disease remain the most powerful tools we have.

Your mitochondria are trying their best.

Help them do their job.

REFERENCES

1.Somatic Mutations of Mitochondrial DNA in Aging and Cancer Progression.

Lee HC, Chang CM, Chi CW. Ageing Research Reviews. 2010;9 Suppl 1:S47-58. doi:10.1016/j.arr.2010.08.009.

2. Mitochondrial DNA Mutations in Ageing and Cancer.

Smith ALM, Whitehall JC, Greaves LC.Molecular Oncology. 2022;16(18):3276-3294. doi:10.1002/1878-0261.13291.

3. Age-Associated Mitochondrial DNA Mutations Cause Metabolic Remodelling That Contributes to Accelerated Intestinal Tumorigenesis.

Smith AL, Whitehall JC, Bradshaw C, et al. Nature Cancer. 2020;1(10):976-989. doi:10.1038/s43018-020-00112-5.

4.Understanding the Impact of Mitochondrial DNA Mutations on Aging and Carcinogenesis (Review).

Kobayashi H, Imanaka S International Journal of Molecular Medicine. 2025;56(2):118. doi:10.3892/ijmm.2025.5559.

5.Mitochondrial Dysfunction and Oxidative Stress in Aging and Cancer.

Kudryavtseva AV, Krasnov GS, Dmitriev AA, et al. Oncotarget. 2016;7(29):44879-44905. doi:10.18632/oncotarget.9821.

6.Role of Mitochondrial Dysfunction in Cancer Progression.

Hsu CC, Tseng LM, Lee HC. Experimental Biology and Medicine (Maywood, N.J.). 2016;241(12):1281-95. doi:10.1177/1535370216641787.

7. Mitochondrial Dysfunction and Mitochondrial Dynamics-the Cancer Connection.

Srinivasan S, Guha M, Kashina A, Avadhani NG. Biochimica Et Biophysica Acta. Bioenergetics. 2017;1858(8):602-614. doi:10.1016/j.bbabio.2017.01.004.

8.Dysregulation of Mitochondrial Function in Cancer Cells.

Awad AMAM, Abdul Karim N. International Journal of Molecular Sciences. 2025;26(14):6750. doi:10.3390/ijms26146750.

 9. Premalignant Progression in the Lung: Knowledge Gaps and Novel Opportunities for Interception of Non-Small Cell Lung Cancer. An Official American Thoracic Society Research Statement.

Moghaddam SJ, Savai R, Salehi-Rad R, et al. American Journal of Respiratory and Critical Care Medicine. 2024;210(5):548-571. doi:10.1164/rccm.202406-1168ST.

10. Mitochondria in Oxidative Stress, Inflammation and Aging: From Mechanisms to Therapeutic Advances.

Xu X, Pang Y, Fan X. Signal Transduction and Targeted Therapy. 2025;10(1):190. doi:10.1038/s41392-025-02253-4.

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Fork U with Dr. Terry SimpsonBy Terry Simpson

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