From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Scope
Supplement × Supplement
Last verified
June 4, 2026
SynergyInsufficient evidence
What is happening. Spermidine improves mitochondrial autophagy (mitophagy) while CoQ10 supports the mitochondrial electron transport chain, a complementary mitochondrial-support pairing.
Mechanism. CoQ10 is a lipid-soluble electron carrier and antioxidant in mitochondria, whereas spermidine enhances clearance of damaged mitochondria, together supporting mitochondrial quality.
Recommendation. Compatible to combine, ideally with a meal for CoQ10 absorption. Synergy is mechanistic, not proven on clinical endpoints.
Stack Score
How it moves the number.
Effect on the composite score
If both Coenzyme Q10 and Spermidine are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).
The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.
SourcesSources, by evidence tier.
Every claim on this page is cited. PMIDs link straight to PubMed.
Reference material
1- 1Eisenberg T et al. Cardioprotection and lifespan extension by the natural polyamine spermidine. Nature Medicine. 2016.Needs sourceNo link