What is happening. MitoQ concentrates in mitochondrial membranes that are rich in polyunsaturated phospholipids and limits lipid peroxidation, while omega-3 fatty acids from fish oil are themselves highly oxidation-prone polyunsaturates. Co-supplementation provides a plausible complementary pairing in which the targeted antioxidant helps protect incorporated omega-3 fatty acids from peroxidation, and both have been studied for endothelial and cardiometabolic endpoints.
Mechanism. MitoQ scavenges reactive oxygen species and interrupts lipid-peroxidation chain reactions within mitochondrial membranes where omega-3 PUFAs are incorporated, theoretically preserving membrane omega-3 content.
Recommendation. The combination is reasonable and generally well tolerated. Take with food to aid absorption of both lipophilic compounds. Benefit beyond either agent alone is not proven, so view this as complementary rather than additive on hard outcomes.