High Performance Health

Mitochondria, Menopause Energy, and NAD: Why You Feel Flat and How to Fix It | Siobhan Mitchell

12 snips
Jan 26, 2026
Siobhan Mitchell, neuroscientist and mitochondrial health expert, explains why mitochondria do much more than make ATP. She covers mitophagy, mitochondrial biogenesis, and how hormetic exercise differs from chronic stress. Conversations include mitochondria’s role in immunity and inflammation, how NAD declines with age, and why brain energy and oestrogen changes matter for midlife cognitive fog.
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ADVICE

Use Hormesis, Not Chronic Stress

  • Use controlled hormetic stress like exercise to stimulate mitochondrial biogenesis and resilience.
  • Avoid chronic, unrelieved stress and toxins that prevent recovery and cause damage.
ADVICE

Train Intensity To Build Mitochondria

  • Include high-intensity training to increase mitochondrial number and metabolic flexibility.
  • Improved mitochondrial content enhances glucose uptake and protects against metabolic disease.
ADVICE

Use Mito-Targeted Antioxidants

  • Target antioxidants specifically to mitochondria because general antioxidants don't reliably enter them.
  • Consider mitochondria-targeted compounds (e.g., MitoQ) and support NAD to regulate redox state.
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