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Rachel Anderson MD

Rachel Anderson MD

Active· since Apr 9, 2026

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My coworker stopped taking CoQ10 the same month I doubled my dose. Six months later she has more energy than women half her age, and what she told me over lunch made me want to throw every bottle I'd ever bought straight in the trash. Let me back up. Because you need to understand how certain I was that I had this figured out. Two years ago I hit a wall I couldn't explain. I was 48. I'd always been the energetic one. The one who got up early. The one who stayed sharp in meetings. The one everyone came to because I could hold twelve things in my head at once and still have energy at the end of the day. Then it was like someone pulled the plug. Exhausted by 2 PM. Brain fog so thick I'd forget what I was saying mid-sentence. Weight creeping up even though I hadn't changed anything. Sleep that never refreshed me no matter how many hours I got. My doctor ran bloodwork. Everything was "within range." She looked at me and said, "You're almost 50. This is what happens. Your body is slowing down." I told her I wasn't going to accept that. She shrugged. That night I found CoQ10. Every health forum I'd been reading called it the gold standard for energy. Mitochondrial support. Cellular energy production. Amazon reviews from women who looked exactly like me saying their energy came back within weeks. I ordered the highest rated brand. Started taking it every morning exactly the way the instructions said. First month I thought maybe I felt slightly less tired in the afternoons. Slight enough that it could have been placebo. But I was hopeful. I was ecstatic. I told my husband. I told my walking group. I sent my friend Rachel a long text with links to everything I'd been reading about mitochondrial support. I was the one who figured it out. Then the improvement stopped. Three months in. Same fatigue by mid-afternoon. Same fog. I told myself I needed a higher dose. Switched to ubiquinol — the "active form" that costs twice as much. Six months. The afternoon crash was back in full force. Just as bad as before. I added magnesium. Read every forum thread about stacking supplements for energy. Tried B12 shots. Added vitamin D. Tried ashwagandha for the stress. Added fish oil for the inflammation. Nine months. Six different supplements. Over $200 a month. And I was dragging myself through every afternoon exactly the way I had been before any of it. Twelve months. I added an adaptogen powder that tasted like dirt. A mushroom complex that cost $60 a bottle. A "cellular energy" supplement that listed twelve ingredients I couldn't pronounce. My drawer looked like a pharmacy exploded. My energy was identical to the day my doctor first said this is what happens. I stopped recommending things to people. Stopped mentioning supplements at all. Just quietly kept taking everything because I didn't know what else to do and the alternative was accepting that I was done. My friend Rachel had been dealing with the same thing. Same age. Same symptoms. Same frustration. I'd sent her all my research. She tried CoQ10 the same month I did. Same brand. Same hope. Four months later she stopped everything. Just stopped. When I asked about it she said she was trying something different. I figured she'd given up. Gone back to coffee and willpower like the rest of us. I felt sorry for her honestly. I was the one who was serious about this. The one who was going to fix it naturally no matter how many bottles it took. Last October proved me wrong about everything. We were finishing coffee after a Saturday morning walk. And I was exhausted in that specific way that has nothing to do with the exercise. The way that comes from spending two years and over a thousand dollars on supplements while watching yourself continue to decline and telling yourself you just need to try harder. She looked at me for a long moment. "Can I show you something?" She pulled up a photo on her phone from a work event the week before. Her. On stage. Presenting to 200 people. She looked ten years younger than when I'd last seen her at a dinner six months earlier. Clear eyes. Sharp. Radiant. "That was a ninety-minute presentation," she said. "No notes. No slides for the last twenty minutes. I went off script because I felt sharp enough to just talk." I set down my coffee. "How." She pulled out a chair. "I need to tell you what I found out about CoQ10. About all of it — the B12, the magnesium, the ashwagandha, everything we were taking. I should have told you months ago but I didn't know how because you were so committed to your stack. I didn't want to take that away from you." I sat down. Rachel told me that after she stopped her supplements she'd found a biochemist through a podcast who spent an entire episode explaining something that no doctor had ever told either of us. What that biochemist said reframed two years in about thirty seconds. "CoQ10 supports your mitochondria," Rachel said. "That part is true. It's an electron carrier in the energy production chain. But it has a limitation that nobody talks about." I stared at her. "CoQ10 helps the machinery run. But it doesn't provide the fuel the machinery runs ON." She explained it the way the biochemist had explained it on the podcast. Your mitochondria produce energy through a process called oxidative phosphorylation. Think of it like an engine. CoQ10 is like a spark plug — it helps the ignition process. Important. Legitimately useful. But your mitochondria can't fire at all without NAD+. NAD+ is the fuel. The electron carrier that drives the entire energy production chain. Without NAD+, it doesn't matter how good your spark plugs are. The engine has nothing to burn. And here's what nobody told us. After 40, NAD+ levels start dropping. Fast. By the time you're 50, you've lost roughly half of what you had in your twenties. Published human tissue research. Not theory. Measured. "So two years of CoQ10..." "Was like polishing the spark plugs in an engine that had no gasoline. The machinery was fine. It just had no fuel. And the whole time the actual problem — the fuel — went completely unaddressed." I sat at that table and felt two years of certainty dissolve. The supplement drawer. The alarms on my phone. The $200 months. The texts I'd sent telling everyone I'd found the stack. I'd been maintaining the engine while it ran out of gas. "The magnesium?" "Supports 300 enzymatic reactions. Real. But NAD+ supports over 500. And many of those 300 need adequate NAD+ upstream to work properly." "The B12?" "Supports nerve function. But your nerves need cellular energy to function. And cellular energy requires NAD+." "The ashwagandha?" "Reduces cortisol. But your stress response is dysregulated because your sirtuins are offline. And sirtuins require NAD+ as their cofactor." Every single supplement I'd been taking was treating a downstream effect of a problem none of them could touch. Like watering the leaves of a tree that's dying from the roots. "So what are you actually doing?" I asked. Rachel reached into her bag and pulled out a small bottle. "This doesn't work on the same pathways as any of those supplements. It works on the pathway that makes all of them matter." She explained that NMN — nicotinamide mononucleotide — is the direct precursor to NAD+. Your body converts it in one single enzymatic step. It enters your cells through a dedicated transporter and becomes NAD+ directly. Not supporting mitochondria from the outside. Fueling them from the inside. Not treating one downstream symptom. Restoring the master molecule that over 500 enzymatic reactions depend on. I told her I'd never even heard of NAD+. She nodded like she'd expected me to say that. "Nobody has. Because your doctor was never trained to measure it. The research is ahead of the clinic by years. But it's not obscure. It's published in Science. Studied at Harvard Medical School. Tested in randomized, double-blind, placebo-controlled human trials at Washington University School of Medicine." She told me about the Washington University trial. Published in Science — one of the two most prestigious research journals on the planet. NMN improved insulin sensitivity by roughly 25 percent in prediabetic postmenopausal women. Comparable to a moderate exercise program. She told me about the exercise performance trial. NMN improved aerobic capacity in a dose-dependent manner in human subjects. Higher doses produced greater improvements. She told me about the cognitive trial. NMN improved processing speed, attention, and working memory in middle-aged and older adults. She told me about David Sinclair — Professor of Genetics at Harvard Medical School — who takes NMN every single day and has been public about it for years. Who wrote a bestselling book about the science. Whose lab has published foundational research in Cell, Science, and Nature. "This isn't a supplement trend," she said. "This is the most well-researched cellular intervention in modern longevity science. And it addresses the one thing none of our supplements were touching." I told her I was skeptical. After two years and a drawer full of failures, I didn't trust anything. She nodded again. "I was too. That's why I didn't tell you for six months. I wanted to be sure." "And?" "It's been eight months. I presented for ninety minutes from memory last week. I run four miles every other morning. I sleep seven hours and wake up clear. The afternoon crash is gone — not better, gone. My doctor asked what changed at my last physical because my energy and markers had improved across the board." "From one supplement." "From restoring the one molecule that makes everything else work." She told me the brand was Auvra. Said it was the only one she'd found that matched the clinical research. Proper dose — consistent with the amounts used in the published human trials. Third-party lab tested. Clean formula. No fillers. Proper stability so the NMN actually reaches your cells intact. "Most NMN brands don't work," she said. "Same problem as cheap CoQ10. Wrong dose. Poor manufacturing. The molecule degrades before it reaches your bloodstream. You're swallowing expensive powder that never becomes NAD+." She told me she'd tried two other NMN brands before Auvra. Neither did anything. One was severely underdosed. The other had no third-party testing and she suspected the NMN had degraded on the shelf. "Auvra is the one that actually works. Give it six weeks. One capsule. Morning. Empty stomach. If I'm wrong, they have a 90-day guarantee. You've lost nothing." "And if you're right?" "Then you'll be furious it took you this long." I took the bottle home without telling anyone what I was trying. I had been wrong out loud too many times. The first two weeks nothing obvious shifted. Maybe slightly deeper sleep. Maybe the mornings felt a fraction less heavy. I didn't trust it. Kept going. Week three my afternoon crashed and I braced for the wall. 2 PM. 2:30. 3 PM. It didn't come. I was sitting at my desk at 3:45 on a Tuesday and realized I hadn't thought about coffee since morning. I was just working. Clearly. Steadily. The way I used to. I tested again the next day. Same thing. No wall. I put my phone down and just sat for a minute. Week four I woke up before my alarm four days in a row. Not because I was anxious. Because I was rested. Actually rested. The kind of rested I hadn't felt in three years. Week six. Department meeting. I presented a full project review from memory. Forty minutes. Numbers, timelines, risk assessments. No notes. My manager stopped me afterward. "Whatever shifted for you this quarter, keep it going. That was the sharpest I've seen you in two years." Something else changed too. The quiet dread I'd been carrying into every morning — the bracing for another exhausted, foggy, heavy day that confirmed I was declining — just started lifting. Not because I told it to. Because the days stopped confirming it. Three months in I went back to my doctor. Same physical. Same bloodwork. She looked at the results. Looked at me. "Something is different. You seem like a different person. What changed?" I told her about NAD+ decline. About the published research. About NMN. She was quiet for a moment. Looked up the Washington University trial. Read the abstract. Then she said she'd see me in six months instead of three. That was five months ago. My energy is sustained all day. My thinking is sharper than it's been since my early forties. I've lost seven pounds without changing my diet. My sleep is deep and restorative. I wake up clear. But the numbers aren't what I think about most when I think about what changed. What changed is that I stopped waking up dreading the day. The kind of dread that comes from doing everything you're supposed to do and watching it fail anyway. From building your identity around being the disciplined one who takes her supplements every day and watching your body decline anyway. Rachel and I walk together on Saturday mornings now. We don't talk about supplements much anymore. We talk about the trip to Portugal she's planning. About my daughter's new apartment. About normal things. She said something last week that I've been thinking about since. "You weren't doing anything wrong Jenny. You were just using six different tools that were never designed for the actual job. Nobody told either of us there was one tool that made all the others work. And without it, none of them ever could." I'm not saying this is right for everyone. I'm not a doctor and I'm not telling anyone what to do. But if you've been taking CoQ10 and B12 and magnesium and ashwagandha and vitamin D and watching your energy stay flat and your fog stay thick despite doing everything the forums and the podcasts and the Amazon reviews told you to do — maybe it's not your consistency. Maybe it's not your brand. Maybe it's not your dose. Maybe you've been polishing spark plugs in an engine that ran out of fuel ten years ago. And maybe nobody told you the fuel existed. The brand Rachel showed me is Auvra. NMN. The direct precursor to NAD+. Clinically relevant dose. Third-party lab tested. Clean formulation. No fillers. Proper stability. One capsule in the morning. Give it six weeks. That's how long it took for the engine to start running again for me. And if it works for you — at least you'll finally understand why two years of doing everything right still wasn't enough. You weren't failing. You were just fueling the wrong thing. 👉 https://tryauvra.com/products/supports-nad-levels-cellular-energy

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