Dr. Emrick's Books and Articles
So, You Want to Feel Better? Here is the Best Solution
#1: Mind Your Mitochondria.
In 2023, Jane used a wheelchair due to progressive multiple
sclerosis, facing the prospect of becoming bedridden. Desperate for a solution,
she radically redesigned her diet—not for weight loss or vanity, but to nourish
her mitochondria, the tiny powerhouses within her cells. The results were
astonishing: within months, she went from needing two canes to walk to pedaling
a bicycle around the block, and within a year, she rode 18 miles. Her story
exemplifies a powerful truth: if you fix the function of your mitochondria, you
can transform your health and vitality. However, this kind of cellular
rejuvenation is impossible on a diet of ultra-processed foods, sugary drinks, seed
oil, bad fats, and physical inactivity.
To “mind your mitochondria” is to prioritize your health,
starting with understanding why these organelles are so crucial to your
well-being. In simple terms, your body contains trillions of tiny power plants
that tirelessly convert the food you eat and the air you breathe into the
energy that keeps you alive. These microscopic generators are your mitochondria,
famously known as the “powerhouses of the cell,” and when we take care of our
mitochondria, they take care of us. Mitochondria reside in nearly every cell
(except for red blood cells) and use oxygen to convert nutrients into ATP, the
chemical energy that fuels cellular activity. In fact, about 95% of the energy
your cells use is produced by mitochondria. There are literally quadrillions of
them in your body, and energy-guzzling organs like your heart, brain, and
muscles are packed with mitochondria to meet their enormous fuel demands.
Simply put, life as we know it wouldn’t exist without these little power plants
– without mitochondria, complex animals like us could not survive.
However, mitochondria do more than produce energy; they also
play a crucial role in regulating vital bodily processes. For example,
mitochondria play key roles in signaling and cell maintenance—they even help
determine when old or damaged cells should be eliminated (a process called
apoptosis), allowing new, healthy cells to replace them. In essence,
mitochondria act as central hubs for metabolism and cellular health. It’s no
wonder that scientists now recognize mitochondrial function as one of the most
critical factors for healthy aging and longevity. Mitochondria are involved in
almost every aspect of our biology and day-to-day functioning. So, what are the
key roles that mitochondria play in human health and metabolism?
First is energy & metabolism. Mitochondria combine
calories from food with oxygen to produce ATP. This energy currency powers
everything from your heartbeat to brain signals. They account for the majority
of your basal energy production, effectively driving your metabolic rate. If your
mitochondria are efficient and abundant, your body can convert food into fuel
more effectively. Studies suggest that having a higher number of healthy
mitochondria can make your metabolism run more efficiently. Conversely, sluggish
or damaged mitochondria may leave you feeling fatigued and can contribute to a
slow, energy-poor metabolism. Your brain is a notorious energy hog, consuming
roughly 20% of your body’s energy. Neurons are packed with mitochondria, which
provide the ATP necessary for thinking, memory, and the production of
mood-regulating neurotransmitters. When brain mitochondria struggle, cognitive
function suffers; research has linked impaired mitochondrial function in the
brain to mental fatigue and disorders like depression, anxiety, and even
Alzheimer’s disease. In short, healthy mitochondria help keep your mind sharp
and your mood balanced.
Second, muscles depend on mitochondria to provide the energy
required for every contraction. In fact, muscle cells (along with heart cells)
contain some of the highest concentrations of mitochondria in the body. Whether
you’re climbing a flight of stairs or running a marathon, it’s your
mitochondria that supply ATP to your muscle fibers, enabling sustained physical
activity. The greater the mitochondrial capacity in your muscle cells, the more
efficiently you can exercise without tiring. This is why well-trained athletes
have more mitochondria in their muscles than sedentary individuals – their
cells are conditioned to produce abundant energy.
Third, mitochondria play a crucial role in orchestrating the
cellular life cycle. They signal when a damaged cell should self-destruct and
be replaced (a healthy process known as programmed cell death or apoptosis).
This controlled turnover is essential for preventing dysfunction and removing
cells that may become cancerous. Mitochondria are also closely linked to our
immune system; they act as signaling hubs in innate immunity and inflammation,
helping immune cells recognize potential threats. If mitochondria malfunction,
it can lead to issues such as chronic inflammation, weakened immunity, and
slower tissue repair. In essence, robust mitochondria keep your cells youthful
and resilient, while dysfunctional mitochondria pave the way for fatigue,
illness, and accelerated aging.
Given these wide-ranging roles, it’s clear that
mitochondrial health is closely tied to overall health. When your mitochondria
falter, it can result in low energy, brain fog, muscle weakness, or more
serious issues over time. In fact, a growing body of research links
mitochondrial dysfunction to a range of chronic diseases and conditions.
Obesity, type 2 diabetes, metabolic syndrome, cardiovascular disease,
neurodegenerative diseases (like Alzheimer’s and Parkinson’s), certain cancers,
and autoimmune disorders have all been associated with problems in
mitochondrial function. Many of these conditions are linked to modern
lifestyles, suggesting that by caring for our mitochondria, we may be able to
prevent or even help reverse these everyday ailments. Additionally, maintaining
strong mitochondria is connected to healthier aging and increased longevity.
Scientists studying exceptionally long-lived individuals have found that
well-preserved mitochondrial function is a common factor among them. Mitochondria
are the linchpin of our vitality. Keeping them in good shape is perhaps the
most critical action you can take for your healthspan and lifespan. Sadly, many
aspects of our modern, convenience-driven, sedentary lifestyle negatively
affect our mitochondria. To keep your cellular engines running smoothly, you
must be aware of these mitochondrial enemies. The Western diet, filled with
processed foods, refined sugars, and sugary drinks, poses a significant threat
to mitochondrial health. These foods overwhelm your cells with more fuel than
the mitochondria can manage, resulting in electron “traffic jams” along the
energy pathway. Consequently, this leads to a surge of excess free radicals and
oxidative stress that harms mitochondrial DNA and membranes. Essentially, a diet
rich in soda, chips, and sweets deteriorates your cellular engines from the
inside out. Research indicates that high-sugar and processed fat diets impair
mitochondrial function, while antioxidant-rich whole foods offer the opposite
benefit by neutralizing free radicals. Suppose you regularly consume
ultra-processed meals and sugary snacks. In that case, your mitochondria are
perpetually under attack, which can lead to fatigue, weight gain, insulin
resistance, and an increased risk of disease over time.
Fortunately, mitochondria respond to demand. When you
exercise, your cells react by producing more mitochondria and enhancing their
efficiency (a process called mitochondrial biogenesis). When you don’t
exercise, the opposite occurs. Your body receives no signal to create new
mitochondria, and the existing ones may weaken or decrease in number. Physical
inactivity essentially allows your cellular power plants to deteriorate. In
contrast, staying active offers significant mitochondrial benefits: for
instance, older adults who began high-intensity interval training experienced a
69% increase in their muscle cells’ mitochondrial capacity. This illustrates
how much potential you miss out on by being sedentary. A couch-potato
lifestyle, combined with overeating, forces mitochondria to store excess fuel
as fat (since it’s not being burned for activity) and can trigger a downward
spiral of metabolic issues. Simply put, if you don’t use it, you lose it,
including mitochondrial function. Also, long-term stress doesn’t just tax your
mind; it also strains your mitochondria. When you exist in a constant state of
high stress or anxiety, your body is flooded with stress hormones like cortisol
and adrenaline. These hormones actually increase the workload on mitochondria
(as your body is primed for “fight or flight” mode), while also generating
inflammatory molecules that can damage cells. Over time, chronic stress
exposure can lead to significant mitochondrial dysfunction and even
mitochondrial DNA damage, accelerating cellular aging. Studies show that people
under chronic stress show signs of mitochondrial wear and tear similar to those
seen in aging and disease. In short, being stressed out all the time keeps your
mitochondria operating at maximum capacity, which isn’t sustainable and will
eventually lead to burnout at the cellular level.
Environmental toxins pose another significant threat. For
instance, cigarette smoke contains a range of chemicals that cause substantial
oxidative stress in cells. It’s no surprise that smokers exhibit reduced
mitochondrial function in tissues and experience quicker muscle fatigue.
Excessive alcohol consumption similarly burdens the liver’s mitochondria and
produces toxic byproducts that can damage these organelles. Even air pollution
has been associated with mitochondrial DNA damage in the lungs and other tissues.
These toxins promote the formation of free radicals, which directly damage
mitochondrial membranes and DNA. Essentially, toxins undermine the powerhouses
of your cells. While mitochondria possess defense systems (like antioxidant
enzymes), significant exposure to toxins can overwhelm those defenses. This is
why habits like smoking or binge drinking accelerate aging; they consistently
ravage your mitochondria. As you can see, diet and lifestyle choices greatly
influence mitochondrial health. The encouraging news is that the damage from
these behaviors can often be partially reversed by making better choices.
Mitochondria are remarkably adaptable and respond favorably when given a
healthier environment. So, how can you enhance your mitochondrial health and
longevity? You can strengthen and even increase the number of new mitochondria
through positive lifestyle changes. The principles for mitochondrial wellness
closely align with overall well-being. By adopting the following habits, you
can create optimal conditions for your mitochondria to thrive, resulting in
enhanced energy, improved metabolism, and overall better health.
First, adopt a
mitochondria-friendly diet by focusing on whole, nutrient-dense foods that are
rich in vitamins, minerals, and antioxidants. A balanced diet abundant in
colorful vegetables and fruits (for antioxidants and phytonutrients),
high-quality protein (for amino acids and B vitamins), nuts and seeds, legumes,
and omega-3-rich foods (like fatty fish or flaxseed) provides the essential raw
materials and cofactors your mitochondria need. These nutrients help
mitochondria produce ATP efficiently while also enhancing your cells’
antioxidant defenses to neutralize free radicals. Equally important is what to
avoid: reduce ultra-processed junk foods, refined sugars, and excessive fats
from seed oils, as these contribute to oxidative stress. Consider incorporating
elements of the Mediterranean-style diet or other whole-food diets known to
support metabolic health. Some research even suggests that moderate caloric
restriction or intermittent fasting can benefit mitochondria by activating
cellular repair pathways (like boosting NAD+ and sirtuin activity) that enhance
mitochondrial function. In short, food can be a powerful mitochondrial
medicine, so choose wisely.
Secondly, stay physically active. If there’s a magic pill
for mitochondrial health, it’s exercise. Regular physical activity encourages
your body to produce more mitochondria and enhances the function of existing
ones. Both aerobic exercise (cardio) and resistance training (strength
exercises) offer unique benefits. Aerobic endurance activities, such as brisk
walking, cycling, and swimming at a moderate intensity, prompt your muscle
cells to generate additional mitochondria and enhance their ability to utilize
oxygen for energy production, thereby boosting your overall stamina.
High-intensity interval training (HIIT) is an efficient method: one study found
that HIIT increased muscle mitochondrial capacity by ~49% in young adults and
an astonishing 69% in older adults. Meanwhile, strength training helps preserve
muscle tissue as you age (since muscle is rich in mitochondria) and can enhance
insulin sensitivity, indirectly reducing the workload on mitochondria.
Consistency is key: aim for a combination of cardio and strength workouts each
week. Even everyday activities, such as walking instead of driving or taking
the stairs, can help keep your mitochondria functioning optimally. The bottom
line is that exercise “charges up” your cellular batteries and has been shown
to protect mitochondria and is strongly associated with longevity.
Third, manage stress and prioritize sleep. Chronic stress
can negatively impact your mitochondria, making it essential to incorporate
stress-reduction practices into your life. Mind-body techniques, such as
meditation, yoga, deep breathing exercises, or even leisurely activities, can
help lower cortisol levels and provide your cells with relief from
stress-induced damage. Taking time each day to relax benefits your mind and
actively helps preserve your mitochondria. Sleep is equally vital. During deep
sleep, your body enhances repair processes that help heal and regenerate
mitochondria. For example, the release of growth hormone during sleep assists
in mitochondrial repair in muscles. In contrast, inadequate or poor-quality
sleep leaves mitochondria in a state of disrepair. Studies show that sleep
deprivation can harm mitochondrial DNA and reduce its efficiency. Aim for 7–9
hours of quality sleep each night and maintain a consistent sleep schedule. If
you have difficulty sleeping, enhance your sleep hygiene by minimizing evening
blue light, avoiding caffeine later in the day, and creating a calm, dark
sleeping environment. By managing stress and ensuring sufficient sleep, you can
foster a hormonal environment in your body that supports mitochondrial health rather
than hinders it.
Fourth, avoid excess toxins. Reduce exposure to substances
that create undue oxidative stress on your cells. If you smoke, seeking help to
quit smoking is highly damaging to mitochondria in the lungs, blood vessels,
and beyond. Limit alcohol consumption to moderate levels (if at all), since
heavy drinking overloads mitochondrial metabolism in the liver. Whenever
possible, minimize exposure to air pollution or inhalation of chemicals; even
common pollutants can cause gradual damage to mitochondrial DNA over time. You
can support your body’s detox pathways by staying hydrated and eating plenty of
cruciferous vegetables and fiber; however, the first line of defense is to
avoid toxins altogether. Also, be mindful of unnecessary medications or
drugs—some can have mitochondrial side effects. By keeping your toxin exposure
low, you ease the oxidative burden on your mitochondria. Cleaner air, water,
and food lead to cleaner mitochondria.
The evidence is overwhelming. To achieve lasting health and
longevity, it is crucial to care for your mitochondria. The beauty of it is
that what’s good for your mitochondria is good for you. By eating real food,
staying active, managing stress, and avoiding toxic inputs, you are tuning up
the very engines that power your life. Remember Jane's dramatic recovery, from
being confined to a wheelchair to cycling miles with ease, and how she famously
told us we have a choice. Every day, you’re either feeding disease or feeding
health at the cellular level. So, choose to eat for your mitochondria and live
in a way that supports these tiny powerhouses. Take care of them, and they will
take care of you, rewarding you with more energy, a clearer mind, and a longer,
healthier life. The path to wellness truly begins in our cells. Mind your
mitochondria, and the rest will follow.
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