“…In fact, despite the beneficial effects of moderate and regular physical exercise, strenuous exercise, defined as any activity that expends six metabolic equivalents (METS) per minute or more [ 93 ], may become detrimental. In particular, Simon H.B.’s review [ 94 ] underscores how repetitive intense exercise may have deleterious cardiovascular effects, causing structural damage to muscle cells, leading to muscle soreness, swelling, prolonged loss of muscle function, increased ROS production, induction of pro-inflammatory signaling, impairment of immune functions and leakage of muscle proteins into circulation [ 95 , 96 ]. In these overtraining conditions, subjected to individual training capacity and fitness level, CoQ supplementation as a mitochondrial nutrient, and in particular ubiquinol, due to its antioxidant activity, may modulate these harmful responses.…”