VCVITAMINS/CHART

The Bottom Line

Yes, you can safely take PQQ with cod liver oil; no significant interaction is known between these two supplements, and they work well together without interfering with each other.

VERDICT

PQQ and cod liver oil together are safe for most people. Because PQQ is water-soluble and cod liver oil is fat-soluble, they absorb through different routes without competing. This combination may support mitochondrial function and omega-3 levels, but keep cod liver oil within label doses to avoid excess vitamin A.

Safe to combine Limited evidence
01 / MECHANISM

How They Interact

PQQ (pyrroloquinoline quinone) is a water-soluble redox compound that supports mitochondrial health by activating pathways like Nrf2, which promotes mitochondrial biogenesis and antioxidant defenses. Cod liver oil is a fat-soluble oil that delivers EPA and DHA omega-3s along with vitamins A and D, and these are absorbed into chylomicrons alongside dietary fats. PQQ does not depend on fat absorption, bile salts, or chylomicron transport, so there is no direct absorption competition. Vitamin A and D from cod liver oil act through nuclear receptors and influence gene expression, but PQQ does not share these receptors or signaling pathways. No cytochrome P450 interaction is recognized between PQQ and the components of cod liver oil, so the two can be taken together without metabolic interference.

02 / BEST PRACTICES

How To Take Them

If you want to take both daily, choose a routine that works with your meals: take 20 mg PQQ in the morning with breakfast, and take a standard 1-teaspoon serving of cod liver oil with your main meal, usually lunch or dinner. Taking them together at the same meal is also fine because PQQ is water-soluble and cod liver oil uses fat-based absorption, so there is no need to space them. If you do prefer to separate, a 2-hour window between them is more than enough. When starting, begin with a lower cod liver oil dose and increase to the label amount over a week. If you miss a day, do not double the next day; simply resume your usual schedule. For best results, pair the combination with a diet rich in vegetables and healthy fats, and stay well hydrated to support mitochondrial and cardiovascular health.

03 / FORM MATTERS

Form & Quality Differences

PQQ supplements are usually provided as the disodium salt (PQQ disodium), which is stable and well absorbed; the free-form pyrroloquinoline quinone is less commonly used. Cod liver oil comes as liquid or softgels, and while both deliver the same fats and vitamins, softgels reduce the fishy aftertaste and may be easier to dose. Liquid cod liver oil typically provides vitamin A and D in amounts that vary by brand, so check the label to avoid exceeding your daily needs. Fermented and cold-processed cod liver oils may have slightly different nutrient profiles, but the interaction with PQQ is unlikely to change meaningfully.

04 / COMMON STACKS

Where This Pair Shows Up

PQQ is commonly found in mitochondrial-support stacks alongside CoQ10, magnesium, and acetyl-L-carnitine, while cod liver oil usually appears in traditional whole-food supplements with vitamin D or beta-carotene; they are not typically sold together in a single product.

Multivitamins Prenatals Performance Longevity
05

Practical Tips

06

Frequently Asked Questions

Who Should Be Careful Pregnant women and those breastfeeding should be careful with cod liver oil because it contains preformed vitamin A, and high doses can cause birth defects; stick to low-dose, pregnancy-safe formulations or choose a vegan omega-3 product. People taking anticoagulant or antiplatelet medications should keep cod liver oil consistent in amount and discuss with their doctor, as EPA/DHA can increase bleeding risk. Those with liver disease, pre-existing hypervitaminosis A, or hypercalcemia should avoid cod liver oil unless medically supervised because of its vitamin A and D content. PQQ is generally well tolerated, but anyone with kidney disease or on medications that affect glucose metabolism should ask their physician before adding it.
08

Sources & Further Reading

  1. Linus Pauling Institute Linus Pauling Institute — Pyrroloquinoline Quinone (PQQ) Info
  2. NIH ODS NIH Office of Dietary Supplements — Omega-3 Fatty Acids Fact Sheet
  3. NIH ODS NIH Office of Dietary Supplements — Vitamin A Fact Sheet
  4. NIH ODS NIH Office of Dietary Supplements — Vitamin D Fact Sheet
  5. Examine.com Examine.com — PQQ supplement page
  6. Examine.com Examine.com — Cod Liver Oil supplement page

Reviewed by Caroline M. on April 8, 2025 for accuracy against the sources listed above. This page is educational and is not a substitute for professional medical advice.

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