Metabolic Syndrome | Part 2

The One Ring

How Mitochondria Control Your Metabolic Fate


Posted in

Dr. Hartman
& Dr. Jenski

Adapted from an interview (linked below).

August 13, 2025

The Metabolic Gang Article 2 - Option 2

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    “How can one thing tell me? I don’t believe you. How is this possible?”

    Dr. Aaron Hartman echoes the skepticism he hears from patients and colleagues alike when he explains that a single cellular component could be the master controller of metabolic health. After decades of medical training that teaches us to think in terms of separate organ systems and distinct diseases, the idea sounds too simple to be true.

    But Dr. Christian Jenski’s response carries the weight of clinical revelation: “It’s not only possible, but it’s absolutely true and it’s happening all day, every day in many, many, many people and definitely all of our patients.”

    This is the moment when everything clicks—when the scattered pieces of metabolic dysfunction suddenly form a coherent picture. The diabetes, the fatty liver, the cognitive decline, the chronic fatigue, the mood disorders, the cardiovascular disease. All of it tracing back to the same cellular powerhouses that most of us haven’t thought about since high school biology.

    If you’ve been following the metabolic syndrome gang’s coordinated assault on your health, you’ve seen how seemingly separate conditions like PCOS, sleep apnea, fatty liver disease, and brain fog operate together. Now you’ll discover the single thread that connects them all.

    “The mitochondria that we once upon a time were taught are the power plant of the cell. This is true,” Dr. Jenski explains. “But it goes so far beyond that.”

    Far beyond, indeed. These ancient bacterial symbionts don’t just make energy—they control your immune system balance, regulate your neurotransmitters, manage your hormones, and serve as the ultimate cellular surveillance system. They’re the canary in the coal mine, sensing both internal and external threats and coordinating your body’s response.

    When Dr. Jenski was 39, his brain stopped working. “I thought I had dementia,” he recalls. “My brain was broken and clearly it was related to something else.” That “something else” was mitochondrial dysfunction, triggered by biotoxin exposure that cascaded through every system in his body.

    But here’s what makes this revelation both terrifying and hopeful: if mitochondrial dysfunction is the single thread connecting the entire metabolic syndrome gang, then supporting mitochondrial function becomes the master key to metabolic recovery.

    The question isn’t whether mitochondria control your metabolic fate—the question is what’s been poisoning them, and what you can do to help them recover.

    Because as Dr. Jenski discovered through his own transformation from 230 to 167 pounds and complete metabolic recovery: “The body is so cool. If you give the body the right kind of fats, it just does the rest.”


    The Powerhouse Myth:

    What They Didn’t Tell You About Mitochondria

    The textbook definition of mitochondria as “the powerhouse of the cell” isn’t wrong—it’s just woefully incomplete. Like describing a symphony conductor as “someone who waves a stick,” it misses the sophisticated orchestration happening at the cellular level.

    “It’s an ancient bacteria that was basically about to get killed and said, wait, wait, wait. Let’s cut a deal,” Dr. Jenski explains, describing the evolutionary moment when mitochondria became the most crucial partnership in biological history. This symbiotic relationship created complex life as we know it, and “without mitochondria, we don’t exist, we’re not breathing.”

    But energy production is just the beginning of their job description. These cellular powerhouses serve as the ultimate multitasking command centers, managing systems that determine whether you thrive or merely survive.

    The Real Command Center

    Mitochondria control your redox balance—the critical equilibrium between oxidative stress and antioxidant protection. “Are we oxidative or are we balancing our antioxidative status? Are we able to use an oxidative burst to attack an infection that we need?” Dr. Jenski asks. This isn’t just about preventing “oxidative damage”—it’s about having the cellular flexibility to mount appropriate responses to threats while maintaining baseline protection.

    They manage your immune system with surgical precision. “What is the state of our immune system? Is it balanced or not? Are we inflamed or not?” When mitochondrial dysfunction occurs, immune responses become erratic—sometimes overreacting to harmless triggers (autoimmunity), sometimes failing to respond to real threats (infections), often stuck in chronic low-grade inflammation that damages healthy tissue.

    This explains why so many conditions in the metabolic syndrome gang have autoimmune components. PCOS often includes autoimmune markers. Fatty liver disease involves immune activation. Even cardiovascular disease fundamentally involves inflammatory dysfunction.

    Neurotransmitter regulation falls under mitochondrial control as well. “What’s our neurotransmitter status?” When your cellular powerhouses can’t provide adequate energy for neurotransmitter synthesis, or when they’re too damaged to properly regulate neurochemical balance, mood disorders, cognitive decline, and neurological symptoms inevitably follow.

    Hormone function depends entirely on mitochondrial health. “Are our hormones doing what they’re supposed to do?” Every hormone-producing gland requires enormous amounts of cellular energy, and hormonal communication throughout your body depends on mitochondrial signaling pathways.

    The Cellular Surveillance Network

    Perhaps most importantly, mitochondria serve as your body’s early warning system. “The canary in the coal mine sensing both internally and externally, what’s going on and what it needs to do for us to really, truly function appropriately,” Dr. Jenski explains.

    This surveillance function connects mitochondrial health to two concepts that have revolutionized our understanding of aging and disease: senescent cells and the cell danger response.

    Senescent cells—sometimes called “zombie cells”—are cells with dysfunctional mitochondria that can’t die properly but also can’t function normally. “What determines when cells die? What determines when cells get recycled? The mitochondria kind of directing that thing,” Dr. Hartman explains. When mitochondria can’t coordinate proper cellular death and renewal, these zombie cells accumulate, spreading inflammation and dysfunction to neighboring healthy cells.

    The cell danger response occurs when mitochondria detect threats and essentially shut down normal cellular function to focus on survival. “The cell cycle gets stuck,” Dr. Hartman notes. While this response can be protective short-term, chronic activation traps cells in a dysfunctional state that manifests as the various conditions in the metabolic syndrome gang.

    This is why mitochondrial dysfunction isn’t just about feeling tired—it’s about the fundamental breakdown of cellular quality control, immune regulation, and systemic communication that maintains health.


    The Silent Assassins:

    What’s Murdering Your Mitochondria

    Understanding mitochondria’s central role makes the scale of modern mitochondrial assault even more alarming. We’re living in an unprecedented era of mitochondrial toxicity, with multiple sources of cellular damage operating simultaneously in ways our evolutionary biology never anticipated.

    The Pharmaceutical Bombshell

    Dr. Hartman drops what might be the most important statistic in modern medicine: “30% of drugs are mitochondrial toxicants.” Let that sink in. Nearly one in three medications actively damages the cellular powerhouses that control your metabolic fate.

    “If you’re on three drugs, you’re on at least one mitochondrial toxicant,” he calculates, and for many Americans taking multiple medications, the odds are even worse. This isn’t about rare side effects or drug interactions—this is about a systematic poisoning of cellular energy production that conventional medicine largely ignores.

    The most devastating combination Dr. Hartman has identified: “The trifecta: statins, proton pump inhibitor, and Cipro—three very potent mitochondrial toxicants.” Statins for cholesterol, proton pump inhibitors (Prilosec, Nexium, Protonix) for acid reflux, and fluoroquinolone antibiotics like Cipro. One is prescription, one is over-the-counter, and one is given out routinely for infections.

    “It took me seeing people getting floxed and seeing people develop peripheral neuropathy from statins and seeing people on proton pump inhibitors coming in for their cognitive decline evaluations for me to be like, huh, I think this is real,” Dr. Hartman recalls.

    The clinical reality is staggering. Patients taking statins develop peripheral neuropathy—nerve damage that conventional medicine rarely connects to mitochondrial toxicity. People on acid-blocking medications show up for dementia evaluations, their cognitive decline blamed on aging rather than medication-induced mitochondrial dysfunction. Cipro recipients suffer tendon ruptures and neurological symptoms that persist long after the antibiotic is discontinued.

    Dr. Jenski points out a crucial clinical insight: “Many in the functional medicine world don’t have the clinical experience with the drugs.” The solution isn’t necessarily avoiding all medications, but understanding their mitochondrial impact and supporting cellular function when drugs are necessary.

    The Petroleum Distillate Epidemic

    If pharmaceutical mitochondrial toxicity shocks you, the petroleum distillate revelation will leave you questioning everything you thought you knew about food safety and environmental health.

    “93% in their ingredients petroleum distillates,” Dr. Hartman explains about glyphosate-containing products like Roundup. While everyone debates the direct toxicity of glyphosate itself, they’re missing the bigger picture: we’re consuming petroleum-derived solvents on a massive scale.

    “These blue dyes and yellow dyes, they’re petroleum distillates,” Dr. Hartman continues. Those “natural-looking” food colors that make processed foods so appealing? They’re petroleum byproducts. “They’re natural ’cause they look natural. They’re petroleum distillate byproducts.”

    But the petroleum assault goes far deeper than food additives. “How long have we been consuming partially plasticized petroleum products called Margarine and Crisco?” Dr. Hartman asks. Since 1908, Americans have been eating what are essentially edible plastics, convinced they were healthier than natural fats.

    The Membrane Destruction Process

    Here’s how petroleum distillates destroy mitochondrial function: “Solvents break down fatty membranes. That’s your gut lining. That’s your neuron lining. That’s your brain, that’s your myelin, those are your cell membranes,” Dr. Jenski explains.

    Mitochondria are enclosed by delicate fatty membranes that must maintain precise fluidity and composition to function properly. When petroleum-derived solvents attack these membranes, they create what researchers call “lipid rafts”—areas of membrane dysfunction that prevent proper energy production and cellular communication.

    “We start putting in dysfunctional fats. You start making lipid rafts in the cell wall. All of a sudden, of course, you’re gonna have dysfunctional mitochondria,” Dr. Hartman explains. Industrial seed oils, partially hydrogenated fats, and petroleum-derived chemicals get incorporated into cellular membranes, creating structural dysfunction that can persist for months or years.

    The scope of this exposure is staggering. “How many people, how often are we exposed to petroleum distillates today? All the time,” Dr. Hartman notes. From food packaging to personal care products, petroleum-derived chemicals have become ubiquitous in modern life.

    Aerotoxic Syndrome: The Proof of Concept

    The connection between petroleum exposure and metabolic dysfunction isn’t theoretical. Aerotoxic syndrome, documented in airline pilots and flight attendants, provides a real-world example of how petroleum distillate exposure creates the exact symptom pattern seen in metabolic syndrome.

    “Airline pilots, airline stewardess, or people working in oil factories… develop this chronic fatigue, fibro kind of picture from exposure to petroleum distillation,” Dr. Hartman explains. The symptoms—chronic fatigue, cognitive dysfunction, mood disorders, sleep disturbances, digestive issues—mirror exactly what the metabolic syndrome gang produces through mitochondrial dysfunction.

    This isn’t coincidence. Both petroleum exposure and metabolic syndrome attack the same cellular target: mitochondrial membranes and energy production pathways.


    When Your Brain Stops Working:

    A Doctor’s Mitochondrial Crisis

    The personal stakes of mitochondrial dysfunction became devastatingly clear when Dr. Jenski experienced his own metabolic collapse. “I was 39 when I started my medical journey. I’m 50 now. I thought I had dementia. My brain stopped working. That’s why I got scared. That’s why I sought you out,” he tells Dr. Hartman during one of their conversations.

    Think about that for a moment. A highly trained emergency medicine physician, at the peak of his career, suddenly unable to think clearly. “You think I wanted to hang out with you? My brain was broken and clearly it was related to something else.”

    That “something else” was biotoxin exposure that triggered system-wide mitochondrial dysfunction. The same cellular powerhouses that had supported his medical training, his clinical decision-making, his ability to function at the highest levels of cognitive demand, suddenly couldn’t provide adequate energy for basic brain function.

    The Systemic Breakdown

    Dr. Jenski’s experience illustrates how mitochondrial dysfunction manifests differently depending on which organs are most affected and how far the damage has progressed. In his case, cognitive symptoms dominated, but the dysfunction was systemic: “I was 230 pounds. I’m currently 167 pounds. I had gut dysfunction, including SIBO. I had heavy metal toxicity, I had chronic inflammatory response syndrome (CIRS). I was not managing my stress, so I clearly had fatty liver disease. I was on blood pressure medication. I was pre-diabetic.”

    This is the devastating cascade of mitochondrial failure. When cellular energy production breaks down, every system begins to fail in its own characteristic way:

    • Brain function: Cognitive decline, memory problems, “brain fog,” mood disorders
    • Metabolic function: Weight gain, insulin resistance, fatty liver disease
    • Digestive function: SIBO, intestinal permeability, food sensitivities
    • Detoxification function: Heavy metal accumulation, chemical sensitivity
    • Cardiovascular function: Blood pressure elevation, inflammatory markers
    • Stress response: Adrenal dysfunction, sleep disorders, anxiety

    The conventional medical approach treats each of these as separate conditions requiring different specialists. Endocrinology for the metabolic issues, gastroenterology for the gut problems, psychiatry for the mood symptoms, cardiology for the blood pressure, toxicology for the heavy metals.

    But Dr. Jenski’s recovery proved they were all manifestations of the same root dysfunction. “Clearly it was related to something else… there’s a large percentage of people out there probably being misdiagnosed.”

    The Misdiagnosis Epidemic

    This raises a profound question about modern medicine’s approach to complex, multi-system illness. How many people receiving psychiatric medications for “treatment-resistant depression” actually have mitochondrial dysfunction? How many patients diagnosed with early-onset dementia are suffering from reversible cellular energy failure? How many chronic fatigue and fibromyalgia patients are dealing with mitochondrial toxicity rather than mysterious autoimmune conditions?

    “If you look at the statistics with regards to what’s true, when you say dementia, what’s vascular? What’s senile, what’s Alzheimer’s like? Depending on who you ask, you’re gonna get a different set of numbers. There’s no uniformity, meaning that there’s a lot of overlap and there’s a lot of misdiagnoses,” Dr. Jenski observes.

    The specialization of modern medicine, while valuable for acute conditions, becomes a liability when dealing with systemic mitochondrial dysfunction. Each specialist sees the manifestation in their organ system and treats it accordingly, missing the common thread that connects all the symptoms.

    This is why comprehensive upstream testing becomes so crucial—you need assessment strategies that reveal mitochondrial dysfunction before it manifests as multiple seemingly separate diseases.

    The Complete Transformation

    But Dr. Jenski’s story doesn’t end with dysfunction—it ends with complete recovery. His transformation required what he describes as “a drastic lifestyle change… I don’t eat gluten, I don’t eat dairy. I don’t eat processed food. I don’t drink alcohol. Completely detoxified my home and my lifestyle. Heavy metal chelated based on testing. Got my dentition right, purify my air, filter my water.”

    The result? “None of that’s the case now, and I reversed my fatty liver disease.” Not improved, not managed—reversed. His elastography scores normalized, his metabolic markers optimized, his cognitive function fully restored, his weight dropped from 230 to 167 pounds.

    This represents what becomes possible when you understand mitochondria as the master controllers of metabolic fate and learn to support their function rather than undermine it. Dr. Jenski’s recovery demonstrates that even severe, multi-system mitochondrial dysfunction can be completely reversed when properly addressed.

    His success story provides the template for the complete treatment protocols that can transform metabolic function when implemented with professional athlete dedication.


    Your Second Brain’s Energy Crisis: The Microbiome Connection

    The relationship between gut health and mitochondrial function reveals another crucial layer of metabolic recovery. Your intestinal bacteria don’t just help digest food—they produce signaling molecules that directly communicate with and support mitochondrial function throughout your body.

    “Bacteria in your body make these organic acids, they make butyrate,” Dr. Hartman explains. “Short chain fatty acids. These are signaling molecules that go to the mitochondria and say, burn off this bad stuff.”

    Butyrate and other short-chain fatty acids serve as direct mitochondrial messengers, instructing cellular powerhouses to eliminate dysfunction and optimize energy production. The primary source isn’t supplements or special foods—it’s the fermentation of fiber by beneficial bacteria in your colon.

    “What’s the source of butyrate? The biggest source is fermentation in your gut… the biggest source is actually the fiber you were eating,” Dr. Hartman explains. When you eat diverse, fiber-rich foods, beneficial bacteria like “Akkermansia, Roseburia, ruminococcus, Faecalibacterium” ferment that fiber into metabolites that travel throughout your body, supporting cellular energy production in every organ system.

    “Get the right players, feed ’em what they want, and they make a bunch of magical stuff for you,” Dr. Jenski explains. The “magical stuff” includes compounds that support mitochondrial biogenesis, membrane repair, and cellular detoxification.

    This gut-mitochondria connection also explains how metabolic recovery works at the cellular level. “Short chain fatty acids burn out the lipid rafts,” Dr. Jenski notes—those areas of membrane dysfunction caused by petroleum distillates and industrial seed oils. The metabolites produced by healthy gut bacteria actively repair this damage, “unsticking” cellular dysfunction and allowing mitochondria to resume optimal function.

    Understanding this connection becomes crucial for comprehensive gut assessment and implementing the Triangle of Health protocols that form the foundation of metabolic recovery.


    The Human Oil Change:

    How Your Body Fixes Itself

    The most hopeful aspect of mitochondrial dysfunction is that it’s largely reversible. Unlike genetic conditions or structural damage, mitochondrial membranes can be repaired, cellular energy production can be restored, and systemic function can be optimized—if you understand how to support the body’s natural repair processes.

    “You do a human oil change – give them good lipids, exchange out the bad ones,” Dr. Jenski explains. “The body is so cool. If you give the body the right kind of fats, it just does the rest.”

    This isn’t metaphorical. Your cellular membranes undergo constant turnover, with individual phospholipids being replaced regularly. When you stop consuming damaged fats and start providing high-quality membrane building blocks, your cells literally rebuild themselves with better materials.

    The critical fats for mitochondrial membrane repair include “phosphatidylcholine, phosphatidylinositol, phosphatidylethanolamine,” Dr. Hartman explains. “These are fats that are particularly the PE and PI that are super critical for mitochondrial function.”

    These aren’t exotic supplements—they’re components of real foods that humans have consumed for millennia. Egg yolks, organ meats, fish, and certain plant sources provide these membrane-building materials in bioavailable forms.

    The timeline for this cellular renovation varies depending on the extent of damage and ongoing toxic exposure. Some improvements—like increased energy and mental clarity—can occur within weeks as the most active mitochondria begin functioning more efficiently. Complete membrane turnover and optimization of cellular energy production typically requires several months of consistent support.

    Success Stories of Recovery

    Dr. Jenski’s transformation from 230 to 167 pounds with complete reversal of fatty liver disease demonstrates the scope of recovery possible when mitochondrial function is restored. Dr. Hartman’s patients who normalize their elastography scores show that even structural damage can be reversed when cellular energy production is optimized.

    The truck driver whose A1C dropped from 11 to under 7 in six months illustrates how quickly metabolic parameters can improve when mitochondrial function is supported rather than further damaged by medications that ignore root causes.

    These aren’t exceptional cases requiring heroic interventions. They represent what becomes possible when you understand mitochondria as the master controllers of metabolic fate and learn to support their function rather than undermine it.

    The complete protocols for achieving these transformations are detailed in the comprehensive treatment approach that addresses mitochondrial function at every level.


    Your Mitochondrial Rescue Mission Starts Now

    Understanding mitochondria as the master controllers of metabolic fate fundamentally changes how you approach health optimization and disease prevention. Instead of treating individual symptoms as they arise, you can address the cellular energy crisis that underlies the entire metabolic syndrome gang.

    Immediate Mitochondrial Protection

    The first step is stopping ongoing mitochondrial damage. This means auditing your medications for mitochondrial toxicity and working with knowledgeable practitioners to minimize necessary damage while eliminating unnecessary exposure. It means eliminating petroleum distillates from your diet by avoiding processed foods, artificial colors, and industrial seed oils.

    Environmental toxin reduction becomes a priority when you understand that chemical solvents directly attack mitochondrial membranes. Supporting your gut microbiome shifts from optional wellness practice to essential mitochondrial medicine, as the short-chain fatty acids produced by beneficial bacteria directly support cellular energy production throughout your body.

    The Hormetic Stress Connection

    Certain types of controlled stress—called hormetic stress—actually strengthen mitochondrial function by triggering adaptive responses that increase cellular resilience. Cold exposure, exercise, fasting, and heat therapy all stimulate mitochondrial biogenesis and improve cellular energy efficiency.

    “These therapies stress the body… the net gain is that when that stressor’s removed, you’re actually stronger for it,” Dr. Jenski explains. This represents a sophisticated approach to mitochondrial optimization that goes beyond just avoiding damage to actively enhancing cellular function.

    The Path Forward

    The mitochondrial approach to metabolic health isn’t just another wellness trend—it’s a fundamental shift in understanding what creates health and what destroys it. When Dr. Jenski says “it’s absolutely true and it’s happening all day, every day,” he’s describing a revolution in how we understand the root causes of chronic disease.

    Your mitochondria have been quietly managing your metabolic fate since the moment you were born. The question is: will you finally give them the support they need to help you reclaim your health?

    To move from understanding to action, you’ll need comprehensive testing that reveals your specific mitochondrial dysfunction patterns and complete protocols that address the root causes rather than just managing symptoms.


    Ready to discover exactly how to assess your mitochondrial function and identify the specific dysfunctions driving your metabolic symptoms?

    Next Article: Learn the advanced testing strategies that reveal what standard labs miss.