A meat-less diet for many years could have caused the CoQ10 deficiency.
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Every cell in your body uses CoQ10 for high-octane energy. And your heart needs massive amounts of energy to pump blood… around the clock… every day. I hope you’re paying attention, vegetarians, because red meat is the ONLY dietary source of heart-critical CoQ10. In my own practice I see it all the time… vegetarians with critically low levels of this vital nutrient. CoQ10 is not only vital to your heart’s ability to pump blood, it’s essential to life itself. That’s because every single organ in your body uses CoQ10 to get the energy they need to function. And if you don’t eat red meat, you’re not getting enough from your food. Period. http://www.mnwelldir.org/docs/nutrition/meat.htm
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While I was missing B12 from the meat, too, I was taking B-Complex every day (6-8 caps). However, I was never taking CoQ10 supplements.
"Meatless is thoughtless."