Iñigo San‑Millán, PhD

Iñigo San‑Millán, PhD

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Metabolic health, mitochondrial function and athletic performance scientist; fueling strategies underpinning Zone 2, lactate metabolism.

Longevity Clinics Sell Hype, Not Proven Life Extension
SocialJun 9, 2026

Longevity Clinics Sell Hype, Not Proven Life Extension

Every few months, a new therapy arrives with the same promise: activate this pathway, inhibit that enzyme, filter your blood, flood your cells with light, and the clock of aging will slow. NAD+ precursors, senolytics, mTOR inhibitors, plasmapheresis, ozone infusions,...

By Iñigo San‑Millán, PhD
Zone 2 Pushes Mitochondria to Peak Capacity for Adaptation
SocialMay 24, 2026

Zone 2 Pushes Mitochondria to Peak Capacity for Adaptation

At Zone 2, mitochondria are at metabolic equilibrium and at the highest operating capacity. This is why it is a challenging intensity for well-trained athletes (it must be). Lactate is being produced at a meaningful rate as glycolytic rate is...

By Iñigo San‑Millán, PhD
Lactate Reveals Distinct Metabolic States and Balance
SocialMay 23, 2026

Lactate Reveals Distinct Metabolic States and Balance

30 years ago I was working with elite athletes and drawing training zones on paper based on blood lactate curves. No substrate data. No indirect calorimetry. Just the conviction that something metabolically distinct was happening at each intensity — and that...

By Iñigo San‑Millán, PhD
Lactate Delivery Vehicles Transform Exercise and Medical Therapies
SocialMay 19, 2026

Lactate Delivery Vehicles Transform Exercise and Medical Therapies

Really excited to share this paper from my dear colleague and mentor George Brooks on the vehicles to deliver lactate therapeutically in exercise and medicine. https://t.co/YapDzog1WH

By Iñigo San‑Millán, PhD
Metabolic Balance, Not Switch, Drives Performance
SocialMay 15, 2026

Metabolic Balance, Not Switch, Drives Performance

The aerobic vs anaerobic model is not wrong because it’s simple. It’s wrong because it implies a switch where there is only a continuum. Glycolysis is always active. Lactate is always produced and cleared. Mitochondria are always involved. There is no...

By Iñigo San‑Millán, PhD
Lactate Regeneration of NAD⁺ Keeps Glycolysis Running
SocialMay 8, 2026

Lactate Regeneration of NAD⁺ Keeps Glycolysis Running

As exercise intensity increases, ATP demand rises sharply and glycolytic flux accelerates. At some point, mitochondria cannot oxidize pyruvate fast enough to match the rate at which it is being produced. At the same time, glycolysis itself depends on the...

By Iñigo San‑Millán, PhD
Lactate Bridges Genetics and Metabolism in Cancer Evolution
SocialMay 4, 2026

Lactate Bridges Genetics and Metabolism in Cancer Evolution

Cancer should not be viewed as a genetic disease or a metabolic one. It is both and Lactate is the metabolic language to explain cancer evolution. Lactate is an integrative oncometabolic signal linking metabolism, gene regulation, intercellular communication and selective...

By Iñigo San‑Millán, PhD
Lactate Tests Reveal True Mitochondrial Gains Beyond VO₂max
SocialMay 1, 2026

Lactate Tests Reveal True Mitochondrial Gains Beyond VO₂max

VO₂max can improve with exercise training in metabolically unhealthy individuals. But VO₂max can improve through mechanisms that have limited relationship to the core cellular dysfunction driving disease. For example, cardiac output can increase while mitochondrial function and cellular bioenergetics remain...

By Iñigo San‑Millán, PhD
Lactate: The Body’s Solution to Redox Limits
SocialApr 28, 2026

Lactate: The Body’s Solution to Redox Limits

“As exercise intensity increases, ATP demand rises sharply and glycolytic flux accelerates. At some point, mitochondria cannot oxidize pyruvate fast enough to match the rate at which it is being produced. The system requires a solution. That solution is the...

By Iñigo San‑Millán, PhD
Stable L:P Ratio in Zone 2 Signals Metabolic Health
SocialApr 27, 2026

Stable L:P Ratio in Zone 2 Signals Metabolic Health

Lactate accumulation is not a sign of failed aerobic metabolism. It is a sign of a mismatch between glycolytic flux and mitochondrial substrate entry and oxidation. During Zone 2 exercise, lactate production increases, but because mitochondrial oxidation keeps pace, pyruvate...

By Iñigo San‑Millán, PhD
Lactate: The Missing Link Between Genes and Cancer Metabolism
SocialApr 22, 2026

Lactate: The Missing Link Between Genes and Cancer Metabolism

For over 100 years, cancer research has been split between genes and metabolism. But what if we’ve been missing the loop that connects them? My latest Substack explores this debate further and suggests how lactate may be the missing link organizing the...

By Iñigo San‑Millán, PhD
Longevity Obsession Ignoring Youth Health Crisis
SocialApr 18, 2026

Longevity Obsession Ignoring Youth Health Crisis

Yesterday I published my latest Substack article and went to bed feeling something was missing. This morning I realized what it was. I had left out two key sections: • One for the hundreds of millions of people with real metabolic dysfunction...

By Iñigo San‑Millán, PhD
Discover Your Metabolic State with Updated Training Model
SocialApr 12, 2026

Discover Your Metabolic State with Updated Training Model

Are you overloaded, at equilibrium or are you a drifter? Not asking about your mental health but about your metabolic training. I like to be at metabolic equilibrium but here and there, I like to be a drifter and I...

By Iñigo San‑Millán, PhD
Lactate Signals Metabolic Balance, Not Just Fuel Shift
SocialApr 9, 2026

Lactate Signals Metabolic Balance, Not Just Fuel Shift

The original "Metabolic Map" I created in 2013 organized exercise metabolism around substrate utilization and muscle fiber recruitment, illustrating how the body transitions from fat to carbohydrate use as intensity increases. This model helped me and many others translate complex laboratory...

By Iñigo San‑Millán, PhD