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Do Total Beets Really Work to Lower Blood Pressure? Analyzing the Science and Supplement Claims

4 min read

According to a 2024 meta-analysis, regular consumption of nitrate-rich beetroot juice can lead to a significant reduction in systolic blood pressure for individuals with hypertension. This raises the question: do total beets really work to lower blood pressure in the same way, or does the effect depend on the form of the supplement? Here, we'll break down the scientific evidence behind beets and examine the factors that influence a supplement's effectiveness.

Quick Summary

Beetroot contains nitrates that convert to nitric oxide, relaxing blood vessels and lowering blood pressure. Studies show this effect with beet juice and powder, though results can vary based on dosage, individual health, and product formulation. Supplements like Total Beets leverage these properties, but are not a substitute for medication.

Key Points

  • Nitrate-to-Nitric Oxide Pathway: Beets are rich in dietary nitrates, which are converted by the body into nitric oxide, a compound that helps relax and widen blood vessels to lower blood pressure.

  • Scientific Evidence: Multiple studies and meta-analyses support that regular consumption of beetroot, especially concentrated juice, can significantly reduce systolic blood pressure in individuals with hypertension.

  • Supplement vs. Juice: Beetroot juice often provides a faster, more potent nitrate dose, while beet powder retains more fiber and is lower in sugar, offering benefits in a more convenient, sustained-release format.

  • Not a Replacement for Medication: Supplements containing beetroot should not replace prescribed medication for high blood pressure without a doctor's supervision, as they can cause hypotension when combined.

  • Individual Results Vary: The degree of blood pressure reduction from beets can vary from person to person based on factors like age, initial blood pressure levels, and overall health.

  • Check Product Labels: For consistent results, especially for therapeutic use, it is wise to choose beet supplements with standardized nitrate content, as natural levels can vary widely.

  • Potential Side Effects: Possible side effects include beeturia (harmless red urine/stool), digestive issues from fiber, and a risk for kidney stones in susceptible individuals due to high oxalate levels.

In This Article

The Science Behind Beetroot and Blood Pressure

Beetroot's potential to lower blood pressure is rooted in its high concentration of dietary nitrates. When you consume nitrates from a food source like beets, a unique process takes place in your body:

  1. Nitrate Reduction: Oral bacteria in your mouth reduce the dietary nitrate ($NO_3^−$) into nitrite ($NO_2^−$).
  2. Nitrite Absorption: The nitrite is swallowed and enters the circulation, where it can be further reduced.
  3. Nitric Oxide Conversion: Under the low-oxygen conditions often present in body tissues, nitrite is converted into nitric oxide (NO).
  4. Vasodilation: Nitric oxide is a powerful vasodilator, meaning it helps to relax and widen the blood vessels. This improves blood flow and reduces the overall pressure on the artery walls, thereby lowering blood pressure.

This process is distinct from the body's primary nitric oxide production pathway and is particularly effective in supplementing NO levels, which can be beneficial for heart health. Research has consistently confirmed the blood-pressure-lowering effect of beetroot, particularly on systolic blood pressure (the top number in a reading).

Do Total Beets Supplements Replicate this Effect?

Supplements like Total Beets are designed to harness the power of beetroot's nitrates in a convenient format, typically using beet powder. The product mentioned in search results, for example, contains a combination of beetroot powder, added betaine nitrates, and other ingredients like MegaNatural®-BP Grapeseed Extract, which has also been studied for its blood pressure benefits.

For a supplement like Total Beets to be effective, its ingredients must deliver a sufficient dose of nitrates. While manufacturers often include ingredients with known benefits, the specific formulation and dosage are crucial. Here’s what the evidence suggests about the different forms of beetroot:

  • Dosage Matters: A 2024 review found that daily doses of 200–800 mg of nitrate from beetroot juice may reduce systolic blood pressure. A standardized product with a consistent nitrate content is important for reliable results.
  • Beetroot Source: Studies have shown that both beet juice and powder can be effective, but they differ in composition. Beet juice, especially concentrated, tends to have a higher nitrate concentration per serving, leading to a faster and more potent effect. Beet powder, while retaining more fiber, may have a lower immediate nitrate impact unless specifically concentrated for it.
  • Individual Factors: Not everyone will experience the same blood pressure reduction from beetroot supplements. Some research has shown that the effect can be more pronounced in older individuals and those with existing hypertension.

Ultimately, a supplement like Total Beets relies on the established science of beetroot and nitrates. However, it's the quality of the ingredients and consistent dosage, rather than the specific brand name, that dictates its potential effectiveness. Checking the product's standardized nitrate content and consulting with a healthcare provider is recommended.

Comparison: Beetroot Juice vs. Powder

To understand the efficacy of a supplement containing beet powder, it's helpful to compare it to the more widely studied beetroot juice. The form you choose can impact the concentration of beneficial compounds and your overall nutritional intake.

Feature Beetroot Juice (Fresh) Beetroot Powder (like in Total Beets)
Nitrate Concentration Generally higher per serving, leading to a more acute and potent effect. Lower nitrate concentration per serving, though some products add extra nitrates.
Onset of Effect Faster-acting, with effects often seen within 2-3 hours. May have a slower, more sustained release of nitrates due to fiber content, depending on processing.
Fiber Content Low, as most fiber is removed during juicing. High, retaining the whole vegetable's fiber content, which supports digestive health.
Sugar Content High, with 8 ounces potentially containing 22 grams of sugar. Lower, with a tablespoon typically containing 1-5 grams of sugar, making it better for those managing blood sugar.
Taste and Convenience Can have a strong, earthy flavor that some find unappealing. Requires daily juicing or purchasing bottled juice. Convenient and easy to mix into smoothies or other foods. Can have a milder taste.
Nutrient Synergy High concentration of nitrates and polyphenols, potentially enhancing absorption. Contains a broader matrix of whole-food phytonutrients, though possibly with lower bioavailability of some components.

Practical Considerations and Potential Risks

While beets are generally safe, there are some important considerations before starting a new supplement routine for blood pressure:

  • Not a Medication Replacement: Beetroot supplements are not a substitute for prescribed blood pressure medication. You should never stop or alter your medication without first consulting a doctor.
  • Hypotension Risk: For individuals already on blood pressure medication, adding beetroot can cause an excessive drop in blood pressure (hypotension), leading to dizziness or fainting.
  • Kidney Stones: Beets and beet greens contain oxalates. People prone to calcium-oxalate kidney stones should be cautious with high intake.
  • Digestive Issues: The fiber content, especially in beet powder or whole beets, can cause digestive upset in some sensitive individuals, such as those with irritable bowel syndrome (IBS).
  • Beeturia: It is a common and harmless side effect for urine and stool to turn pink or red after consuming beets.
  • Variable Nitrate Content: The nitrate levels in beetroot can vary based on growing conditions, processing, and storage. Using a product with standardized nitrate levels can help ensure consistent dosage.

Conclusion

So, do Total Beets really work to lower blood pressure? The evidence indicates that the active ingredient—beetroot, particularly its high nitrate content—does have a demonstrated effect on lowering blood pressure through the production of nitric oxide. The effectiveness of a specific supplement like Total Beets depends on its formulation, the concentration of active ingredients, and consistent usage. Studies show significant reductions in systolic blood pressure with daily intake of beetroot juice, and supplements with concentrated nitrates or whole beet powder can offer similar benefits. However, it is a dietary aid, not a medical treatment. For anyone managing hypertension, it is essential to consult with a healthcare professional before adding any new supplement to your regimen, as it could interact with medications or lead to an excessive drop in blood pressure.

Link to American Heart Association Article

Frequently Asked Questions

The blood pressure-lowering effects of dietary nitrates from beets can be noticed within a few hours of consumption, with peak effects often seen 2 to 3 hours after intake.

Studies suggest that drinking around 250 milliliters of beetroot juice daily may offer the best outcome, but effects are seen with consistent daily intake over time. Dosage depends on the product's nitrate concentration.

No, you should never stop or replace your prescribed blood pressure medication with beetroot supplements. You must consult your healthcare provider before making any changes to your treatment plan.

Beet powder typically has lower sugar and higher fiber content than juice. However, fresh beet juice may provide a higher, more immediate concentration of nitrates for acute effects, while powder offers sustained benefits.

For most healthy individuals, it is safe to consume a reasonable amount of beetroot daily. However, those with a history of kidney stones or low blood pressure should consult a doctor, as high intake could pose risks.

Common side effects are mostly harmless and include pink or red colored urine and stools (beeturia). Some sensitive individuals may experience digestive upset due to the fiber content.

Yes, because beetroot actively works to lower blood pressure, those with low blood pressure or who are already taking medication for hypertension could experience an excessive drop, leading to symptoms like dizziness.

Eating whole beets, whether cooked or raw, can help lower blood pressure. However, the effect may be less potent or slower-acting than concentrated beet juice because the fibrous content slows absorption.

MegaNatural®-BP is a clinically studied grapeseed extract included in some supplements like Total Beets to support healthy blood pressure. It complements the nitrate-based effects of the beetroot powder in the product.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.