Blood Pressure

Last Updated: July 19, 2023

Blood pressure is the force that blood exerts on blood vessels as it circulates. High blood pressure (hypertension) and low blood pressure (hypotension) can each lead to a variety of health issues.

Overview

Blood pressure (BP) refers to the force that blood exerts on the blood vessels as it circulates through your body. It plays a central role in heart health: cardiovascular disease risk is strongly associated with an increase in blood pressure, even when BP is within normal range.[1][2]

As your blood pressure increases, it strains your blood vessels and heart. If it remains too high (hypertension), this can increase your risk for heart attacks, strokes, vascular diseases, eye damage, kidney disease, and more.

As your BP drops, the pressure on the blood vessel walls decreases. If it remains too low (hypotension), you may not get enough oxygen to critical parts of your body, such as the brain and heart.

There are multiple risk factors that can contribute to the development of high blood pressure.

  • Age: As you age, blood pressure tends to go up.
  • Family history: Nearly 100 genetic variations have been associated with high blood pressure. While a family history of high BP raises your risk, the exact pattern of genetic inheritance is not known.
  • Lifestyle: Too much sodium (salt), insufficient potassium, not enough exercise, excessive alcohol intake, and smoking can all contribute to high blood pressure.
  • Race/ethnicity: Black adults experience high blood pressure more frequently.
  • Sex: Prior to age 55, males are more likely to develop high blood pressure. After 55, females are more likely to develop it.
  • Weight: People who carry too much fat have an increased risk of high blood pressure.

How are blood pressure levels assessed?

Blood pressure is most commonly measured using a blood pressure monitor or gauge (where a cuff is placed around your upper arm). It can be measured either in a single sitting or via ambulatory blood pressure monitoring (ABPM) over 24 hours with a leave-on cuff. The latter is likely to be more accurate and result in fewer anomalous measurements since blood pressure can naturally fluctuate throughout the day.

Blood pressure is reported in two numbers; e.g., 120/80 mmHg (millimeters of mercury — a unit of pressure).

  • The first number, systolic blood pressure, tells us how much pressure your blood is exerting against the arterial walls when your heart contracts.
  • The second number, diastolic blood pressure, signifies how much pressure your blood is exerting when the heart is relaxed and refilling with blood.

Blood pressure measurements are generally divided into the five categories below.

Blood pressure category cutoffs (mmHg)

CATEGORYSYSTOLICDIASTOLIC
Low blood pressure
≤90
≤65
Normal blood pressure
<120
<80
Elevated blood pressure
120–129
<80
Stage 1 hypertension
130–139
80–89
Stage 2 hypertension
≥140
≥90

Adapted from Whelton et al. Hypertension. 2018.[3]

In adults 65 or older, a blood pressure goal of 125–130 systolic and <80 diastolic is recommended.

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References
  1. ^The content of this page was partially adapted from MedlinePlus of the National Library of Medicine
  2. ^Pei D, Chen YL, Tang SH, Wu CZ, Lin JD, Chang YL, Hsu CH, Wang CY, Wang K, Wang JYRelationship of blood pressure and cardiovascular disease risk factors in normotensive middle-aged menMedicine (Baltimore).(2011 Sep)
  3. ^Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, DePalma SM, Gidding S, Jamerson KA, Jones DW, MacLaughlin EJ, Muntner P, Ovbiagele B, Smith SC Jr, Spencer CC, Stafford RS, Taler SJ, Thomas RJ, Williams KA Sr, Williamson JD, Wright JT Jr2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice GuidelinesHypertension.(2018 Jun)
  4. ^Peti-Peterdi J, Harris RCMacula densa sensing and signaling mechanisms of renin releaseJ Am Soc Nephrol.(2010 Jul)
  5. ^Appel LJ, Brands MW, Daniels SR, Karanja N, Elmer PJ, Sacks FM, American Heart AssociationDietary approaches to prevent and treat hypertension: a scientific statement from the American Heart AssociationHypertension.(2006 Feb)
  6. ^National High Blood Pressure Education ProgramThe Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure
  7. ^Tielemans SM, Altorf-van der Kuil W, Engberink MF, Brink EJ, van Baak MA, Bakker SJ, Geleijnse JMIntake of total protein, plant protein and animal protein in relation to blood pressure: a meta-analysis of observational and intervention studiesJ Hum Hypertens.(2013 Sep)
  8. ^Rebholz CM, Friedman EE, Powers LJ, Arroyave WD, He J, Kelly TNDietary protein intake and blood pressure: a meta-analysis of randomized controlled trialsAm J Epidemiol.(2012 Oct 1)
  9. ^Fekete ÁA, Giromini C, Chatzidiakou Y, Givens DI, Lovegrove JAWhey protein lowers blood pressure and improves endothelial function and lipid biomarkers in adults with prehypertension and mild hypertension: results from the chronic Whey2Go randomized controlled trialAm J Clin Nutr.(2016 Dec)
  10. ^Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, DePalma SM, Gidding S, Jamerson KA, Jones DW, MacLaughlin EJ, Muntner P, Ovbiagele B, Smith SC Jr, Spencer CC, Stafford RS, Taler SJ, Thomas RJ, Williams KA Sr, Williamson JD, Wright JT Jr2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice GuidelinesHypertension.(2018 Jun)
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  93. Clary sage - Seol GH, Lee YH, Kang P, You JH, Park M, Min SSRandomized Controlled Trial for Salvia sclarea or Lavandula angustifolia: Differential Effects on Blood Pressure in Female Patients with Urinary Incontinence Undergoing Urodynamic ExaminationJ Altern Complement Med.(2013 Jan 29)
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  106. Cannabis - R J Mathew, W H Wilson, D F Humphreys, J V Lowe, K E WietheRegional cerebral blood flow after marijuana smokingJ Cereb Blood Flow Metab.(1992 Sep)
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  119. Roselle - Herrera-Arellano A, Miranda-Sánchez J, Avila-Castro P, Herrera-Alvarez S, Jiménez-Ferrer JE, Zamilpa A, Román-Ramos R, Ponce-Monter H, Tortoriello JClinical effects produced by a standardized herbal medicinal product of Hibiscus sabdariffa on patients with hypertension. A randomized, double-blind, lisinopril-controlled clinical trialPlanta Med.(2007 Jan)
  120. Fish Oil - Morgan WA, Raskin P, Rosenstock JA comparison of fish oil or corn oil supplements in hyperlipidemic subjects with NIDDMDiabetes Care.(1995 Jan)
  121. Theanine - Peter J Rogers, Jessica E Smith, Susan V Heatherley, C W Pleydell-PearceTime for tea: mood, blood pressure and cognitive performance effects of caffeine and theanine administered alone and togetherPsychopharmacology (Berl).(2008 Jan)
  122. Garlic - Veena Dhawan, Sanjay JainGarlic supplementation prevents oxidative DNA damage in essential hypertensionMol Cell Biochem.(2005 Jul)
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  124. Cissus Quadrangularis - Richard J Bloomer, Tyler M Farney, Cameron G McCarthy, Sang-Rok LeeCissus quadrangularis reduces joint pain in exercise-trained men: a pilot studyPhys Sportsmed.(2013 Sep)
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  129. Cocoa Extract - Shiina Y, Funabashi N, Lee K, Murayama T, Nakamura K, Wakatsuki Y, Daimon M, Komuro IAcute effect of oral flavonoid-rich dark chocolate intake on coronary circulation, as compared with non-flavonoid white chocolate, by transthoracic Doppler echocardiography in healthy adultsInt J Cardiol.(2009 Jan 24)
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  139. Nattokinase - Kim JY, Gum SN, Paik JK, Lim HH, Kim KC, Ogasawara K, Inoue K, Park S, Jang Y, Lee JHEffects of nattokinase on blood pressure: a randomized, controlled trialHypertens Res.(2008 Aug)
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  146. Hesperidin - Rizza S, Muniyappa R, Iantorno M, Kim JA, Chen H, Pullikotil P, Senese N, Tesauro M, Lauro D, Cardillo C, Quon MJCitrus polyphenol hesperidin stimulates production of nitric oxide in endothelial cells while improving endothelial function and reducing inflammatory markers in patients with metabolic syndromeJ Clin Endocrinol Metab.(2011 May)
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  150. OMAD And 20:4 Intermittent Fasting - Sutton EF, Beyl R, Early KS, Cefalu WT, Ravussin E, Peterson CMEarly Time-Restricted Feeding Improves Insulin Sensitivity, Blood Pressure, and Oxidative Stress Even without Weight Loss in Men with PrediabetesCell Metab.(2018 Jun 5)
  151. Fish Oil - Rizza S, Tesauro M, Cardillo C, Galli A, Iantorno M, Gigli F, Sbraccia P, Federici M, Quon MJ, Lauro DFish oil supplementation improves endothelial function in normoglycemic offspring of patients with type 2 diabetesAtherosclerosis.(2009 Oct)
  152. Spirulina - Jesús Martínez-Sámano, Adriana Torres-Montes de Oca, Oscar Ivan Luqueño-Bocardo, Patricia V Torres-Durán, Marco A Juárez-OropezaSpirulina maxima Decreases Endothelial Damage and Oxidative Stress Indicators in Patients with Systemic Arterial Hypertension: Results from Exploratory Controlled Clinical TrialMar Drugs.(2018 Dec 8)
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  159. Cocoa Extract - Ottaviani JI, Balz M, Kimball J, Ensunsa JL, Fong R, Momma TY, Kwik-Uribe C, Schroeter H, Keen CLSafety and efficacy of cocoa flavanol intake in healthy adults: a randomized, controlled, double-masked trialAm J Clin Nutr.(2015 Dec)
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  161. Cannabis - R D Steadward, M SinghThe effects of smoking marihuana on physical performanceMed Sci Sports.(Winter 1975)
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  171. 1,3-Dimethylamylamine - Bloomer RJ, Harvey IC, Farney TM, Bell ZW, Canale REEffects of 1,3-dimethylamylamine and caffeine alone or in combination on heart rate and blood pressure in healthy men and womenPhys Sportsmed.(2011 Sep)
  172. Saffron - Milajerdi A, Jazayeri S, Hashemzadeh N, Shirzadi E, Derakhshan Z, Djazayeri A, Akhondzadeh SThe effect of saffron (Crocus sativus L.) hydroalcoholic extract on metabolic control in type 2 diabetes mellitus: A triple-blinded randomized clinical trialJ Res Med Sci.(2018 Feb 20)
  173. Rose Hip - Andersson U, Berger K, Högberg A, Landin-Olsson M, Holm CEffects of rose hip intake on risk markers of type 2 diabetes and cardiovascular disease: a randomized, double-blind, cross-over investigation in obese personsEur J Clin Nutr.(2012 May)
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  175. Alpha-Lipoic Acid - Sola S, Mir MQ, Cheema FA, Khan-Merchant N, Menon RG, Parthasarathy S, Khan BVIrbesartan and lipoic acid improve endothelial function and reduce markers of inflammation in the metabolic syndrome: results of the Irbesartan and Lipoic Acid in Endothelial Dysfunction (ISLAND) studyCirculation.(2005 Jan 25)
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  178. Fish Oil - L Axelrod, J Camuso, E Williams, K Kleinman, E Briones, D SchoenfeldEffects of a Small Quantity of omega-3 Fatty Acids on Cardiovascular Risk Factors in NIDDM. A Randomized, Prospective, Double-Blind, Controlled StudyDiabetes Care.(1994 Jan)
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  180. Mango - Shirley F Evans, Maureen Meister, Maryam Mahmood, Heba Eldoumi, Sandra Peterson, Penelope Perkins-Veazie, Stephen L Clarke, Mark Payton, Brenda J Smith, Edralin A LucasMango supplementation improves blood glucose in obese individualsNutr Metab Insights.(2014 Aug 28)
  181. Citrulline - Joaquin U Gonzales, Andrea Raymond, John Ashley, Youngdeok KimDoes l-citrulline supplementation improve exercise blood flow in older adults?Exp Physiol.(2017 Dec 1)
  182. Kefir - Ezgi Bellikci-Koyu, Banu Pınar Sarer-Yurekli, Yakut Akyon, Fadime Aydin-Kose, Cem Karagozlu, Ahmet Gokhan Ozgen, Annika Brinkmann, Andreas Nitsche, Koray Ergunay, Engin Yilmaz, Zehra BuyuktuncerEffects of Regular Kefir Consumption on Gut Microbiota in Patients with Metabolic Syndrome: A Parallel-Group, Randomized, Controlled StudyNutrients.(2019 Sep 4)
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  185. Psyllium - Pal S, Khossousi A, Binns C, Dhaliwal S, Radavelli-Bagatini SThe effects of 12-week psyllium fibre supplementation or healthy diet on blood pressure and arterial stiffness in overweight and obese individualsBr J Nutr.(2012 Mar)
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  190. Bacopa Monnieri - Luke A Downey, James Kean, Fiona Nemeh, Angela Lau, Alex Poll, Rebecca Gregory, Margaret Murray, Johanna Rourke, Brigit Patak, Matthew P Pase, Andrea Zangara, Justine Lomas, Andrew Scholey, Con StoughAn acute, double-blind, placebo-controlled crossover study of 320 mg and 640 mg doses of a special extract of Bacopa monnieri (CDRI 08) on sustained cognitive performancePhytother Res.(2013 Sep)
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  192. Licorice - Decio Armanini, Mee Jung Mattarello, Cristina Fiore, Guglielmo Bonanni, Carla Scaroni, Paola Sartorato, Mario PalermoLicorice reduces serum testosterone in healthy womenSteroids.(Oct-Nov 2004)
  193. Astaxanthin - Mashhadi NS, Zakerkish M, Mohammadiasl J, Zarei M, Mohammadshahi M, Haghighizadeh MHAstaxanthin improves glucose metabolism and reduces blood pressure in patients with type 2 diabetes mellitusAsia Pac J Clin Nutr.(2018)
  194. Panax Ginseng - Rhee MY, Kim YS, Bae JH, Nah DY, Kim YK, Lee MM, Kim HYEffect of Korean red ginseng on arterial stiffness in subjects with hypertensionJ Altern Complement Med.(2011 Jan)
  195. Taurine - Beyranvand MR, Khalafi MK, Roshan VD, Choobineh S, Parsa SA, Piranfar MAEffect of taurine supplementation on exercise capacity of patients with heart failureJ Cardiol.(2011 May)
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  198. Paleolithic Diet - Ehsan Ghaedi, Mohammad Mohammadi, Hamed Mohammadi, Nahid Ramezani-Jolfaie, Janmohamad Malekzadeh, Mahdieh Hosseinzadeh, Amin Salehi-AbargoueiEffects of a Paleolithic Diet on Cardiovascular Disease Risk Factors: A Systematic Review and Meta-Analysis of Randomized Controlled TrialsAdv Nutr.(2019 Jul 1)
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  200. Tribulus Terrestris - Kamenov Z, Fileva S, Kalinov K, Jannini EAEvaluation of the efficacy and safety of Tribulus terrestris in male sexual dysfunction-A prospective, randomized, double-blind, placebo-controlled clinical trialMaturitas.(2017 May)
  201. ECA - Daly PA, Krieger DR, Dulloo AG, Young JB, Landsberg LEphedrine, caffeine and aspirin: safety and efficacy for treatment of human obesityInt J Obes Relat Metab Disord.(1993 Feb)
  202. Ketogenic Diet - Noakes M, Foster PR, Keogh JB, James AP, Mamo JC, Clifton PMComparison of isocaloric very low carbohydrate/high saturated fat and high carbohydrate/low saturated fat diets on body composition and cardiovascular riskNutr Metab (Lond).(2006 Jan 11)
  203. Curcumin - Akazawa N, Choi Y, Miyaki A, Tanabe Y, Sugawara J, Ajisaka R, Maeda SCurcumin ingestion and exercise training improve vascular endothelial function in postmenopausal womenNutr Res.(2012 Oct)
  204. Ashwagandha - Chengappa KNR, Brar JS, Gannon JM, Schlicht PJAdjunctive Use of a Standardized Extract of Withania somnifera (Ashwagandha) to Treat Symptom Exacerbation in Schizophrenia: A Randomized, Double-Blind, Placebo-Controlled StudyJ Clin Psychiatry.(2018 Jul 10)
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  206. Coleus Forskohlii - Madhavi Jagtap, H M Chandola, B RavishankarClinical efficacy of Coleus forskohlii (Willd.) Briq. (Makandi) in hypertension of geriatric populationAyu.(2011 Jan)
  207. Phosphatidylserine - Kato-Kataoka A, Sakai M, Ebina R, Nonaka C, Asano T, Miyamori TSoybean-derived phosphatidylserine improves memory function of the elderly Japanese subjects with memory complaintsJ Clin Biochem Nutr.(2010 Nov)
  208. Creatine - Branch JD, Schwarz WD, Van Lunen BEffect of creatine supplementation on cycle ergometer exercise in a hyperthermic environmentJ Strength Cond Res.(2007 Feb)
  209. Vitamin C - JAYESH K BHATT, SABIN THOMAS, NANJAN MJEFFECT OF ORAL SUPPLEMENTATION OF VITAMIN C ON GLYCEMIC CONTROL AND LIPID PROFILE IN PATIENTS WITH TYPE 2 DIABETES MELLITUSInternational Journal of Pharmacy and Pharmaceutical Sciences.()
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  211. Hesperidin - Mohammadi M, Ramezani-Jolfaie N, Lorzadeh E, Khoshbakht Y, Salehi-Abargouei AHesperidin, a major flavonoid in orange juice, might not affect lipid profile and blood pressure: A systematic review and meta-analysis of randomized controlled clinical trialsPhytother Res.(2019 Mar)
  212. Red Clover Extract - Hidalgo LA, Chedraui PA, Morocho N, Ross S, San Miguel GThe effect of red clover isoflavones on menopausal symptoms, lipids and vaginal cytology in menopausal women: a randomized, double-blind, placebo-controlled studyGynecol Endocrinol.(2005 Nov)
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  214. Saffron - Safarinejad MR, Shafiei N, Safarinejad SA prospective double-blind randomized placebo-controlled study of the effect of saffron (Crocus sativus Linn.) on semen parameters and seminal plasma antioxidant capacity in infertile men with idiopathic oligoasthenoteratozoospermiaPhytother Res.(2011 Apr)
  215. Zinc - Seet RC, Lee CY, Lim EC, Quek AM, Huang H, Huang SH, Looi WF, Long LH, Halliwell BOral zinc supplementation does not improve oxidative stress or vascular function in patients with type 2 diabetes with normal zinc levelsAtherosclerosis.(2011 Nov)
  216. Nitrate - Murphy M, Eliot K, Heuertz RM, Weiss EWhole beetroot consumption acutely improves running performanceJ Acad Nutr Diet.(2012 Apr)
  217. Ashwagandha - Auddy, B, et alA Standardized Withania Somnifera Extract Significantly Reduces Stress-Related Parameters in Chronically Stressed Humans: A Double-Blind, Randomized, Placebo-Controlled StudyJ Am Nut Assn.()
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  219. Stevia - Hsieh MH, Chan P, Sue YM, Liu JC, Liang TH, Huang TY, Tomlinson B, Chow MS, Kao PF, Chen YJEfficacy and tolerability of oral stevioside in patients with mild essential hypertension: a two-year, randomized, placebo-controlled studyClin Ther.(2003 Nov)
  220. Cocoa Extract - Grassi D, Necozione S, Lippi C, Croce G, Valeri L, Pasqualetti P, Desideri G, Blumberg JB, Ferri CCocoa reduces blood pressure and insulin resistance and improves endothelium-dependent vasodilation in hypertensivesHypertension.(2005 Aug)
  221. Garlic - Simons LA, Balasubramaniam S, von Konigsmark M, Parfitt A, Simons J, Peters WOn the effect of garlic on plasma lipids and lipoproteins in mild hypercholesterolaemiaAtherosclerosis.(1995 Mar)
  222. Cannabis - Aronow W, Cassidy JEffect of smoking marihuana and of a high-nicotine cigarette on angina pectoris Clin Pharm.()
  223. Chlorella - Lee SH, Kang HJ, Lee HJ, Kang MH, Park YKSix-week supplementation with Chlorella has favorable impact on antioxidant status in Korean male smokersNutrition.(2010 Feb)
  224. Ecklonia Cava - Shin HC, Kim SH, Park Y, Lee BH, Hwang HJEffects of 12-week oral supplementation of Ecklonia cava polyphenols on anthropometric and blood lipid parameters in overweight Korean individuals: a double-blind randomized clinical trialPhytother Res.(2012 Mar)
  225. Curcumin - Panahi Y, Hosseini MS, Khalili N, Naimi E, Majeed M, Sahebkar AAntioxidant and anti-inflammatory effects of curcuminoid-piperine combination in subjects with metabolic syndrome: A randomized controlled trial and an updated meta-analysisClin Nutr.(2015 Dec)
  226. Magnesium - Hatzistavri LS, Sarafidis PA, Georgianos PI, Tziolas IM, Aroditis CP, Zebekakis PE, Pikilidou MI, Lasaridis ANOral magnesium supplementation reduces ambulatory blood pressure in patients with mild hypertensionAm J Hypertens.(2009 Oct)
  227. L-Carnitine - V Wyss, G P Ganzit, A RienziEffects of L-carnitine administration on VO2max and the aerobic-anaerobic threshold in normoxia and acute hypoxiaEur J Appl Physiol Occup Physiol.(1990)
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  229. 16:8 Intermittent Fasting - Grant M Tinsley, M Lane Moore, Austin J Graybeal, Antonio Paoli, Youngdeok Kim, Joaquin U Gonzales, John R Harry, Trisha A VanDusseldorp, Devin N Kennedy, Megan R CruzTime-restricted feeding plus resistance training in active females: a randomized trialAm J Clin Nutr.(2019 Sep 1)
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  231. Gotu Kola - Bradwejn J, Zhou Y, Koszycki D, Shlik JA double-blind, placebo-controlled study on the effects of Gotu Kola (Centella asiatica) on acoustic startle response in healthy subjectsJ Clin Psychopharmacol.(2000 Dec)
  232. Alanylglutamine - Hoffman JR, Ratamess NA, Kang J, Rashti SL, Kelly N, Gonzalez AM, Stec M, Anderson S, Bailey BL, Yamamoto LM, Hom LL, Kupchak BR, Faigenbaum AD, Maresh CMExamination of the efficacy of acute L-alanyl-L-glutamine ingestion during hydration stress in endurance exerciseJ Int Soc Sports Nutr.(2010 Feb 3)
  233. 16:8 Intermittent Fasting - Kelsey Gabel, Kristin K Hoddy, Nicole Haggerty, Jeehee Song, Cynthia M Kroeger, John F Trepanowski, Satchidananda Panda, Krista A VaradyEffects of 8-hour time restricted feeding on body weight and metabolic disease risk factors in obese adults: A pilot studyNutr Healthy Aging.(2018 Jun 15)
  234. Benfotiamine - Alkhalaf A, Klooster A, van Oeveren W, Achenbach U, Kleefstra N, Slingerland RJ, Mijnhout GS, Bilo HJ, Gans RO, Navis GJ, Bakker SJA double-blind, randomized, placebo-controlled clinical trial on benfotiamine treatment in patients with diabetic nephropathyDiabetes Care.(2010 Jul)
  235. Bitter Cucumber - Huseini HF, Darvishzadeh F, Heshmat R, Jafariazar Z, Raza M, Larijani BThe clinical investigation of Citrullus colocynthis (L.) schrad fruit in treatment of Type II diabetic patients: a randomized, double blind, placebo-controlled clinical trialPhytother Res.(2009 Aug)
  236. Cocoa Extract - Eunice K Chan, Jon Quach, Fiona K Mensah, Valerie Sung, Michael Cheung, Melissa WakeDark chocolate for children's blood pressure: randomised trialArch Dis Child.(2012 Jul)
  237. L-Carnitine - Hadier M El-Sheikh, Sahar M El-Haggar, Tamer A ElbedewyComparative study to evaluate the effect of l-carnitine plus glimepiride versus glimepiride alone on insulin resistance in type 2 diabetic patientsDiabetes Metab Syndr.(Jan-Feb 2019)
  238. Stevia - Barriocanal LA, Palacios M, Benitez G, Benitez S, Jimenez JT, Jimenez N, Rojas VApparent lack of pharmacological effect of steviol glycosides used as sweeteners in humans. A pilot study of repeated exposures in some normotensive and hypotensive individuals and in Type 1 and Type 2 diabeticsRegul Toxicol Pharmacol.(2008 Jun)
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  240. Roselle - Mozaffari-Khosravi H, Jalali-Khanabadi BA, Afkhami-Ardekani M, Fatehi F, Noori-Shadkam MThe effects of sour tea (Hibiscus sabdariffa) on hypertension in patients with type II diabetesJ Hum Hypertens.(2009 Jan)
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  243. L-Tyrosine - Banderet LE, Lieberman HRTreatment with tyrosine, a neurotransmitter precursor, reduces environmental stress in humansBrain Res Bull.(1989 Apr)
  244. Spirulina - Patricia V Torres-Duran, Aldo Ferreira-Hermosillo, Marco A Juarez-OropezaAntihyperlipemic and antihypertensive effects of Spirulina maxima in an open sample of Mexican population: a preliminary reportLipids Health Dis.(2007 Nov 26)
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  246. Citrulline - Sean T Stanelle, Kelsey L McLaughlin, Stephen F CrouseOne Week of L-Citrulline Supplementation Improves Performance in Trained CyclistsJ Strength Cond Res.(2020 Mar)
  247. Blueberry - Stull AJ, Cash KC, Johnson WD, Champagne CM, Cefalu WTBioactives in blueberries improve insulin sensitivity in obese, insulin-resistant men and womenJ Nutr.(2010 Oct)
  248. Ginkgo Biloba - Chung HS, Harris A, Kristinsson JK, Ciulla TA, Kagemann C, Ritch RGinkgo biloba extract increases ocular blood flow velocityJ Ocul Pharmacol Ther.(1999 Jun)
  249. Black seed - Qidwai W, Hamza HB, Qureshi R, Gilani AEffectiveness, safety, and tolerability of powdered Nigella sativa (kalonji) seed in capsules on serum lipid levels, blood sugar, blood pressure, and body weight in adults: results of a randomized, double-blind controlled trialJ Altern Complement Med.(2009 Jun)
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  256. Microlactin - Sharpe SJ, Gamble GD, Sharpe DNCholesterol-lowering and blood pressure effects of immune milkAm J Clin Nutr.(1994 Apr)
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  266. Tetradecyl Thioacetic Acid - Løvås K, Røst TH, Skorve J, Ulvik RJ, Gudbrandsen OA, Bohov P, Wensaas AJ, Rustan AC, Berge RK, Husebye ESTetradecylthioacetic acid attenuates dyslipidaemia in male patients with type 2 diabetes mellitus, possibly by dual PPAR-alpha/delta activation and increased mitochondrial fatty acid oxidationDiabetes Obes Metab.(2009 Apr)
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  269. Cannabis - Merritt JC, Crawford WJ, Alexander PC, Anduze AL, Gelbart SSEffect of marihuana on intraocular and blood pressure in glaucomaOphthalmology.(1980 Mar)
  270. Citrulline - Powers R, et al[7-OR]: L-Citrulline administration increases the arginine/ADMA ratio, decreases blood pressure and improves vascular function in obese pregnant womenPregnancy Hypertens.()
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  275. Conjugated Linoleic Acid - Maria Pfeuffer, Kerstin Fielitz, Christiane Laue, Petra Winkler, Diana Rubin, Ulf Helwig, Katrin Giller, Julia Kammann, Edzard Schwedhelm, Rainer H Böger, Achim Bub, Doris Bell, Jürgen SchrezenmeirCLA does not impair endothelial function and decreases body weight as compared with safflower oil in overweight and obese male subjectsJ Am Coll Nutr.(2011 Feb)
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  289. Spirulina - José J van den Driessche, Jogchum Plat, Maurice C J M Konings, Ronald P MensinkEffects of spirulina and wakame consumption on intestinal cholesterol absorption and serum lipid concentrations in non-hypercholesterolemic adult men and womenEur J Nutr.(2020 Aug)
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  293. Olive Leaf Extract - Perrinjaquet-Moccetti T, Busjahn A, Schmidlin C, Schmidt A, Bradl B, Aydogan CFood supplementation with an olive (Olea europaea L.) leaf extract reduces blood pressure in borderline hypertensive monozygotic twinsPhytother Res.(2008 Sep)
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  296. Lactobacillus Reuteri - Jones ML, Martoni CJ, Di Pietro E, Simon RR, Prakash SEvaluation of clinical safety and tolerance of a Lactobacillus reuteri NCIMB 30242 supplement capsule: a randomized control trialRegul Toxicol Pharmacol.(2012 Jul)
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  304. Ashwagandha - Sandhu JS, Shah B, Shenoy S, Chauhan S, Lavekar GS, Padhi MMEffects of Withania somnifera (Ashwagandha) and Terminalia arjuna (Arjuna) on physical performance and cardiorespiratory endurance in healthy young adultsInt J Ayurveda Res.(2010 Jul)
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  309. Coenzyme Q10 - Dai YL, Luk TH, Yiu KH, Wang M, Yip PM, Lee SW, Li SW, Tam S, Fong B, Lau CP, Siu CW, Tse HFReversal of mitochondrial dysfunction by coenzyme Q10 supplement improves endothelial function in patients with ischaemic left ventricular systolic dysfunction: a randomized controlled trialAtherosclerosis.(2011 Jun)
  310. Maca - Meissner HO, Mscisz A, Reich-Bilinska H, Mrozikiewicz P, Bobkiewicz-Kozlowska T, Kedzia B, Lowicka A, Barchia IHormone-Balancing Effect of Pre-Gelatinized Organic Maca (Lepidium peruvianum Chacon): (III) Clinical responses of early-postmenopausal women to Maca in double blind, randomized, Placebo-controlled, crossover configuration, outpatient studyInt J Biomed Sci.(2006 Dec)
  311. L-Tyrosine - Deijen JB, Wientjes CJ, Vullinghs HF, Cloin PA, Langefeld JJTyrosine improves cognitive performance and reduces blood pressure in cadets after one week of a combat training courseBrain Res Bull.(1999 Jan 15)
  312. L-Carnitine - Ruggenenti P, Cattaneo D, Loriga G, Ledda F, Motterlini N, Gherardi G, Orisio S, Remuzzi GAmeliorating hypertension and insulin resistance in subjects at increased cardiovascular risk: effects of acetyl-L-carnitine therapyHypertension.(2009 Sep)
  313. Anatabine - Jenkins ND, Housh TJ, Johnson GO, Traylor DA, Bergstrom HC, Cochrane KC, Lewis RW Jr, Schmidt RJ, Cramer JTThe effects of anatabine on non-invasive indicators of muscle damage: a randomized, double-blind, placebo-controlled, crossover studyJ Int Soc Sports Nutr.(2013 Jul 22)
  314. Inositol - Santamaria A, Giordano D, Corrado F, Pintaudi B, Interdonato ML, Vieste GD, Benedetto AD, D'Anna ROne-year effects of myo-inositol supplementation in postmenopausal women with metabolic syndromeClimacteric.(2012 Oct)
  315. Tribulus Terrestris - Murthy AR, Dubey SD, Tripathi KAnti-hypertensive effect of Gokshura (Tribulus terrestris Linn.) - A clinical studyAnc Sci Life.(2000 Jan)
  316. Bushman's hat - Blom WA, Abrahamse SL, Bradford R, Duchateau GS, Theis W, Orsi A, Ward CL, Mela DJEffects of 15-d repeated consumption of Hoodia gordonii purified extract on safety, ad libitum energy intake, and body weight in healthy, overweight women: a randomized controlled trialAm J Clin Nutr.(2011 Nov)
  317. L-Carnitine - Eun Shil Hong, Eun Ky Kim, Seon Mee Kang, Ah Reum Khang, Sung Hee Choi, Kyong Soo Park, Hak Chul Jang, Soo LimEffect of carnitine-orotate complex on glucose metabolism and fatty liver: a double-blind, placebo-controlled studyJ Gastroenterol Hepatol.(2014)
  318. Theanine - F L Dodd, D O Kennedy, L M Riby, C F Haskell-RamsayA double-blind, placebo-controlled study evaluating the effects of caffeine and L-theanine both alone and in combination on cerebral blood flow, cognition and moodPsychopharmacology (Berl).(2015 Jul)
  319. Citrulline - Benjamin Wax, Andreas N Kavazis, Kevin Weldon, Joseph SperlakEffects of supplemental citrulline malate ingestion during repeated bouts of lower-body exercise in advanced weightliftersJ Strength Cond Res.(2015 Mar)
  320. OMAD And 20:4 Intermittent Fasting - Stote KS, Baer DJ, Spears K, Paul DR, Harris GK, Rumpler WV, Strycula P, Najjar SS, Ferrucci L, Ingram DK, Longo DL, Mattson MPA controlled trial of reduced meal frequency without caloric restriction in healthy, normal-weight, middle-aged adultsAm J Clin Nutr.(2007 Apr)
  321. Vegan Diet - Neal D Barnard, Susan M Levin, Lise Gloede, Rosendo FloresTurning the Waiting Room into a Classroom: Weekly Classes Using a Vegan or a Portion-Controlled Eating Plan Improve Diabetes Control in a Randomized Translational StudyJ Acad Nutr Diet.(2018 Jun)
  322. Caffeine - Astrup A, Toubro S, Cannon S, Hein P, Breum L, Madsen JCaffeine: a double-blind, placebo-controlled study of its thermogenic, metabolic, and cardiovascular effects in healthy volunteersAm J Clin Nutr.(1990 May)
  323. Bacopa Monnieri - Calabrese C, Gregory WL, Leo M, Kraemer D, Bone K, Oken BEffects of a standardized Bacopa monnieri extract on cognitive performance, anxiety, and depression in the elderly: a randomized, double-blind, placebo-controlled trialJ Altern Complement Med.(2008 Jul)
  324. Olive Leaf Extract - de Bock M, Derraik JG, Brennan CM, Biggs JB, Morgan PE, Hodgkinson SC, Hofman PL, Cutfield WSOlive (Olea europaea L.) Leaf Polyphenols Improve Insulin Sensitivity in Middle-Aged Overweight Men: A Randomized, Placebo-Controlled, Crossover TrialPLoS One.(2013)
  325. Cocoa Extract - Davison K, Coates AM, Buckley JD, Howe PREffect of cocoa flavanols and exercise on cardiometabolic risk factors in overweight and obese subjectsInt J Obes (Lond).(2008 Aug)
  326. Rose Hip - Nagatomo A, Nishida N, Fukuhara I, Noro A, Kozai Y, Sato H, Matsuura YDaily intake of rosehip extract decreases abdominal visceral fat in preobese subjects: a randomized, double-blind, placebo-controlled clinical trialDiabetes Metab Syndr Obes.(2015 Mar 6)
  327. Cocoa Extract - Almoosawi S, Fyfe L, Ho C, Al-Dujaili EThe effect of polyphenol-rich dark chocolate on fasting capillary whole blood glucose, total cholesterol, blood pressure and glucocorticoids in healthy overweight and obese subjectsBr J Nutr.(2010 Mar)
  328. Fish Oil - Ramel A, Martinez JA, Kiely M, Bandarra NM, Thorsdottir IModerate consumption of fatty fish reduces diastolic blood pressure in overweight and obese European young adults during energy restrictionNutrition.(2010 Feb)
  329. Citrulline - Stephen J Bailey, Jamie R Blackwell, Terrence Lord, Anni Vanhatalo, Paul G Winyard, Andrew M Jonesl-Citrulline supplementation improves O2 uptake kinetics and high-intensity exercise performance in humansJ Appl Physiol (1985).(2015 Aug 15)
  330. Yohimbine - Sommer M, Braumann M, Althoff T, Backhaus J, Kordon A, Junghanns K, Ehrenthal D, Bartmann U, Hohagen F, Broocks APsychological and neuroendocrine responses to social stress and to the administration of the alpha-2-receptor antagonist, yohimbine, in highly trained endurance athletes in comparison to untrained healthy controlsPharmacopsychiatry.(2011 Jun)
  331. Berberine - Pérez-Rubio KG, González-Ortiz M, Martínez-Abundis E, Robles-Cervantes JA, Espinel-Bermúdez MCEffect of berberine administration on metabolic syndrome, insulin sensitivity, and insulin secretionMetab Syndr Relat Disord.(2013 Oct)
  332. Alpha-Lipoic Acid - Sharman JE, Gunaruwan P, Knez WL, Schmitt M, Marsh SA, Wilson GR, Cockcroft JR, Coombes JSAlpha-lipoic acid does not acutely affect resistance and conduit artery function or oxidative stress in healthy menBr J Clin Pharmacol.(2004 Sep)
  333. Stevia - Chan P, Tomlinson B, Chen YJ, Liu JC, Hsieh MH, Cheng JTA double-blind placebo-controlled study of the effectiveness and tolerability of oral stevioside in human hypertensionBr J Clin Pharmacol.(2000 Sep)
  334. Alpha-Lipoic Acid - Weiss C, Bierhaus A, Nawroth PP, Bärtsch PEffects of supplementation with alpha-lipoic acid on exercise-induced activation of coagulationMetabolism.(2005 Jun)
  335. Vegan Diet - Edelweiss Ramal, Andrea Champlin, Khaled BahjriImpact of a Plant-Based Diet and Support on Mitigating Type 2 Diabetes Mellitus in Latinos Living in Medically Underserved AreasAm J Health Promot.(2018 Mar)
  336. Spirulina - Mazokopakis EE, Starakis IK, Papadomanolaki MG, Mavroeidi NG, Ganotakis ESThe hypolipidemic effects of Spirulina (Arthrospira platensis) supplementation in a Cretan population: a prospective studyJ Sci Food Agric.(2013 Jun 10)
  337. Grape Juice - Neto MM, da Silva TF, de Lima FF, Siqueira TMQ, Toscano LT, de Moura SKMSF, Silva ASWhole Red Grape Juice Reduces Blood Pressure at Rest and Increases Post-exercise HypotensionJ Am Coll Nutr.(2017 Sep-Oct)
  338. Betaine - Schwab U, Törrönen A, Toppinen L, Alfthan G, Saarinen M, Aro A, Uusitupa MBetaine supplementation decreases plasma homocysteine concentrations but does not affect body weight, body composition, or resting energy expenditure in human subjectsAm J Clin Nutr.(2002 Nov)
  339. Royal Jelly - Morita H, Ikeda T, Kajita K, Fujioka K, Mori I, Okada H, Uno Y, Ishizuka TEffect of royal jelly ingestion for six months on healthy volunteersNutr J.(2012 Sep 21)
  340. Eucommia Bark - Greenway F, Liu Z, Yu Y, Gupta AA clinical trial testing the safety and efficacy of a standardized Eucommia ulmoides Oliver bark extract to treat hypertensionAltern Med Rev.(2011 Dec)
  341. Theanine - Jackson Williams, Andrew J McKune, Ekavi N Georgousopoulou, Jane Kellett, Nathan M D'Cunha, Domenico Sergi, Duane Mellor, Nenad NaumovskiThe Effect of L-Theanine Incorporated in a Functional Food Product (Mango Sorbet) on Physiological Responses in Healthy Males: A Pilot Randomised Controlled TrialFoods.(2020 Mar 23)
  342. Sodium Bicarbonate - Volianitis S, Rasmussen P, Seifert T, Nielsen HB, Secher NHPlasma pH does not influence the cerebral metabolic ratio during maximal whole body exerciseJ Physiol.(2011 Jan 15)
  343. Saffron - Fatemeh Ebrahimi, Naheed Aryaeian, Naseh Pahlavani, Davood Abbasi, Agha Fatemeh Hosseini, Soudabeh Fallah, Nariman Moradi, Iraj HeydariThe effect of saffron ( Crocus sativus L.) supplementation on blood pressure, and renal and liver function in patients with type 2 diabetes mellitus: A double-blinded, randomized clinical trialAvicenna J Phytomed.(Jul-Aug 2019)
  344. Cocoa Extract - Balzer J, Rassaf T, Heiss C, Kleinbongard P, Lauer T, Merx M, Heussen N, Gross HB, Keen CL, Schroeter H, Kelm MSustained benefits in vascular function through flavanol-containing cocoa in medicated diabetic patients a double-masked, randomized, controlled trialJ Am Coll Cardiol.(2008 Jun 3)
  345. L-Carnitine - Seyed Mostafa Nachvak, Maryam Shabanpur, Roghayeh Mostafai, Reza Heidari Moghaddam, Jalal MoludiL-Carnitine supplementation reduces biomarkers of inflammatory and oxidative stress in patients with coronary artery disease: a randomised controlled trialArch Physiol Biochem.(2020 Aug 20)
  346. L-Carnitine - Jun-jie Zhang, Zhi-bing Wu, You-jin Cai, Bin Ke, Ying-juan Huang, Chao-ping Qiu, Yu-bing Yang, Lan-ying Shi, Jian QinL-carnitine ameliorated fasting-induced fatigue, hunger, and metabolic abnormalities in patients with metabolic syndrome: a randomized controlled studyNutr J.(2014 Nov 26)
  347. Chlorella - Shiro Nakano, Hideo Takekoshi, Masuo NakanoChlorella pyrenoidosa supplementation reduces the risk of anemia, proteinuria and edema in pregnant womenPlant Foods Hum Nutr.(2010 Mar)
  348. Vitamin D - Witham MD, Nadir MA, Struthers ADEffect of vitamin D on blood pressure: a systematic review and meta-analysisJ Hypertens.(2009 Oct)
  349. Chromium - Ali A, Ma Y, Reynolds J, Wise JP Sr, Inzucchi SE, Katz DLChromium effects on glucose tolerance and insulin sensitivity in persons at risk for diabetes mellitusEndocr Pract.(2011 Jan-Feb)
  350. Cannabis - Mathew RJ, Wilson WH, Davis RPostural syncope after marijuana: a transcranial Doppler study of the hemodynamicsPharmacol Biochem Behav.(2003 May)
  351. Grape Seed Extract - Sivaprakasapillai B, Edirisinghe I, Randolph J, Steinberg F, Kappagoda TEffect of grape seed extract on blood pressure in subjects with the metabolic syndromeMetabolism.(2009 Dec)
  352. Coenzyme Q10 - Serag H, El Wakeel L, Adly ACoenzyme Q10 administration has no effect on sICAM-1 and metabolic parameters of pediatrics with type 1 diabetes mellitusInt J Vitam Nutr Res.(2020 Jan 16)
  353. Red Clover Extract - Howes JB, Tran D, Brillante D, Howes LGEffects of dietary supplementation with isoflavones from red clover on ambulatory blood pressure and endothelial function in postmenopausal type 2 diabetesDiabetes Obes Metab.(2003 Sep)
  354. Inositol - Costantino D, Minozzi G, Minozzi E, Guaraldi CMetabolic and hormonal effects of myo-inositol in women with polycystic ovary syndrome: a double-blind trialEur Rev Med Pharmacol Sci.(2009 Mar-Apr)
  355. Resveratrol - Timmers S, Konings E, Bilet L, Houtkooper RH, van de Weijer T, Goossens GH, Hoeks J, van der Krieken S, Ryu D, Kersten S, Moonen-Kornips E, Hesselink MK, Kunz I, Schrauwen-Hinderling VB, Blaak EE, Auwerx J, Schrauwen PCalorie restriction-like effects of 30 days of resveratrol supplementation on energy metabolism and metabolic profile in obese humansCell Metab.(2011 Nov 2)
  356. Vitamin C - Mahmoudabadi MM, Djalali M, Djazayery SA, Keshavarz SA, Eshraghian MR, Yaraghi AA, Askari G, Ghiasvand R, Zarei MEffects of eicosapentaenoic acid and vitamin C on glycemic indices, blood pressure, and serum lipids in type 2 diabetic Iranian malesJ Res Med Sci.(2011 Mar)
  357. Psyllium - Bell LP, Hectorn KJ, Reynolds H, Hunninghake DBCholesterol-lowering effects of soluble-fiber cereals as part of a prudent diet for patients with mild to moderate hypercholesterolemiaAm J Clin Nutr.(1990 Dec)
  358. L-Tyrosine - Joanne DiFrancisco-Donoghue, Ely Rabin, Eric M Lamberg, William G WernerEffects of Tyrosine on Parkinson's Disease: A Randomized, Double-Blind, Placebo-Controlled TrialMov Disord Clin Pract.(2014 Oct 23)
  359. L-Tyrosine - James A Lang, Kevin A SmallerOral l-tyrosine supplementation augments the vasoconstriction response to whole-body cooling in older adultsExp Physiol.(2017 Jul 1)
  360. Arginine - Willoughby DS, Boucher T, Reid J, Skelton G, Clark MEffects of 7 days of arginine-alpha-ketoglutarate supplementation on blood flow, plasma L-arginine, nitric oxide metabolites, and asymmetric dimethyl arginine after resistance exerciseInt J Sport Nutr Exerc Metab.(2011 Aug)
  361. Vitamin C - Klein F, Juhl B, Christiansen JSUnchanged renal haemodynamics following high dose ascorbic acid administration in normoalbuminuric IDDM patientsScand J Clin Lab Invest.(1995 Feb)
  362. Curcumin - Khajehdehi P, Pakfetrat M, Javidnia K, Azad F, Malekmakan L, Nasab MH, Dehghanzadeh GOral supplementation of turmeric attenuates proteinuria, transforming growth factor-β and interleukin-8 levels in patients with overt type 2 diabetic nephropathy: a randomized, double-blind and placebo-controlled studyScand J Urol Nephrol.(2011 Nov)
  363. Creatine - Armentano MJ, Brenner AK, Hedman TL, Solomon ZT, Chavez J, Kemper GB, Salzberg D, Battafarano DF, Christie DSThe effect and safety of short-term creatine supplementation on performance of push-upsMil Med.(2007 Mar)
  364. Magnesium - Guerrero-Romero F, Rodríguez-Morán MThe effect of lowering blood pressure by magnesium supplementation in diabetic hypertensive adults with low serum magnesium levels: a randomized, double-blind, placebo-controlled clinical trialJ Hum Hypertens.(2009 Apr)
  365. Creatine - Volek JS, Mazzetti SA, Farquhar WB, Barnes BR, Gómez AL, Kraemer WJPhysiological responses to short-term exercise in the heat after creatine loadingMed Sci Sports Exerc.(2001 Jul)
  366. Roselle - Gurrola-Díaz CM, García-López PM, Sánchez-Enríquez S, Troyo-Sanromán R, Andrade-González I, Gómez-Leyva JFEffects of Hibiscus sabdariffa extract powder and preventive treatment (diet) on the lipid profiles of patients with metabolic syndrome (MeSy)Phytomedicine.(2010 Jun)
  367. L-Tyrosine - Shurtleff D, Thomas JR, Schrot J, Kowalski K, Harford RTyrosine reverses a cold-induced working memory deficit in humansPharmacol Biochem Behav.(1994 Apr)
  368. Vegan Diet - Hope R Ferdowsian, Neal D Barnard, Valerie J Hoover, Heather I Katcher, Susan M Levin, Amber A Green, Joshua L CohenA multicomponent intervention reduces body weight and cardiovascular risk at a GEICO corporate siteAm J Health Promot.(Jul-Aug 2010)
  369. Garlic - Ashraf R, Khan RA, Ashraf I, Qureshi AAEffects of Allium sativum (Garlic) on systolic and diastolic blood pressure in patients with essential hypertensionPak J Pharm Sci.(2013 Sep)
  370. Vegan Diet - Michael Macknin, Tammie Kong, Adam Weier, Sarah Worley, Anne S Tang, Naim Alkhouri, Mladen GolubicPlant-based, no-added-fat or American Heart Association diets: impact on cardiovascular risk in obese children with hypercholesterolemia and their parentsJ Pediatr.(2015 Apr)
  371. Nitrate - Lansley KE, Winyard PG, Fulford J, Vanhatalo A, Bailey SJ, Blackwell JR, DiMenna FJ, Gilchrist M, Benjamin N, Jones AMDietary nitrate supplementation reduces the O2 cost of walking and running: a placebo-controlled studyJ Appl Physiol.(2011 Mar)
  372. Magnesium - Kawano Y, Matsuoka H, Takishita S, Omae TEffects of magnesium supplementation in hypertensive patients: assessment by office, home, and ambulatory blood pressuresHypertension.(1998 Aug)
  373. Chromium - Kleefstra N, Houweling ST, Jansman FG, Groenier KH, Gans RO, Meyboom-de Jong B, Bakker SJ, Bilo HJChromium treatment has no effect in patients with poorly controlled, insulin-treated type 2 diabetes in an obese Western population: a randomized, double-blind, placebo-controlled trialDiabetes Care.(2006 Mar)
  374. Roselle - Herrera-Arellano A, Flores-Romero S, Chávez-Soto MA, Tortoriello JEffectiveness and tolerability of a standardized extract from Hibiscus sabdariffa in patients with mild to moderate hypertension: a controlled and randomized clinical trialPhytomedicine.(2004 Jul)
  375. Curcumin - Jazayeri-Tehrani SA, Rezayat SM, Mansouri S, Qorbani M, Alavian SM, Daneshi-Maskooni M, Hosseinzadeh-Attar MJNano-curcumin improves glucose indices, lipids, inflammation, and Nesfatin in overweight and obese patients with non-alcoholic fatty liver disease (NAFLD): a double-blind randomized placebo-controlled clinical trialNutr Metab (Lond).(2019 Jan 28)
  376. Vanadium - N Cohen, M Halberstam, P Shlimovich, C J Chang, H Shamoon, L RossettiOral vanadyl sulfate improves hepatic and peripheral insulin sensitivity in patients with non-insulin-dependent diabetes mellitusJ Clin Invest.(1995 Jun)
  377. Pterostilbene - Riche DM, Riche KD, Blackshear CT, McEwen CL, Sherman JJ, Wofford MR, Griswold MEPterostilbene on metabolic parameters: a randomized, double-blind, and placebo-controlled trialEvid Based Complement Alternat Med.(2014)
  378. Panax Ginseng - Jovanovski E, Jenkins A, Dias AG, Peeva V, Sievenpiper J, Arnason JT, Rahelic D, Josse RG, Vuksan VEffects of Korean red ginseng (Panax ginseng C.A. Mayer) and its isolated ginsenosides and polysaccharides on arterial stiffness in healthy individualsAm J Hypertens.(2010 May)
  379. Shilajit - Sharma P, Jha J, Shrinivas V, Dwivedi LK, Suresh P, Sinha MShilajit: evalution of its effects on blood chemistry of normal human subjectsAnc Sci Life.(2003 Oct)
  380. Cocoa Extract - Grassi D, Lippi C, Necozione S, Desideri G, Ferri CShort-term administration of dark chocolate is followed by a significant increase in insulin sensitivity and a decrease in blood pressure in healthy personsAm J Clin Nutr.(2005 Mar)
  381. Bhringaraj - Vasavi Rangineni, D Sharada, Saileshnath SaxenaDiuretic, hypotensive, and hypocholesterolemic effects of Eclipta alba in mild hypertensive subjects: a pilot studyJ Med Food.(2007 Mar)
  382. Ketogenic Diet - Athinarayanan SJ, Adams RN, Hallberg SJ, McKenzie AL, Bhanpuri NH, Campbell WW, Volek JS, Phinney SD, McCarter JPLong-Term Effects of a Novel Continuous Remote Care Intervention Including Nutritional Ketosis for the Management of Type 2 Diabetes: A 2-Year Non-randomized Clinical TrialFront Endocrinol (Lausanne).(2019 Jun 5)
  383. Policosanol - Castaño G, Más R, Fernández JC, Fernández L, Illnait J, López EEffects of policosanol on older patients with hypertension and type II hypercholesterolaemiaDrugs R D.(2002)
  384. Lactobacillus Reuteri - Wolf BW, Wheeler KB, Ataya DG, Garleb KASafety and tolerance of Lactobacillus reuteri supplementation to a population infected with the human immunodeficiency virusFood Chem Toxicol.(1998 Dec)
  385. Nicotine - Axelsson T, Jansson PA, Smith U, Eliasson BNicotine infusion acutely impairs insulin sensitivity in type 2 diabetic patients but not in healthy subjectsJ Intern Med.(2001 Jun)
  386. Olive Leaf Extract - Susalit E, Agus N, Effendi I, Tjandrawinata RR, Nofiarny D, Perrinjaquet-Moccetti T, Verbruggen MOlive (Olea europaea) leaf extract effective in patients with stage-1 hypertension: comparison with CaptoprilPhytomedicine.(2011 Feb 15)
  387. Cannabis - A M Renaud, Y CormierAcute effects of marihuana smoking on maximal exercise performanceMed Sci Sports Exerc.(1986 Dec)
  388. Ketogenic Diet - Foster GD, Wyatt HR, Hill JO, McGuckin BG, Brill C, Mohammed BS, Szapary PO, Rader DJ, Edman JS, Klein SA randomized trial of a low-carbohydrate diet for obesityN Engl J Med.(2003 May 22)
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  391. Roselle - McKay DL, Chen CY, Saltzman E, Blumberg JBHibiscus sabdariffa L. tea (tisane) lowers blood pressure in prehypertensive and mildly hypertensive adultsJ Nutr.(2010 Feb)
  392. Alpha-Lipoic Acid - Ziegler D, Low PA, Litchy WJ, Boulton AJ, Vinik AI, Freeman R, Samigullin R, Tritschler H, Munzel U, Maus J, Schütte K, Dyck PJEfficacy and safety of antioxidant treatment with α-lipoic acid over 4 years in diabetic polyneuropathy: the NATHAN 1 trialDiabetes Care.(2011 Sep)
  393. Citrulline - Heidi A B Smith, Jeffrey A Canter, Karla G Christian, Davis C Drinkwater, Frank G Scholl, Brian W Christman, Geraldine D Rice, Frederick E Barr, Marshall L SummarNitric oxide precursors and congenital heart surgery: a randomized controlled trial of oral citrullineJ Thorac Cardiovasc Surg.(2006 Jul)
  394. Vegan Diet - S Mishra, J Xu, U Agarwal, J Gonzales, S Levin, N D BarnardA multicenter randomized controlled trial of a plant-based nutrition program to reduce body weight and cardiovascular risk in the corporate setting: the GEICO studyEur J Clin Nutr.(2013 Jul)
  395. Ginkgo Biloba - Gillian Keheyan, Lauren A Dunn, Wendy Louise HallAcute effects of Ginkgo biloba extract on vascular function and blood pressurePlant Foods Hum Nutr.(2011 Sep)
  396. Hesperidin - Morand C, Dubray C, Milenkovic D, Lioger D, Martin JF, Scalbert A, Mazur AHesperidin contributes to the vascular protective effects of orange juice: a randomized crossover study in healthy volunteersAm J Clin Nutr.(2011 Jan)
  397. Vegan Diet - Neal D Barnard, Jihad Alwarith, Emilie Rembert, Liz Brandon, Minh Nguyen, Andrea Goergen, Taylor Horne, Gabriel F do Nascimento, Kundanika Lakkadi, Andrea Tura, Richard Holubkov, Hana KahleovaA Mediterranean Diet and Low-Fat Vegan Diet to Improve Body Weight and Cardiometabolic Risk Factors: A Randomized, Cross-over TrialJ Am Coll Nutr.(2021 Feb 5)
  398. Pycnogenol - Saeed Hosseini, Jeongmin Lee, Ramon T. Sepulveda, Peter Rohdewald, Ronald R. WatsonA randomized, double-blind, placebo-controlled, prospective, 16 week crossover study to determine the role of Pycnogenol in modifying blood pressure in mildly hypertensive patientsNutrition Research.()
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  400. Maca - Gonzales-Arimborgo C, Yupanqui I, Montero E, Alarcón-Yaquetto DE, Zevallos-Concha A, Caballero L, Gasco M, Zhao J, Khan IA, Gonzales GFAcceptability, Safety, and Efficacy of Oral Administration of Extracts of Black or Red Maca (Lepidium meyenii) in Adult Human Subjects: A Randomized, Double-Blind, Placebo-Controlled StudyPharmaceuticals (Basel).(2016 Aug 18)
  401. Tart Cherry Juice - Desai T, Roberts M, Bottoms LEffects of short-term continuous Montmorency tart cherry juice supplementation in participants with metabolic syndrome.Eur J Nutr.(2021-Apr)
  402. Tart Cherry Juice - Keane KM, Bailey SJ, Vanhatalo A, Jones AM, Howatson GEffects of montmorency tart cherry (L. Prunus Cerasus) consumption on nitric oxide biomarkers and exercise performance.Scand J Med Sci Sports.(2018-Jul)
  403. Tart Cherry Juice - Rachel Kimble, Karen M Keane, John K Lodge, Glyn HowatsonThe Influence of Tart Cherry ( Prunus cerasus, cv Montmorency) Concentrate Supplementation for 3 Months on Cardiometabolic Risk Factors in Middle-Aged Adults: A Randomised, Placebo-Controlled TrialNutrients.(2021 Apr 23)
  404. Tart Cherry Juice - Keane KM, George TW, Constantinou CL, Brown MA, Clifford T, Howatson GEffects of Montmorency tart cherry (Prunus Cerasus L.) consumption on vascular function in men with early hypertension.Am J Clin Nutr.(2016-Jun)
  405. Tart Cherry Juice - Keane KM, Haskell-Ramsay CF, Veasey RC, Howatson GMontmorency Tart cherries (Prunus cerasus L.) modulate vascular function acutely, in the absence of improvement in cognitive performance.Br J Nutr.(2016-Dec)
  406. Tart Cherry Juice - Kimble R, Murray L, Keane KM, Haggerty K, Howatson G, Lodge JKThe influence of tart cherries () on vascular function and the urinary metabolome: a randomised placebo-controlled pilot study.J Nutr Sci.(2021)
  407. Tart Cherry Juice - Johnson SA, Navaei N, Pourafshar S, Jaime SJ, Akhavan NS, Alvarez-Alvarado S, Proaño GV, Litwin NS, Clark EA, Foley EM, George KS, Elam ML, Payton ME, Arjmandi BH, Figueroa AEffects of Montmorency Tart Cherry Juice Consumption on Cardiometabolic Biomarkers in Adults with Metabolic Syndrome: A Randomized Controlled Pilot Trial.J Med Food.(2020-Dec)
  408. Tart Cherry Juice - Desai T, Bottoms L, Roberts MThe effects of Montmorency tart cherry juice supplementation and FATMAX exercise on fat oxidation rates and cardio-metabolic markers in healthy humans.Eur J Appl Physiol.(2018-Dec)
  409. Tart Cherry Juice - Hillman AR, Trickett O, Brodsky C, Chrismas BMontmorency tart cherry supplementation does not impact sleep, body composition, cellular health, or blood pressure in healthy adults.Nutr Health.(2022-Jul-05)
  410. Tart Cherry Juice - Sinclair J, Bottoms L, Dillon S, Allan R, Shadwell G, Butters BEffects of Montmorency Tart Cherry and Blueberry Juice on Cardiometabolic and Other Health-Related Outcomes: A Three-Arm Placebo Randomized Controlled Trial.Int J Environ Res Public Health.(2022-Apr-27)
  411. Tart Cherry Juice - Keith R Martin, Katie M ColesConsumption of 100% Tart Cherry Juice Reduces Serum Urate in Overweight and Obese AdultsCurr Dev Nutr.(2019 Feb 25)
  412. Tart Cherry Juice - Chai SC, Davis K, Wright RS, Kuczmarski MF, Zhang ZImpact of tart cherry juice on systolic blood pressure and low-density lipoprotein cholesterol in older adults: a randomized controlled trial.Food Funct.(2018-Jun-20)
  413. Tart Cherry Juice - Lynn A, Mathew S, Moore CT, Russell J, Robinson E, Soumpasi V, Barker MEEffect of a tart cherry juice supplement on arterial stiffness and inflammation in healthy adults: a randomised controlled trial.Plant Foods Hum Nutr.(2014-Jun)
  414. Tart Cherry Juice - Eslami O, Khorramrouz F, Ghavami A, Hajebi Khaniki S, Shidfar FEffect of cherry consumption on blood pressure: a systematic review and meta-analysis of randomized controlled trials.Diabetes Metab Syndr.(2022-Feb)
  415. Tart Cherry Juice - Moosavian SP, Maharat M, Chambari M, Moradi F, Rahimlou MEffects of tart cherry juice consumption on cardio-metabolic risk factors: A systematic review and meta-analysis of randomized-controlled trials.Complement Ther Med.(2022-Dec)
  416. Magnesium - Verma H, Garg REffect of magnesium supplementation on type 2 diabetes associated cardiovascular risk factors: a systematic review and meta-analysisJ Hum Nutr Diet.(2017 Oct)
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