Beetroot (Nitrate)

CardiovascularEnduranceBlood pressure

Naturally rich in dietary nitrate, which the body converts to nitric oxide — boosting endurance and lowering blood pressure within hours.

EvidenceStrong

Strong for endurance performance (especially in untrained / moderately trained), BP reduction (~5 mmHg systolic), cognitive function in older adults. Effects: hours acute, sustained over weeks.

Beetroot is the richest common food source of dietary nitrate (~250 mg per 250 mL of juice). Oral bacteria reduce nitrate to nitrite; the stomach converts it further to nitric oxide, the signalling molecule that relaxes blood vessels and improves oxygen efficiency in working muscle. Multiple RCTs show meaningful endurance improvements (~2–3% time-trial gains) and 4–10 mmHg systolic BP reduction. Effects start within 2–3 hours. Don't use antibacterial mouthwash — it kills the bacteria that activate the nitrate.

Form
Beetroot juice concentrate (Beet It, James White) or standardised beetroot powder. Look for nitrate content per serving (target ~400 mg / 6.4 mmol nitrate).
Dose
300–600 mg dietary nitrate per dose. Beet It 'shot' = 70 mL with ~400 mg nitrate.
Timing
2–3 hours before exercise for performance. Anytime for BP support.
Schedule
Daily for BP. Pre-event for endurance.
Side effects
Beeturia (red urine — harmless). Beetstool (also harmless, often startling). GI upset at high doses.
Interactions
Antihypertensives, nitrate medications (nitroglycerin, isosorbide) — additive BP lowering. PDE5 inhibitors (Viagra, Cialis) — additive vasodilation, potential dangerous hypotension. Antibacterial mouthwash — blocks oral nitrate-to-nitrite conversion.
Contraindications
Hypotension. On nitrate medications. Active oxalate kidney stones (beets are high in oxalates).
Lab markers
Blood pressure. Plasma nitrate/nitrite in research.
Food sources
Beets, beet greens, leafy greens (arugula, spinach), celery — all high in dietary nitrate. Cooked beets retain most nitrate.

Pairs with

L-citrulline / arginine (additive NO support). Magnesium, hawthorn, garlic (cardiovascular).