Your mouthwash may cancel it out.
Antibacterial mouthwash wipes out the oral bacteria that convert nitrate to nitrite — and the blood-pressure benefit with it.[Kapil et al., 2013 7]

Backed by 50+ peer-reviewed studies
Three benefits backed by clinical trials:
Lower blood pressure
up to −10 mmHg
within ~3 hours of one glass[Webb et al., 2008 4]
Boost endurance
3–5% less O₂
needed for the same exercise[Bailey et al., 2009 10; Jones, 2014 3]
Healthier blood vessels
4 weeks
of daily juice improved artery function[Kapil et al., 2015 2]
The evidence at a glance
Nitrate-rich juice reliably lowers the top (systolic) number by a few points.[Siervo et al., 2013 1]
Read the evidence →Moderate evidenceArteries widen a little more easily and get slightly less stiff.[Bahrami et al., 2021 14]
Read the evidence →Moderate evidenceMuscles use less oxygen for the same work — small but real gains, mostly for non-elite athletes.[Bailey et al., 2009 10]
Read the evidence →Early / mixedSome support for less soreness and better endurance when already tired.[Evangelista et al., 2024 18]
Read the evidence →Early / mixedMore blood reaches some brain areas, but memory-test results are inconsistent.[Presley et al., 2011 11]
Read the evidence →Early / mixedMay help people with COPD exercise a little longer and feel less strained.[Berry et al., 2015 35]
Read the evidence →Early / mixedOne encouraging trial; not yet confirmed.[Fateh et al., 2023 27]
Read the evidence →Not supported in humansBeetroot did not improve blood sugar control.[Karimzadeh et al., 2023 28]
Read the evidence →Not supported in humansOnly lab and animal research. No human trials.[Tan et al., 2021 31; Martinez et al., 2024 30]
Read the evidence →Quick answers
Things most people don't know
Antibacterial mouthwash wipes out the oral bacteria that convert nitrate to nitrite — and the blood-pressure benefit with it.[Kapil et al., 2013 7]
Hypertensive patients drinking juice daily kept their lower blood pressure for four weeks, with no sign of tolerance.[Kapil et al., 2015 2]
Lab testing found nitrate content varies widely across commercial juices, powders and shots.[Gallardo et al., 2019 9]
Last updated October 9, 2026 • Reviewed by Dr. A. Reviewer, M.Sc. Nutrition • Based on peer-reviewed sources
Study highlights
Webb AJ, Patel N, Loukogeorgakis S, et al. · Hypertension 2008 · PubMed
−10.4 mmHg systolic
A single 500 ml dose reduced systolic BP within 2.5 h, peaking ~3 h post-ingestion. The effect was abolished when subjects avoided swallowing saliva, implicating oral bacterial nitrate reduction.[Webb et al., 2008 4]
Bailey SJ, Winyard P, Vanhatalo A, et al. · J Appl Physiol 2009 · PubMed
+16% time to exhaustion
Six days of beetroot juice reduced steady-state O₂ uptake during moderate cycling by ~19% and extended high-intensity exercise tolerance versus a blackcurrant placebo.[Bailey et al., 2009 10]
Kapil V, Khambata RS, Robertson A, et al. · Hypertension 2015 · PubMed
−7.7 mmHg systolic (24 h ABPM)
Daily juice produced sustained BP reductions in drug-treated and untreated hypertensives, with a 20% improvement in flow-mediated dilation and reduced arterial stiffness. No tolerance developed.[Kapil et al., 2015 2]
Presley TD, Morgan AR, Bechtold E, et al. · Nitric Oxide 2011 · PubMed
↑ frontal white-matter perfusion
A high-nitrate diet increased regional cerebral perfusion (MRI arterial spin labeling) in frontal lobe white matter — areas associated with executive function.[Presley et al., 2011 11]
Siervo M, Lara J, Ogbonmwan I, Mathers JC · J Nutr 2013 · PubMed
−4.4 mmHg systolic
Pooled trials showed a consistent drop in systolic pressure; diastolic changes were smaller and not significant.[Siervo et al., 2013 1]
Kapil V, Haydar SMA, Pearl V, et al. · Free Radic Biol Med 2013 · PubMed
+2 to +3.5 mmHg systolic
Killing mouth bacteria with antiseptic mouthwash lowered blood nitrite and raised blood pressure, showing oral bacteria are part of how dietary nitrate works.[Kapil et al., 2013 7]
Wylie LJ, Kelly J, Bailey SJ, et al. · J Appl Physiol 2013 · PubMed
BP drop peaked ~2–4 h; 140 ml ≈ 280 ml for performance
Blood pressure fell in a dose-dependent way, but doubling from 140 to 280 ml gave no extra exercise benefit.[Wylie et al., 2013 5]
Bondonno CP, Liu AH, Croft KD, et al. · Am J Clin Nutr 2015 · PubMed
No significant BP change
In people already well treated with blood-pressure medication, a week of beet juice did not lower pressure further — a useful counterpoint to positive trials.[Bondonno et al., 2015 16]
Benjamim CJR, Porto AA, Valenti VE, et al. · Front Nutr 2022 · PubMed
−4.95 mmHg systolic
Pooled data from 7 trials (218 patients) in people with high blood pressure found beet juice lowered systolic pressure by about 5 mmHg, with no significant change in diastolic pressure.[Benjamim et al., 2022 13]
Grönroos R, Eggertsen R, Bernhardsson S, Praetorius Björk M. · Nutr Metab Cardiovasc Dis 2024 · PubMed
−5.31 mmHg systolic
Pooled data from 11 trials (349 patients) found daily beet juice lowered clinical systolic blood pressure by about 5.3 mmHg, with no sign of tolerance developing; diastolic and 24-h BP were not significantly affected.[Grönroos et al., 2024 12]
Berry MJ, Justus NW, Hauser JI, et al. · Nitric Oxide 2015 · PubMed
Longer exercise time; resting systolic BP −8.2 mmHg
In people with COPD, a single dose of beet juice modestly extended submaximal exercise time and lowered resting systolic blood pressure by 8.2 mmHg versus placebo.[Berry et al., 2015 35]
Domínguez R, Garnacho-Castaño MV, Cuenca E, et al. · Nutrients 2017 · PubMed
+6% peak power in 30-s sprint
A single 70 ml dose of beet juice before a 30-second all-out cycling test increased peak power by 6% and average power in the first 15 s by 6.7%, versus placebo.[Domínguez et al., 2017 36]
Clifford T, Bell O, West DJ, Howatson G, Stevenson EJ · Eur J Appl Physiol 2016 · PubMed
Less soreness; faster jump recovery
After 100 drop jumps, beet juice reduced muscle soreness and helped jump performance recover faster than placebo.[Clifford et al., 2016 21]
Evangelista JF, Meirelles CM, Aguiar GS, Alves R, Matsuura C. · J Am Nutr Assoc 2024 · PubMed
Endurance SMD 0.31; strength SMD 0.26
Beet-based supplements slightly improved muscular endurance (16 studies) and overall strength (18 studies), with the strength benefit driven mainly by better performance in a fatigued state.[Evangelista et al., 2024 18]
Fateh HL, et al. · Front Nutr 2023 · PubMed
Improved liver markers (diet + juice)
Combining beet juice with a Mediterranean diet improved some liver markers, but the design cannot separate the juice's effect from the diet's.[Fateh et al., 2023 27]
Karimzadeh L, Sohrab G, Hedayati M, et al. · Ir J Med Sci 2023 · PubMed
No significant change in glucose, BP or lipids vs. control
Twelve weeks of 24 ml/day concentrated beet juice did not improve glycemic measures, blood pressure or lipid profile versus control in type 2 diabetes, after adjusting for baseline values.[Karimzadeh et al., 2023 28]
Interactive tool
Inputs
Recommended inorganic nitrate
280–420mg NO₃⁻[Wylie et al., 2013 5; Jones, 2014 3; Kapil et al., 2015 2]
Take once daily, ideally at a consistent time. Effects on BP persist with continued intake.[Kapil et al., 2015 2]
Cold-pressed beet juice[Hord et al., 2009 8; Gallardo et al., 2019 9]
≈ 304 ml
10.3 fl oz
Whole cooked beets[Hord et al., 2009 8; Gallardo et al., 2019 9]
≈ 3 medium beets
233 g
Standard beet powder[Hord et al., 2009 8; Gallardo et al., 2019 9]
label nitrate content varies widely
2.3 scoops
Estimates use average nitrate concentrations; actual content varies widely between products and batches.[Gallardo et al., 2019 9; Hord et al., 2009 8] Avoid antibacterial mouthwash, which suppresses nitrate-to-nitrite conversion.[Kapil et al., 2013 7]
Claims marked [*] are awaiting a verified source.