Evidence-based·Last reviewed May 30, 2026·How we grade evidence

Beet

BotanicalPropham

Useful mainly for endurance athletes and people seeking modest blood-pressure support.

Quick decision guide

May help most

Endurance athletes and people seeking modest blood-pressure support

Common dosing range

~300–600 mg nitrate (about 500 mL juice or 1 concentrated 'shot') 2–3 h before exercise

When to expect effects

Acute (2–3 h pre-exercise); BP effects within hours, sustained with daily use

Watch out for

Harmless red/pink urine and stool (beeturia); GI upset in some

What is it

Beetroot (Beta vulgaris) is a root vegetable taken as a supplement (juice, powder, or capsules) mainly for its high dietary-nitrate content, which the body converts to nitric oxide. It also supplies betalain pigments with antioxidant activity. It is most popular as a pre-exercise ergogenic aid and for blood-pressure support.

Is it worth it for you?

Use this as a quick fit check, not a diagnosis.

Worth considering if

You want a low-risk pre-workout ergogenic aid for endurance
You're looking for modest, food-based blood-pressure support
You prefer a whole-food nitrate source over isolated nitrate salts

Probably skip if

You expect large strength/power gains (effect is mainly endurance)
You take nitrate medications (nitrates/PDE5 inhibitors) — additive effects
You have a history of calcium-oxalate kidney stones (beets are high in oxalate)

Evidence at a glance

endurance exercise performance

Good Evidence
Effect
Small but reliable in recreational athletes
Best fit
Recreational / sub-elite endurance athletes
Time
2–3 h (acute)

blood pressure reduction

Good Evidence
Effect
~3–5 mmHg systolic
Best fit
Adults with elevated blood pressure
Time
Hours; sustained with daily use

Evidence for 2 uses

AI-assisted evidence assessment — talk to your doctor before relying on any single supplement.

endurance exercise performance

Supplement benefit
Good Evidence

Beetroot juice raises plasma nitrate/nitrite and improves time-to-exhaustion and time-trial performance in many trials, though the effect is smaller and less consistent in highly-trained athletes. It is one of the better-supported food-based ergogenic aids.

Effect size
Small but reliable in recreational athletes
Time to effect
2–3 h (acute)
Best fit
Recreational / sub-elite endurance athletes
Less likely
Elite endurance athletes (effect attenuates)

Bottom line: A genuine but modest endurance aid, most useful for recreational athletes.

blood pressure reduction

Biomarker support
Good Evidence

Inorganic nitrate from beetroot is converted to nitric oxide and produces small but consistent reductions in systolic blood pressure in meta-analyses of randomized trials. This is a blood-pressure (biomarker) effect, not demonstrated cardiovascular-event reduction.

Effect size
~3–5 mmHg systolic
Time to effect
Hours; sustained with daily use
Best fit
Adults with elevated blood pressure

Bottom line: A small, real BP-lowering effect — supportive, not a substitute for antihypertensive therapy.

How it works

Beetroot's most studied bioactive components are dietary nitrates (NO3-). After ingestion, oral bacteria reduce nitrate to nitrite, which is then converted to nitric oxide (NO) in the body. Nitric oxide is a signaling molecule that promotes vasodilation, lowering blood pressure and improving blood flow to tissues, including exercising muscles. The nitrate-nitrite-NO pathway is separate from the L-arginine-NO synthase pathway and provides an alternative source of bioactive nitric oxide. Research suggests this pathway is particularly important under low-oxygen conditions, such as during intense exercise, ischemia, or at high altitude. Betalains (betacyanin and betaxanthin) provide antioxidant activity and contribute to anti-inflammatory effects observed in some animal and cell studies. The fiber content of whole beet supports gut health, and folate is important for cell division and homocysteine metabolism.

How to take it

1. Typical dose
~300–600 mg (5–8 mmol) nitrate daily, or pre-exercise
2. Timing
2–3 hours before exercise for the ergogenic effect
3. With food
With or without food
4. How long to try
Acute use works; several days of loading may enhance the effect

What to track

Time-trial / endurance performance
Resting blood pressure
GI tolerance

4 commercial forms

Compare the main delivery options and what they’re best suited for.

Concentrated beetroot juice shot

Small (70 mL) shots providing 6 to 8 mmol of nitrate. The form used in most performance and blood pressure trials.

Standardized nitrate content; most studied form.

Beetroot powder

Dried beetroot, often added to smoothies or pre-workout drinks. Quality and nitrate content vary by manufacturer and processing.

Variable nitrate content; check standardization.

Whole beetroot (fresh or cooked)

Roasted, boiled, or raw beets in salads. Provides nutrients plus fiber but bulkier than juice.

Full nutrient matrix including fiber, betalains, folate.

Beetroot gummies or chews

Easier to consume but may require multiple servings to match effective trial doses.

Convenient but typically lower nitrate per serving.

Safety

Know the common side effects, key cautions, and who should avoid it.

Common side effects

Beeturia (harmless red/pink urine and stool)Mild GI upset

Who should avoid it

  • People with a history of calcium-oxalate kidney stones (beets are high in oxalate)

Pregnancy & breastfeeding

Beetroot as a food is considered safe in pregnancy; concentrated supplement doses are not well studied.

Interactions

nitrate medications / PDE5 inhibitors (e.g. sildenafil)Moderate

Additive blood-pressure-lowering and vasodilation — can cause hypotension.

blood-pressure medicationsMinor

May add to BP-lowering; monitor if combined.

Food sources

Cooked beetroot

Amount
1 cup
%DV

Beetroot juice

Amount
1 cup (240 mL)
%DV

Beet greens (cooked)

Amount
1 cup
%DV

Pickled beets

Amount
1/2 cup
%DV

Raw beet

Amount
1 medium
%DV

Beetroot powder

Amount
1 tbsp
%DV

Choosing a product

What to look for on the label — and what to be skeptical of.

Look for

States nitrate content (mg or mmol) per serving
Concentrated 'shot' or standardized powder for a reliable dose
Third-party tested

Be skeptical of

'Detox' or 'blood builder' cure-all claims
Strength/muscle-building promises (effect is endurance, not power)

Frequently asked questions

Why does my urine turn red after eating beets?

This is called beeturia and affects an estimated 10 to 14 percent of people. It is caused by betalain pigments passing through the digestive system and is harmless.

When should I drink beetroot juice before exercise?

Most studies dose beetroot juice 2 to 3 hours before activity, when blood nitrite levels peak. Some studies use chronic daily dosing for several days before testing.

Does cooking beets destroy the nitrates?

Cooking reduces nitrate content somewhat but not dramatically. Boiling can leach nitrates into the cooking water; roasting preserves more. Juicing concentrates the nitrate per serving.

Can I use beetroot for blood pressure if I am on medication?

Beetroot can add to blood pressure reduction from medications, which may be beneficial but can also cause hypotension. Consult your clinician and monitor blood pressure when adding beetroot regularly.

Does mouthwash interfere with beetroot's effects?

Yes. Strong antibacterial mouthwashes kill the oral bacteria that convert nitrate to nitrite, which is the first step in nitric oxide production. Avoid antibacterial mouthwash close to beetroot intake.

References by claim

endurance exercise performance

Domínguez et al., 2017PMC (2017) link

blood pressure reduction

Grönroos et al., 2024PubMed (2024) link

Siervo et al., 2013PubMed (2013) link

Track Beet with Pilora

Set up dose reminders, check interactions, and join the community in the Pilora iPhone app.

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Evidence-based·Last reviewed May 30, 2026·Evidence current as of May 30, 2026·How we grade evidence

Disclaimer: These statements have not been evaluated by the FDA. This page is educational, not a substitute for personalized medical advice. Evidence grades are AI-assisted assessments — talk to your doctor before starting any new supplement, especially if you’re pregnant, breastfeeding, on medications, or managing a chronic condition.