Nathan Bryan: Nitric oxide, blood flow, and what actually raises it

Why boosting nitric oxide may be more about daily habits than supplements

71 min · 2 min readExpert: Nathan Bryan|Watch episode|

Synthesised: Jul 24, 2026·Last reviewed: Jul 24, 2026

Editorial profile:Long-form interviews with experts across healthWellnessPersonal development
Contested / minority view — this is not established medical practice, and standard care remains the foundation. Nothing here is a proven treatment.
Current scientific status:Established vasodilation science with contested disease-prevention claims and a commercial interest.

What this episode covers

  • Nitric oxide is a gas your body makes to relax blood vessels and control blood flow.
  • Low levels are linked to high blood pressure, poor circulation, and low energy.
  • Diet, exercise, and nasal breathing may support it, while antiseptic mouthwash and some habits may lower it.

Confidence in this episode

Everything about how much to believe this episode, in one place.

Overall confidence:Mixed

The core biology of nitric oxide is well established, but the bigger disease-cure claims rest on mechanisms and small studies rather than large human trials.

Evidence at a glance
Mechanistic evidenceStrong
Animal evidenceModerate
Human clinical evidenceModerate
Clinical certaintyLimited
✓ Consistent with established evidence
  • Nitric oxide relaxes blood vessels and helps control blood flow.
  • Dietary nitrate from vegetables can raise nitric oxide and may lower blood pressure.
  • Antiseptic mouthwash can reduce nitric oxide made by mouth bacteria.
Less certain
  • That nitric oxide deficiency is the root cause of diabetes or Alzheimer's.
  • That nitric oxide products prevent or cure chronic disease.
  • That long-term acid-reflux drugs cause heart attacks and dementia.

Why it matters

Many people reach for arginine or beet supplements to boost nitric oxide. This episode argues those often do little, especially for people who are already unwell. Nitric oxide touches blood pressure, circulation, energy, blood sugar, and sexual function. Supporting it through diet and daily habits may contribute to healthier blood flow. For some people, that may mean better blood pressure, exercise tolerance, or energy.

What stands out

  • In one product analysis cited by the speaker, about 95% of tested beet supplements contained little measurable nitrate (product testing).
  • A clinical trial in people recovering from a heart attack was stopped early because the high-dose arginine group had worse outcomes (double-blind RCT).
  • Antiseptic mouthwash kills the mouth bacteria that turn dietary nitrate into nitric oxide, which may raise blood pressure (human studies).
This is one of multiple expert perspectives. The full topic combines them into clear guidance.Explore full topic →

Best-supported action

The single highest-leverage move from this episode, anchored in the strongest evidence the speaker presents.

Where to start

Small low-friction starters covering the main moves from this episode.

  • Breathe through your nose rather than your mouth when you can.
  • Go easy on sugary and highly processed foods.

Other supported actions

Further actions discussed in this episode, ordered from strongest to weakest evidence. This is one expert's view, the full topic compares and ranks across experts.

  • Eat a nitrate-rich vegetable such as spinach, arugula, or beetroot at one meal every day.Moderate evidence
  • If you use antiseptic mouthwash daily, ask your dentist whether limiting it to short courses would still meet your dental needs.Moderate evidence
  • Do 4 to 5 minutes of high-intensity intervals most days, such as brisk stair or hill efforts.Moderate evidence

Full context, impact ratings, and timing — available in related topics

Most relevant for:high blood pressurepoor circulationlow energyexercise performancemetabolic health

Questions to take to your doctor

Questions worth asking based on this episode
  • Given my blood pressure, would eating more nitrate-rich greens be a sensible addition to what I already do?
  • Given I take a daily acid-reflux medication, is it worth reviewing whether I still need it, rather than stopping on my own?
  • Given my heart history, are arginine or nitric oxide supplements safe for me, or better avoided?

Full doctor prep with ranked questions available in the full topic page

This is one expert perspective. The full topic ranks actions across multiple experts.Explore full topic →

Context

How this expert sees it

Articulates mainstream nitric oxide biochemistry (oral microbiome conversion, age-related decline, dietary nitrate pathway); also commercially associated with NO supplement products, so anti-mouthwash and anti-fluoride framing should be read with that context.

What we don't know yet

This episode does not prove that nitric oxide is the single root cause of heart disease, diabetes, or Alzheimer's. The strongest claims rest on mechanisms and small studies, not large trials showing these outcomes change. The speaker develops and sells nitric oxide products, which is worth knowing when weighing his recommendations. This does not mean you should stop or change any prescribed medication, including acid-reflux drugs, on your own. The everyday nitric oxide science holds up; the specific disease-cure claims do not.

Where people go wrong

  • Buying arginine or beet supplements expecting a reliable blood-flow boost.Many products contain little usable nitrate, and high-dose arginine may harm people with heart disease.
  • Stopping a prescribed acid-reflux medication on your own after hearing it may lower nitric oxide.Sudden stops can cause rebound symptoms; any change should go through your doctor.

What to expect over time

  • First daysNitrate-rich meals and nasal breathing may modestly support blood flow; some people notice better exercise tolerance.
  • First few weeksWith regular greens and exercise, blood pressure may edge down for some people.
  • Longer termDurable benefits depend on steady habits; supplements alone rarely substitute for them.
This is one expert's perspective. The full topic shows where experts agree and disagree.Explore full topic →