What is nitric oxide, and how can you support it naturally?

Why a gas your body makes matters for blood pressure, circulation, and healthy aging.

60 min · 2 min readExpert: Dr. Louis Ignarro|Watch episode|

Original episode: Apr 7, 2021·Synthesised: Jul 29, 2026·Last reviewed: Jul 29, 2026

Editorial profile:Nitric oxideCardiovascular health

What this episode covers

  • Nitric oxide is a gas the body makes that tells blood vessels to relax and widen.
  • This episode, featuring the scientist who discovered its role, explains why that matters for blood pressure and circulation.
  • It suggests vegetables, exercise, and nasal breathing may support natural production.
  • A separate claim about inhaled nitric oxide for COVID is far less settled.

Confidence in this episode

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

Overall confidence:Moderate

The core biology is strongly established. Less certain is how much diet and lifestyle shift nitric oxide enough to change real health outcomes.

Evidence at a glance
Mechanistic evidenceStrong
Animal evidenceModerate
Human clinical evidenceModerate
Clinical certaintyModerate
✓ Consistent with established evidence
  • Nitric oxide relaxes blood vessels and supports healthy blood pressure.
  • Nitrate-rich vegetables and exercise can raise nitric oxide activity.
Less certain
  • How much everyday habits change long-term health outcomes through nitric oxide.
  • Whether arginine or other supplements reliably help.
  • The role of inhaled nitric oxide outside hospital settings.

Why it matters

Blood vessels need to relax and widen to keep blood pressure healthy. Nitric oxide is a main signal that does this, and the body makes less with age and inactivity. Because nitric oxide affects blood vessels throughout the body, it may influence blood pressure, circulation, exercise, and more. The core biology here is well established, unlike some of the add-on claims.

What stands out

  • Strong antibacterial mouthwash can lower nitric oxide by removing helpful mouth bacteria.
  • The body makes less nitric oxide with age and inactivity, not just from diet.
  • A Nobel-level discovery about the molecule does not prove every supplement built around it.
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.

  • Eat more leafy greens and beetroot, which are natural sources of nitrates.
  • Move regularly, since exercise supports nitric oxide production.
  • Try nasal rather than mouth breathing during easy activity.

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.

  • Consider eating nitrate-rich vegetables daily, like leafy greens and beets.Moderate evidence
  • Consider regular aerobic exercise, which supports nitric oxide naturally.Moderate evidence
  • Consider discussing any nitric-oxide supplement with your doctor before use, especially on heart medicines.Limited evidence

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

Most relevant for:blood pressure concernsheart and circulation healthhealthy agingcurious about supplements

Questions to take to your doctor

Questions worth asking based on this episode
  • Given my blood pressure, could diet and exercise changes that support nitric oxide help me?
  • Given the supplement claims, is arginine or a nitrate supplement worthwhile or safe with my medicines?
  • Given my heart history, which lifestyle steps would you prioritize first?

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

Nobel-laureate pharmacologist who discovered nitric oxide's role in the cardiovascular system. Authoritative on the core biology; some applied and supplement claims run ahead of the clinical evidence.

What we don't know yet

This does not prove that boosting nitric oxide through diet prevents disease. The core biology is solid; the outcome claims are less certain.

Supplement claims, like arginine, have mixed evidence and vary by person.

Inhaled nitric oxide for COVID is a hospital-studied, experimental use, not a general treatment.

On commercial interest: nitric-oxide supplements are widely sold. That does not invalidate the science, but weigh product claims carefully.

This is general information, not medical advice. This does not mean you should change or stop any current treatment on your own.

Where people go wrong

  • Relying on supplements while ignoring diet, exercise, and sleep.Misses the changes with the strongest support and wastes money.
  • Treating the COVID inhaled-nitric-oxide claim as a proven home remedy.It is experimental and hospital-based; self-treatment is unsafe.

What to expect over time

  • BasicsVegetables, movement, and nasal breathing become routine.
  • AssessBlood pressure and how you feel are tracked over weeks.
  • RefineAny supplements are discussed with a doctor before adding.
This is one expert's perspective. The full topic shows where experts agree and disagree.Explore full topic →