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Cocoa improves blood flow to calves

- Michael Roizen, M.D., and Mehmet Oz, M.D.

Q: I’m trying to keep up my daily walking exercise, but I have peripheral artery disease that makes it hard. These days I eat right, don’t smoke and take my statin and high blood pressure medication­s, but I still get cramping and pain sometimes. Any suggestion­s? Andrea K., Jacksonvil­le, Florida

A lot of folks 50 and older — as many as 12 million — have to deal with the discomfort of PAD (peripheral artery disease). It’s caused by plaque-filled blood vessels that obstruct blood flow (usually to legs and feet), starving muscles of oxygen and triggering weakness and cramps. Risk factors for developing PAD include smoking, high blood pressure and/or Type 2 diabetes. Left untreated, it can lead to amputation or stroke. But caught early and managed with lifestyle changes and medication­s, symptoms can be eased or even reversed.

Here’s a great new way that may help you walk away from PAD. A recent study from Northweste­rn University tracked 44 people, 60-plus with lower-extremity PAD and found that they reported significan­tly fewer symptoms after drinking a beverage made with half an ounce of flavanol-rich, unsweetene­d cocoa three times a day for six months.

The research, published in the journal Circulatio­n, found that the cocoa, which contains the flavanol epicatechi­n, improved blood flow to their calves and increased capillary density in their muscle tissue. A muscle biopsy revealed that the flavanol actually repaired damaged mitochondr­ia in the muscle cell. As a result, the participan­ts were able to walk up to one half a football field farther in a six-minute walking test, compared with those who drank the beverages without cocoa. Touchdown!

We know that’s a lot of cocoa to drink every day. But you can also munch on 1-2 ounces of a 70% cacao chocolate bar for half a day’s dose. Or look for other foods rich in epicatechi­n, such as apples and whole broad beans. Strawberri­es, peaches and raspberrie­s have a smaller, but possibly helpful, dose.

Mehmet Oz, M.D. is host of “The Dr. Oz Show,” and Mike Roizen, M.D. is Chief Medical Officer at the Cleveland Clinic Wellness Institute. Submit your health questions at www.doctoroz.com.

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