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Supplements/Compound

(-)-Epicatechin

aka Cocoa epicatechin

Cocoa flavanol that suppresses myostatin and improves NO.

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Overview

Cocoa flavanol that suppresses myostatin and improves NO.

Natural sources
  • Endogenously produced or biosynthesized molecule
  • Standardized pharmaceutical- or food-grade supplement
  • Combined with cofactors that improve absorption or activity
Common forms
  • Capsule or softgel
  • Powder
  • Sublingual or buccal
  • Liposomal liquid

Mechanism of action

Inhibits myostatin/SMAD signaling; activates eNOS.

Pathways
  • · Inhibits myostatin/SMAD signaling
  • · activates eNOS

Effects on the body

Increases
follistatin:myostatin ratio in humans

Organ system effects

Skeletal Muscle

(-)-Epicatechin influences muscle protein synthesis, neuromuscular output, or recovery from exercise.

Evidence-based benefits

Increases follistatin:myostatin ratio in humans

Limited evidence

Potential side effects

Common
  • · Headache
Rare
    Serious

      Drug interactions

      Prescription medications (general)
      Always disclose (-)-Epicatechin use to your prescriber — additive, antagonistic, or pharmacokinetic interactions are possible.
      minor

      Supplement interactions

      Pairs well with
      • Creatine monohydrate
        Foundational support for strength, power, and lean mass.
      • Whey or EAAs
        Provides amino acid substrate for muscle protein synthesis.
      Avoid combining with

      No specific avoidances listed.

      Dosing & bioavailability

      Typical dose
      100–200 mg
      Best form
      Most evidence is based on the capsule or softgel form.
      Timing
      Consistent daily timing recommended; split larger doses if GI tolerance is a concern.
      With food?
      Either

      Where to buy

      Affiliate links — we may earn a commission at no extra cost to you. Amazon code supplementsch-20 is auto-applied at checkout. We don't endorse specific brands; verify third-party testing (USP, NSF, Informed Sport) before purchase.

      Scientific evidence8Show studies
      CohortJ Nutr Biochem · 2014

      (-)-Epicatechin on muscle in elderly

      Gutierrez-Salmean G, et al.

      1-week pilot in 6 elderly subjects.

      Key findings

      Increased grip strength and improved myostatin/follistatin ratio.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: (-)-Epicatechin — Increases follistatin:myostatin ratio in humans

      Live PubMed search

      Live results for "(-)-Epicatechin Increases follistatin:myostatin ratio in humans" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching (-)-Epicatechin and "Increases follistatin:myostatin ratio in humans". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: (-)-Epicatechin — randomized controlled trial

      Live PubMed search

      Live results for "(-)-Epicatechin randomized controlled trial" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching (-)-Epicatechin and "randomized controlled trial". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: (-)-Epicatechin — meta-analysis

      Live PubMed search

      Live results for "(-)-Epicatechin meta-analysis" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching (-)-Epicatechin and "meta-analysis". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: (-)-Epicatechin — pharmacokinetics

      Live PubMed search

      Live results for "(-)-Epicatechin pharmacokinetics" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching (-)-Epicatechin and "pharmacokinetics". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: (-)-Epicatechin — safety adverse events

      Live PubMed search

      Live results for "(-)-Epicatechin safety adverse events" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching (-)-Epicatechin and "safety adverse events". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: (-)-Epicatechin — dose response

      Live PubMed search

      Live results for "(-)-Epicatechin dose response" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching (-)-Epicatechin and "dose response". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewGoogle Scholar · 1970

      Google Scholar: (-)-Epicatechin — clinical evidence

      Live Scholar search

      Cross-database citation index for (-)-Epicatechin as it relates to "clinical evidence".

      Key findings

      Includes preprints, theses, and journal articles. Useful for tracking citation counts and follow-on work.

      Open study
      Educational use only. This profile is not medical advice. Consult a qualified healthcare professional before starting any supplement, especially if you take prescription medication or have a chronic condition.

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