Skip to main content
Enhanced Health AIv0.6.0
QuizMy PlanCalendarEvidenceSources
Session check

© 2026 Enhanced Health AI

MD-Designed No Data Sold
QuizSearchEvidenceSourcesHow We ScorePricingTermsPrivacy
Back to Database

Food

Dark Chocolate (high cacao)

Flavanol-rich cocoa may support vascular function and mood endpoints.[2036,2258,2538, etc.]

Superscript reference numbers link to the Sources bibliography.

Strong Evidence
Heart HealthMoodCognitive

Composite Rating

4.2/5

Blends evidence depth, community direction, safety friction, and completeness.

Evidence Intensity

100/100

High depth from human/RCT/meta counts

Community Direction

0

Mixed / Neutral • confidence Minimal

Safety Friction

47/100

Moderate signal from adverse/interaction markers

Data Completeness

100%

Studies 16 • mentions 0 • links 25

Not medical advice. This product is for educational and informational purposes only. It does not diagnose, treat, cure, or prevent any disease and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions regarding a medical condition.

FDA disclaimer: These statements have not been evaluated by the Food and Drug Administration. Dietary supplements are not intended to diagnose, treat, cure, or prevent any disease. Results may vary. Not intended for use by pregnant or nursing women, individuals under 18, or those with known medical conditions without physician consultation.

If you are experiencing a medical emergency, call 911 or your local emergency number immediately.

Implementation Blueprint

Classification: case-dependent.[1074,1192,2036, etc.]

Best fit: Users seeking lower-sugar dessert substitution..[1074,1192,2036, etc.]

Goal alignment: Heart Health, Mood, Cognitive.[1074,1192,2036, etc.]

Classification

Case Dependent

Evidence Tier

HIGH

Best Fit

Users seeking lower-sugar dessert substitution.

Primary Focus

Heart Health, Mood

Safety and Pitfalls

  • Choose lower-sugar options; calorie density remains high.[1074,1192,2036, etc.]

At-A-Glance Evidence Architecture[2036,2258,2538, etc.]

Clinical Depth

Humans: 452 • RCTs: 175 • Meta: 10

Cohort / Real-World

Cohort signals: 31

Safety Markers

Adverse signals: 10 • Interactions: 0

Evidence Tracking

Freshness, trend, and study timeline for this item

Evidence Tracking

Status

New Evidence

Trend

→ Stable evidence base

Depth

452 total studies · 5 recent

Timeline

20112025

Top Signal Metrics[2036,2258,2538, etc.]

Total indexed

452

Human studies

452

Randomized trials

175

In vitro / tissue

52

Cohort signals

31

Meta-analyses

10

Community Direction Mix[1074,1192,6122]

Weighted direction score: 0 (Mixed / Neutral)

Benefit0
Adverse0
No Effect0
Mixed0

No directional mention volume was resolved; fallback profile metadata is shown in other sections.

Evidence Quality Summary[2036,2258,2538, etc.]

High when there are >=2 human meta-analyses, or strong human trial/cohort volume with substantial human literature.

Total indexed

452

Human studies

452

Randomized trials

175

In vitro / tissue

52

Cohort signals

31

Meta-analyses

10

Safety adverse signals

10

Animal-only studies

0

Study Type Breakdown

Distribution of evidence by study design strength

Meta-AnalysesLevel 1a10
Randomized TrialsLevel 1b175
Cohort StudiesLevel 2b31
Human Studies (other)Level 3-4236
All IndexedAll levels452
100

Evidence Strength: High

Composite of study volume, RCTs, and meta-analyses

Top Human Studies[2036,2258,2538, etc.]

PMID 38931273 • 2024 Jun 18

Effects of Cocoa Consumption on Cardiometabolic Risk Markers: Meta-Analysis of Randomized Controlled Trials.

Nutrients

Open PubMed

PMID 27683874 • 2016 Nov

Cocoa Flavanol Intake and Biomarkers for Cardiometabolic Health: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

J Nutr

Open PubMed

PMID 37211619 • 2023 Sep

Effects of chocolate on cognitive function in healthy adults: A systematic review and meta-analysis on clinical trials.

Phytother Res

Open PubMed

PMID 21559039 • 2011 Aug

Effects of cocoa products/dark chocolate on serum lipids: a meta-analysis.

Eur J Clin Nutr

Open PubMed

PMID 31524216 • 2019 Oct 16

Dose-response relationship between cocoa flavanols and human endothelial function: a systematic review and meta-analysis of randomized trials.

Food Funct

Open PubMed

PMID 38925412 • 2024 Sep

Effect of dark chocolate/ cocoa consumption on oxidative stress and inflammation in adults: A GRADE-assessed systematic review and dose-response meta-analysis of controlled trials.

Complement Ther Med

Open PubMed

PMID 34530112 • 2022 Jan

Consumption of 85% cocoa dark chocolate improves mood in association with gut microbial changes in healthy adults: a randomized controlled trial.

J Nutr Biochem

Open PubMed

PMID 36102337 • 2023 Apr

Effects of cocoa extract and a multivitamin on cognitive function: A randomized clinical trial.

Alzheimers Dement

Open PubMed

PMID 36561325 • 2022

Dark Chocolate Intake May Reduce Fatigue and Mediate Cognitive Function and Gray Matter Volume in Healthy Middle-Aged Adults.

Behav Neurol

Open PubMed

PMID 37128985 • 2023 May 22

Cocoa flavanol supplementation preserves early and late radial artery function after transradial catheterization.

Food Funct

Open PubMed

PMID 40284238 • 2025 Apr 18

Dark Chocolate Mitigates Premenstrual Performance Impairments and Muscle Soreness in Female CrossFit(®) Athletes: Evidence from a Menstrual-Phase-Specific Trial.

Nutrients

Open PubMed

PMID 39776521 • 2024

Effects of short-term, high-dose cocoa-derived flavanol supplementation on gut microbiota composition: secondary findings from a randomized, double-blind, placebo-controlled crossover study.

J Nutr Sci

Open PubMed

PMID 39631943 • 2024 Dec 4

Chocolate intake and risk of type 2 diabetes: prospective cohort studies.

BMJ

Open PubMed

PMID 24360219 • 2013 Dec 20

Consumption of chocolate in pregnant women and risk of preeclampsia: a systematic review.

Syst Rev

Open PubMed

PMID 26514936 • 2016 Apr

Cocoa Flavanol Cardiovascular Effects Beyond Blood Pressure Reduction.

J Clin Hypertens (Greenwich)

Open PubMed

PMID 29795238 • 2019 May

Intake of cocoa products and risk of type-2 diabetes: the multiethnic cohort.

Eur J Clin Nutr

Open PubMed

Community Report Frequency[1074,1192,6122]

Benefit reports: 0

Adverse reports: 0

No-effect reports: 0

Mixed reports: 0

Unclear reports: 0

Signal confidence: 0.00

Top Reported Effects[1074,1192,6122]

Benefits

  • Heart Health: 1
  • Mood: 1
  • Cognitive: 1

Adverse

  • Choose lower-sugar options; calorie density remains high: 1

No Effect

  • insufficient no-effect reports captured: 0

Community confidence 0.00 with mentions: benefit 0, adverse 0, no-effect 0.

Search fetch failed: Failed to fetch after retries: https://old.reddit.com/search.json?raw_json=1&sort=relevance&t=year&limit=8&q=%22dark%20chocolate%22%20(diet%20OR%20nutrition%20OR%20meals%20OR%20side%20effects%20OR%20experience%20OR%20results)%20(subreddit%3Anutrition%20OR%20subreddit%3AScientificNutrition%20OR%20subreddit%3Aloseit%20OR%20subreddit%3AMealPrepSunday%20OR%20subreddit%3Aketo%20OR%20subreddit%3Afasting%20OR%20subreddit%3Amediterraneandiet%20OR%20subreddit%3Avegan%20OR%20subreddit%3Avegetarian%20OR%20subreddit%3Acarnivorediet%20OR%20subreddit%3Abiohackers%20OR%20subreddit%3Alongevity)

Fallback search fetch failed: Failed to fetch after retries: https://old.reddit.com/search.json?raw_json=1&sort=relevance&t=year&limit=12&q=dark%20chocolate

Community Evidence Examples[1074,1192,6122]

aggregate • unclear

No directional first-hand mentions captured in the current community corpus; source links are retained for traceability.

Open mention

Primary Source Links

Evidence Sources

  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22dark%20chocolate%22%20OR%20cocoa%20flavanol%20AND%20humans%5BMeSH%20Terms%5D)%20AND%20(diet*%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20consumption%5BTitle%2FAbstract%5D%20OR%20feeding%5BTitle%2FAbstract%5D%20OR%20nutrition%5BTitle%2FAbstract%5D)
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22dark%20chocolate%22%20OR%20cocoa%20flavanol%20AND%20humans%5BMeSH%20Terms%5D)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(diet*%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20consumption%5BTitle%2FAbstract%5D%20OR%20feeding%5BTitle%2FAbstract%5D%20OR%20nutrition%5BTitle%2FAbstract%5D)
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22dark%20chocolate%22%20OR%20cocoa%20flavanol%20AND%20humans%5BMeSH%20Terms%5D)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(diet*%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20consumption%5BTitle%2FAbstract%5D%20OR%20feeding%5BTitle%2FAbstract%5D%20OR%20nutrition%5BTitle%2FAbstract%5D)%20AND%20randomized%20controlled%20trial%5BPublication%20Type%5D
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22dark%20chocolate%22%20OR%20cocoa%20flavanol%20AND%20humans%5BMeSH%20Terms%5D)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(diet*%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20consumption%5BTitle%2FAbstract%5D%20OR%20feeding%5BTitle%2FAbstract%5D%20OR%20nutrition%5BTitle%2FAbstract%5D)%20AND%20meta-analysis%5BPublication%20Type%5D
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22dark%20chocolate%22%20OR%20cocoa%20flavanol%20AND%20humans%5BMeSH%20Terms%5D)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(diet*%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20consumption%5BTitle%2FAbstract%5D%20OR%20feeding%5BTitle%2FAbstract%5D%20OR%20nutrition%5BTitle%2FAbstract%5D)%20AND%20(cohort%5BTitle%2FAbstract%5D%20OR%20prospective%5BTitle%2FAbstract%5D%20OR%20longitudinal%5BTitle%2FAbstract%5D)
  • https://pubmed.ncbi.nlm.nih.gov/38931273/
  • https://pubmed.ncbi.nlm.nih.gov/27683874/
  • https://pubmed.ncbi.nlm.nih.gov/37211619/
  • https://pubmed.ncbi.nlm.nih.gov/21559039/
  • https://pubmed.ncbi.nlm.nih.gov/31524216/
  • https://pubmed.ncbi.nlm.nih.gov/38925412/
  • https://pubmed.ncbi.nlm.nih.gov/34530112/
  • https://pubmed.ncbi.nlm.nih.gov/36102337/
  • https://pubmed.ncbi.nlm.nih.gov/36561325/
  • https://pubmed.ncbi.nlm.nih.gov/37128985/
  • https://pubmed.ncbi.nlm.nih.gov/40284238/
  • https://pubmed.ncbi.nlm.nih.gov/39776521/
  • https://pubmed.ncbi.nlm.nih.gov/39631943/
  • https://pubmed.ncbi.nlm.nih.gov/24360219/
  • https://pubmed.ncbi.nlm.nih.gov/26514936/

Community Sources

  • https://old.reddit.com/search.json?raw_json=1&sort=relevance&t=year&limit=8&q=%22dark%20chocolate%22%20(diet%20OR%20nutrition%20OR%20meals%20OR%20side%20effects%20OR%20experience%20OR%20results)%20(subreddit%3Anutrition%20OR%20subreddit%3AScientificNutrition%20OR%20subreddit%3Aloseit%20OR%20subreddit%3AMealPrepSunday%20OR%20subreddit%3Aketo%20OR%20subreddit%3Afasting%20OR%20subreddit%3Amediterraneandiet%20OR%20subreddit%3Avegan%20OR%20subreddit%3Avegetarian%20OR%20subreddit%3Acarnivorediet%20OR%20subreddit%3Abiohackers%20OR%20subreddit%3Alongevity)
  • https://old.reddit.com/search.json?raw_json=1&sort=relevance&t=year&limit=12&q=dark%20chocolate
  • https://www.reddit.com/search/?q=Dark%20Chocolate%20(high%20cacao)

Scientific Evidence Notes[2036,2258,2538, etc.]

1. PubMed triage evidence summary: Dark Chocolate (high cacao)

PUBMED • Humans + preclinical triage

Counts from structured PubMed query set for diet/intake context.

Outcome: Humans 452, RCT 175, meta 10, cohort 31.[2036,2258,2538, etc.]

Open source
2. Effects of Cocoa Consumption on Cardiometabolic Risk Markers: Meta-Analysis of Randomized Controlled Trials.

PUBMED • 2024 • Human evidence curation set

PMID 38931273 from Nutrients.

Outcome: See linked PubMed abstract for methods and outcomes.[2036,2258,2538, etc.]

Open source
3. Cocoa Flavanol Intake and Biomarkers for Cardiometabolic Health: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

PUBMED • 2016 • Human evidence curation set

PMID 27683874 from J Nutr.

Outcome: See linked PubMed abstract for methods and outcomes.[2036,2258,2538, etc.]

Open source
4. Effects of chocolate on cognitive function in healthy adults: A systematic review and meta-analysis on clinical trials.

PUBMED • 2023 • Human evidence curation set

PMID 37211619 from Phytother Res.

Outcome: See linked PubMed abstract for methods and outcomes.[2036,2258,2538, etc.]

Open source
5. Effects of cocoa products/dark chocolate on serum lipids: a meta-analysis.

PUBMED • 2011 • Human evidence curation set

PMID 21559039 from Eur J Clin Nutr.

Outcome: See linked PubMed abstract for methods and outcomes.[2036,2258,2538, etc.]

Open source
6. Dose-response relationship between cocoa flavanols and human endothelial function: a systematic review and meta-analysis of randomized trials.

PUBMED • 2019 • Human evidence curation set

PMID 31524216 from Food Funct.

Outcome: See linked PubMed abstract for methods and outcomes.[2036,2258,2538, etc.]

Open source
7. Effect of dark chocolate/ cocoa consumption on oxidative stress and inflammation in adults: A GRADE-assessed systematic review and dose-response meta-analysis of controlled trials.

PUBMED • 2024 • Human evidence curation set

PMID 38925412 from Complement Ther Med.

Outcome: See linked PubMed abstract for methods and outcomes.[2036,2258,2538, etc.]

Open source
8. Consumption of 85% cocoa dark chocolate improves mood in association with gut microbial changes in healthy adults: a randomized controlled trial.

PUBMED • 2022 • Human evidence curation set

PMID 34530112 from J Nutr Biochem.

Outcome: See linked PubMed abstract for methods and outcomes.[2036,2258,2538, etc.]

Open source
9. Effects of cocoa extract and a multivitamin on cognitive function: A randomized clinical trial.

PUBMED • 2023 • Human evidence curation set

PMID 36102337 from Alzheimers Dement.

Outcome: See linked PubMed abstract for methods and outcomes.[2036,2258,2538, etc.]

Open source
10. Dark Chocolate Intake May Reduce Fatigue and Mediate Cognitive Function and Gray Matter Volume in Healthy Middle-Aged Adults.

PUBMED • 2022 • Human evidence curation set

PMID 36561325 from Behav Neurol.

Outcome: See linked PubMed abstract for methods and outcomes.[2036,2258,2538, etc.]

Open source
11. Cocoa flavanol supplementation preserves early and late radial artery function after transradial catheterization.

PUBMED • 2023 • Human evidence curation set

PMID 37128985 from Food Funct.

Outcome: See linked PubMed abstract for methods and outcomes.[2036,2258,2538, etc.]

Open source
12. Dark Chocolate Mitigates Premenstrual Performance Impairments and Muscle Soreness in Female CrossFit(®) Athletes: Evidence from a Menstrual-Phase-Specific Trial.

PUBMED • 2025 • Human evidence curation set

PMID 40284238 from Nutrients.

Outcome: See linked PubMed abstract for methods and outcomes.[2036,2258,2538, etc.]

Open source
13. Effects of short-term, high-dose cocoa-derived flavanol supplementation on gut microbiota composition: secondary findings from a randomized, double-blind, placebo-controlled crossover study.

PUBMED • 2024 • Human evidence curation set

PMID 39776521 from J Nutr Sci.

Outcome: See linked PubMed abstract for methods and outcomes.[2036,2258,2538, etc.]

Open source
14. Chocolate intake and risk of type 2 diabetes: prospective cohort studies.

PUBMED • 2024 • Human evidence curation set

PMID 39631943 from BMJ.

Outcome: See linked PubMed abstract for methods and outcomes.[2036,2258,2538, etc.]

Open source
15. Consumption of chocolate in pregnant women and risk of preeclampsia: a systematic review.

PUBMED • 2013 • Human evidence curation set

PMID 24360219 from Syst Rev.

Outcome: See linked PubMed abstract for methods and outcomes.[2036,2258,2538, etc.]

Open source
16. Cocoa Flavanol Cardiovascular Effects Beyond Blood Pressure Reduction.

PUBMED • 2016 • Human evidence curation set

PMID 26514936 from J Clin Hypertens (Greenwich).

Outcome: See linked PubMed abstract for methods and outcomes.[2036,2258,2538, etc.]

Open source
17. Intake of cocoa products and risk of type-2 diabetes: the multiethnic cohort.

PUBMED • 2019 • Human evidence curation set

PMID 29795238 from Eur J Clin Nutr.

Outcome: See linked PubMed abstract for methods and outcomes.[2036,2258,2538, etc.]

Open source