(-)-Epicatechin works through: (1) Myostatin suppression — decreases myostatin gene expression while increasing follistatin (myostatin's natural inhibitor), shifting the balance toward muscle growth/preservation; (2) eNOS activation — directly stimulates endothelial nitric oxide synthase, producing vasodilatory NO (blood flow, BP reduction); (3) mitochondrial biogenesis — activates PGC-1α (master regulator of mitochondrial replication), increases TFAM, and enhances oxidative phosphorylation complex protein expression; (4) AMPK activation — energy sensor that promotes mitochondrial function and glucose uptake; (5) Nrf2 activation — antioxidant response. The myostatin inhibition is particularly notable — myostatin is the "brake pedal" on muscle growth, and epicatechin releases it.
Independently graded against 173,636 indexed supplements with 177 published clinical interactions, sourced from PubMed, FDA CAERS, openFDA, and NIH DSLD | Last updated:
Not medical advice. Based on published clinical research and systematic reviews.