topicCacao Flavanol Anxiety Randomized Trial
claimIt includes increased interferons, tumor necrosis factor, bradykinin, serine proteases, and soluble thrombomodulin, and altered clot lysis times [,,,,], all of which contribute to microvascular and thrombotic disease [,].
evidence level2
citationMunguía Levy (2026)
sourceEffects of Cacao Flavonoids in Long COVID-19 Patients with Chronic Fatigue: FLALOC, a Placebo-Controlled Randomized Clinical Trial
topicCacao Flavanol Anxiety Randomized Trial
claimA myriad of causes can trigger fatigue, but its development has been strongly associated with post-viral phases of infection.
evidence level2
citationMunguía Levy (2026)
sourceEffects of Cacao Flavonoids in Long COVID-19 Patients with Chronic Fatigue: FLALOC, a Placebo-Controlled Randomized Clinical Trial
topicCacao Flavanol Anxiety Randomized Trial
claimLong COVID-associated fatigue has been causally linked to sustained inflammation and to endothelial and mitochondrial dysfunction.
evidence level2
citationMunguía Levy (2026)
sourceEffects of Cacao Flavonoids in Long COVID-19 Patients with Chronic Fatigue: FLALOC, a Placebo-Controlled Randomized Clinical Trial
topicCacao Flavanol Anxiety Randomized Trial
claim1 2 3 4 5 6 7 8 Coronavirus disease 2019 (COVID-19) is caused by the acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
evidence level2
citationMunguía Levy (2026)
sourceEffects of Cacao Flavonoids in Long COVID-19 Patients with Chronic Fatigue: FLALOC, a Placebo-Controlled Randomized Clinical Trial
topicCacao Flavanol Anxiety Randomized Trial
claim9 12 Some factors that increase the possibility of developing DN are the duration of diabetes, high glycated hemoglobin (HbA1c) values, smoking, obesity, high blood pressure, and dyslipidemia, all of which are metabolic risk factors and are associated with persistent inflammation and oxidative stress [,].
evidence level2
citationKababie-Ameo Rebeca (2025)
sourceEffect of Cocoa Supplementation on the Biochemical and Clinical Profile and the Somatosensory Processing of Diabetic Peripheral and Autonomic Neuropathy: A Randomized Clinical Trial
topicCacao Flavanol Anxiety Randomized Trial
claim13 14 15 16 The Hoffman reflex (hereafter referred to as the H-reflex) is produced by an electrical pulse applied to a peripheral nerve and is recorded in a specific muscle, allowing for an evaluation of the nerve fibers and associated neural circuits under both normal and pathological conditions [].
evidence level2
citationKababie-Ameo Rebeca (2025)
sourceEffect of Cocoa Supplementation on the Biochemical and Clinical Profile and the Somatosensory Processing of Diabetic Peripheral and Autonomic Neuropathy: A Randomized Clinical Trial
topicCacao Flavanol Anxiety Randomized Trial
claim12 17 18 Currently, the management of DN involves lifestyle changes to control glycemia and associated risk factors, along with pharmacological treatment for pain relief, such as Pregabalin, Duloxetine, Gabapentin, and Amitriptyline.
evidence level2
citationKababie-Ameo Rebeca (2025)
sourceEffect of Cocoa Supplementation on the Biochemical and Clinical Profile and the Somatosensory Processing of Diabetic Peripheral and Autonomic Neuropathy: A Randomized Clinical Trial
topicCacao Flavanol Anxiety Randomized Trial
claim1 Type 2 diabetes (T2D) is a metabolic disease characterized by the progressive loss of insulin secretion with different grades of insulin resistance and is considered the most common type of diabetes, representing more than 90% of all cases [].
evidence level2
citationKababie-Ameo Rebeca (2025)
sourceEffect of Cocoa Supplementation on the Biochemical and Clinical Profile and the Somatosensory Processing of Diabetic Peripheral and Autonomic Neuropathy: A Randomized Clinical Trial