
The Impact of Long COVID on Cardiovascular Health and the Role of Targeted Supplementation:
By Metulas Supplements.
Introduction:
The lingering effects of COVID-19, often referred to as Long COVID or post-acute sequelae of SARS-CoV-2 infection (PASC), have emerged as a major health concern. Among its various complications, cardiovascular issues stand out as particularly troubling. Many Long COVID sufferers experience heart palpitations, chest pain, shortness of breath, blood pressure fluctuations, and even increased risks of blood clots, myocarditis, and endothelial dysfunction.

Scientific research suggests that the virus's impact on the cardiovascular system stems from inflammation, oxidative stress, and damage to the endothelial lining of blood vessels. Fortunately, specific nutrients and amino acids may help mitigate these effects and support recovery. This article explores how targeted supplementation using a drink mix powder containing, L-Arginine, L-Citrulline, vitamins C, D3, and K2, as well as grapeseed extract, beetroot extract, and resveratrol, can aid cardiovascular health in Long COVID patients.

Long COVID and Cardiovascular Health: Understanding the Damage:
COVID-19 is primarily a respiratory illness, but its effects extend well beyond the lungs. Emerging research indicates that the SARS-CoV-2 virus directly attacks the endothelium—the thin layer of cells lining blood vessels—leading to inflammation, clot formation, and vascular dysfunction. Some of the cardiovascular effects of Long COVID include:
1. Endothelial Dysfunction
The endothelium regulates vascular tone, blood clotting, and immune response. Long COVID patients often exhibit signs of endothelial dysfunction, which contributes to chronic inflammation and impaired blood circulation.
2. Increased Risk of Blood Clots (Hypercoagulability)
Many patients with Long COVID have an increased tendency for blood clot formation, leading to conditions such as deep vein thrombosis (DVT) or pulmonary embolism (PE). This is due to a dysregulated clotting system and persistent vascular inflammation.
3. Myocarditis and Heart Damage
Long COVID has been linked to myocarditis (inflammation of the heart muscle), which can lead to chest pain, arrhythmias, and reduced cardiac function. Some studies suggest this damage is due to an overactive immune response.
4. Autonomic Nervous System Dysfunction (POTS and Dysautonomia)
Many Long COVID sufferers experience postural orthostatic tachycardia syndrome (POTS), a condition where the autonomic nervous system fails to regulate heart rate and blood pressure properly.
Given these issues, it is essential to support the cardiovascular system using evidence-based strategies, including targeted supplementation.
The Role of Targeted Supplements in Cardiovascular Recovery
L-Arginine and L-Citrulline: Nitric Oxide Boosters for Vascular Health:
L-Arginine and L-Citrulline are amino acids known for their ability to enhance nitric oxide (NO) production. Nitric oxide is crucial for maintaining blood vessel flexibility and improving circulation. Since endothelial dysfunction is a hallmark of Long COVID, these amino acids may play a critical role in vascular recovery.

How They Help:
Improve Blood Flow: L-Arginine is converted into nitric oxide in the body, which helps relax blood vessels and improve circulation.
Reduce Blood Pressure: Several studies have shown that nitric oxide-enhancing supplements can help reduce blood pressure in people with vascular issues.
Support Endothelial Function: By enhancing nitric oxide production, these amino acids help protect and repair the endothelial lining of blood vessels, reducing the risk of clot formation and hypertension.
Mitigate POTS Symptoms: Since POTS is linked to blood pooling and dysregulated circulation, nitric oxide production can help improve blood distribution.
Dosage Recommendation:
L-Arginine: 2-6 grams per day
L-Citrulline: 3-6 grams per day (often more effective than L-Arginine alone)
Vitamin C: Antioxidant Support for Endothelial Health:
Vitamin C is a powerful antioxidant that plays a key role in vascular health by reducing oxidative stress and inflammation.
How It Helps:
Reduces Endothelial Inflammation: Vitamin C helps neutralize free radicals and reduce inflammatory markers that contribute to Long COVID-related cardiovascular issues.
Supports Collagen Production: Since the endothelium relies on collagen for structural integrity, vitamin C aids in repairing damaged blood vessels.
Enhances Nitric Oxide Bioavailability: Research suggests that vitamin C can help stabilize and prolong nitric oxide levels, improving vascular function.
Dosage Recommendation:
500-2,000 mg per day

Vitamin D3: A Key Player in Cardiovascular and Immune Health:
Vitamin D3 is well known for its immune-modulating properties, but its role in cardiovascular health is equally significant. Low vitamin D levels have been linked to increased risk of endothelial dysfunction, inflammation, and blood clots—common in Long COVID.
How It Helps:
Regulates Immune Function: Helps prevent overactive immune responses that contribute to vascular inflammation.
Supports Endothelial Integrity: Enhances nitric oxide production and reduces arterial stiffness.
Reduces Risk of Blood Clots: Vitamin D has been shown to help balance clotting factors in the blood.
Dosage Recommendation:
2,000-5,000 IU per day
Vitamin K2: Directing Calcium to the Right Places:
Vitamin K2 works synergistically with vitamin D3 to regulate calcium metabolism, preventing arterial calcification and improving cardiovascular function.
How It Helps:
Prevents Arterial Calcification: Ensures calcium goes to bones instead of blood vessels.
Supports Vascular Elasticity: Enhances flexibility of arteries, reducing hypertension risk.
Works with Vitamin D3: Maximizes cardiovascular benefits.
Dosage Recommendation:
100-200 mcg per day
Grapeseed Extract and Resveratrol: Polyphenols for Vascular Protection:
Grapeseed extract and resveratrol are rich in polyphenols that provide potent anti-inflammatory and cardiovascular benefits.
How They Help:
Improve Blood Flow: Increase nitric oxide levels and promote vasodilation.
Protect Against Oxidative Stress: Reduce inflammation and prevent endothelial damage.
Support Capillary Strength: Strengthen blood vessel walls, reducing risk of vascular fragility.
Dosage Recommendation:
Grapeseed Extract: 150-300 mg per day
Resveratrol: 100-500 mg per day
Beetroot Extract: A Natural Nitric Oxide Booster:
Beetroot is one of the richest sources of dietary nitrates, which the body converts into nitric oxide to improve circulation.
How It Helps:
Enhances Blood Flow: Improves vascular function by relaxing blood vessels.
Supports Oxygen Delivery: Helps improve stamina and reduce fatigue, common in Long COVID patients.
Lowers Blood Pressure: Promotes better cardiovascular stability.
Dosage Recommendation:
500-1,500 mg per day or 1 cup of beetroot juice

Conclusion:
Long COVID’s impact on cardiovascular health is profound, but targeted nutritional support can play a crucial role in recovery. By addressing endothelial dysfunction, oxidative stress, and inflammation, supplements like L-Arginine, L-Citrulline, vitamins C, D3, K2, and polyphenols from grapeseed extract, beetroot, and resveratrol can help improve circulation, reduce symptoms, and enhance overall vascular health.
For individuals struggling with lingering cardiovascular issues post-COVID, incorporating these nutrients into a well-rounded recovery plan—alongside medical supervision, proper diet, and exercise—may provide significant relief and support the body’s healing process.
Always consult with a healthcare provider before starting any supplementation, especially if you have pre-existing health conditions or are on medication.
Metulas Supplements is a British brand committed to delivering top-quality amino acid-based Food Supplement Drink Mixes and complementing products. A family-owned business that prides itself on its dedication to scientific research and product quality. Every formulation offered has been created by a team of expert nutritionists and scientists and every line of production undergoes rigorous test and quality control procedures, ensuring every tub meets the highest standards of efficacy and safety; and most importantly the formulations do what they say they are going to do! All Metulas Supplements Food Supplement Drink Mixes are made in the UK - a country recognised for its world class manufacturing. The team are committed to customer satisfaction and customer support. If you have any questions relating to any information in these blogs or would like to know more about the products of Metulas Supplements or have any questions at all - head over to www.metulassupplements.com and drop us a line!
Before considering any form of supplementation, it's essential to consult with a healthcare professional, especially for individuals with pre-existing medical conditions or those taking medications.