Heart Failure: Essential Supplements for Maximizing Your Energy

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Managing Congestive Heart Failure (CHF) involves more than just medication; it’s about improving the quality of life and managing symptoms effectively. In this article, we focus on specific nutritional supplements that can aid in promoting energy production, a critical aspect for those living with CHF. We will learn how certain supplements can support the heart’s energy needs and may enhance cardiac function and overall health. While supplements are not a replacement for medical treatment, understanding their benefits in boosting energy production can be an important part of a holistic approach to living with CHF. This article aims to provide insights into how these supplements might enhance the quality of life for people managing this condition.

What Is Heart Failure?

Heart failure is a broad term used to describe a condition where the heart is unable to pump blood efficiently enough to meet the body’s needs. It can be due to various underlying issues, such as weakened heart muscle, problems with heart valves, or stiffening of the heart walls.

In heart failure, the heart’s ability to pump blood efficiently is compromised, which can be due to weakened heart muscles (systolic heart failure), stiffening of the heart muscles (diastolic heart failure), or other cardiac conditions. When heart failure progresses or is not managed effectively, it can lead to CHF, where fluid builds up in the body’s tissues (congestion), often seen in the lungs, legs, and abdomen.

Congestive heart failure, on the other hand, is a specific type of heart failure. The term “congestive” refers to the buildup of fluid (congestion) in the lungs and other body tissues resulting from the heart’s reduced pumping efficiency. This fluid buildup is a key feature of CHF and leads to symptoms like swelling in the legs and ankles, shortness of breath, and fatigue.

Common symptoms of CHF vary depending on the severity of the condition but typically include shortness of breath (notably during exertion or while lying down), persistent coughing or wheezing, swelling (edema) in the legs, ankles, feet, or abdomen, fatigue and weakness, increased heart rate (palpitations), and weight gain from fluid retention. As the condition progresses, these symptoms may become more pronounced, significantly impacting a person’s quality of life.

The causes of CHF are diverse and often involve a combination of lifestyle factors and underlying health issues. Common causes include coronary artery disease leading to heart attacks, high blood pressure (hypertension), past heart muscle infections, congenital heart defects, and conditions like diabetes or thyroid disorders that stress the heart. Lifestyle factors such as obesity, smoking, excessive alcohol consumption, and a sedentary lifestyle can also increase the risk of developing CHF.

It’s important to recognize that CHF is a serious condition that requires medical attention. While it is a chronic condition, early diagnosis and appropriate management can help improve symptoms and slow disease progression. Treatment often involves a combination of medication, lifestyle changes, and in some cases, surgery or medical procedures. Managing CHF effectively is a long-term commitment, focusing on relieving symptoms, improving heart function, and improving the person’s overall quality of life.

What Food and Lifestyle Factors Are Important For Managing Congestive Heart Failure?

Each of the following factors plays a vital role in the comprehensive management of heart failure, contributing to symptom control, slowing disease progression, and improving overall quality of life. It’s important for people with CHF to work closely with their healthcare team to tailor these recommendations to their individual health needs.

  • Low-Sodium Diet: Sodium contributes to fluid retention, exacerbating CHF symptoms by increasing the heart’s workload. It’s crucial to limit sodium intake, often recommended to be less than 2,000 mg per day. Patients should be cautious with processed, canned, and fast foods, which tend to be high in sodium. Reading food labels and choosing low-sodium alternatives can help manage intake.
  • Fluid Intake Monitoring: Excessive fluid intake in CHF can lead to fluid overload and worsening heart failure symptoms. Patients are often advised to limit their fluid intake to a specific amount daily, typically around 1.5 to 2 liters, depending on individual circumstances. Monitoring includes all fluids consumed, including drinks and high-fluid content foods like soups and fruits.
  • Heart-Healthy Diet: A diet rich in fruits, vegetables, whole grains, and lean proteins provides essential nutrients without overburdening the heart. These foods are low in unhealthy fats and high in fiber, which is beneficial for heart health. Deep fried foods, baked goods, and processed should be limited. Opt for healthy fats found in fish, nuts, and olive oil.
  • Regular Physical Activity: Regular, moderate exercise can strengthen the heart and improve overall cardiovascular health. It can also aid in maintaining a healthy weight and reducing stress. Activities like brisk walking, swimming, or stationary cycling are often recommended. It’s important to consult a healthcare provider to determine the appropriate level of activity.
  • Weight Management: Excess weight increases the heart’s workload. Achieving and maintaining a healthy weight through a balanced diet and regular physical activity can reduce this strain. Weight management also helps control other CHF risk factors, like hypertension and diabetes.
  • Avoiding Alcohol and Smoking: Alcohol can have a negative impact on heart health, and could worsen CHF symptoms. Moderation or complete avoidance is usually advised. Smoking significantly increases the risk of heart disease. Quitting smoking is one of the most effective ways to improve heart health.
  • Stress Management: Chronic stress can negatively affect heart health. Techniques like meditation, deep breathing exercises, yoga, or other relaxation techniques can help manage stress levels. Psychological counseling or support groups may also be beneficial.
  • Regular Health Check-Ups: Routine check-ups allow for the monitoring of the condition, medication adjustments, and early detection of potential complications. These visits are essential for tracking progress and making necessary changes to the treatment plan.
  • Adequate Rest and Sleep: Quality sleep and adequate rest are important for heart health. Poor sleep can worsen heart conditions and affect overall health. People with CHF should strive for 7-8 hours of sleep per night and discuss any sleep-related issues with their healthcare providers.
  • Medication Adherence: Following the prescribed medication regimen is critical in managing CHF. Medications can include diuretics, ACE inhibitors, beta-blockers, and others. Proper medication management helps control symptoms, improves quality of life, and can reduce hospitalizations.
  • Coenzyme Q10 (CoQ10): CoQ10 is crucial for energy production, particularly within the mitochondria, the energy powerhouses of cells. The heart’s mitochondria are especially sensitive to CoQ10 deficiency due to the heart’s enormous ATP (adenosine triphosphate) requirements for constant pumping action. In CHF patients, lower levels of CoQ10 can impair mitochondrial function, leading to decreased energy production and reduced heart muscle efficiency. Supplementation with CoQ10 helps mitochondrial energy production in heart cells, thereby improving heart muscle function. Studies suggest that CoQ10 supplementation can improve symptoms, increase exercise capacity, and reduce heart failure-related hospitalizations. [PMC7287951] Coenzyme Q10 is typically dosed at 100 to 300 mg per day, taken in divided doses with fatty meals to enhance absorption, and using the ubiquinol form may be more effective, with benefits often being noticed over the course of several weeks.
  • Omega-3 Fatty Acids: Omega-3 fatty acids, particularly EPA and DHA found in fish oil, are known for their anti-inflammatory properties and cardiovascular benefits. In the context of CHF, omega-3s may improve heart muscle function and reduce the risk of arrhythmias, which are common complications of heart failure. Regular intake of omega-3s might also help in lowering triglyceride levels and reducing inflammation, further benefiting heart health. The potential of omega-3s to improve outcomes in CHF patients has been supported by several studies, making them a considered supplement in heart failure management. “Omega-3 fatty acids have been shown to significantly reduce the risk for sudden death caused by cardiac arrhythmias and all-cause mortality in patients with known coronary heart disease. Omega-3 fatty acids are also used to treat hyperlipidemia and hypertension. [PMID: 25720716]
  • Multivitamin:
    • Thiamine (Vitamin B1): Thiamine, also known as Vitamin B1, plays a crucial role in energy metabolism, especially for the heart. Many congestive heart failure (CHF) patients have low levels of thiamine, which can worsen heart function and symptoms. Supplementing with thiamine can raise these levels and potentially benefit heart health. While research shows thiamine deficiency is common in heart failure patients and supplementation may improve function and symptoms, further studies are still needed. PMID: 23910704
    • Vitamin D: Vitamin D deficiency is common in CHF patients and has been linked to poorer outcomes. This vitamin is crucial for heart health, and supplementing with it in CHF patients with low levels may improve heart function and overall health. Additionally, vitamin D’s role in regulating blood pressure and reducing inflammation could benefit CHF management. PMC9538425
    • Vitamin B Complex: Vitamin B complex, including folic acid, B6, and B12, is crucial for cardiovascular health as it helps regulate homocysteine levels, which can increase the risk of heart disease. Research shows that folic acid supplements may reduce artery wall thickness and adequate intake of folic acid, B6, and B12 could lower the risk of heart disease, particularly in persons with normal kidney function and without certain previous heart issues. However, the effects of vitamin B on heart health may differ depending on factors such as age, gender, and genetics. PMID: 37850302
    • Selenium and Zinc: Selenium and zinc are trace minerals important for heart health, with deficiencies linked to poorer heart function. Although routine supplementation for CHF patients isn’t universally recommended, ensuring adequate intake of these minerals through diet or supplements may be beneficial, especially for those with known deficiencies. Additionally, in children, zinc and selenium intake has been associated with a reduced risk of DCMP, a heart condition characterized by heart enlargement and weakness, indicating a potential preventive role for these nutrients. Further research is necessary to clarify their impact and guide dietary recommendations. PMC11010394
  • Magnesium: Magnesium is a vital mineral for heart health, particularly for maintaining a healthy heartbeat. It contributes to proper muscle contraction, including the heart muscle, and helps regulate the electrical activity that drives the heartbeat. In Congestive Heart Failure (CHF) patients, magnesium can be especially beneficial, as deficiencies are common and can exacerbate heart problems. Magnesium supplementation helps stabilize the heart rhythm and improve overall cardiac function in these patients, especially in those with documented magnesium deficiency. [PMID: 8800040]
  • Taurine: Taurine, an amino acid found naturally in the body, plays a significant role in heart muscle function. It is believed to help regulate calcium flow in and out of heart cells, a critical process for heart muscle contraction and relaxation. In the context of CHF, taurine supplementation may offer benefits by supporting the strength and efficiency of the heart muscle. However, while there are promising indications of its potential benefits, more extensive research is needed to fully establish taurine’s role in CHF management. In one study, taurine showed benefits when dosed at 500-mg taurine three times per day. [PMID: 28118062]
  • L-Carnitine: L-Carnitine is involved in the metabolism of fatty acids in heart cells, crucial for energy production. CHF patients often experience reduced energy production in heart cells, leading to weakened heart muscle function and reduced exercise capacity. Supplementing with L-Carnitine may improve the heart’s energy metabolism, enhance exercise capacity, and reduce CHF symptoms. [PMC5406747]
  • Creatine: Commonly known for its role in muscle building, creatine also shows potential benefits for heart failure patients. It helps in storing and supplying energy to muscles, including the heart muscle. Creatine supplementation might increase muscle strength and endurance in people with heart failure, which can improve exercise tolerance and daily activity levels. This could be particularly beneficial in counteracting the muscle weakness and fatigue commonly experienced in CHF. “In heart failure, the decrease in creatine level anticipates the reduction in adenosine triphosphate, and the degree of myocardial phosphocreatine/adenosine triphosphate ratio reduction correlates with disease severity, contractile dysfunction, and myocardial structural remodeling.” [PMC9388465]
  • D-Ribose: D-Ribose is a sugar molecule involved in synthesizing ATP, the primary energy carrier in cells, including heart cells. In CHF, the heart’s ability to produce energy is often compromised. Supplementing with D-Ribose may help improve the energy supply to the heart, and could enhance heart function and the overall quality of life for CHF patients. Preliminary studies have suggested positive effects, but more research is needed to fully understand the role and effectiveness of D-Ribose in CHF treatment. [PMC8005739][PMC9576187] Dose for Heart Problems: 5 to 15 grams per day [PMC5959283]
  • Probiotics: Emerging evidence suggests gut health may influence heart health. Probiotics might offer some benefits in reducing inflammation and improving metabolic factors associated with heart disease. Twelve weeks of multistrain probiotics resulted in reduced muscle wasting in heart failure patients. [PMID: 35750555]
  • More:
    • Potassium: Potassium plays a vital role in heart function and can be influenced by heart failure medications, such as diuretics. It’s important to supplement potassium cautiously under medical guidance to avoid arrhythmias caused by abnormal potassium levels. Additionally, research suggests that low potassium levels are associated with an increased risk of heart-related death, especially in those with reduced heart function, while high potassium levels do not impact mortality risk. PMC9782550
    • Iron: Iron deficiency is common in heart failure patients and can worsen their health, but treating it with injections like ferric carboxymaltose may improve their health and physical abilities more than taking iron pills. However, more research is needed to confirm the benefits of this treatment, which is often overlooked in heart failure care despite guideline recommendations. PMC8318436

Dietary supplements are not designed to diagnose, treat, cure, or prevent any disease. This article aims to offer valuable insights into which nutritional supplements have undergone scientific study and shown promise in supporting specific health conditions. We break down the research, so you can work with your medical providers to make informed decisions about adding supplements to your health regimen. For personalized advice tailored to your needs, we recommend consulting with a registered dietitian in addition to your primary care provider.

Check with your physician when adding supplements. While supplements are generally safe for most people, do not add nutritional supplements without your physician’s specific approval if you are pregnant or nursing, are undergoing cancer treatment, have a history of organ transplant, liver or kidney disease, or take medications that interact with supplements.


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Supplement Safety Information

These supplements, including Coenzyme Q10, Omega-3 Fatty Acids, Multivitamins, Thiamine (Vitamin B1), Vitamin D, Vitamin B Complex, Selenium, Zinc, Magnesium, Taurine, L-Carnitine, Creatine, D-Ribose, Probiotics, Potassium, and Iron, are safe and well-tolerated when used to manage congestive heart failure (CHF). They offer various benefits that can support heart health and overall health. Coenzyme Q10, for instance, aids in energy production within heart cells, while omega-3 fatty acids provide anti-inflammatory properties and cardiovascular support. Multivitamins and specific vitamins like thiamine and vitamin D help maintain proper nutrient levels essential for heart function. Minerals such as magnesium, selenium, zinc, and potassium play critical roles in muscle function and electrolyte balance. Additionally, amino acids like taurine and L-carnitine contribute to heart muscle strength and energy metabolism. Creatine and D-ribose may improve energy production in heart cells. Probiotics support gut health, which can influence heart health indirectly. When used as directed and under medical supervision, these supplements can complement traditional CHF treatments and contribute to better management of the condition.

Medication Interactions:

  • Warfarin: Coenzyme Q10 may decrease the blood-thinning effects of warfarin, and may reduce its effectiveness.
  • Statins (e.g., atorvastatin, simvastatin): Coenzyme Q10 supplementation may alleviate muscle pain and weakness caused by statins, but it could also possibly decrease their cholesterol-lowering effects.
  • Anticoagulants (e.g., warfarin): Omega-3 fatty acids may increase the risk of bleeding when taken with blood thinners.
  • Antiplatelet drugs (e.g., aspirin, clopidogrel): Omega-3 fatty acids may enhance the effects of antiplatelet medications, increasing the risk of bleeding.
  • Loop diuretics (e.g., furosemide): Thiamine supplementation may reduce the effectiveness of loop diuretics, leading to decreased urinary excretion of thiamine.
  • Thiazide diuretics (e.g., hydrochlorothiazide): Vitamin D supplementation may increase the risk of high calcium levels when taken with thiazide diuretics.
  • Levodopa: Vitamin B6 supplementation may reduce the effectiveness of levodopa therapy for Parkinson’s disease.
  • Anticonvulsants (e.g., phenytoin): Vitamin B6 may decrease the effectiveness of anticonvulsant medications.
  • Cisplatin: Selenium and zinc supplements may interfere with the effectiveness of cisplatin chemotherapy.
  • Penicillamine: Zinc supplementation may reduce the absorption of penicillamine.
  • Quinolone antibiotics (e.g., ciprofloxacin): Magnesium supplements may reduce the absorption of quinolone antibiotics when taken together.
  • Thyroid hormone: L-Carnitine may interfere with thyroid hormone absorption when taken together.
  • Diuretics (e.g., hydrochlorothiazide): Creatine supplementation may lead to dehydration and electrolyte imbalances when taken with diuretics.
  • Insulin: D-Ribose supplementation may lower blood sugar levels and require adjustments in insulin dosage.
  • Immunosuppressants (e.g., cyclosporine): Probiotics may enhance the immune response and reduce the effectiveness of immunosuppressant medications.
  • Potassium-sparing diuretics (e.g., spironolactone): Potassium supplements may increase potassium levels when taken with potassium-sparing diuretics.
  • Levodopa: Iron supplements may reduce the absorption of levodopa and reduce its effectiveness for Parkinson’s disease.

Supplement Interactions:

  • Coenzyme Q10: Coenzyme Q10 may interact with omega-3 fatty acids, enhancing their antioxidant effects. Coenzyme Q10 could lead to improved protection against oxidative damage and inflammation in cells and tissues.
  • Omega-3 Fatty Acids: Omega-3 fatty acids may interact with coenzyme Q10, enhancing their antioxidant effects. Together, these supplements might provide increased protection against oxidative stress, supporting heart and overall health.
  • Multivitamins: Multivitamins containing iron may interact with calcium supplements, reducing the absorption of both nutrients. This could impair the body’s ability to utilize these essential minerals effectively.
  • Thiamine (Vitamin B1): Thiamine may interact with magnesium, enhancing its absorption and effectiveness. Enhanced absorption of magnesium could lead to improved utilization in various cellular processes, including energy metabolism and muscle function.
  • Vitamin D: Vitamin D may interact with calcium, enhancing its absorption and effectiveness. Enhanced absorption of calcium could support bone health and overall mineral balance in the body.
  • Vitamin B Complex: Vitamin B6 may interact with magnesium, enhancing its absorption and effectiveness. Improved absorption of magnesium could contribute to better cellular energy production and nerve function.
  • Selenium and Zinc: Zinc may interact with selenium, affecting their absorption or metabolism. This interaction could influence the body’s antioxidant defenses and immune function, supporting overall health.
  • Magnesium: Magnesium may interact with calcium, affecting its absorption or metabolism. This could impact muscle function, nerve transmission, and bone health.
  • Taurine: Taurine may interact with magnesium, affecting its absorption or metabolism. This interaction could contribute to cellular energy production, muscle function, and cardiovascular health.
  • L-Carnitine: L-Carnitine may interact with coenzyme Q10, enhancing their combined effects on energy metabolism. Enhanced energy metabolism could support mitochondrial function and cellular energy production, benefiting heart health and physical performance.
  • Creatine: Creatine may interact with caffeine, affecting their combined effects on energy metabolism and muscle function. This interaction could influence athletic performance and muscle strength.
  • D-Ribose: D-Ribose may interact with coenzyme Q10, enhancing their combined effects on energy metabolism. This interaction could support ATP production and muscle recovery, particularly in persons with high energy demands.
  • Probiotics: Probiotics may interact with vitamin D, modulating immune function and inflammation. This interaction could impact gut health and overall immune response, supporting overall health.
  • Potassium: Potassium supplements may interact with magnesium, affecting their combined effects on muscle function and heart health. This interaction could influence electrolyte balance and cardiovascular function.
  • Iron: Iron supplements may interact with vitamin C, enhancing their absorption and effectiveness. This interaction could improve iron status in persons with deficiencies, supporting overall health and energy levels.

Food First!

Although this article discusses supplements in detail, don’t forget that we are absolutely committed to the “Food First” approach to nutrition. When it comes to your health, the totality of your eating habits far surpasses the impact of individual nutrients or any single supplement you consume. Even though this article doesn’t delve into the broader picture of your overall diet, it’s crucial to keep this element at the forefront of our minds. Your food needs to provide all the vitamins, minerals, fiber, and phytochemicals to nourish your body systems down to the cellular level.

Food choices, rather than supplements, are the most critical factors for a healthy gut microbiome. These trillions of tiny inhabitants in your gut affect your brain waves; they orchestrate your immune system. They possess the power to create molecules that can switch genes on or off and are even capable of synthesizing neurotransmitters. Opting for organic foods and steering clear of plastic packaging (including those labeled BPA-free) is a smart move to limit toxin exposure. The sum of all these parts leads to a powerful conclusion: the ultimate key to your health lies in the quality and balance of the food you consume. Supplements are secondary.

To Sum It Up

Incorporating Coenzyme Q10, Omega-3 Fatty Acids, Multivitamins, Thiamine (Vitamin B1), Vitamin D, Vitamin B Complex, Selenium and Zinc, Magnesium, Taurine, L-Carnitine, Creatine, D-Ribose, Probiotics, Potassium, and Iron into your regimen can offer a range of health benefits for managing congestive heart failure. These supplements support heart function, energy production, and overall health. They provide essential nutrients, antioxidants, and anti-inflammatory properties that may help improve heart muscle function, reduce symptoms, and enhance quality of life. Including these supplements as part of a balanced approach to heart health may contribute to better outcomes for persons living with congestive heart failure.


This Article is Not a Substitute for Medical Advice

Dietary supplements are not designed to diagnose, treat, cure, or prevent any disease. The Supplement Sciences website seeks to provide comprehensive access to the most relevant supplement information along with convenient online ordering. We do not provide medical advice and cannot guarantee that every product suggested is completely without risk. Since each person is unique in their health history and medication use, it is important to discuss supplements with your personal physician. Specifically, pregnant women and individuals being treated for cancer or liver or kidney problems must consult their physician about every nutritional supplement they plan to take. People taking medications for the treatment of HIV or with a history of organ transplant must not take supplements without consulting with their physician.


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