How Cacao-Rich, Dark Hot Chocolate Can Fight Inflammation

Can You Fight Inflammation by Drinking Hot Chocolate?

Can You Fight Inflammation by Drinking Hot Chocolate?
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When the seasons start to grow chillier — and the infatuation with pumpkin spice begins to fade — warm beverage lovers are game-on for a steamy and creamy mug of hot chocolate. Many high-end retailers are touting dark drinking chocolate products — mixes that contain cocoa beans, cocoa butter, and sometimes cocoa powder, that you combine with a milk of your choice — these days. But does drinking chocolate have the host of health benefits, including helping to fight inflammation, that dark chocolate does?

Great news, chocolate lovers, it seems as though it does: “I have not seen anything that indicates a pitfall or problem with drinking dark chocolate drinks for health benefits,” says Lona Sandon, PhD, RDN, an associate professor in the department of clinical nutrition at UT Southwestern in Dallas, who also has rheumatoid arthritis. But the type of chocolate drink you sip and enjoy will make all the difference.

How Does Dark Chocolate Help With Chronic Inflammation?

Inflammation occurs naturally as part of the body's immune response. When you’re fighting an infection or injury, your body sends inflammatory cells to the rescue to help you heal faster. But if inflammation lingers, turning into chronic inflammation, it means your body remains in a state of high alert, increasing risk for some serious health issues. Rheumatoid arthritis is an inflammatory form of arthritis in which an overactive immune system leads to inflammation in the lining tissue (the synovium) of your joints.

Here’s where anti-inflammatory dark chocolate can help: It contains phytonutrients known as flavonoids, which are health-boosting antioxidants found in certain plants.

“Flavanols, a specific type of flavonoid, are a compound found in cacao, the raw cocoa bean,” says Dr. Sandon. “They have biological activity that helps combat inflammation in the inflammatory pathways, so it can help block some of those pathways and slow down the inflammation.”

What Type of Dark Chocolate Should I Be Looking For?

While these beverages are certainly trendy, not all products are created equal. In order to reap any health benefits, “you have to look for products that are made with the right chocolate, like dark chocolate, not milk chocolate,” says Sandon. “It won’t have that sweetness. The taste will be a little bitter.”

The healthiest dark chocolate typically has around 70 percent cacao (or higher), but Sandon says the percentage doesn’t matter as much as the processing technique used to make it.

Dutch processing, a common technique that uses alkalizing agents to lessen the bitter taste, lessens the amount of anti-inflammatory flavanols.

 Sandon notes that most of what’s out there is Dutch processed. “If you want the benefit, you need to look carefully to find it.”

Read Ingredient Lists and Avoid Alkali

Here’s how to do that detective work: Look at the ingredients list on whichever dark drinking chocolate product you want to imbibe. Hot cocoa served in cafés most likely won’t have the information on how the chocolate was processed — although it wouldn’t hurt to ask — but the ones you purchase to make at home should.

“What you need to look for on the label is whether or not it was treated with alkali in the processing of it,” says Sandon. The ingredients list might say: “cocoa (processed with alkali)” or “cocoa (alkali).” “It won’t be right on the front of the box,” says Sandon, “but on the back in the fine print. Manufacturers are expected to disclose that, unless the product is sold as a supplement, which may not have the same requirement.”

High Flavanol Cocoa Powders

You should definitely scan the label of any dark drinking chocolate brands you want to try to make sure they aren't processed with alkali, but Sandon says there are cacao products on the market you can use to make hot chocolate that have been developed specifically for their flavanol benefits, including high-flavanol cocoa powders. Sandon notes that a full scoop of certain powders provides up to 900 milligrams of the flavanols that will help fight inflammation, "as well as boost nitric oxide to open up blood vessels,” she says. These products are not easily found in grocery stores, so they’re best ordered online.

How Can I Make Healthy Hot Dark Drinking Chocolate Beverage at Home?

If you can’t find a dark drinking chocolate brand that has the essential no-alkali credentials, not to worry. It’s not terribly complicated to concoct your own dark chocolate drink right at home. The basic technique is to melt dark chocolate bars and add water, cow’s milk, or plant-based milks, such as oat or almond milk, to taste. “A double boiler will help you not burn it, which affects the flavor,” Sandon says.

If you don’t have the time or equipment for melting with a double boiler, it’s also possible to turn inflammation-fighting dark chocolate into liquid in the microwave. The trick is to melt it slowly. “Start by melting the chocolate at 30-second intervals,” Sandon says. “Stir it, and then add a little more time so you don’t burn it.”

As far as what liquid you add to it to finish it off for a delicious mug, Sandon says that’s a matter of personal preference. “I don’t think that using plant-based milks or creamers makes much of a difference in how healthy it is,” she says. Sandon notes that many plant-based milks don’t have the healthy protein, calcium, and vitamin D that cow’s milk has. Though soy milk has a similar nutrient content.

Just remember to consume in moderation — along with healthy flavanols, most dark chocolate still contains sugar and saturated fat that can lead to weight gain, worsening rheumatoid arthritis symptoms.

Added sugar is also linked to increased inflammation.

 A drinking chocolate blend that has 12 grams (g) of added sugar per serving, for example, is 24 percent of the daily value for added sugars (50 g per day).

 If you make your own drinking chocolate, you can use less added sugar, decreasing it over time as your taste buds adjust to a less sweet — yet still rich and delicious — taste.

The Takeaway

  • Dark drinking chocolate, made with at least 70 percent cacao and processed without alkali, may provide anti-inflammatory benefits due to its high flavanol content. This makes it a potentially beneficial addition to a diet focused on managing inflammatory conditions like rheumatoid arthritis.
  • When choosing drinking chocolate, carefully read the ingredients to ensure it hasn’t been processed with alkali, as this reduces the beneficial flavanols.
  • Creating your own dark chocolate drink at home allows you to control the ingredients. Melt high-quality dark chocolate or use high-flavanol cocoa powder, mixed with the liquid of your choice, to tailor the blend to your nutritional needs.
  • Although dark drinking chocolate can offer health benefits, remember that it often contains sugar and saturated fat, which should be consumed in moderation, particularly if you are managing weight or rheumatoid arthritis symptoms.
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. Inflammatory Arthritis. Hospital for Special Surgery. October 20, 2024.
  2. Hurst WJ et al. Impact of Fermentation, Drying, Roasting and Dutch Processing on Flavan-3-ol Stereochemistry in Cacao Beans and Cocoa Ingredients. Chemistry Central Journal. September 14, 2011.
  3. Milk and Plant-Based Milk Alternatives: Know the Nutrient Difference. U.S. Food & Drug Administration. February 22, 2023.
  4. The Health Benefits of Dark Chocolate. Cleveland Clinic. July 30, 2025.
  5. How Too Much Sugar Affects Health and How to Cut Back. Arthritis Foundation. May 28, 2024.
  6. Added Sugars on the Nutrition Facts Label. U.S. Food & Drug Administration. March 5, 2024.
Lynn Griger photo

Lynn Grieger, RDN, CDCES

Medical Reviewer

Lynn Grieger is a registered dietitian-nutritionist, certified diabetes care and education specialist, certified personal trainer, and certified health and wellness coach. She completed requirements to become a registered dietitian at Valparaiso University in 1987 and completed a dietetic internship at Ingalls Memorial Hospital in Harvey, Illinois, in 1988. 

Lynn brings her expertise in nutrition, exercise, and behavior change to her work in helping people reach their individual health and fitness goals. In addition to writing for Everyday Health, she has also written for websites and publications like Food and Health Communications, Today's Dietitian, iVillage.com, and Rodale Press. She has a passion for healthy, nutrient-dense, great-tasting food and for being outdoors as much as possible — she can often be found running or hiking, and has completed a marathon in every state.

Cathy Garrard

Author
Cathy Garrard is a journalist with more than two decades of experience writing and editing health content. Her work has appeared in print and online for clients such as UnitedHealthcare, SilverSneakers, Bio News, GoodRx, Posit Science, PreventionReader's Digest, and dozens of other media outlets and healthcare brands. She also teaches fact-checking and media literacy at the NYU School for Professional Studies.