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    Kari's Pine Bark Extract Drink in Support of Cardiovascular Wellbeing: Scientific Review & Sauna Protocol

    Article author:
    Dr. Olli Sovijärvi, MD & Nonfiction Author, Medical Director of Hololife Center
    February 3rd, 2026

    Introduction

    Pine bark extracts have attracted increasing interest because of the polyphenols and antioxidant compounds they contain. Researchers have studied these compounds, especially from the perspective of biological mechanisms underlying oxidative stress, inflammatory responses, and vascular function. The Finnish Kari's Pine Bark Extract Drink is based on a traditional hot-water extract from the bark and phloem of young Scots pine (Pinus sylvestris) and contains a broad range of phenolic compounds, including proanthocyanidins, flavonoids, and other plant polyphenols.

    Current research on Kari's pine bark extract drink primarily relies on chemical analyses and cell and laboratory models. These models have demonstrated antioxidant and anti-inflammatory effects, and have shown signals of mechanisms supporting vascular function. No direct clinical studies in humans have been carried out. For this reason, the effects of the pine bark extract drink should be examined primarily through biological mechanisms and preliminary evidence, not as confirmed clinical health effects.[1–4]

    This article examines the chemical composition of Kari's Pine Bark Extract Drink, known mechanisms of action, and available research evidence, especially from the perspective of cardiovascular health. The aim is to present the current scientific understanding clearly and critically and to highlight both potential benefits and key limitations of the research evidence.


    Young pine phloem and bark – why the raw material matters

    Phloem – the living tissue of the tree: Phloem is a layer located under the tree bark, where nutrients and sugars move. When extraction uses not only dead outer bark but also living phloem, the extract includes a broader range of active metabolic products from the tree.[5]

    Young pines vs. old bark: Kari's Pine Bark Extract Drink uses specifically young pines. The bark of a young tree is thinner, and its chemical profile is more dynamic compared with the thick, woody bark of an old tree. This choice partly explains the 22 distinct phenolic compounds in the extract. [2,6]

    Northern growth conditions: A pine that grows slowly in Finnish forests develops strong defensive compounds to survive harsh weather conditions. These same compounds, such as resveratrol glucoside and catechin, are transferred into the extract drink in the traditional manufacturing process.[7]


    Chemical composition and concentrations: OPC compounds and phenolic profile

    The efficacy of pine bark extracts is based on their phenolic compounds, especially oligomeric proanthocyanidins (OPC). These compounds are known to be effective antioxidants and anti-inflammatory and blood-pressure-lowering substances. The method is based on hot-water extraction, which mimics the natural process of releasing nutrients from the tree.

    Concentrations: According to a 2025 HPLC analysis, Karin Pine Extract Drink contains significant amounts of OPC compounds (283 mg/dl) and phenolic compounds (380 mg/dl).[1]

    Diversity: A wide range of natural phenols has been identified in pine bark extract drinks, such as resveratrol glucoside, catechin, lignans, and taxifolin. According to analyses, the water-extracted Kari's pine bark extract drink contains a diverse range of these compounds (22 different phenolic molecules).[2–4]

    Specific compounds: Taxifolin (dihydroquercetin) is a key compound with antibacterial, antiviral, and anti-inflammatory effects.[2,8]

    In the pine bark extract drink, resveratrol glucoside and catechin are emphasized, and they are the largest individual phenols in the extract by quantity. In addition, water extraction preserves important lignan glucosides and taxifolin glucosides.


    Cardiovascular health: Evidence comparison

    Cardiovascular health is an area where the benefits of pine bark extracts are emphasized. Although Kari's Pine Bark Extract Drink has been shown to contain a broad range of natural phenolic compounds, it is very important to conduct additional clinical studies in the future on this specific Finnish preparation to confirm its efficacy and possible additional benefits with full certainty, also in the human body.[1–4]

    Modern medicine recognizes two interconnected main factors that damage vascular health: oxidative stress and low-grade inflammation. For heart health, the main mechanism of action of pine bark extracts is to reduce oxidative stress and improve vascular endothelial function (the inner lining of blood vessels).[9]


    Inhibition of LDL cholesterol oxidation

    LDL cholesterol circulating in the blood is not in itself dangerous. However, when free radicals attack it and oxidize it, it becomes foreign to the body. This oxidized form can penetrate the arterial walls, triggering a chain reaction that leads to atherosclerosis (hardening of the arteries).[10]

    Kari's Pine Bark Extract Drink: Studies have found the extract drink to be a highly effective antioxidant that inhibits the oxidation of LDL particles by up to 95% ex vivo (test-tube studies in living cells).[2]

    Inhibition of free radicals: In a comparison conducted in 2000, a domestic freeze-dried pine extract proved to be 1.5 times more effective as an inhibitor of hydroxyl radicals than the corresponding coastal pine preparation.[4]


    Management of inflammation and blood pressure

    Chronic low-grade inflammation is one of the most significant factors in vascular degeneration and in the development of elevated blood pressure. Inflammation damages the inner surface of blood vessels, that is, the endothelium. This leads to stiffening of the vessels and predisposes them to plaque formation.[9] The polyphenols contained in pine extract drinks may promote natural protection against these harmful processes.

    Effective inhibition of inflammatory mediators: Studies at the University of Helsinki have shown that Kari's Pine Bark Extract Drink significantly reduces PGE2 production, a prostaglandin that amplifies inflammation. At 1% concentration, inhibition reached 54%; at 2% concentration, 60%. This points to a strong ability of the extract to suppress inflammatory reactions in the body.[2]

    Effect at the enzyme level: The extract drink acts directly on enzymes that regulate the inflammatory response. Studies found that the extract inhibits inducible nitric oxide synthase (iNOS) (24% inhibition at 2% concentration), thereby reducing excessive production of harmful nitric oxide (NO) in inflammatory states. In addition, taxifolin contained in the extract has itself been shown to be a strong anti-inflammatory compound.[2]

    BONUS: Pine bark extract (PBE): A recent meta-analysis published in 2025 shows that pine bark extract may reduce weight, systolic and diastolic blood pressure, fasting blood glucose, LDL cholesterol, and HbA1c values in randomized controlled trials. This points to positive effects in the management of the cardiometabolic risk profile.[11] However, this finding cannot be directly applied to pine bark extract drinks due to a lack of studies.


    Purity, quality, and safety

    Kari's pine bark extract drink has passed strict quality requirements, which makes it a reliable option for daily use:

    Cytotoxicity and cell-level safety


    Kari's Pine Bar Extract Drink: In tests at the Faculty of Pharmacy at the University of Helsinki, the extract drink (freeze-dried) was found to be fully safe and non-cytotoxic for Caco-2 intestinal cells. This shows that the product does not damage the intestinal surface cell layer, even at concentrations that have a physiological effect.[2]

    Standardization and concentrations:
    According to 2025 HPLC analyses, both preparations contain the amount of active OPC compounds stated by the manufacturers. The products are consistent and meet their technical quality requirements, ensuring the promised effect for consumers with each dose.[1]


    Contraindications and possible drug interactions

    Although the safety profile of Kari's Pine Bark Extract Drink and Pinena® preparations is excellent and they have been found cytotoxically harmless, caution is needed with certain medicines. The key factor observed in studies is changes in the rate of intestinal absorption of medicines.


    Effect on drug absorption

    Studies at the Faculty of Pharmacy at the University of Helsinki found that a dried pine bark extract drink at a concentration of 1 mg/ml clearly inhibited the absorption of metoprolol, which is a beta blocker. This suggests that phenolic compounds in the extract may affect the transport rate of certain medicines through the intestinal epithelial cell layer. Although the effect was found in cell models, it supports attention to timing between taking medicines and consuming the extract.[2]

    Practical recommendation: a 1–3 hour interval between medicines and the extract.


    Possible interactions

    Blood pressure medication

    Because OPC compounds in pine bark naturally have blood-pressure-lowering and vessel-relaxing properties, they can enhance the effect of blood pressure medicines. It is recommended to discuss the combined use with a doctor to avoid an excessive decrease in blood pressure.

    Blood thinners

    Pine bark extracts have been reported to affect platelet aggregation (function), which may increase bleeding risk in combined use with anticoagulants or platelet inhibitors (for example, warfarin or acetylsalicylic acid).


    When should the products not be used?

    As a general precaution, use of pine extract preparations is not recommended in the following situations without consulting a doctor:

    • Before surgical operations: Because of a possible increase in bleeding risk, use should be stopped at least two weeks before a planned surgery.

    • Pregnancy and breastfeeding: There is not enough clinical research information on the effects on the fetus or on breast milk to fully recommend use in these phases.

    • Hypersensitivity: If a person has an allergy or hypersensitivity to pine ingredients.

    As a practical rule of thumb, people who use regular medication should wait at least 2–3 hours between taking the medicine and consuming pine extract to ensure optimal absorption of the medicine.[12]


    Pine bark extract drink + sauna: a clear and practical protocol

    The purpose of this protocol is to combine the heat stimulation of sauna, which improves blood circulation and vascular flexibility, with the antioxidant and inflammation-reducing effects of pine extract, thereby reducing possible LDL oxidation, improving endothelial function, and supporting cardiovascular health as much as possible.

    Before sauna (30 min)

    • Drink 100 ml of Kari's pine bark extract drink

    • Drink an additional 3–5 dl of water

    • Avoid a heavy meal at least 4 hours before the sauna

    Sauna protocol

    • Temperature 80–85 °C (adjust humidity by throwing water on the stones)

    • Total time 25–30 min

    • 2–3 rounds:

      • 8–10 min heat

      • 1–3 min cooling (cold shower / ice bath)

      • 1 dl Kari's pine bark extract drink (on the second break)

    After sauna

    • 5–10 min light movement or rest

    • 3–5 dl water + 1 dl Karin pine extract drink

    • Light salt/electrolyte if needed

    Frequency

    • 3–5 times per week

    • Long-term regularity produces the greatest benefits


    Protocol benefits for the heart and circulatory system

    Sauna bathing:[13,14]

    • increases blood circulation

    • dilates blood vessels

    • improves endothelial function

    • lowers blood pressure

    • is associated with lower cardiac mortality in long-term follow-up

    Pine extract drink (phenols + OPC):[2]

    • inhibits LDL oxidation

    • reduces lipid peroxidation

    • dampens inflammatory mediators

    • supports nitric oxide signaling in blood vessels

    Combination: Sauna improves tissue distribution, and the extract reduces oxidative load. Potential physiological benefits:→ better arterial flexibility
    → lower ox-LDL (oxidized LDL)
    → lower inflammation
    → better overall cardiovascular response


    Summary

    Kari's Pine Bark Extract Drink is based on a hot-water extract from the bark and phloem of Finnish Scots pine, and its broad phenolic composition. In laboratory and cell models, phenolic compounds derived from pine extract have shown antioxidant and anti-inflammatory effects, including reduced LDL oxidation and reduced activity of some inflammatory mediator pathways. This supports biological plausibility from the perspective of vascular function and oxidative stress management.

    However, it is essential to emphasize research limitations. At present, evidence for Kari's Pine Bark Extract Drink is mainly based on chemical analyses and in vitro and ex vivo studies. Direct clinical evidence in humans, where effects would be measured, for example, on blood pressure, endothelial function, markers of oxidative stress, or clinical endpoints, is still limited or insufficient. Therefore, effects on cardiovascular health cannot be presented as certain clinical conclusions. They must be described as mechanism-level observations that are still under research.

    In practice, the potential benefit of a pine bark extract drink is based on the combined effects of several phenolic compounds and on its use as part of a broader lifestyle (for example, consumption of polyphenol-rich berries). To confirm efficacy and possible additional benefits reliably in humans, randomized and controlled human studies are needed. These studies should use standardized doses and measure clear biomarkers of vascular health and long-term safety.

    For safety, current evidence points to good tolerability in cell-level studies, but clinical confirmation in humans is also important, especially for people who use regular medication. Based on current knowledge, Kari's Pine Bark Extract Drink is biologically plausible and intriguing, but its effects should be approached with scientific caution until broader clinical evidence is available.

    Scientific references:

    1. Fingredient Ltd. (2025). Mäntyuutevalmisteiden Polyfenolien vertailu, osa 2. FT Jari Siivari.

    2. Helsingin yliopisto. (2003). Analyysitodistus: Havupuu uutejuoman fenoliset yhdisteet, antioksidanttiteho ja tulehduksen esto. Elintarvikekemian ja farmasian laitokset. 

    3. Vienola, M., & Pihlaja, K. (2001). Phenolic compounds in the pine bark extract and their functional properties. Department of Chemistry, University of Turku.

    4. Siivari, J. / CRS BioTech. (2000). Tutkimuslausunto: Havupuu kuivauutteen antioksidatiivisuus. 

    5. De Schepper, V., De Swaef, T., Bauweraerts, I., & Steppe, K. (2013). Phloem transport: a review of mechanisms and controls. Journal of experimental botany, 64(16), 4839-4850.

    6. Karonen, M., Hämäläinen, M., Nieminen, R., Klika, K. D., Loponen, J., Ovcharenko, V. V., ... & Pihlaja, K. (2004). Phenolic extractives from the bark of Pinus sylvestris L. and their effects on inflammatory mediators nitric oxide and prostaglandin E2. Journal of Agricultural and Food Chemistry, 52(25), 7532-7540.

    7. Verkasalo, E., Möttönen, V., Roitto, M., Vepsäläinen, J., Kumar, A., Ilvesniemi, H., ... & Sikanen, L. (2021). Extractives of stemwood and sawmill residues of scots pine (Pinus sylvestris L.) for biorefining in four climatic regions in Finland—Phenolic and resin acid compounds. Forests, 12(2), 192.

    8. Filippovich, S. Y., Isakova, E. P., Bachurina, G. P., & Deryabina, Y. I. (2025). Modern Developing Directions in the Dihydroquercetin Study. Molecules, 30(21), 4187.

    9. Higashi, Y., Noma, K., Yoshizumi, M., & Kihara, Y. (2022). Roles of oxidative stress and inflammation in vascular endothelial dysfunction-related disease. Antioxidants, 11(10), 1958.

    10. Poznyak, A. V., Nikiforov, N. G., Markin, A. M., Kashirskikh, D. A., Myasoedova, V. A., Gerasimova, E. V., Orekhov, A. N., & Orekhov, A. N. (2021). Overview of OxLDL and its impact on cardiovascular health: Focus on atherosclerosis. Frontiers in Pharmacology, 11, 613780.

    11. Mohammadi, S., Fulop, T., Khalil, A., Ebrahimi, S., Hasani, M., Ziaei, S., ... & Heshmati, J. (2025). Does supplementation with pine bark extract improve cardiometabolic risk factors? A systematic review and meta-analysis. BMC Complementary Medicine and Therapies, 25(1), 71.

    12. Laitinen, L. A., Tammela, P. X. I. S., Galkin, A., Vuorela, H. J., Marvola, M. L., & Vuorela, P. M. (2004). Effects of extracts of commonly consumed food supplements and food fractions on the permeability of drugs across Caco-2 cell monolayers. Pharmaceutical research, 21(10), 1904-1916.

    13. Hamaya, R., Joyama, Y., Miyata, T., Fuse, S. I., Yamane, N., Maruyama, N., ... & Sesso, H. D. (2025). Non-acute effects of passive heating interventions on cardiometabolic risk and vascular health: systematic review and meta-analysis of randomized controlled trials. American Journal of Preventive Cardiology, 101082.

    14. Kunutsor, S. K., Jae, S. Y., Kurl, S., & Laukkanen, J. A. (2024). Sauna bathing and mortality risk: unraveling the interaction with systolic blood pressure in a cohort of Finnish men. Scandinavian Cardiovascular Journal, 58(1), 2302159.

     

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