# Synergistic Actions of Natural Compounds for Enhancing Cognitive and Physical Performance: A Narrative Review

**Authors:** Raghav Panda, Harvey N Mayrovitz

PMC · DOI: 10.7759/cureus.102674 · Cureus · 2026-01-30

## TL;DR

This paper reviews natural compounds that may enhance cognitive and physical performance through diverse physiological mechanisms, unlike traditional energy drinks.

## Contribution

The paper introduces a multidimensional framework for energy enhancement using natural compounds with distinct mechanisms.

## Key findings

- Natural compounds like guayusa and beetroot extract may support cognitive and physical performance through unique physiological pathways.
- Current formulations lack standardization, making it difficult to draw definitive conclusions about their efficacy.
- A system-level understanding of energy physiology could lead to healthier energy-boosting formulations.

## Abstract

Energy drinks are widely consumed for cognitive and physical enhancement, yet most commercial formulations rely on a narrow mechanism: rapid stimulation from synthetic caffeine combined with artificial sweeteners. This stimulant-centric strategy overlooks the multidimensional physiology underlying sustained human energy, which emerges from interactions among neurocognitive activation, nitric oxide-mediated vascular function, mitochondrial ATP production, and metabolic homeostasis. This narrative review synthesizes evidence on naturally derived compounds that influence these pathways, including guayusa, guarana, Alpinia galanga, theobromine, L-citrulline, beetroot extract, cordyceps, and niacin, as well as natural sweeteners such as monk fruit and stevia. Evidence suggests that these agents may support cognitive performance, oxygen efficiency, vascular perfusion, and cellular energy capacity through mechanisms distinct from those of traditional energy drinks. However, heterogeneity across extract standardization, dosing, and study design limits the ability to draw definitive conclusions. A system-level understanding of energy physiology may guide the development of formulations better aligned with long-term cardiovascular, cognitive, and metabolic health.

## Linked entities

- **Chemicals:** caffeine (PubChem CID 2519), theobromine (PubChem CID 5429), L-citrulline (PubChem CID 833), niacin (PubChem CID 938)

## Full-text entities

- **Genes:** INS (insulin) [NCBI Gene 3630] {aka IDDM, IDDM1, IDDM2, ILPR, IRDN, MODY10}
- **Diseases:** flushing (MESH:D005483), reductions in blood (MESH:D006402), gastrointestinal discomfort (MESH:D005767), restlessness (MESH:D011595), hepatic insulin resistance (MESH:D007333), inflammatory (MESH:D007249), glycemic disturbances (MESH:D014832), sleep disturbance (MESH:D012893), sleep disruption (MESH:D019958), hypoxic (MESH:D002534), tachycardia (MESH:D013610), fatigue (MESH:D005221)
- **Chemicals:** Stevia glycosides (-), caffeine (MESH:D002110), nitrite (MESH:D009573), Niacin (MESH:D009525), nicotinamide mononucleotide (MESH:D009537), Theobromine (MESH:D013805), L-arginine (MESH:D001120), tannins (MESH:D013634), cordycepin (MESH:C058120), Polyphenol (MESH:D059808), ATP (MESH:D000255), NAD (MESH:D009243), dopaminergic (MESH:D004298), Chlorogenic acids (MESH:D002726), glucose (MESH:D005947), nicotinamide riboside (MESH:C018613), Sucralose (MESH:C026285), adenosine (MESH:D000241), oxygen (MESH:D010100), nitrate (MESH:D009566), methylxanthine (MESH:C008514), Vitamin B3 (MESH:D009536), L-citrulline malate (MESH:C071162), L-Citrulline (MESH:D002956), NO (MESH:D009569)
- **Species:** Stevia (genus) [taxon 55669], Homo sapiens (human, species) [taxon 9606], Cordyceps militaris (species) [taxon 73501], Agaricus bisporus (common mushroom, species) [taxon 5341], Alpinia galanga (greater galangal, species) [taxon 94327], Ophiocordyceps sinensis (species) [taxon 72228], Zingiber officinale (ginger, species) [taxon 94328], Paullinia cupana (guarana, species) [taxon 392747]

## Full text

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## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12950988/full.md

## References

36 references — full list in the complete paper: https://tomesphere.com/paper/PMC12950988/full.md

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Source: https://tomesphere.com/paper/PMC12950988