Toku Health logo THE HEALTH JOURNAL
MEN’S HEALTH

Erectile dysfunction may be an early sign of a heart-health problem.

THE TAKEAWAY

Erections depend on blood flow. A persistent change is a reason to check cardiovascular health, not just sexual performance.

Conceptual male silhouette with heart and vascular network
The same circulation system serves the bedroom and the heart.

Smaller arteries can reveal a bigger problem. Penile arteries are smaller than those feeding the heart. Restricted blood flow can affect erections before other cardiovascular symptoms appear. 1

Editorial illustration comparing a smaller narrowed artery with a larger artery
The small-artery connection. Conceptual illustration, not a scan or diagnostic image.

ED has several possible causes. If it persists, ask a clinician about blood pressure, cholesterol and glucose, not just a short-term fix. 2

ED gives you a reason to look beyond sexual performance.

Blood vessels need to relax and widen. When they cannot, circulation can suffer in the bedroom and beyond. Princeton IV guidance treats ED as a cardiovascular risk marker, not proof that a heart attack is coming. 1

Conceptual illustration of the circulation involved in an erection
Circulation depends on how blood vessels function, not only their size. Conceptual illustration.

Your body may be sending a signal about something bigger.

In some men, ED appears 2 to 5 years before symptoms of heart disease. That makes a persistent change worth paying attention to now, rather than waiting for another symptom. 12

Feeling fine is not the same as knowing your heart is healthy. Coronary heart disease can develop without obvious symptoms. Sometimes a heart attack is the first sign. 6 A family history, especially heart disease at a younger age, adds another reason to know your risk. 7

Three things you can start today.

You do not need a perfect routine to begin. Start with a few habits you can repeat, alongside a conversation with your clinician about your numbers.

BUILD THE FOUNDATION FIRST
  • Move: Try a 20-minute walk and break up sitting each hour. Build toward at least 150 minutes of moderate activity a week.
  • Sleep: Aim for 7 to 9 hours. Keep your bedtime and wake time consistent, including weekends.
  • Eat with intention: Make room for vegetables, fruit, beans and whole grains. Choose minimally processed foods more often.

Those habits support the same cardiovascular system that matters in the bedroom. Blood pressure, cholesterol and blood sugar checks help you see what you cannot feel. 8

A mature couple walking together along a tree-lined park path
Daily movement is one part of a broader cardiovascular routine.

What is nattokinase, and why pair it with K2?

Nattokinase is an enzyme first identified in natto, a Japanese fermented-soybean food. Researchers study it for its fibrin-breaking activity and potential effects on cardiovascular markers. Fibrin is a protein involved in blood clot formation. 10

Vitamin K2 plays a different role. It helps activate proteins involved in calcium metabolism, including in bone and blood vessels. Whether supplements reduce arterial calcification or heart-disease risk is still being studied. 9

A 12-month retrospective study followed 1,062 people with high blood lipids and reported improvements in lipid and carotid-artery measures with 10,800 FU of nattokinase daily. A subgroup also took 180 mcg of K2. 10

Toku Flow puts nattokinase, K2 and oat beta-glucan into one daily drink. Its soy-free nattokinase comes from fermented chickpeas, and the Chocolate option makes it easy to add to a familiar ritual.* 3

Toku Flow Chocolate box, sachet and prepared drink
DAILY CARDIOVASCULAR SUPPORT* Daily support for
healthy blood flow.*

10,800 FU nattokinase
180 mcg vitamin K2
Oat beta-glucan

WHAT GOES INTO EACH SACHET
  • 10,800 FU nattokinase: the daily enzyme-activity amount used in the study above.
  • 180 mcg vitamin K2 (MK-7): supports normal calcium metabolism.*
  • Oat beta-glucan: brings the three ingredients together in one formula.

Third-party tested for purity and potency. Choose Chocolate or Unflavored and stir one sachet into a cold or warm drink below 120°F. 3

Choose the supply that fits your routine.

Start with 30 days or choose a 90-day supply. Both contain the same formula and come with a 30-day money-back guarantee.

CHOOSE YOUR TOKU FLOW

CUSTOMER EXPERIENCES

See what people are saying.

4.8 out of 5 Based on 370 reviews on Toku

"I've been taking Flow by TOKU for about a week now and have noticed a better level of energy and less drag. Looking forward to other benefits in time!"
Jeff R. ✓ Verified customer
“I’m a runner and wear an Oura ring and my HRV is trending upwards since I’ve been taking the Toku for a month. Resting heart rate is lower.”
Patti ✓ Verified customer
"Since taking this, i've set mile time PRs with my running while keeping my heart rate lower, my workout recovery has drastically improved, and my overall energy throughout the day is a lot better than normal."
Patrick S. ✓ Verified customer

Individual customer experiences, not guaranteed results. Read customer reviews on Toku.

Toku Flow | Nattokinase Supplement (10,800 FU) - Toku - Chocolate
Research-backed high potency nattokinase
Soy FreeFermented with chickpeas.
3rd Party testedISO 17025 Verified for Purity & Potency
4.8 Join 6,000 people supporting their heart

Most Powerful Cardiovascular Protocol

Nattokinase 10,800 FU Supplement | Soy-Free

Toku Flow delivers 10,800 FU of clinical-grade nattokinase per daily sachet, paired with 180 mcg of Vitamin K2 (MK-7) and oat beta-glucan for comprehensive cardiovascular support. Sourced from chickpea fermentation (soy-free), third-party tested, no fillers.

Pick Flavor:

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INGREDIENTS

CHOCOLATE: Gluten Free Oat Bran with Beta Glucans, Nattokinase from Fermented Chickpeas, Vitamin K2 (MK-7), Cocoa Powder, Organic Stevia Extract, Sea Salt, and Monk Fruit Extract.

UNFLAVORED: Gluten Free Oat Bran with Beta Glucans, Nattokinase from Fermented Chickpeas, Vitamin K2 (MK-7).

HOW TO USE

Flow can be easily stirred into any beverage, cold or warm (avoid blending in beverages hotter than 120°F). Consume in the morning or at night with or without food.

WHEN TO EXPECT RESULTS

Every person responds differently, but if you're tracking biomarkers like LDL cholesterol or triglycerides, meaningful changes typically take 8-12 weeks of consistent use.

The largest clinical study of nattokinase followed participants for 12 months, with improvements continuing throughout the study. The biggest benefits often come from staying consistent.

THE NO LIST
  • No sugar
  • No GMOs
  • No gluten
  • No glyphosate
  • No hormones
  • No antibiotics
  • No soy
  • No fat
  • No artificial additives
  • No natural or artificial colors or flavors
  • No corn
  • No oils
  • No binders or anti-caking agents
CERTIFICATIONS & TESTING

Glyphosate Free

Soy Free

Manufactured using 3rd Party certified current Good Manufacturing Practices (cGMPs) in an NSF certified facility

Thoroughly tested for heavy metal contaminants, enzymatic activity, phthalates, BPA/BPS levels and microbiological analysis by third party, FDA-registered, ISO 17025 accredited laboratories

Nattokinase activity measurement: what FU measures ↗

Sources & further reading

1. Princeton IV Consensus: ED and cardiovascular health
2. NIDDK: ED symptoms and causes
3. Toku Flow: formula and product directions
4. Endothelial nitric oxide in humans in health and disease
5. NIDDK: Daily habits and erectile dysfunction

This advertorial is published by Toku Health. Educational content is not a diagnosis or individual treatment recommendation. *These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

6. NHLBI: Silent coronary heart disease 7. American Heart Association: Family history and heart health 8. American Heart Association: Life's Essential 8 9. NIH: Vitamin K and calcium metabolism 10. Chen et al. (2022): Retrospective nattokinase study, 1,062 participants 11. Toku: Heart Health Journey terms 12. SMSNA: Princeton IV guidance and the early ED signal

Flow supports cardiovascular health. It is not an ED treatment, and ingredient research does not prove that it prevents heart attacks. The 1,062-person study was retrospective, not randomized; it cannot establish cause and effect or predict results for this formula. Ask your clinician before use, especially if you take anticoagulants or blood pressure medication. The Heart Health Journey is not a clinical trial and does not promise a specific health result.

Toku Health © 2026 Toku Health
Toku Flow Daily cardiovascular support*
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