You can eat
- Dark chocolate with 70% cocoa or more, in a portion of one or two squares.
- Strawberries or orange segments dipped in melted dark chocolate
- Dark chocolate pieces sprinkled over plain yoghurt
- A handful of nuts with a square of dark chocolate
- Pure cocoa powder to flavour porridge or homemade cakes
- Grated dark chocolate over chopped fruit
What to avoid
- Sweetened cocoa drink powder as an everyday breakfast
- Milk or white chocolate as a regular snack
- Filled chocolates and bars with cream or caramel
- “Sugar-free” chocolate eaten without checking the portion
- Chocolate spreads with sugar as the first ingredient
- Pastries and biscuits coated in chocolate
Changes that help
Breakfast cocoa
Instead of sweetened cocoa drink powder, try pure cocoa powder with milk: you keep the chocolate flavour and remove almost all the sugar.
Milk chocolate bar
Instead of milk chocolate, choose dark chocolate with 70% cocoa or more; for the same portion, it contains less than half the sugar.
Spread
Instead of shop-bought chocolate spread, mix pure cocoa with nut butter so you can decide how much sweetness to add.
Habits that help
- Take out your portion and put the bar away before sitting down to eat it
- Take your time and eat without screens, letting each square melt in your mouth.
- Keep the chocolate in the cupboard, out of sight when you are sitting on the sofa.
It is the question that comes up most often in consultations when we talk about sweets: does dark chocolate count as something healthy or as a treat? It has elements of both. Cocoa provides fibre and flavanols, while the bar adds sugar and fat in proportions that vary considerably with the cocoa percentage.
What does dark chocolate offer, depending on its cocoa percentage?
The percentage on the label indicates how much of the product comes from cocoa. In dark chocolate, almost everything else is sugar. This is why a higher percentage means less sugar and more fibre, although it also contains slightly more fat [1].
| Per 100 g | Energy | Fat | Sugars | Fibre |
|---|---|---|---|---|
| Milk chocolate | 535 kcal | 29.7 g | 51.5 g | 3.4 g |
| Dark chocolate, 60–69% | 579 kcal | 38.3 g | 36.7 g | 8 g |
| Dark chocolate, 70–85% | 598 kcal | 42.6 g | 24 g | 10.9 g |
| Unsweetened pure cocoa powder | 228 kcal | 13.7 g | 1.75 g | 37 g |
Switching from milk chocolate to chocolate with 70–85% cocoa reduces the sugar content to less than half [1]. The energy content barely changes because the cocoa fat takes the place of the sugar. Much of this fat is saturated: about 24.5 g per 100 g in the 70–85% chocolate [1].
In practical terms, a 10 g square of 70–85% dark chocolate provides about 60 kcal and 2.4 g of sugars [1].
What does the evidence say about flavanols and cardiovascular health?
Cocoa flavanols are plant compounds belonging to the polyphenol family. The European Food Safety Authority (EFSA) concluded that they help maintain the ability of blood vessels to dilate, which contributes to normal blood flow [2].
The amount matters. The effect is obtained with 200 mg of flavanols a day, which can be provided by 2.5 g of cocoa powder or 10 g of dark chocolate rich in flavanols [2]. Only products that guarantee those 200 mg a day may make this claim on their packaging [3].
Ordinary dark chocolate does not state how many flavanols it contains, so you cannot tell whether it provides that amount. There is also no authorised claim stating that chocolate prevents blood clots or heart attacks, or lowers cholesterol. If your doctor has prescribed treatment for blood pressure or cholesterol, chocolate is not a substitute.
How much dark chocolate is reasonable?
In consultations, we usually suggest one or two squares a day, around 10 to 20 g, of dark chocolate with at least 70% cocoa. This is our practical guideline, intended to let you enjoy it without displacing fruit, nuts or yoghurt.
Sugar is another consideration. The World Health Organization recommends keeping free sugars below 10% of daily energy intake [4]. 5% is a desirable target [4]. For a diet of around 2,000 kcal, the 10% limit is equivalent to about 50 g a day [4]. Two squares of 70–85% chocolate provide around 5 g, while the same amount of milk chocolate contains about 10 g [1].
Chocolate also contains caffeine and theobromine, two mild stimulants. Each 100 g of 70–85% chocolate contains around 80 mg of caffeine, so a couple of squares provide about 16 mg [1]. During pregnancy, caffeine from all sources should not exceed 200 mg a day [5].
Pure cocoa powder versus sweetened cocoa
Unsweetened pure cocoa powder is the form of cocoa with the least sugar—1.75 g per 100 g—and plenty of fibre, at 37 g [1]. A teaspoon adds a chocolate flavour to porridge, yoghurt or a homemade cake.

Sweetened cocoa drink powder is a different product. If sugar appears before cocoa in the ingredients list, the container contains more sugar than cocoa, because ingredients are always listed from highest to lowest quantity [6]. The sugars line per 100 g tells you exactly how much [6].
How to read a chocolate label
For a product to be called chocolate, it must contain at least 35% cocoa under European regulations [7]. Above that minimum, the percentage is your first clue.
- Look for 70% cocoa or more. Above this level, sugar makes up less than a third of the weight [1].
- Check the first ingredient. In dark chocolate with a high cocoa content, cocoa mass comes before sugar [6].
- Look at the sugars per 100 g. This lets you compare two bars with the same cocoa percentage [6].
- Check the fats. If it contains vegetable fats other than cocoa butter, this must be stated [7].
- If it says “sugar-free”, keep reading. Check what it contains instead and how many kcal it provides per 100 g.
Chocolate and migraine, reflux or acne
These are the three health questions people ask most often about chocolate. There is no single answer to any of them, and in each case the decision should be made with your doctor.
Migraine
Chocolate is the food most often cited as a trigger for migraine. However, a review of published studies found insufficient evidence to confirm this [8]. If you suspect it affects you, note what you eat before each attack and discuss it at your medical appointment.
Reflux
In laboratory studies, chocolate relaxes the lower oesophageal sphincter, the valve that closes the passage between the oesophagus and the stomach [9]. Even so, few studies show that avoiding it improves reflux. If you suspect it makes your symptoms worse, stop eating it for one or two weeks and then try it again [9].
Acne
A systematic review found an association between diets with a high glycaemic load—that is, diets containing many foods that raise blood glucose quickly—and a modest effect on acne [10]. The review includes chocolate in this group because of its sugar content and, often, its milk content [10]. The guide to the glycaemic index explains the idea in more detail.
Questions about chocolate that come up in consultations
“If it’s 85%, I can eat more.” It contains less sugar and almost the same amount of energy as 70% chocolate—about 600 kcal per 100 g [1]. The reasonable serving is the same.
“Can I eat it while I’m losing weight?” Yes. What matters is the overall pattern across the week, and one or two squares can fit into a weight-loss plan. The same approach applies to other sweets, such as quince paste: have a small portion from time to time.
“When I open a bar, I finish it.” This is common and can be addressed. If eating chocolate is linked to feeling out of control or to guilt that lingers, we can work on it with our team of dietitians specialising in eating behaviour.
“It’s an antioxidant, so it’s healthy in any amount.” The fact that a food contains polyphenols does not make it a remedy, and chocolate is still very energy-dense [1].
The benefits of dark chocolate are real, but they come with specific conditions that an ordinary chocolate bar may not meet. The most practical approach is to choose a high cocoa percentage and keep the portion small.
Enjoying two squares may help you eat chocolate without feeling guilty.
Would you like to fit chocolate and other sweets into your everyday life without feeling that it is a struggle? Alimmenta’s team of dietitians can help you create a plan tailored to you, in Barcelona or online.
Your first step this week
The bitterness test
This week, try one square of 85% dark chocolate after a meal, eating it slowly, and see whether you get used to its taste.
When to see a doctor
When to see a doctor
Dark chocolate is a food, and no amount replaces medication for blood pressure or cholesterol when you need it. If you have frequent migraines, persistent reflux or acne that concerns you, speak to your doctor before changing what you eat.
If you are also monitoring your blood glucose, the guide to the glycaemic index provides context for fitting sweets into your diet.

Tell us what your week looks like and what you would like to change
At the first visit we talk about your schedule, who cooks at home and what you have tried before. At the second visit you receive your plan in writing.
Keep reading

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Glycaemic index: what it tells us and what it is used for
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Polyphenols: what they are, which foods contain them and what the evidence says
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Sources
- U.S. Department of Agriculture, Agricultural Research Service. FoodData Central, SR Legacy: chocolate negro de 70-85 % de cacao (FDC 170273), chocolate negro de 60-69 % de cacao (FDC 170272), chocolate con leche (FDC 167587) y cacao en polvo sin azúcar (FDC 169593). Available at: https://fdc.nal.usda.gov
- EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA). Scientific Opinion on the substantiation of a health claim related to cocoa flavanols and maintenance of normal endothelium-dependent vasodilation pursuant to Article 13(5) of Regulation (EC) No 1924/2006. EFSA Journal. 2012;10(7):2809. doi:10.2903/j.efsa.2012.2809
- Commission Regulation (EU) 2015/539 of 31 March 2015 authorising a health claim made on foods, other than those referring to the reduction of disease risk and to children’s development and health, and amending Regulation (EU) No 432/2012. Official Journal of the European Union. 2015. Available at: https://eur-lex.europa.eu/eli/reg/2015/539/oj
- World Health Organization. Guideline: sugars intake for adults and children. Geneva: World Health Organization; 2015. Available at: https://www.who.int/publications/i/item/9789241549028
- EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA). Scientific Opinion on the safety of caffeine. EFSA Journal. 2015;13(5):4102. doi:10.2903/j.efsa.2015.4102
- Regulation (EU) No 1169/2011 of the European Parliament and of the Council of 25 October 2011 on the provision of food information to consumers. Official Journal of the European Union. 2011;L 304:18-63. Available at: https://eur-lex.europa.eu/eli/reg/2011/1169/oj
- Directive 2000/36/EC of the European Parliament and of the Council of 23 June 2000 relating to cocoa and chocolate products intended for human consumption. Official Journal of the European Communities. 2000. Available at: https://eur-lex.europa.eu/eli/dir/2000/36/oj
- Nowaczewska M, Wiciński M, Kaźmierczak W, et al. To eat or not to eat: a review of the relationship between chocolate and migraines. Nutrients. 2020;12(3):608. doi:10.3390/nu12030608
- Katz PO, Dunbar KB, Schnoll-Sussman FH, et al. ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease. Am J Gastroenterol. 2022;117(1):27-56. doi:10.14309/ajg.0000000000001538
- Meixiong J, Ricco C, Vasavda C, et al. Diet and acne: a systematic review. JAAD Int. 2022;7:95-112. doi:10.1016/j.jdin.2022.02.012
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