Apple-cider vinegar might decrease blood sugar, so mixing it with berberine or ALA is dangerous.Utilizing ACV with laxatives or electrolyte powders might trigger low potassium and well being issues.Small quantities of ACV in meals are protected, however greater doses needs to be cleared by a well being care supplier.

Apple-cider vinegar (ACV) could also be some of the hyped wellness hacks, usually touted as a cure-all for quite a few issues, together with intestine well being, weight reduction and improved blood sugar management. Together with it as a part of your weight loss plan isn’t an enormous deal, however when it’s taken in bigger doses and with sure dietary supplements, it could include dangers.

“Apple-cider vinegar is usually regarded as a innocent ‘superfood,’ however it could completely work together with dietary supplements and medicines due to its acidity, its affect on potassium ranges and its delicate results on blood sugar,” explains dietitian Jane Leverich, M.S., RDN. The priority isn’t the occasional drizzle in your roasted veggies—it’s the each day “photographs” or excessive doses promoted on social media which will trigger issues. 

That will help you keep protected, we requested registered dietitians which dietary supplements are most regarding to mix with apple-cider vinegar and why. Right here’s what you must know.

1. Berberine
Berberine is a plant-based compound present in herbs like goldenseal and barberry that’s usually taken as a complement to assist handle blood sugar ranges. Some analysis means that its results can mimic these of sure diabetes medicines by enhancing insulin sensitivity and decreasing fasting glucose ranges.

That’s the place the priority is available in: Apple-cider vinegar can also be linked to decreasing fasting blood sugar, so combining the 2 might trigger your glucose to drop greater than meant. “ACV and berberine are sometimes used to scale back blood sugar ranges, however taking these dietary supplements collectively might decrease blood sugar an excessive amount of, resulting in a hypoglycemic episode,” says dietitian Amy Brownstein, M.S., RDN. Signs of hypoglycemia can embrace shakiness, dizziness, fatigue and, in additional extreme instances, fainting or confusion.

For individuals managing diabetes—or anybody already taking insulin or oral glucose-lowering treatment—this overlap will be notably dangerous. If berberine is a part of your routine, it’s finest to maintain your consumption of ACV low and seek the advice of a well being care supplier earlier than making an attempt greater, supplement-like doses.

2. Alpha-Lipoic Acid (ALA)
Alpha-lipoic acid (ALA) is an antioxidant naturally present in meals like spinach and broccoli, and it’s additionally obtainable in complement type, which is usually used to help wholesome blood sugar ranges. Some research counsel it could assist enhance insulin sensitivity and scale back signs of nerve harm in individuals with diabetes.

By itself, ALA might supply advantages for higher blood sugar, however pairing it with apple-cider vinegar may tip the scales too far. “Pairing ACV with any complement that works to decrease blood sugar will increase the danger of hypoglycemia,” says Leverich. As a result of ACV itself can reasonably decrease post-meal glucose, including ALA to the combination may enhance the danger of blood sugar ranges dipping too low, particularly in people who take diabetes treatment.

Hypoglycemia threat apart, taking each collectively might make it tougher to inform which complement—or dose—is having an impact in your blood sugar. If ALA is already a part of your complement routine, discuss with a well being care supplier earlier than including each day ACV to keep away from potential interactions. Generally, it’s most secure to stay with small quantities of vinegar in meals moderately than concentrated “photographs” or capsules.

3. Senna
Complement laxatives, corresponding to senna, can decrease potassium ranges within the physique. “Taking apple-cider vinegar alongside these laxatives might result in dangerously low potassium ranges,” Brownstein tells EatingWell. “Each apple-cider vinegar and laxatives can scale back potassium within the physique, and their mixed results will be doubtlessly dangerous.”

Low potassium doesn’t simply present up in your bloodwork—it could trigger muscle weak point, cramping, irregular coronary heart rhythms and, in extreme instances, hospitalization. In the event you use laxatives, it’s finest to skip each day ACV “photographs” or capsules. Utilizing small quantities in cooking is much much less prone to pose an issue, however discuss to a well being care supplier earlier than including concentrated ACV to your complement routine.

4. Electrolytes
Electrolyte dietary supplements—usually containing potassium, magnesium and sodium—are marketed for hydration and train restoration, however combining these with apple-cider vinegar may disrupt the steadiness of those minerals in your physique. 

Since ACV might decrease potassium ranges, pairing it with electrolyte dietary supplements might throw off your electrolyte ranges as an alternative of restoring them, says Leverich. An older, well-documented case examine described a girl who drank about 1 cup of diluted ACV each day for six years and developed dangerously low potassium and osteoporosis, highlighting how long-term, concentrated use can have actual penalties.

In the event you take electrolyte powders, avoid each day ACV “photographs” or high-dose capsules. Utilizing vinegar in small quantities in meals is protected, however be cautious when supplementing electrolytes, particularly potassium.

Dig Deeper

7 Issues You Ought to Search for When Shopping for a Complement, In keeping with Dietitians

Our Skilled Take
Apple-cider vinegar actually has its place in a nutritious diet, however like several meals or complement, context issues. Together with small quantities of ACV in your weight loss plan isn’t normally trigger for concern, however in greater doses, ACV might work together with some dietary supplements. Particularly people who have an effect on blood sugar or electrolyte steadiness, corresponding to berberine, alpha-lipoic acid, laxatives or electrolyte powders containing potassium.

That doesn’t imply it’s worthwhile to keep away from ACV altogether. Utilizing it in cooking as a salad dressing, marinade or taste booster is usually protected and may even add diet to meals. In the event you’re contemplating including bigger doses of ACV to your wellness routine, it’s a good suggestion to examine in with a well being care supplier first.



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