The use of apple cider vinegar as an alternative remedy can be traced back thousands of years. Today, it continues to be touted as a cure-all for conditions as varied as obesity, acne, arthritis and diabetes. But just as the benefits of using this vinegar medicinally have not been scientifically proven, neither have the risks. As with any folk remedy, it is important to understand apple cider vinegar’s potential dangers and to consult a medical professional prior to use.
High Acidity
Apple cider vinegar is made from acetic fermentation, the process in which microorganisms convert alcohol into acid. As a result, apple cider vinegar possesses a high acid content and could potentially cause tissue irritation with extended use. Furthermore, the vinegar’s acidity may exacerbate conditions such as heartburn, indigestion and ulcers.
Drug Interactions
Apple cider vinegar, when taken in doses greater than those used for cooking, may interact negatively with some drugs. According to the website eMedTV, those taking Digoxin, insulin or diuretics like Bumex and Diuril should avoid ingesting large doses of apple cider vinegar. As stated by Mayo Clinic nutritionist Katherine Zeratsky, doing so may cause dangerously low potassium levels in the blood.
Unreliable Supplements
The FDA does not regulate supplements, which means that standards regarding the safety and effectiveness of commercially available apple cider vinegar products do not exist. In 2005, scientists studying eight different types of apple vinegar products found that ingredient lists, recommended doses and product acidity varied greatly according to brand. Furthermore, the study was unable to determine whether or not apple cider vinegar was even present in the products.
Potential Side Effects
The lack of scientific information regarding apple cider vinegar’s potential risks and benefits makes identifying its side effects difficult. However, a list of possible side effects compiled by eMedTV includes severe throat pain, hives, swelling of the mouth or throat and difficulty breathing. Should taking apple cider vinegar cause any adverse effects, seek medical help immediately.
References
- “Dr. Earl Mindell’s Amazing Apple Cider Vinegar”; Earl Mindell, Ph.D.; 2002
- MayoClinic.com: Apple cider vinegar for weight loss: Effective?
- eMedTV: Apple Cider Vinegar Safety
- eMedTV: Apple Cider Vinegar Drug Interactions
- BNET: Esophageal injury by apple cider vinegar tablets and subsequent evaluation of products



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