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APPLE CIDER VINEGAR

Other Names:

Cider Vinegar, Malus sylvestris, Vinagre de Manzana, Vinagre de Sidra de Manzana, Vinaigre de Cidre.

 Overview
 Uses
 Side Effects
 Interactions
 Dosing
Overview Information

Apple cider vinegar is fermented juice from crushed apples. Like apple juice, it probably contains some pectin; vitamins B1, B2, and B6; biotin; folic acid; niacin; pantothenic acid; and vitamin C. It also contains small amounts of the minerals sodium, phosphorous, potassium, calcium, iron, and magnesium. Apple cider vinegar can also contain significant quantities of acetic acid and citric acid. It is used to make medicine.

Apple cider vinegar is used alone or with honey for weak bones (osteoporosis), weight loss, leg cramps and pain, upset stomach, sore throats, sinus problems, high blood pressure, arthritis, to help rid the body of toxins, stimulate thinking, slow the aging process, regulate blood pressure, reduce cholesterol, and fight infection.

Some people apply apple cider vinegar to the skin for acne, as a skin toner, to soothe sunburn, for shingles, insect bites, and to prevent dandruff. It is also used in the bath for vaginal infections.

In foods, apple cider vinegar is used as a flavoring agent.

It can be hard to know what’s in some apple cider vinegar products. Laboratory analysis of commercially available apple cider vinegar tablets shows wide variation in what they contain. Amounts of acetic acid ranged from about 1% to 10.57%. Amounts of citric acid ranged from 0% to about 18.5%. Amounts of ingredients listed on the product labels didn’t match the laboratory findings. In the US, there is no real definition in the law of what apple cider vinegar must contain to be called apple cider vinegar. So, it is impossible to tell from these analyses whether these commercial products actually contain any apple cider vinegar.

How does it work?

Apple cider vinegar is the fermented juice of crushed apples. It contains acetic acid and nutrients such as B vitamins and vitamin C. Apple cider vinegar might help lower blood sugar levels in people with diabetes by changing how foods get absorbed from the gut. Apple cider vinegar might prevent the breakdown of some foods.

Uses & Effectiveness What is this?

Insufficient Evidence for:

  • Diabetes. Some preliminary research suggests that consuming vinegar or apple cider vinegar might reduce blood sugar levels after a meal.
  • Slow digestion (gastroparesis).
  • Weight loss.
  • Leg cramps and pain.
  • Unsettled stomach.
  • Sore throats.
  • Sinus problems.
  • High blood pressure.
  • Arthritis.
  • Infection.
  • Weak bones (osteoporosis).
  • Lowering cholesterol.
  • Improving circulation.
  • Acne.
  • Sunburn.
  • Shingles.
  • Bites.
  • Dandruff.
  • Vaginal infections (vaginitis).
  • Other conditions.
More evidence is needed to rate apple cider vinegar for these uses.


Side Effects & Safety

Consuming apple cider vinegar in food amounts is LIKELY SAFE. Apple cider vinegar is POSSIBLY SAFE for most adults when used short-term for medical purposes.

In some cases, consuming a lot of apple cider vinegar might not be safe. Consuming 8 ounces of apple cider vinegar per day, long-term might lead to problems such as low potassium. There has been one report of a person who developed low potassium levels and weak bones (osteoporosis) after taking 250 mL apple cider vinegar daily for 6 years. In another report, a woman who had an apple cider vinegar tablet lodged in her throat for 30 minutes developed tenderness and pain in her voice box and difficulty swallowing for 6 months following the incident. This was thought to be due to the acid content of the tablet.

Special Precautions & Warnings:

Pregnancy and breast-feeding: Not enough is known about the safety of using apple cider vinegar as medicine during pregnancy and breast-feeding. Stay on the safe side, and don’t use it.

Diabetes: Apple cider vinegar might lower blood sugar levels in people with diabetes. Therefore, blood sugar levels need to be monitored closely. Dose adjustments may be necessary for diabetes medications that are taken.

Interactions What is this?

Moderate Interaction Be cautious with this combination

  • Digoxin (Lanoxin) interacts with APPLE CIDER VINEGAR

    Large amounts of apple cider vinegar can decrease potassium levels in the body. Low potassium levels can increase the side effects of digoxin (Lanoxin).

  • Insulin interacts with APPLE CIDER VINEGAR

    Insulin might decrease potassium levels in the body. Large amounts of apple cider vinegar might also decrease potassium levels in the body. Taking apple cider vinegar along with insulin might cause potassium levels in the body to be too low. Avoid taking large amounts of apple cider vinegar if you take insulin.

  • Water pills (Diuretic drugs) interacts with APPLE CIDER VINEGAR

    Large amounts of apple cider vinegar can decrease potassium levels in the body. "Water pills" can also decrease potassium in the body. Taking apple cider vinegar along with "water pills" might decrease potassium in the body too much.

    Some "water pills" that can deplete potassium include chlorothiazide (Diuril), chlorthalidone (Thalitone), furosemide (Lasix), hydrochlorothiazide (HCTZ, HydroDiuril, Microzide), and others.


Dosing

The appropriate dose of apple cider vinegar depends on several factors such as the user's age, health, and several other conditions. At this time there is not enough scientific information to determine an appropriate range of doses for apple cider vinegar. Keep in mind that natural products are not always necessarily safe and dosages can be important. Be sure to follow relevant directions on product labels and consult your pharmacist or physician or other healthcare professional before using.

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Conditions of Use and Important Information: This information is meant to supplement, not replace advice from your doctor or healthcare provider and is not meant to cover all possible uses, precautions, interactions or adverse effects. This information may not fit your specific health circumstances. Never delay or disregard seeking professional medical advice from your doctor or other qualified health care provider because of something you have read on WebMD. You should always speak with your doctor or health care professional before you start, stop, or change any prescribed part of your health care plan or treatment and to determine what course of therapy is right for you.

This copyrighted material is provided by Natural Medicines Comprehensive Database Consumer Version. Information from this source is evidence-based and objective, and without commercial influence. For professional medical information on natural medicines, see Natural Medicines Comprehensive Database Professional Version. © Therapeutic Research Faculty 2009.

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