Conjugated linoleic acid (CLA) is a naturally occurring fatty acid found in the meat and dairy products of ruminant animals. However, the CLA used in most supplements is synthesized by chemically altering linoleic acid from vegetable oils, leading to different isomer ratios than those found in nature. While marketed for its potential weight loss benefits, it is important for consumers to be aware of the range of side effects that can accompany CLA supplementation.
Mild and Common Digestive Side Effects
One of the most frequently reported side effects of taking CLA is gastrointestinal distress, especially during the initial stages of supplementation. These issues are often mild but can be persistent for some users. They include:
- Stomach upset and pain: Some individuals experience discomfort or cramps in the stomach area.
- Diarrhea: Loose stools or diarrhea are common, particularly at higher doses.
- Nausea and vomiting: Feelings of nausea or the urge to vomit can occur.
- Heartburn: Acid indigestion or heartburn has also been reported by some users. These symptoms can often be mitigated by taking the supplement with food. However, if they persist, it may be a sign that the dosage is too high or that the supplement is not well-tolerated.
More Serious Metabolic and Liver Risks
Beyond mild digestive upset, several studies have raised concerns about more significant metabolic and liver-related risks, especially with high doses or long-term use of synthetic CLA supplements.
Potential for Worsened Insulin Resistance
Research suggests that supplemental CLA, particularly certain isomers like trans-10, cis-12, can worsen insulin resistance. This is a condition where the body's cells don't respond effectively to insulin, leading to higher blood sugar levels. This is a particular concern for individuals with or at risk for diabetes or metabolic syndrome, who should exercise caution and consult a healthcare provider before taking CLA.
Impact on Liver Health
There is conflicting evidence regarding CLA's effect on the liver. Some animal studies show that CLA can cause the accumulation of fat in the liver, a condition known as hepatic steatosis. In rare human cases, severe liver damage has been associated with CLA supplementation. However, other studies, including some on overweight women, have shown either no effect or even improved liver function with CLA supplementation. These discrepancies likely depend on the specific CLA isomers, dosage, and individual metabolic health.
Changes in Cholesterol Levels
While some research shows no effect on cholesterol, other studies have documented a decrease in high-density lipoprotein (HDL), or “good” cholesterol, in individuals taking CLA supplements. This is in contrast to the potential benefits of naturally occurring CLA from food sources. A drop in HDL cholesterol levels is a known risk factor for cardiovascular disease.
Comparison of CLA from Food vs. Supplements
It is important to differentiate between conjugated linoleic acid obtained from food sources and the synthetic versions found in most supplements. The composition and effects of each can vary significantly.
| Feature | CLA from Food (e.g., grass-fed beef, dairy) | CLA from Supplements (synthesized) |
|---|---|---|
| Composition | Contains natural ratios of various CLA isomers. | Chemically altered from vegetable oils, often with different isomer ratios than natural CLA. |
| Dosage | Low, naturally occurring amounts (avg. 151-212 mg/day). | High, concentrated doses (typically 3-6 g/day). |
| Side Effects | Generally considered safe, part of a normal diet. | Potential for mild digestive issues; risk of more serious metabolic and liver concerns at high doses. |
| Health Impact | Associated with lower risk of certain diseases in observational studies. | Conflicting or modest results for weight loss; potential for negative metabolic effects. |
Who Should Avoid CLA Supplements?
Certain populations should avoid or be extremely cautious with CLA supplementation due to heightened risk factors. This includes:
- Individuals with diabetes or metabolic syndrome: The risk of worsening insulin resistance makes CLA potentially dangerous for this group.
- People with bleeding disorders: CLA might slow blood clotting, increasing the risk of bruising or bleeding.
- Those undergoing surgery: Due to the potential effect on blood clotting, it is recommended to stop taking CLA at least two weeks before any scheduled surgery.
- Pregnant or breastfeeding women: There is insufficient reliable information to confirm the safety of large doses of CLA during these periods, so avoidance is recommended.
Conclusion
While some studies suggest minor weight loss benefits from CLA supplementation, these effects are often modest and inconsistent among individuals. Furthermore, the potential side effects, ranging from common digestive problems to more serious risks involving insulin sensitivity, liver health, and cholesterol levels, warrant careful consideration. The synthetic nature and high dosage of most supplements differ significantly from the CLA found naturally in food sources, and this is believed to contribute to the negative outcomes. It is highly recommended to consult a healthcare professional before starting CLA, especially if you have pre-existing health conditions or are taking other medications.
What are the symptoms of taking too much CLA?
- Digestive issues like nausea, diarrhea, and stomach pain.
- Fatigue and headaches.
- Increased risk of insulin resistance.
- Potential liver-related issues.