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Can I have Cassia cinnamon every day? The Risks and Safe Alternatives

4 min read

According to the European Food Safety Authority (EFSA), Cassia cinnamon contains high levels of a natural substance called coumarin, which can be toxic to the liver in large doses. Therefore, the practice of regularly consuming large amounts of Cassia cinnamon daily is a potential health concern that warrants a closer look at dosage, safety, and available alternatives.

Quick Summary

This article explores the health implications of consuming Cassia cinnamon daily, focusing on the key compound coumarin and its effects on the liver. It outlines recommended safe intake levels, discusses who should exercise caution, and compares Cassia to its safer counterpart, Ceylon cinnamon, highlighting the key differences in coumarin content and health impact.

Key Points

  • High Coumarin Content in Cassia: Cassia cinnamon contains significant levels of coumarin, a substance that can cause liver damage with high and prolonged intake.

  • Limited Safe Daily Intake: The tolerable daily intake (TDI) of coumarin is low, and it is easy to exceed this limit with consistent consumption of Cassia cinnamon, especially for sensitive individuals or children.

  • Ceylon is a Safer Alternative: Ceylon, or "true" cinnamon, contains only trace amounts of coumarin, making it the safer choice for regular, long-term daily use.

  • Potential for Drug Interactions: Excessive Cassia cinnamon intake can interfere with medications, particularly blood thinners like warfarin and drugs metabolized by the liver.

  • Risk of Other Side Effects: High consumption can also lead to oral irritation, digestive issues, and dangerously low blood sugar levels in people with diabetes.

  • Consult a Healthcare Provider: Individuals with liver disease, diabetes, or those on certain medications should consult a doctor before making cinnamon a regular part of their diet or supplement regimen.

In This Article

The Core Concern: Coumarin in Cassia Cinnamon

The primary reason for caution with daily Cassia cinnamon consumption is its high coumarin content. Coumarin is a natural flavoring that can cause liver damage, especially in sensitive individuals or those with pre-existing liver conditions, when consumed in large, consistent amounts over time. While the liver damage is often reversible, the risk increases with daily high-dose exposure.

Tolerable Daily Intake (TDI) for Coumarin

Regulatory bodies, such as the European Food Safety Authority (EFSA) and the German Institute for Risk Assessment (BfR), have established a Tolerable Daily Intake (TDI) for coumarin. The recommended limit is approximately 0.1 mg of coumarin per kilogram of body weight per day. It is surprisingly easy to exceed this limit with Cassia cinnamon. For instance, a small child weighing around 15kg could exceed their TDI by consuming as little as half a gram of Cassia cinnamon, while an average adult could reach the limit with just one to two teaspoons.

Other Potential Side Effects of High Intake

Beyond liver concerns, consuming excessive amounts of Cassia cinnamon can lead to other issues. Possible side effects include:

  • Oral health problems: The cinnamaldehyde in cinnamon can cause mouth sores or irritation when it has prolonged contact with the mouth, which can occur from consuming large amounts of cinnamon-flavored products.
  • Digestive upset: High intake may lead to gastrointestinal distress, including stomach aches, nausea, diarrhea, and heartburn.
  • Low blood sugar: For individuals with diabetes, consuming a lot of cinnamon can cause blood sugar levels to drop too low, especially when taken alongside diabetes medication.
  • Allergic reactions: Although uncommon, some individuals may experience allergic reactions, with symptoms ranging from rashes and itching to more severe reactions.

Cassia vs. Ceylon Cinnamon: The Key Difference for Daily Use

The most significant factor determining the safety of daily cinnamon use is the type of cinnamon being consumed. The two primary types are Cassia and Ceylon.

Comparison Table: Cassia vs. Ceylon

Feature Cassia Cinnamon Ceylon Cinnamon
Common Name Chinese, Indonesian, Saigon Cinnamon True Cinnamon, Sri Lanka Cinnamon
Coumarin Content High (Up to 1% or more) Very Low (Trace amounts, often undetectable)
Daily Use Not recommended for long-term daily use in large amounts Generally considered safe for daily consumption
Flavor Profile Strong, pungent, and spicy Milder, sweeter, and more delicate
Appearance (Sticks) Thick, hard, and hollow with a single curled layer Thin, soft, and fragile layers resembling a rolled cigar
Cost Typically more affordable and widely available More expensive and found in specialty stores

The Healthier Choice: Ceylon Cinnamon

For those who wish to enjoy cinnamon on a daily basis, Ceylon cinnamon is the far safer choice due to its negligible coumarin content. It provides the familiar flavor and many of the potential health benefits, such as antioxidant and anti-inflammatory properties, without posing a risk to liver health with regular consumption. If you plan to incorporate cinnamon into your daily routine for health reasons, such as blood sugar regulation or anti-inflammatory benefits, selecting Ceylon cinnamon is strongly advised.

How to Safely Have Cassia Cinnamon Every Day (or Not)

For most people, using Cassia cinnamon in small amounts as a seasoning in food poses minimal risk. The danger arises when it is consumed in larger quantities, especially in supplement form, or used excessively over prolonged periods.

  • Monitor your intake: Limit your daily intake to small, culinary amounts, well within the TDI. A half-teaspoon or less is a good rule of thumb for most healthy adults.
  • Consider a break: Even with moderate use, some health experts suggest taking occasional breaks from high-coumarin cinnamon consumption to allow the body to process and recover.
  • Read the label: If you take cinnamon supplements, carefully check the label to see if the product specifies the type of cinnamon used. If it's Cassia or unspecified, it's best to switch to a product that guarantees Ceylon cinnamon to avoid excessive coumarin.
  • Choose Ceylon for daily use: As mentioned, Ceylon is the safer option for those who regularly use cinnamon. While it may be more expensive, it eliminates the coumarin-related risks associated with Cassia.
  • Consult a doctor: If you have a liver condition, diabetes, or are on medications that could interact with coumarin, it is crucial to consult a healthcare provider before using cinnamon regularly.

Conclusion: Moderation is Key, But So is Knowing Your Cinnamon

Ultimately, whether you can have Cassia cinnamon every day depends entirely on the quantity and your personal health. For typical, small culinary amounts, it's safe for most healthy people. However, consistent daily consumption, especially in large doses or supplement form, poses a significant risk to liver health due to its high coumarin content. To enjoy the flavor and potential health benefits of cinnamon without this risk, especially when using it daily, switching to Ceylon cinnamon is the most prudent and recommended choice. Always be aware of the type of cinnamon you're using and consider consulting a healthcare professional for personalized advice. For more in-depth information, the National Center for Complementary and Integrative Health provides resources on cinnamon's usefulness and safety.

Frequently Asked Questions

Coumarin is a natural chemical compound found in high concentrations in Cassia cinnamon. When consumed excessively and consistently, it can be toxic to the liver, leading to liver damage, particularly in sensitive individuals.

Regulatory bodies suggest a tolerable daily intake (TDI) of approximately 0.1 mg of coumarin per kilogram of body weight. For most adults, this equates to roughly half a teaspoon of Cassia cinnamon or less per day, though the exact coumarin content can vary significantly.

Sprinkling a small amount, such as less than half a teaspoon, on food daily is generally considered safe for most healthy adults. However, consistently using larger quantities, like a teaspoon or more, increases the risk of exceeding the safe coumarin limit.

Ceylon cinnamon sticks are soft, brittle, and composed of multiple thin, layered barks, while Cassia sticks are hard, thick, and typically one single curled layer. Ceylon cinnamon is also lighter in color and milder in flavor compared to the darker, spicier Cassia.

Individuals with pre-existing liver disease, those on medications that affect the liver or blood clotting, people with diabetes, and children should be especially cautious and avoid regular high consumption of Cassia cinnamon.

Yes, high doses of cinnamon, particularly Cassia, can interact with medications. It can lower blood sugar, potentially causing issues for diabetics on medication, and may interfere with liver-metabolized drugs or blood thinners due to coumarin's effects.

Ceylon cinnamon is much lower in coumarin, making it safe for daily use without the risk of liver toxicity associated with Cassia. It still provides beneficial antioxidants and anti-inflammatory properties, with a more delicate and complex flavor.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.