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Does Mate Have Side Effects? Understanding the Risks and Rewards of Yerba Mate

5 min read

With more than 68% of pregnant women in a 2005 Brazilian study reporting mate consumption, the herb's prevalence is undeniable, but so are the questions about its safety. So, does mate have side effects, and how can you navigate them to enjoy this traditional South American drink responsibly?

Quick Summary

Yerba mate contains caffeine, which can cause side effects like insomnia, anxiety, and an upset stomach, especially in large doses or sensitive individuals. Long-term consumption of very hot mate is linked to an increased risk of certain cancers, a risk magnified by smoking and alcohol use. It can also interact with some medications and is not recommended during pregnancy or breastfeeding due to its caffeine content.

Key Points

  • Caffeine-Related Side Effects: Excessive mate intake can lead to common caffeine side effects like insomnia, anxiety, jitters, and heart palpitations.

  • Digestive Irritation: The stimulating and acidic nature of mate can cause upset stomach, nausea, or worsen IBS symptoms, especially when consumed on an empty stomach.

  • Long-Term Cancer Risk: Heavy and prolonged consumption of mate, particularly when brewed at very hot temperatures, has been epidemiologically linked to an increased risk of specific cancers.

  • Mitigating Risks: To minimize side effects, moderate your intake, avoid very hot brewing temperatures, and consume with food.

  • Drug Interactions: Mate can interact with several medications, including MAOIs, blood thinners, and certain antibiotics, necessitating caution and professional consultation.

  • Contraindications: Pregnancy, breastfeeding, anxiety disorders, and heart conditions are among the contraindications where mate consumption should be limited or avoided.

In This Article

The Caffeine Connection: Common Side Effects of Mate

Yerba mate is well-known for its caffeine content, offering a stimulating effect similar to coffee but often described as a more sustained energy boost without the harsh crash. A typical 8-ounce cup of mate contains between 70-85mg of caffeine, placing it between green tea and coffee in potency. For most healthy adults, moderate consumption is likely safe, but excessive intake can lead to several noticeable side effects, primarily related to its stimulating properties.

Psychological and Neurological Effects

  • Anxiety and Nervousness: High doses of caffeine from mate can exacerbate existing anxiety disorders or induce feelings of restlessness and jitteriness in those sensitive to stimulants. Some anecdotal reports mention intense anxiety, especially when consuming mate on an empty stomach.
  • Insomnia: As with any caffeinated beverage, drinking mate later in the day can interfere with sleep patterns and cause insomnia. The best practice is to consume it earlier in the day to allow the caffeine to metabolize before bedtime.
  • Headaches and Migraines: For some individuals, excessive caffeine intake is a known trigger for headaches and migraines. Regular, heavy mate consumption could contribute to these issues.

Digestive System Discomfort

  • Upset Stomach and Nausea: The compounds in yerba mate, including caffeine and certain antioxidants, can irritate the stomach lining. This can lead to discomfort, nausea, or acid reflux, especially if consumed on an empty stomach. Eating a light meal beforehand can help mitigate these effects.
  • Worsened IBS Symptoms: For those with Irritable Bowel Syndrome (IBS), the caffeine in mate can trigger or worsen symptoms like diarrhea.

Cardiovascular and Other Effects

  • Increased Heart Rate and Palpitations: The stimulating effect of caffeine can cause an increased heart rate and palpitations, particularly in sensitive individuals or those with pre-existing heart conditions. If you have a heart condition, it is advisable to consume mate in moderation or consult a healthcare provider.
  • Poor Iron Absorption: The tannins and catechins in mate can potentially interfere with the absorption of non-heme iron from plant-based foods, though the effect is typically minor.

Potential Long-Term Risks: The Cancer Connection

One of the most serious long-term concerns associated with heavy, chronic yerba mate consumption is an increased risk of certain cancers, including cancers of the mouth, throat, esophagus, lungs, and bladder.

The Role of Temperature and PAHs

Research suggests that the primary carcinogenic risk is linked to two factors:

  1. Thermal Injury: The traditional method of drinking mate involves consuming the beverage at very high temperatures, often between 70°C and 80°C (158º and 176ºF). Repeatedly drinking hot beverages can cause thermal injury to the lining of the digestive and respiratory tracts, increasing cancer risk.
  2. Polycyclic Aromatic Hydrocarbons (PAHs): Some studies have found that yerba mate contains PAHs, known carcinogens also found in tobacco smoke and grilled meats. The level of PAHs can vary based on the drying and processing method of the leaves.

Compounding Risk Factors

The cancer risk is significantly higher in individuals who combine heavy mate drinking with other habits like smoking and alcohol consumption. While moderate consumption is not considered a significant risk, a daily intake of 1-2 liters for extended periods is linked to increased risk.

Mate and Medication Interactions

The caffeine in yerba mate can interact with a wide range of medications, affecting their efficacy or increasing side effects. It is crucial to consult a healthcare provider if you are taking any prescription medication before incorporating mate into your diet.

Table: Common Medication Interactions with Mate

Medication Type Interaction with Yerba Mate Impact Source(s)
MAO Inhibitors (e.g., Phenelzine, Selegiline) Caffeine can interact with MAOIs. Increased risk of very high blood pressure and fast heartbeat.
Stimulants (e.g., Ephedrine, ADHD medication) Mate's caffeine and other stimulants amplify effects. Can cause excessive stimulation, increased heart rate, and high blood pressure.
Blood Thinners (Anticoagulants) Caffeine may slow blood clotting. Increases the risk of bruising and bleeding when taken with other blood-thinning medications.
Medications for Seizures (e.g., Carbamazepine) Caffeine can decrease the drug's effects. Reduces the effectiveness of anti-seizure medication, potentially increasing seizure risk.
Benzodiazepines (Sedatives) Caffeine can reduce the drug's effects. May decrease the sleep-inducing effects of sedatives.
Antibiotics (Quinolones) Some antibiotics slow the body's caffeine breakdown. Increases the risk of caffeine-related side effects like jitters and fast heart rate.

Enjoying Mate Responsibly

To minimize potential side effects while enjoying mate's health benefits, follow these best practices:

  • Practice Moderation: Stick to a moderate intake, typically 1-2 cups per day, rather than large, daily quantities.
  • Monitor Water Temperature: Brew with hot, but not boiling, water (around 70-80°C or 158-176°F) to reduce the risk of thermal injury.
  • Avoid on an Empty Stomach: Drink mate with or after a meal to reduce the chances of stomach irritation and rapid caffeine absorption.
  • Consider Timing: Avoid drinking mate in the late afternoon or evening to prevent sleep disturbances.
  • Listen to Your Body: Pay attention to how your body responds. If you experience anxiety, palpitations, or digestive issues, reduce your intake or stop consuming it.

The Upside of Yerba Mate: Benefits to Consider

Despite the side effect concerns, yerba mate is rich in beneficial compounds, including antioxidants, vitamins, and minerals. These can offer health benefits when consumed responsibly. Some potential benefits include:

  • Rich in Antioxidants: Contains polyphenols and caffeoyl derivatives that combat free radicals.
  • Nutrient Source: Provides small amounts of vitamins C, E, and B vitamins, along with minerals like magnesium and zinc.
  • Mental Focus and Energy: Delivers a steady energy boost and improved mental focus for many users.
  • Physical Performance: Caffeine can help enhance physical performance during exercise.

Conclusion

While yerba mate is a popular, nutrient-rich beverage with potential health benefits, it is not without its risks. The answer to 'does mate have side effects?' is a clear yes, particularly with excessive and prolonged consumption. The primary side effects are related to its caffeine content, causing nervousness, anxiety, and digestive upset. However, the most significant long-term risk is the link to certain cancers, especially when consumed at very high temperatures and combined with smoking or heavy alcohol use. By practicing moderation, minding the brewing temperature, and being aware of individual sensitivities and medication interactions, most adults can enjoy yerba mate safely. As with any herbal supplement, pregnant or breastfeeding individuals, children, and people with pre-existing conditions should exercise caution and consult a healthcare professional.

To learn more about the nutritional aspects of different caffeinated beverages, the Mayo Clinic provides excellent resources for informed dietary choices. [https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/expert-answers/yerba-mate/faq-20058343]

Frequently Asked Questions

If you have an anxiety disorder, you should be cautious with mate consumption. Its caffeine content can worsen feelings of anxiety and nervousness, and some individuals may be particularly sensitive to these effects.

Yerba mate is considered possibly unsafe during pregnancy due to its caffeine and potential cancer-linked compounds. Excessive caffeine during pregnancy is linked to miscarriage, premature delivery, and low birth weight. Pregnant individuals should consult a doctor and limit caffeine intake to recommended levels.

Yes, yerba mate can cause digestive discomforts like bloating, upset stomach, or acid reflux, especially if consumed on an empty stomach. It is recommended to drink it during or after a meal to reduce these effects.

To minimize the risk of thermal injury linked to cancer, you should brew yerba mate with water that is hot, but not boiling. A temperature range of 70-80°C (158-176°F) is recommended.

This depends on the specific medication. Mate's caffeine can interact with certain antidepressants, such as MAOIs, and potentially cause serious side effects like very high blood pressure. It is crucial to consult your doctor before combining them.

While moderate, occasional consumption is generally considered safe for most healthy adults, drinking large quantities (1-2 liters) daily for a long time increases health risks. It is best to practice moderation and pay attention to your body's response.

The increased cancer risk is primarily associated with drinking mate at very hot temperatures, which can cause thermal damage. However, mate also contains small amounts of polycyclic aromatic hydrocarbons (PAHs), and the risk can be magnified by smoking and alcohol use, indicating that temperature isn't the only factor.

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Medical Disclaimer

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