Understanding the Difference: Real Licorice vs. Licorice-Flavored Candy
When asking "Is eating licorice candy good for you?" it is crucial to first distinguish between products containing genuine licorice root extract and those that are merely licorice-flavored. Many candies, particularly the common "red licorice" variety and some black licorice types, use anise oil for flavoring instead of the actual root. Anise oil provides a similar taste profile but does not contain the compound responsible for most of licorice's significant health effects: glycyrrhizin. Glycyrrhizin is the natural compound derived from the licorice plant (Glycyrrhiza glabra) that is 30 to 50 times sweeter than table sugar. Its presence or absence dictates whether a licorice-flavored product poses potential health risks beyond its sugar content.
The Health Risks of Glycyrrhizin
Glycyrrhizin, while a natural compound, can cause severe side effects when consumed in large quantities or for an extended period. Its primary mechanism of harm involves interfering with the body's electrolyte balance. Specifically, it can cause the kidneys to retain salt and water while increasing potassium excretion. This chain of events can lead to a condition known as pseudohyperaldosteronism, which mimics a hormonal imbalance. For individuals with certain health conditions, this can be particularly dangerous.
- Cardiovascular Effects: The most concerning risk is the effect on heart health. The combination of water retention and depleted potassium can lead to high blood pressure (hypertension), swelling (edema), and irregular heart rhythms (arrhythmia). In extreme cases, severe electrolyte imbalance can even cause cardiac arrest. Individuals with heart disease or high blood pressure are especially sensitive to these effects and should avoid real licorice. A 2024 study even found that a daily intake of just 100 mg of glycyrrhizic acid, equivalent to a modest amount of candy, could significantly increase blood pressure in healthy individuals.
- Kidney Issues: The impact on kidney function means that people with pre-existing kidney disease are also at higher risk. The added strain from fluid and electrolyte imbalance can exacerbate their condition.
- Drug Interactions: Glycyrrhizin can interfere with numerous medications, including diuretics, blood pressure drugs, heart medication like digoxin, and corticosteroids. This can render essential treatments less effective and increase the risk of serious side effects.
Potential Benefits and Medicinal Use of Licorice Root
While licorice candy is primarily a sugary treat, the medicinal properties of licorice root itself have been used for thousands of years. The therapeutic benefits, however, do not come without risk and often require regulated dosages, typically in the form of supplements where the glycyrrhizin may be removed (deglycyrrhizinated licorice or DGL).
- Digestive Health: Historically, licorice root has been used to soothe stomach and gastrointestinal issues. Some studies suggest that licorice extract can help relieve symptoms of indigestion, such as heartburn, and may help eradicate H. pylori, the bacteria responsible for peptic ulcers.
- Anti-inflammatory and Antioxidant Properties: Licorice root contains flavonoids and other compounds with antioxidant and anti-inflammatory properties. This has led to research into its potential for treating conditions like eczema when applied topically and for general inflammation.
- Respiratory and Oral Health: Glycyrrhizin and other compounds have shown antibacterial and antiviral properties. This may offer protection against strep throat, and some studies indicate potential benefits for relieving coughs and protecting against dental cavities.
Comparison: Glycyrrhizin-Rich Licorice vs. Anise-Flavored Candy
To summarize the key differences, it's helpful to compare the two main types of candy on the market.
| Feature | Genuine Black Licorice (with Glycyrrhizin) | Red or Anise-Flavored Candy | 
|---|---|---|
| Key Flavoring | Licorice root extract (Glycyrrhiza glabra) | Anise oil, artificial flavors | 
| Active Compound | Contains glycyrrhizin | No glycyrrhizin | 
| Major Health Risks | High blood pressure, low potassium, irregular heartbeat, fluid retention | Primarily risks associated with high sugar content (obesity, diabetes) | 
| Potential Health Benefits | Some traditional medicinal uses (digestive, anti-inflammatory), but high-risk | No health benefits; is solely a sugary treat | 
| Regulatory Warnings | FDA recommends moderation for those over 40; warnings for those with heart, kidney issues | Standard candy warnings regarding sugar content | 
| Consumption Recommendation | Small amounts, infrequently, especially if over 40 or with underlying conditions | General moderation, as with all sugary sweets | 
Healthier Alternatives to Licorice Candy
For those who enjoy the taste but want to avoid the risks of genuine licorice or the simple sugar load of imitation candy, there are healthier ways to satisfy a sweet craving.
- Deglycyrrhizinated Licorice (DGL): For those seeking the potential medicinal benefits of licorice without the cardiovascular risks, DGL supplements are an option. The glycyrrhizin has been removed, but it is important to consult a healthcare provider before use, as with any supplement.
- Anise-Flavored Alternatives: Enjoying the taste of anise oil in beverages like herbal tea provides the flavor without the glycyrrhizin. This offers a similar taste profile in a healthier form. A word of caution: always check the label to ensure it does not contain licorice root extract.
- Natural Sweets: Fresh fruits like berries or dehydrated fruits can offer a naturally sweet and nutrient-rich alternative. Trail mix with nuts, seeds, and dried fruit can also satisfy a sweet craving while providing protein and fiber.
Conclusion
While the licorice plant has historical medicinal uses, the verdict on licorice candy is decidedly mixed and, for many, leans toward caution. The key differentiator is the presence of glycyrrhizin. Anise-flavored candies carry only the standard risks of any sugary confection. However, consuming genuine black licorice, especially in moderate to large amounts, presents significant health risks, particularly for older adults or those with pre-existing heart, kidney, or blood pressure issues due to its effect on potassium levels and blood pressure. Ultimately, treating licorice candy as a rare, occasional indulgence is the safest approach, and those with health concerns should opt for safer alternatives or consult a doctor before consumption.
Your health, your choice: Navigating licorice consumption responsibly.
Moderation is key: For most healthy adults, small, infrequent amounts of real black licorice are unlikely to cause harm, but regular, large consumption is a serious risk.
Genuine vs. flavored: Always read the ingredients to see if the candy is made with licorice root extract or just anise oil to understand the potential health implications.
Know your health status: If you have high blood pressure, heart disease, or kidney problems, you should avoid products containing genuine licorice.
Watch for interactions: Licorice can interfere with many medications, so consult a doctor or pharmacist if you take prescription drugs and regularly consume licorice.
Consider alternatives: Enjoy the flavor of anise in teas or other products, or opt for naturally sweet snacks to avoid the risks of licorice candy.
Pay attention to symptoms: If you consume licorice and experience symptoms like swelling, weakness, or irregular heartbeat, seek medical attention immediately.
DGL is an option: If seeking the root's potential health benefits, consider deglycyrrhizinated licorice (DGL) products which have the harmful compound removed.
Educate yourself: Understanding the distinction between licorice root's medicinal properties and the risks of excessive consumption of candy is vital for making informed dietary choices.