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Is it okay to drink just coffee in the morning?

4 min read

According to a January 2025 study in the European Heart Journal, drinking coffee just in the morning was associated with a lower risk of death from cardiovascular disease compared to all-day coffee drinkers. This raises a key question: is it okay to drink just coffee in the morning, and should you skip breakfast?

Quick Summary

This article explores the health impacts of drinking coffee on an empty stomach, including effects on digestion, blood sugar, and stress hormones like cortisol. It examines both potential benefits and risks, offering guidance on the best timing and practices for a healthy morning routine with or without a full breakfast.

Key Points

  • Digestive Irritation: Drinking coffee on an empty stomach can increase stomach acid, potentially causing heartburn, acid reflux, or gastritis, especially for sensitive individuals.

  • Cortisol Spike: Coffee consumption on an empty stomach can cause an extra spike in the stress hormone cortisol, leading to heightened anxiety and a later energy crash.

  • Blood Sugar Fluctuations: Caffeine can cause temporary insulin resistance and a blood sugar spike, followed by a crash, resulting in fatigue and irritability.

  • Strategic Timing: Waiting 90-120 minutes after waking to drink coffee allows natural cortisol levels to regulate, leading to a more stable energy boost.

  • Pair with Food: Combining coffee with a balanced breakfast containing protein, fat, and fiber helps buffer acidity and stabilize blood sugar.

  • Individual Variation: The effects vary significantly from person to person, so listening to your body's specific response is crucial for managing your morning routine.

  • Potential Benefits: For those who tolerate it well, moderate morning-only coffee intake is linked to a lower risk of cardiovascular disease and overall mortality.

In This Article

The Digestive Impact of Morning Coffee

Drinking coffee on an empty stomach can trigger a cascade of digestive effects. Coffee stimulates the production of stomach acid, and without any food to act as a buffer, this can irritate the stomach lining. This can cause discomfort, leading to heartburn, acid reflux, or gastritis, especially in individuals with sensitive stomachs or pre-existing conditions like IBS. Caffeine also increases intestinal motility, which can result in cramping and bloating for some. For most people, this is a temporary and manageable side effect, but for those with sensitive digestive systems, it is a significant factor to consider.

The Cortisol and Blood Sugar Connection

Your body’s cortisol, or “stress hormone,” levels naturally peak in the morning upon waking. Cortisol is essential for waking up and regulating metabolism. However, consuming coffee on an empty stomach can cause an additional spike in cortisol. This extra jolt, combined with caffeine's stimulating effect, can lead to heightened anxiety, jitters, and a subsequent energy crash later in the day. For regular coffee drinkers, this effect is often less pronounced, but for others, it can create a cycle of reliance and fatigue.

Furthermore, drinking coffee before eating can affect blood sugar levels. Caffeine has been shown to impair insulin sensitivity, potentially leading to a temporary increase in blood glucose. Without food to stabilize these levels, the initial spike is often followed by a crash, leaving you feeling tired, hungry, and irritable. This is particularly relevant for those with diabetes or other blood sugar-related disorders.

Potential Benefits of Drinking Coffee in the Morning

While there are risks to consider, drinking coffee in the morning does offer notable benefits, especially when consumed properly. For many, it provides a much-needed energy boost to start the day and can improve cognitive function, mood, and focus. Caffeine has also been linked to improved athletic performance, making it a popular pre-workout choice. Some studies even suggest that moderate coffee consumption is associated with a reduced risk of certain diseases, including Type 2 diabetes and some neurodegenerative conditions.

A study published in the European Heart Journal highlighted that people who drink coffee primarily in the morning may experience lower risks of all-cause and cardiovascular mortality compared to non-drinkers or those who drink coffee throughout the day. The researchers speculate that this is because late-day coffee consumption may disrupt circadian rhythms, while morning intake aligns more naturally with the body’s wake-up cycle.

A Comparison of Morning Coffee Habits

Habit Potential Benefits Potential Risks Best Practices
Coffee Only (Empty Stomach) Quick energy boost; Improved alertness; May aid metabolism Heartburn/acid reflux; Heightened anxiety/jitters; Blood sugar spikes Drink water first; Wait 1-2 hours after waking before drinking coffee
Coffee with Breakfast Mitigates stomach acid effects; Stabilizes blood sugar; Provides sustained energy; Supports hormone balance None, when combined with a balanced meal Eat a balanced breakfast with protein, fats, and fiber
Delaying First Coffee Allows natural cortisol peak to subside; Avoids potential caffeine crash; Promotes natural hydration Delayed caffeine effect; Can be difficult to adopt Wait 90-120 minutes after waking

Healthy Strategies for Your Morning Routine

  • Hydrate First: Since you wake up dehydrated, start with a glass of water before your coffee to rehydrate your body and reduce coffee's diuretic effect.
  • Eat Something: Pairing your coffee with a light, balanced breakfast is one of the easiest ways to mitigate its potential downsides. Food acts as a buffer against acidity and helps stabilize blood sugar.
  • Time it Right: Consider waiting an hour or two after waking to have your first cup. This allows your natural morning cortisol to peak and decline before you introduce caffeine, preventing an unnecessary spike.
  • Listen to Your Body: Pay attention to how your body reacts. Some people have no adverse effects from coffee on an empty stomach, while others are highly sensitive. Adjust your habits based on your personal tolerance.
  • Choose Wisely: If you are sensitive to acidity, you can try low-acid coffee alternatives or add milk, which can act as a buffer.

Conclusion

While many people drink just coffee in the morning without adverse effects, doing so on an empty stomach comes with several potential risks, including digestive issues, heightened anxiety, and blood sugar spikes. A significant body of research points toward pairing your morning coffee with food or waiting until your natural cortisol levels have dropped. For most, a healthier and more sustainable morning ritual involves hydrating with water first, eating a nourishing breakfast, and enjoying your coffee with your meal. By adopting these simple strategies, you can maximize coffee's positive effects while minimizing potential side effects. The best approach is always to listen to your body and adjust accordingly.

Continental Hospitals offers additional information on balancing coffee consumption and digestive health.

Frequently Asked Questions

Yes, drinking coffee on an empty stomach can trigger an extra spike in cortisol, the body's stress hormone, which can lead to increased feelings of anxiety and jitters in some individuals.

Yes, coffee increases the production of stomach acid. Without food to act as a buffer, this can irritate the stomach lining, potentially causing heartburn, acid reflux, and general discomfort.

It is generally better to drink coffee with or after a balanced breakfast. Food helps buffer the acidity, stabilize blood sugar levels, and mitigate the potential negative hormonal effects of caffeine.

Coffee has a mild diuretic effect, causing increased urination. Since you wake up already dehydrated, drinking coffee first can contribute to further fluid loss. It's best to drink a glass of water first to rehydrate.

Experts suggest waiting about 90 to 120 minutes after waking up before having your first cup of coffee. This timing aligns with your body's natural cortisol cycle, allowing you to maximize coffee's benefits without causing jitters or an energy crash.

Pair your coffee with a balanced meal that includes protein, healthy fats, and fiber. Good options include avocado toast, eggs, yogurt with granola, or nuts.

For those with digestive sensitivity, black coffee can be more irritating due to its higher acidity. Adding milk or cream can help buffer the acid and make it easier on your stomach.

References

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Medical Disclaimer

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