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Is Natural Black Licorice Good for You? The Truth Behind the 'Sweet Root'

4 min read

Dating back to ancient Egypt and used by Hippocrates, natural licorice root has a long history as a medicinal herb and is 50 times sweeter than sugar. But is natural black licorice good for you, or do the risks outweigh the rewards? The answer depends heavily on the source, dosage, and your personal health history.

Quick Summary

An examination of the health impacts of natural black licorice, differentiating between licorice root and anise-flavored candy. The analysis highlights the medicinal potential and adverse effects, particularly the risks associated with the compound glycyrrhizin.

Key Points

  • Natural vs. Candy: Most black licorice candy in North America is flavored with anise oil, not real licorice root, and is not associated with the same health risks.

  • Glycyrrhizin is the Culprit: The natural compound glycyrrhizin in licorice root can cause severe health issues, including high blood pressure and low potassium levels.

  • Significant Health Risks: Excessive or prolonged intake of real licorice can lead to heart rhythm abnormalities, fluid retention, and even cardiac arrest.

  • Potential Benefits (with Caution): In small, supervised doses or as a topical application, licorice root can aid digestion, soothe sore throats, and offer anti-inflammatory effects.

  • Consider DGL: For digestive benefits without the risk of glycyrrhizin, seek out deglycyrrhizinated licorice (DGL) products.

  • Who Should Avoid: Individuals over 40 and those with heart, kidney, or blood pressure conditions should avoid real licorice.

In This Article

Licorice Root vs. Licorice Candy: Understanding the Distinction

Before diving into the health implications, it is crucial to distinguish between natural licorice root and the black licorice candy sold in most stores.

  • Natural Licorice Root: This comes from the Glycyrrhiza glabra plant. For centuries, its root has been used in traditional medicine for its rich compound, glycyrrhizin, which provides its potent flavor and medicinal properties.
  • Black Licorice Candy (often American): Many products labeled "black licorice" in North America are flavored with anise oil, not real licorice root extract. Anise provides a similar taste but lacks the active compounds that cause health benefits and risks. Therefore, this candy does not carry the same concerns as products with actual licorice root.
  • Specialty Black Licorice (e.g., European): Many European varieties, particularly in countries like the Netherlands, do contain real licorice root extract and can have high levels of glycyrrhizin, including potentially harmful salted variations.

The Health Benefits of Licorice Root

While black licorice candy offers little more than sugar, supplements and foods containing pure licorice root or its extracts have shown some promising medicinal properties.

  • Digestive Aid: Licorice root has been used to soothe digestive issues like heartburn, indigestion, and acid reflux. It can protect the stomach lining and may help treat peptic ulcers by fighting the H. pylori bacteria.
  • Sore Throat and Respiratory Health: As a demulcent and expectorant, licorice root can calm and coat an irritated throat, helping to clear mucus. Studies show that gargling with licorice solution can reduce post-intubation sore throat.
  • Anti-Inflammatory and Antioxidant Effects: Compounds within licorice, including flavonoids, exhibit powerful anti-inflammatory and antioxidant activities, which may combat oxidative stress and chronic inflammation.
  • Oral Health: Research suggests that licorice extract may help fight against certain bacteria responsible for tooth decay, cavities, and gingivitis.
  • Skin Conditions: Topical applications of licorice root extract have shown potential in helping to treat eczema and may be as effective as some hydrocortisone creams.

The Risks and Dangers of Glycyrrhizin

Licorice's potential for harm is primarily linked to its active compound, glycyrrhizin. Excessive consumption can lead to a condition called pseudohyperaldosteronism, which mimics the effects of excess aldosterone.

  • High Blood Pressure: Glycyrrhizin can cause the body to retain sodium and lose potassium. This imbalance can lead to significant increases in blood pressure, especially in individuals with pre-existing hypertension or heart conditions.
  • Potassium Depletion: Low potassium levels, or hypokalemia, can cause muscle weakness, lethargy, and dangerous heart rhythm abnormalities (arrhythmia). In rare, severe cases, this can lead to cardiac arrest.
  • Heart Failure: Fluid retention caused by glycyrrhizin can worsen congestive heart failure.
  • Drug Interactions: Licorice can interfere with several medications, including diuretics, blood thinners (like Warfarin), and blood pressure drugs.

Natural Black Licorice: Benefits vs. Risks

Feature Benefits of Natural Licorice Root Risks of Natural Licorice Root
Cardiovascular Health Traditionally used to promote overall vitality, but no direct heart benefits. High risk of raising blood pressure, depleting potassium, and causing irregular heart rhythms, especially with excessive intake.
Digestive Health Can soothe acid reflux, indigestion, and stomach ulcers. Glycyrrhizin can cause fluid retention and should be avoided by individuals with chronic hepatitis, liver cirrhosis, or kidney problems.
Respiratory Health Acts as an expectorant to clear mucus and can soothe a sore throat. Can potentially interact with corticosteroids used for respiratory issues.
Active Compounds Contains antioxidants and flavonoids with anti-inflammatory properties. Active compound glycyrrhizin can cause serious side effects in large doses.
Recommended Use Occasional and moderate use, or in DGL (deglycyrrhizinated licorice) form. Daily, prolonged, or excessive consumption is strongly discouraged, particularly for at-risk individuals.

A Note on Deglycyrrhizinated Licorice (DGL)

For those seeking the potential benefits of licorice without the risks of glycyrrhizin, deglycyrrhizinated licorice (DGL) is a popular alternative. DGL supplements have had the glycyrrhizin removed, retaining many of the beneficial compounds for digestive relief without impacting blood pressure or potassium levels.

Conclusion

Is natural black licorice good for you? The simple answer is that it's a complicated herb best approached with caution. While the Glycyrrhiza glabra root has been prized for centuries for its anti-inflammatory, digestive, and respiratory benefits, its powerful component, glycyrrhizin, carries significant health risks related to blood pressure and heart function. Most North American black licorice candy is flavored with harmless anise oil, but genuine licorice products should be consumed in very small, infrequent amounts, if at all, by healthy adults. Individuals with pre-existing heart, kidney, or blood pressure issues, or those taking certain medications, should avoid it completely. For a safer alternative, deglycyrrhizinated licorice (DGL) offers a way to enjoy the herbal benefits without the associated dangers. Always consult a healthcare provider before using licorice root for medicinal purposes.

How to safely enjoy the taste of licorice

If you simply love the taste of licorice, you can opt for anise-flavored candies, teas, or other products that do not contain actual licorice root extract. The label will list "anise oil" instead of "licorice root extract" or "glycyrrhizin".

  • Check the ingredient list to confirm the flavoring source.
  • Look for DGL supplements if you want the herbal benefits without the risks.
  • Moderate intake is key for products containing real licorice, staying within suggested limits to avoid complications.

Frequently Asked Questions

The main danger is from glycyrrhizin, a compound in licorice root that can cause a drop in potassium levels and a significant increase in blood pressure, leading to heart rhythm abnormalities and other serious issues.

Yes, almost all red licorice and many black licorice candies in the U.S. are flavored with anise oil, not real licorice root extract, making them safe from the dangers of glycyrrhizin.

The FDA advises that people over 40 should avoid eating 2 ounces or more of real black licorice a day for at least two weeks, as it could cause an irregular heart rhythm. However, a safe amount can vary significantly based on individual health.

Using licorice root as an herbal remedy is not without risk, especially with long-term use. A safer option for internal use is deglycyrrhizinated licorice (DGL), which removes most of the problematic compound, glycyrrhizin.

Symptoms of glycyrrhizin toxicity can include swelling (edema), lethargy, muscle weakness, headaches, and irregular heart rhythms. If you experience these after consuming licorice, stop immediately and seek medical attention.

Yes, studies have shown that licorice root can help with conditions like acid reflux and indigestion due to its ability to soothe the stomach lining. DGL supplements are often used for this purpose to avoid the side effects of glycyrrhizin.

People with a history of heart disease, high blood pressure, kidney disease, or low potassium levels should avoid natural black licorice with glycyrrhizin completely. It is also not recommended for pregnant or breastfeeding women.

References

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Medical Disclaimer

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