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Understanding What are the bad effects of citric acid?

4 min read

While the FDA has classified manufactured citric acid (MCA) as “generally recognized as safe,” a 2018 report presented case studies suggesting that its ingestion may cause significant inflammatory reactions in some people. Understanding what are the bad effects of citric acid requires differentiating between its natural form and the commonly used industrial additive.

Quick Summary

Excessive intake of manufactured citric acid can lead to dental erosion, stomach issues, and potential inflammatory responses in sensitive individuals due to mold residue. It is important to know the difference between natural and manufactured sources.

Key Points

  • Manufactured vs. Natural: Most health risks are linked to manufactured citric acid (MCA), not the natural form found in fruits.

  • Dental Erosion: Excessive citric acid intake, particularly from sodas and juices, can irreversibly damage tooth enamel and increase sensitivity.

  • Digestive Distress: High quantities of citric acid can irritate the stomach lining, causing nausea, pain, and worsening symptoms of acid reflux.

  • Inflammatory Reactions: Manufactured citric acid may trigger inflammatory responses in sensitive individuals, with symptoms including joint pain and fatigue.

  • Skincare Risks: Topical use of high concentrations can cause skin irritation and increase sun sensitivity.

  • Mitigation Strategies: Reducing processed foods, reading labels, and protecting teeth with proper hygiene can help minimize adverse effects.

In This Article

Distinguishing Manufactured from Natural Citric Acid

Citric acid is a weak organic acid found naturally in citrus fruits like lemons, limes, and oranges. This natural form is part of a balanced diet and generally considered healthy. However, the vast majority of citric acid used as a food additive in processed foods, drinks, and supplements is not fruit-derived. This is known as manufactured citric acid (MCA) and is produced through a fermentation process using the black mold Aspergillus niger. While MCA is chemically identical to its natural counterpart, it may contain residues or proteins from the mold that can trigger adverse reactions in some sensitive individuals.

Detrimental Effects on Dental Health

One of the most well-documented negative effects of high citric acid consumption is its impact on dental health. Due to its acidic nature, excessive exposure can erode tooth enamel, the protective outer layer of teeth. Enamel, once lost, does not regenerate. This erosion leads to a cascade of dental problems:

  • Increased sensitivity: As enamel wears away, it exposes the underlying, more sensitive layer called dentin. This can cause pain or sensitivity, especially when consuming hot, cold, or sugary foods and drinks.
  • Dental decay: Weakened enamel leaves teeth more vulnerable to bacterial acid attacks, increasing the risk of cavities.
  • Gum irritation: High acidity can also irritate the gums, leading to inflammation, redness, and swelling.

Consuming acidic beverages like soda and certain fruit juices frequently, especially by sipping them over an extended period, significantly increases this risk.

Gastrointestinal and Digestive Issues

For some people, a high intake of citric acid, particularly the manufactured version found in many processed foods, can lead to significant gastrointestinal discomfort. Those with pre-existing digestive conditions may be especially vulnerable.

  • Stomach upset and pain: Concentrated citric acid can irritate the lining of the stomach, leading to nausea, vomiting, or abdominal pain.
  • Acid reflux (GERD): In susceptible individuals, acidic foods and drinks can trigger or worsen the symptoms of gastroesophageal reflux disease (GERD), causing a burning sensation and heartburn. While citrus fruits themselves can stimulate gastric acid, some people react specifically to the concentrated form in additives.
  • Inflammatory bowel symptoms: Anecdotal reports and case studies link MCA consumption to symptoms mirroring irritable bowel syndrome, including cramping and discomfort.

Potential for Allergic and Inflammatory Reactions

The most concerning risks associated with manufactured citric acid stem from its production process involving Aspergillus niger, a known allergen. While the finished product is not the mold itself, residual particles or byproducts may remain. In susceptible individuals, these can trigger inflammatory responses.

Symptoms of a potential manufactured citric acid intolerance

  • Joint pain with swelling and stiffness
  • Muscular pain
  • Abdominal cramping
  • Respiratory symptoms like wheezing or shortness of breath
  • Fatigue and enervation
  • Irritable bowel symptoms

These symptoms, documented in case reports, resolved after removing MCA from the diet. This suggests a need for further research into the long-term safety of ubiquitous MCA consumption.

The Impact of Citric Acid on Skin

Citric acid is also a common ingredient in cosmetics and skincare products, where it functions as an alpha-hydroxy acid (AHA). While beneficial in small concentrations for promoting cell turnover, higher doses can have adverse effects, especially for those with sensitive skin.

  • Irritation and redness: High concentrations can cause stinging, burning, redness, and swelling upon topical application.
  • Increased sun sensitivity: As an exfoliant, citric acid can make skin more vulnerable to damage from ultraviolet (UV) radiation. It's recommended to apply SPF after use or apply products at night.

Natural vs. Manufactured Citric Acid Comparison

Feature Natural Citric Acid Manufactured Citric Acid (MCA)
Source Found in citrus fruits (e.g., lemons, limes). Produced through fermentation using black mold (Aspergillus niger).
Purity Occurs with other nutrients, like Vitamin C. Can potentially contain residual mold proteins or byproducts.
Cost More expensive to produce from natural sources. Inexpensive and widely used in the food industry.
Health Impact Generally considered safe, with antioxidant properties. Linked to dental erosion, digestive issues, and potential inflammatory cascades in susceptible individuals.
Ubiquity Limited to whole foods and fresh juices. Ubiquitous in processed foods, drinks, and supplements.

How to Mitigate the Bad Effects of Citric Acid

For most people, consuming natural citric acid from whole fruits is safe. The key to mitigating potential risks lies in being mindful of intake, especially manufactured versions. For those with sensitivities, complete avoidance may be necessary.

  1. Reduce processed food intake: Focus on a diet of whole, minimally processed foods to naturally limit your exposure to MCA.
  2. Read labels carefully: Check ingredient lists on packaged foods, drinks, and supplements for “citric acid”.
  3. Protect your teeth: After consuming acidic foods or drinks, rinse your mouth with water. Drinking with a straw can also help minimize contact with teeth. Wait at least 30 minutes before brushing your teeth to avoid damaging softened enamel.
  4. Use topical products cautiously: Perform a patch test before using new skincare products with citric acid. If you have sensitive skin, consider alternative ingredients or use them less frequently. Always use SPF during the day.
  5. Consult a healthcare provider: If you experience persistent symptoms like unexplained joint pain, digestive distress, or fatigue, consider eliminating MCA and discussing your concerns with a doctor. This is especially important for those on certain medications, as citric acid can affect absorption and potentially cause aluminum toxicity when taken with some antacids.

Conclusion

While citric acid is a vital component of cellular metabolism and naturally present in many healthy foods, excessive intake of its manufactured form poses notable health risks. Dental erosion, digestive discomfort, skin irritation, and the potential for inflammatory reactions in susceptible individuals highlight the importance of moderation and awareness. By focusing on whole foods and understanding the difference between natural and manufactured sources, consumers can minimize potential negative impacts and make more informed dietary choices. For further reading, a scientific report on the potential role of manufactured citric acid and inflammatory cascades can be reviewed.

Frequently Asked Questions

For most people, manufactured citric acid is generally safe. However, some sensitive individuals may experience adverse reactions like inflammatory symptoms, joint pain, or digestive issues due to potential mold residues from the manufacturing process.

Yes, excessive and frequent consumption of citric acid, especially from soft drinks and other acidic beverages, can lead to dental erosion by wearing away the protective tooth enamel. This can cause increased sensitivity and a higher risk of cavities.

In high concentrations, citric acid can irritate the stomach lining, leading to upset stomach, nausea, or vomiting. It can also worsen symptoms for individuals with conditions like acid reflux.

You can mitigate the negative effects by consuming it in moderation, especially from processed sources. Rinsing your mouth with water after consuming acidic drinks and choosing whole, unprocessed foods are also effective strategies.

While citric acid itself is not a common allergen, the manufactured version is produced using Aspergillus niger mold. Some individuals with mold sensitivities may react to the residual particles in manufactured citric acid.

In skincare products, high concentrations of citric acid can cause irritation, stinging, and redness on sensitive skin. Its exfoliating nature also increases skin's sensitivity to sun damage, so proper sun protection is crucial.

Natural citric acid comes from fruits like lemons and limes, while manufactured citric acid is produced from a mold through fermentation. Although chemically identical, the manufactured version may contain mold residues that can cause inflammatory or allergic reactions in some people.

References

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Medical Disclaimer

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