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What are the cons of spirulina? An overview of risks and side effects

4 min read

Though often hailed as a 'superfood', a single study found that spirulina supplements were linked to a temporary increase in symptoms for people with autoimmune skin conditions. While rich in nutrients, it is important to understand what are the cons of spirulina before incorporating it into your diet. The potential downsides range from contamination issues and minor side effects to serious complications for individuals with pre-existing medical conditions.

Quick Summary

Beyond its lauded benefits, spirulina poses risks including potential contamination from toxins or heavy metals and the exacerbation of autoimmune diseases. Digestive discomfort, allergic reactions, and interactions with certain medications are also possible. Quality assurance and consulting a doctor are key for safe use.

Key Points

  • Contamination Risks: Spirulina can be contaminated with heavy metals like lead and mercury, as well as liver toxins called microcystins, especially if sourced from polluted waters.

  • Worsens Autoimmune Conditions: Its immune-boosting effects can be dangerous for individuals with autoimmune diseases such as lupus or rheumatoid arthritis, potentially triggering flare-ups.

  • Interferes with Medications: Spirulina may act as a blood thinner, posing a risk to people on anticoagulant drugs by increasing the chance of bleeding.

  • Not a Reliable B12 Source: The vitamin B12 in spirulina is largely a biologically inactive pseudovitamin, making it an unreliable source for vegans and vegetarians.

  • Digestive Discomfort: Common side effects, particularly when starting a new regimen, include bloating, gas, nausea, and stomach cramps.

  • Risk for PKU Patients: Individuals with the genetic disorder phenylketonuria (PKU) must avoid spirulina due to its phenylalanine content.

  • High in Uric Acid Precursors: Consuming large quantities of spirulina can increase uric acid levels, which is a concern for those prone to gout or kidney stones.

  • Unregulated Quality: The dietary supplement market is not strictly regulated by the FDA, meaning product purity and quality can vary significantly between brands.

In This Article

Common Side Effects and Digestive Issues

For many, introducing spirulina to their diet is a smooth process, but some individuals may experience mild to moderate side effects, especially when starting with a high dose. These are typically temporary and often subside as the body adjusts. Being aware of these potential reactions is the first step in deciding if this supplement is right for you.

Commonly reported digestive issues include:

  • Bloating and gas
  • Abdominal cramps
  • Diarrhea or nausea

Other minor side effects can include:

  • Headaches and dizziness
  • Fatigue or mild weakness
  • Skin rashes or itching, particularly for those with allergies

Starting with a small dose and gradually increasing it can help minimize these initial symptoms. Some sources suggest taking spirulina in the morning to reduce gastric discomfort.

Risk of Contamination and Unregulated Supplements

One of the most significant risks associated with spirulina is the potential for contamination. As with most dietary supplements, spirulina products are not strictly regulated by agencies like the U.S. Food and Drug Administration (FDA), meaning the quality and purity can vary widely between brands.

  • Heavy Metals: Spirulina grown in environments polluted with heavy metals, such as mercury, cadmium, and lead, can absorb and concentrate these toxins. Long-term consumption of contaminated spirulina can potentially lead to liver damage.
  • Microcystins and other toxins: Contamination with other species of cyanobacteria can introduce highly toxic compounds like microcystins. These are particularly dangerous to the liver, and exposure is a growing public health concern.
  • Bacteria and radiation: In addition to heavy metals, spirulina can be tainted with dangerous bacteria if grown with animal waste fertilizers or radioactive ions if present in the environment.

To minimize this risk, it is crucial to purchase spirulina from reputable brands that provide third-party testing certifications, such as from U.S. Pharmacopeia (USP) or NSF International.

Interactions with Medical Conditions and Medications

Certain populations and individuals with specific health issues should exercise extreme caution or avoid spirulina entirely. Its potent biological effects can interfere with medication and exacerbate pre-existing conditions.

Comparison Table: Spirulina Safety for Specific Conditions

Condition
Autoimmune Diseases Warning
Drug Interactions Warning
Phenylketonuria (PKU) Warning
Kidney Concerns Caution
Gout Risk Caution
Pregnancy/Breastfeeding Caution

Autoimmune Diseases: Spirulina has immune-boosting effects that can stimulate the immune system. For individuals with autoimmune conditions like lupus, rheumatoid arthritis, or multiple sclerosis, this could potentially worsen symptoms or trigger a flare-up. A recent study found that spirulina ingestion was associated with the onset or exacerbation of dermatomyositis, an autoimmune skin and muscle disease.

Drug Interactions: Due to its potential to thin the blood, spirulina can interfere with anticoagulant medications like warfarin. This could increase the risk of bruising and bleeding. It may also interact with immunosuppressants and medications for diabetes by affecting blood sugar levels. Always consult a doctor if you are taking any medications.

Phenylketonuria (PKU): This rare genetic disorder prevents the body from metabolizing the amino acid phenylalanine. Spirulina contains this amino acid and should be strictly avoided by people with PKU.

Kidney and Gout Concerns: As a high-protein supplement, spirulina produces nucleic acids that, when metabolized, create uric acid. For those with a history of kidney stones or gout, this could increase the risk of developing these conditions. People with pre-existing kidney disease should also be cautious, as the high protein and mineral content may strain the kidneys.

A Closer Look at the B12 Myth

While some sources claim spirulina is a good source of vitamin B12, this is a common misconception that is especially relevant for vegans and vegetarians.

  • Spirulina does contain a compound similar to vitamin B12, but it is predominantly a pseudovitamin B12 (cyanocobamide), which is biologically inactive in humans.
  • The American Dietetic Association and other medical literature do not consider spirulina a reliable source of active vitamin B12.
  • Relying on spirulina for your B12 needs could lead to a deficiency, which has serious health consequences. Vegans and vegetarians should seek other reliable sources of B12, such as fortified foods or a separate supplement.

The Unpleasant Taste and Cost

While not a health risk, the sensory aspects of spirulina are a significant drawback for many people. It is known for its strong, seaweed-like, and sometimes earthy or fishy taste and smell. This can make it difficult to incorporate into foods and drinks, and many people find the flavor profile off-putting. Additionally, high-quality, third-party-tested spirulina can be expensive, posing a financial barrier for some.

Conclusion

While the nutritional benefits of spirulina are well-documented, a full understanding of what are the cons of spirulina is crucial for informed decision-making. The potential for contamination with heavy metals and toxins highlights the importance of choosing a reputable, third-party-tested brand to ensure product purity and safety. Its immune-boosting properties make it a poor choice for individuals with autoimmune diseases, and its effect on blood clotting can be dangerous for those on blood-thinning medication. The myth surrounding its vitamin B12 content is also a critical point for vegans to remember. Starting with a low dose and consulting a healthcare provider, especially if you have pre-existing health conditions, is essential for a safe experience.

For more detailed guidance on dietary supplements, you can consult the National Institutes of Health(https://ods.od.nih.gov/).

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a healthcare professional before starting a new supplement.

Frequently Asked Questions

Yes, spirulina can cause liver damage if it is contaminated with microcystins or heavy metals from polluted water sources. This is a primary risk with unregulated or poor-quality products.

People with autoimmune diseases (e.g., lupus, MS), those on blood-thinning medication, individuals with phenylketonuria (PKU), and those prone to gout or kidney stones should avoid spirulina.

Spirulina can interact with blood thinners due to its anti-clotting properties. It may also interact with immunosuppressants and diabetes medications.

No, spirulina is not a reliable source of active vitamin B12 for humans. The B12 analog it contains is largely inactive and should not be depended upon to meet B12 requirements.

Spirulina can boost immune system function, which could overstimulate the immune response and exacerbate symptoms in people with autoimmune disorders. It has been linked to autoimmune responses in some cases.

To find safer spirulina, look for products that have been tested and certified by independent third-party organizations like USP, ConsumerLab, or NSF International. This indicates that the product has been checked for contaminants.

Yes, some people experience mild to moderate digestive side effects such as bloating, gas, cramps, or diarrhea, particularly when they first start taking it or consume too high a dose.

Spirulina contains nucleic acids that increase uric acid levels as they are metabolized. This can worsen or increase the risk of gout and kidney stones.

References

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Medical Disclaimer

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