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What chemical in black licorice is bad for you?

4 min read

According to the Food and Drug Administration (FDA), consuming more than 2 ounces of black licorice daily for at least two weeks could lead to a dangerous irregular heart rhythm. This serious health risk is tied to a specific chemical in black licorice, and understanding its effects is crucial for anyone who enjoys this polarizing treat.

Quick Summary

Glycyrrhizin, the compound responsible for black licorice's distinctive taste, can lead to high blood pressure, low potassium, and irregular heart rhythms when consumed excessively. Health organizations advise moderation, especially for individuals with pre-existing heart or kidney conditions.

Key Points

  • Glycyrrhizin is the chemical culprit: The compound responsible for black licorice's flavor is glycyrrhizin, which can cause health issues with excessive intake.

  • Causes high blood pressure: Glycyrrhizin mimics a hormone that causes the body to retain sodium and water, significantly increasing blood pressure.

  • Leads to low potassium: It also causes potassium levels to drop dangerously low, a condition called hypokalemia.

  • Poses cardiac risks: The electrolyte imbalance can lead to irregular heart rhythms, and in severe cases, heart failure or cardiac arrest.

  • Affects specific populations more: People over 40, those with pre-existing heart or kidney disease, and pregnant individuals are at higher risk.

  • Not all 'licorice' is the same: Many licorice-flavored candies use anise oil, which does not contain glycyrrhizin and is therefore safer.

  • Moderation is key: To mitigate risks, consume black licorice in small, occasional amounts and check product labels for ingredients.

  • Interacts with medications: Glycyrrhizin can negatively interact with certain drugs, such as diuretics and blood thinners.

In This Article

Unveiling Glycyrrhizin: The Culprit in Black Licorice

Black licorice gets its unique flavor from a chemical compound called glycyrrhizin, or glycyrrhizic acid, which is derived from the root of the Glycyrrhiza glabra plant. This compound is intensely sweet—up to 50 times sweeter than regular sugar—but it is also the source of the treat's potential health hazards. While moderate consumption is generally considered safe for most healthy adults, large or frequent intake can cause serious side effects.

How Glycyrrhizin Affects the Body

When ingested in significant amounts, glycyrrhizin disrupts the body's delicate balance of electrolytes, specifically affecting potassium levels. The compound's metabolic byproducts interfere with an enzyme called 11-beta-hydroxysteroid dehydrogenase type 2 (11-ß-HSD2), which regulates the hormone cortisol. This inhibition leads to a cascade of effects that mimic a condition called pseudo-hyperaldosteronism, characterized by excessive mineralocorticoid activity.

  • Potassium Depletion (Hypokalemia): Glycyrrhizin's mineralocorticoid-like effect causes the kidneys to excrete more potassium than usual, leading to dangerously low potassium levels. This is particularly risky for heart health.
  • Increased Blood Pressure (Hypertension): The same mechanism that depletes potassium also causes the body to retain sodium and water, leading to elevated blood pressure. This can lead to swelling (edema) and places extra strain on the heart.
  • Cardiac Problems: The combination of low potassium and high blood pressure can cause serious heart issues, including abnormal heart rhythms (arrhythmia) and, in extreme cases, cardiac arrest.

At-Risk Groups and Dosage

Not everyone is equally sensitive to glycyrrhizin. Certain individuals have a higher risk of experiencing adverse effects, even from smaller amounts of black licorice.

Individuals who should be most cautious include:

  • Adults over 40: Age increases sensitivity to glycyrrhizin's effects on the heart and blood pressure.
  • Individuals with pre-existing conditions: Those with heart disease, high blood pressure, or kidney disease are particularly vulnerable.
  • Pregnant individuals: High consumption of licorice extract has been linked to negative pregnancy outcomes, including premature delivery.
  • People taking certain medications: Licorice can interact negatively with diuretics, corticosteroids, and blood thinners like warfarin.

Real Licorice vs. Anise-Flavored Candy

It is important to distinguish between candy containing genuine licorice root extract and products that use anise oil for flavoring. Anise oil provides a similar taste but does not contain glycyrrhizin and therefore does not carry the same risks. Always check the ingredient label to be certain.

Feature Genuine Black Licorice (with Glycyrrhizin) Anise-Flavored Candy (without Glycyrrhizin)
Source Root of the Glycyrrhiza glabra plant Anise seed oil
Active Compound Glycyrrhizin Anethole (gives anise its flavor)
Health Risks Potential for high blood pressure, hypokalemia, and cardiac issues with excessive consumption No associated risk of glycyrrhizin-related side effects
Labeling Lists 'licorice extract' or 'glycyrrhizic acid' in ingredients Lists 'anise oil' or 'natural flavors' without mentioning licorice root

How to Minimize Risk

The key to enjoying black licorice safely is moderation. The World Health Organization (WHO) has set a guideline suggesting that most adults can safely consume up to 100 mg of glycyrrhizic acid per day. However, as the glycyrrhizin content in products varies significantly, this isn't a precise measure for candy.

Best practices for licorice lovers:

  • Limit intake to small, occasional servings.
  • Avoid daily consumption over extended periods, especially if you are over 40.
  • If you have a pre-existing health condition, consult a doctor before indulging.
  • Be aware of hidden licorice in other products like herbal teas, throat lozenges, and dietary supplements.

Conclusion

The potential danger of black licorice lies in the compound glycyrrhizin, which can have significant effects on heart health and blood pressure when consumed in large quantities over time. While the occasional piece of black licorice is unlikely to cause harm, awareness of the risks and cautious moderation are essential, particularly for those in higher-risk groups. By distinguishing between true licorice and anise-flavored candy, and paying attention to your body's signals, you can enjoy this unique flavor without compromising your well-being. For a detailed review on the pharmacology and toxicity of licorice, an authoritative medical resource can be consulted.

  • This conclusion emphasizes responsible consumption and knowledge regarding potential risks.

For a comprehensive medical review on licorice, consider exploring resources from the National Institutes of Health.

Potential Complications of Excessive Glycyrrhizin

When too much glycyrrhizin is consumed, the resulting electrolyte imbalance can lead to more severe health complications. These range from moderate issues that resolve upon stopping consumption to life-threatening conditions in rare circumstances. Medical professionals have documented cases of patients presenting with significant and potentially fatal outcomes due to chronic, high licorice intake. The mineralocorticoid-like effect of glycyrrhizin has been linked to congestive heart failure and pulmonary edema, where excess fluid accumulates around the heart and lungs, respectively.

Other Health Considerations

Beyond the cardiovascular risks, excessive licorice intake can have other hormonal and physiological effects. It has been shown to potentially impact sexual function by lowering testosterone levels in men. In women, it might have estrogen-like activity, which could be problematic for those with hormone-sensitive conditions like breast or uterine cancer. These broader impacts underscore the importance of understanding not just the immediate risks, but the long-term consequences of consuming this compound in excess.

The Takeaway

Ultimately, the issue with black licorice is not the candy itself but the chemical it contains and the dosage. Much like any potent substance, glycyrrhizin's effects are dose-dependent. For the majority of people, small quantities pose little to no risk. However, for those with pre-existing vulnerabilities or a habit of heavy consumption, the consequences can be profound. Reading labels and understanding your personal health profile are the best ways to ensure that this sweet treat remains a harmless indulgence.

Frequently Asked Questions

The primary chemical in black licorice that is dangerous in large quantities is glycyrrhizin, or glycyrrhizic acid, which is derived from the licorice root.

Glycyrrhizin disrupts the body's electrolyte balance by causing the kidneys to excrete potassium and retain sodium and water, which can lead to high blood pressure and low potassium levels.

Yes, excessive consumption of black licorice containing glycyrrhizin can cause high blood pressure due to its effect on sodium and water retention.

People with heart disease, high blood pressure, kidney disease, pregnant women, and adults over 40 should be especially cautious or avoid black licorice entirely.

The World Health Organization (WHO) suggests that most adults can safely consume up to 100 mg of glycyrrhizic acid per day, although the amount in candies varies widely.

Yes, anise-flavored candy, which often provides a similar taste but does not contain true licorice root extract or glycyrrhizin, does not carry the same health risks.

Signs of excessive intake include swelling, lethargy, muscle weakness, headache, and irregular heart rhythms. If these symptoms occur, stop eating black licorice and consult a doctor.

References

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Medical Disclaimer

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