Who Should Avoid Brewers Yeast?
Brewer's yeast, derived from the brewing process and known scientifically as Saccharomyces cerevisiae, is a popular nutritional supplement rich in B vitamins, protein, and minerals like chromium. However, despite its health-promoting properties for many, it poses significant risks for certain individuals. It is crucial to consult with a healthcare provider before starting any new supplement, especially for those with pre-existing conditions or on medication.
Medical Conditions That Require Caution
Inflammatory Bowel Diseases
Individuals with Crohn's disease, and potentially ulcerative colitis, should strictly avoid brewer's yeast. Studies have shown a strong link between brewer's yeast and the exacerbation of Crohn's symptoms. Research suggests that patients with this condition exhibit an abnormal immune response to yeast antigens, and eliminating yeast from the diet has been shown to reduce disease activity.
Weakened Immune Systems
People with compromised immune systems, such as those with HIV/AIDS or organ transplant recipients, should avoid consuming brewer's yeast. The live yeast present in some supplements could potentially increase the risk of systemic fungal infections. While this is a rare occurrence, the risk is significantly higher in immunocompromised individuals and warrants strict avoidance.
Yeast Allergies or Chronic Fungal Infections
Anyone with a known allergy or sensitivity to yeast should avoid brewer's yeast. Allergic reactions can range from mild symptoms like itching and swelling to more severe issues such as difficulty breathing. Furthermore, individuals with recurrent fungal infections, particularly Candida infections, are advised to avoid brewer's yeast supplements. While Saccharomyces and Candida are different species, some healthcare providers advise caution to prevent potential exacerbation of chronic yeast overgrowth issues.
Gout
Brewer's yeast is a rich source of purines, compounds that the body converts into uric acid. High levels of uric acid are the primary cause of painful gout flare-ups. For this reason, individuals with gout or a history of high uric acid levels should avoid brewer's yeast supplements. The purine content is especially high in yeast extracts, making them particularly problematic.
Drug Interactions and Other Risks
Brewer's yeast can interact dangerously with several types of medications. Patients taking these drugs must consult their doctor before using a supplement containing brewer's yeast.
Monoamine Oxidase Inhibitors (MAOIs)
Brewer's yeast contains a high level of tyramine, a natural compound that can cause a severe spike in blood pressure known as a hypertensive crisis when combined with MAOIs. This is a serious medical emergency and is a direct contraindication for anyone on this class of antidepressants.
Diabetes Medications
Because some brewer's yeast supplements contain chromium, they can lower blood sugar levels. For individuals with diabetes taking glucose-lowering medications like insulin or metformin, adding brewer's yeast can cause blood sugar to drop too low, leading to hypoglycemia. Close monitoring is essential if a healthcare provider approves its use, but avoidance is often recommended to prevent this dangerous interaction.
Antifungal Medications
Since brewer's yeast is a fungus, taking it alongside antifungal medications can decrease the effectiveness of the medication. Patients being treated for a fungal infection, including systemic candidiasis, should inform their doctor and pharmacist about their supplement use.
Pregnant or Breastfeeding Women
There is a lack of reliable scientific information regarding the safety of brewer's yeast during pregnancy and breastfeeding. For this reason, it is recommended that pregnant and breastfeeding women avoid using brewer's yeast supplements to stay on the safe side.
Brewer's Yeast vs. Nutritional Yeast: A Comparison
| Feature | Brewer's Yeast | Nutritional Yeast | Primary Use | Supplementation, often derived from beer production | Food seasoning, cheese substitute, fortified with vitamins | Taste | Often bitter | Savory, cheesy, nutty flavor | Purine Content | High, problematic for gout sufferers | Lower, generally safer for those with gout | Immune Considerations | Contains live or inactivated Saccharomyces cerevisiae, caution for immunocompromised | Inactivated yeast (Saccharomyces cerevisiae), generally safer for immunocompromised | Drug Interactions | Potential interactions with MAOIs, diabetes drugs | Less common interactions, but always consult a doctor |
The Importance of Consulting a Professional
Ultimately, the decision to take any supplement should not be made without professional medical advice. A healthcare provider can assess your individual health profile, including existing medical conditions and current medications, to determine if brewer's yeast is a safe option for you.
Conclusion
While brewer's yeast offers a potent dose of B vitamins and other nutrients for healthy individuals, it is clearly not suitable for everyone. People suffering from conditions like Crohn's disease, gout, or chronic fungal infections should avoid it. The risk of serious drug interactions with MAOIs and diabetes medication further underscores the need for caution. Additionally, due to insufficient safety data, pregnant and breastfeeding women should abstain. A thorough review of your medical history with a doctor is the most responsible approach to avoid potentially harmful consequences.
For more information on the distinctions between different types of yeast, consult the resources at Verywell Health. Verywell Health