Apple Cider Vinegar

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Apple cider vinegar is fermented juice from apples. Apple cider vinegar is used for weight loss, to treat diabetes, helps leg cramps and leg pain, sinusitis problems, cognitive function, osteoporosis and osteoarthritis, detoxification and slowing of the aging process. Apple cider vinegar can be used topically to treat acne, soothe sunburn, relieve symptoms of shingles and insect bites, and to prevent dandruff. Apple cider vinegar can also be added to a bath to treat vaginitis.

Also known as:  ACV, Cider Vinegar, Vinagre de Manzana, Vinagre de Sidra de Manzana, Vinaigre de Cidre

Diseases and Conditions

Apple cider vinger is often used in detox regimens; however, there is not enough scientific research to assign an effectiveness rating to this supplement.


Apple cider vinegar is safe to consume orally from food sources. It is also likely safe when used orally in the short-term for medicinal purposes. When used orally in the long term, apple cider vinegar may cause osteoporosis, high positive urinary anion gap, elevated renin levels, and hypokalemia. Apple cider vinegar is likely unsafe when applied topically as it may cause chemical burns. There is insufficient information on the safety of apple cider vinegar in children, pregnant, and breastfeeding women and should thus be avoided.

Medication Interactions

Apple cider vinegar can reduce postprandial blood glucose levels and decrease gastric emptying in people with diabetes, and can have additive effects on drugs used to treat the disease. Possibly, the overuse of apple cider vinegar can increase the risk of toxicity for cardiovascular drugs such a digoxin (Lanoxin), due to decreased potassium levels. With insulin and diuretic drugs, hypokalemia is a risk factor.

Supplement and Food Interactions

Apple cider vinegar may possibly interact with other cardiac glycoside-containing herbs, such as:

  • Pleurisy root
  • Motherwort 
  • Black hellebore
  • Oleander leaf

Due to the potassium depletion associated with overuse of apple cider vinegar, which may heighten the risk of cardiac glycoside toxicity. Apple cider vinegar may also heighten the risk of potassium depletion associated with licorice and horsetail. Additionally, using apple cider vinegar with other stimulant laxative herbs can increase the likelihood of potassium deficiencies.  Some herbs with stimulant laxative properties are: 

  • Alder buckthorn
  • Gamboge
  • Jalap
  • Manna
  • Rhubarb



The recommended dosage of apple cider vinegar for the treatment of diabetes is twenty grams with meals, but there is insufficient reliable evidence available to determine a proper duration.


Apple cider vinegar is made from apples and is commonly used in dishes for its unique flavor. It is often found in salad dressings as well as pork and chicken dishes, and is even sometimes used in desserts.

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