Licorice Root
Supplements · Digestive & Metabolic Herbs · Supplement, Typed Supps
One where the warning genuinely matters more than the benefit.
Stage by stage
- Intake (Extract capsule or tea): Its active compound, glycyrrhizin, is absorbed in the small intestine.
- Small intestine (Absorbed): DGL (deglycyrrhizinated) forms remove glycyrrhizin specifically to avoid its effects.
- Bloodstream (Affects sodium/potassium handling): Circulates and can affect how the body handles sodium and potassium.
- Digestive tissue (Soothing effect studied): Studied for soothing effects on digestive tissue, more established for DGL forms specifically.
What the evidence supports
- Easing indigestion and functional dyspepsia (deglycyrrhizinated forms) — limited evidence. Some supportive trials for digestive symptoms, mostly of glycyrrhizin-removed (DGL) preparations, but the evidence base is small.
- Evidence that it causes Raising blood pressure and lowering potassium (glycyrrhizin) — strong evidence. Well established: glycyrrhizin blocks the enzyme that inactivates cortisol in the kidney, producing a mineralocorticoid effect — hypertension, oedema, low potassium and arrhythmia. This is the defining risk, not a rare quirk.
Typical dose
There is no benefit target that justifies routine glycyrrhizin intake; the EFSA-cited safe ceiling for glycyrrhizin is about 0.2 mg/kg/day
Upper limit: Regular intake above roughly 100 mg glycyrrhizin daily (or ~50 g of licorice) can cause harm; sensitive people react to less
Timing
Many choose the DGL form specifically to avoid glycyrrhizin’s effects.
Time to effect
- Days–wks: Any reported digestive comfort effect in studies.
Medication interactions
- Diuretics: Both deplete potassium; combined they can cause dangerously low levels. (high)
- Digoxin: Licorice-induced low potassium sharply increases the risk of digoxin toxicity. (high)
- Antihypertensives: Licorice raises blood pressure, working against these drugs. (moderate)
- Corticosteroids: Licorice prolongs cortisol activity, adding to steroid effects. (moderate)
Common myth
“Licorice root supplements are risk-free because they’re natural.” In reality: Regular use of standard (non-DGL) licorice can raise blood pressure and lower potassium over time — a well-documented risk, not a fringe concern.
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