Can You Drink Too Much Kombucha? Side Effects and Safety Tips

Can You Drink Too Much Kombucha?

Can You Drink Too Much Kombucha?
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Kombucha, a slightly effervescent and fermented drink made from tea, sugar, bacteria, and yeast, has surged in popularity in recent years as a functional health beverage. While it offers a host of potential health benefits, from boosting gut health to reducing inflammation, it is possible to drink too much of this “good” bacteria–powered drink.

Potential Side Effects of Drinking Too Much Kombucha

Despite kombucha’s possible therapeutic benefits, the fermented beverage isn’t right for everyone, and there’s a risk of several adverse effects from drinking too much kombucha, especially when it’s prepared improperly.

Stomach Upset

Even though kombucha may promote gut health and improve digestive conditions like constipation, drinking too much kombucha can cause stomach upset, nausea, and diarrhea.

 Its naturally high acid content may be to blame for some of this discomfort, especially in people who aren’t quite used to it.
Some kombucha brands also have sweeteners added to them, and consuming too much sugar and sweeteners can lead to diarrhea or watery stools.

 If your body isn’t used to consuming large amounts of probiotics, consuming too many too quickly (such as the amount in kombucha) can lead to similar symptoms.

Headaches

Headaches are another possible adverse side effect of drinking too much kombucha.

The exact cause is unknown, but kombucha does contain caffeine and alcohol, which alone or together may induce headaches in those who are sensitive.
While caffeine is sometimes used as an effective headache reliever, repeated exposure to this stimulant can have the opposite effect, triggering chronic daily headaches in some people.

Lactic Acidosis

Though the occasional kombucha drinker doesn’t need to worry about this side effect, those drinking multiple bottles of kombucha every day may be at risk for a condition called lactic acidosis.

Lactic acid is an organic acid naturally produced in the body. While rare, overconsuming kombucha can lead to an accumulation of this acid in the bloodstream, causing the body’s pH to become too acidic. This acidity can lead to symptoms including muscle aches, disorientation, nausea, headaches, fatigue, rapid heart rate, and jaundice (yellowing of the eyes or skin). It can also incite problems with liver and kidney function and become life-threatening.

More research is needed to determine the amount of kombucha that can cause this condition, as well as how home-brewing methods and conditions may impact a person’s risk.

Lead Poisoning

Overfermentating kombucha during the preparation process may lead to severe lead poisoning under certain brewing conditions. The risk of poisoning is greater when kombucha is home-brewed in a clay vessel or ceramic pot containing high levels of lead. The lead can leach or dissolve into the beverage, ultimately causing a buildup of lead in the body.

Symptoms of lead poisoning include high blood pressure, headache, abdominal pain, mood disorders, difficulty concentrating, and muscle pain.

Tooth Damage

Drinking too many beverages with high acid levels, such as kombucha, can wear away your tooth enamel, leading to decay, sensitivity, and discoloration over time.

Because kombucha has a high acidity that may be harmful to your teeth and gums, it’s recommended that you drink through a straw to help reduce the direct contact the beverage has with your teeth. And immediately after you finish your drink, rinse your mouth out with water to help remove the sugars and acidic components from your mouth.

Excess Sugar Consumption

While kombucha contains significantly less sugar than some other popular carbonated beverages like soda, it’s not sugar-free like tap or unsweetened sparkling water.

 An occasional kombucha is unlikely to lead you to overdo it with sugar, but consistently reaching for this beverage instead of sugar-free options can add up over time, contributing to inflammation, weight gain, and more.

Allergic Reaction

Problems could also arise if you’re allergic to kombucha tea.

Signs of an allergic reaction vary from person to person, but can include shortness of breath, throat tightness, nausea, and dizziness after consuming the drink.

Who Shouldn’t Drink Kombucha?

Kombucha may be beneficial for some people in moderate amounts, but certain people should avoid it.

Due to the small amount of alcohol it contains and the potential toxic reaction it can cause in some individuals, kombucha isn’t recommended for people who are pregnant or breastfeeding, nor children under the age of 4.

Because of the acidic nature of the beverage, those who have liver or kidney disease should also avoid kombucha. Additionally, people who have a compromised immune system, such as older adults and those with HIV or cancer, should avoid kombucha, says Casey Seiden, RD, CDE, who is based in New York City. “This beverage is unpasteurized, so it could lead to food poisoning–like illness,” she says.

To err on the side of caution, you may also choose to avoid this beverage if you have an alcohol dependency.

How Much Kombucha Is Safe to Drink?

As with most foods and beverages, moderation is key when it comes to kombucha. While there aren’t any official guidelines for kombucha consumption, it’s best to start small and see how well you tolerate it before drinking more.

“If you suffer from digestive upset following excess carbonation, you may want to limit your kombucha to one small glass daily to reap the probiotic benefits but save yourself some bloating discomfort,” says Seiden.

You can drink store-bought kombucha, which is available in different flavors, or make your own at home with help from an online tutorial. If you’re shopping for kombucha, there are no hard-and-fast rules regarding how much sugar is too much in a bottle, though you can cut your intake by opting for a variety without added fruit juice. If you’re concerned about your weight and overall health, consider how kombucha fits into your calorie and sugar intake for the day, says Seiden.

“The good thing is that there are many brands out there of varying calorie and sugar levels, so you can likely find one that helps you meet your goals,” she says.

If you’re up for a challenge and want to make your own kombucha tea at home, there are plenty of recipes you can follow. There are even homemade kombucha kits that include essential ingredients like SCOBY (symbiotic culture of bacteria and yeast), which helps with the fermentation process.

Consider this simple recipe from The Joy of Cooking:

  • Boil 4 cups of unchlorinated water.
  • Add 8 tea bags (black or green) and 1 cup of sugar.
  • Let the tea steep for 15 minutes, then strain any loose tea.
  • Add 12 cups of cold water, then pour the tea into a glass jar.
  • Add 1 kombucha SCOBY and 1 cup of "starter tea" (fully fermented kombucha from a previous batch or store-bought unpasteurized kombucha).
  • Use a paper towel to cover the jar and secure the towel with a rubber band.
  • Allow the tea to ferment for about 7 to 10 days.

Always start with a clean pot. “The biggest concern with brewing kombucha at home is cleanliness,” says Seiden. “If proper cleaning precautions aren’t taken, the risk of molds or harmful bacteria growing are increased, which could lead to illness. To help decrease these risks, use only glass containers (versus metal), and keep an eye on the color and smell of the SCOBY. If the starter starts to grow black or green spots, or it starts to smell rancid, it’s time to toss that SCOBY and start again with a new one.”

You can also use pH strips to ensure you ferment to a pH of 2.5 to 4.2, since both under- and over-fermenting kombucha can be dangerous.

The Takeaway

  • While kombucha offers probiotic benefits, overconsumption can lead to adverse side effects ranging from digestive upset and headaches to serious conditions like lactic acidosis and tooth enamel erosion.
  • Home-brewing requires strict cleanliness and proper equipment, as fermenting in lead-based ceramic vessels can cause lead poisoning and improper sanitation can promote the growth of harmful molds.
  • Certain groups of people, including pregnant or breastfeeding people, young children, people with liver or kidney disease, and those with compromised immune systems, should avoid the drink due to its acidity and the risks associated with consuming unpasteurized products.
  • To consume kombucha safely, experts recommend practicing moderation (starting with one small glass daily), choosing low-sugar varieties, and using a straw to protect your dental health.
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
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Lynn Griger photo

Lynn Grieger, RDN, CDCES

Medical Reviewer

Lynn Grieger is a registered dietitian-nutritionist, certified diabetes care and education specialist, certified personal trainer, and certified health and wellness coach. She completed requirements to become a registered dietitian at Valparaiso University in 1987 and completed a dietetic internship at Ingalls Memorial Hospital in Harvey, Illinois, in 1988. 

Lynn brings her expertise in nutrition, exercise, and behavior change to her work in helping people reach their individual health and fitness goals. In addition to writing for Everyday Health, she has also written for websites and publications like Food and Health Communications, Today's Dietitian, iVillage.com, and Rodale Press. She has a passion for healthy, nutrient-dense, great-tasting food and for being outdoors as much as possible — she can often be found running or hiking, and has completed a marathon in every state.

Valencia Higuera

Valencia Higuera

Author
Valencia Higuera is a writer and digital creator from Chesapeake, Virginia. As a personal finance and health junkie, she enjoys all things related to budgeting, saving money, fitness, and healthy living. In addition to Everyday Health, Higuera has written for various publications, including Healthline, GOBankingRates, MyBankTracker, and The Mortgage Reports.