There is no high-quality clinical evidence that regular consumption of apple cider vinegar helps to maintain or lose body weight,[5] or is effective to manage blood glucose and lipid levels.[4]
Apple cider vinegar is 94% water and 5% acetic acid with 1% carbohydrates and no fat or protein (table). In a 100 gram (mL) reference amount, it provides 22 calories, with negligible content of micronutrients.[8]
Although low-level consumption of apple cider vinegar is of low risk, particularly if it is diluted, reported adverse effects include esophageal damage, tooth enamel erosion, and excessive burping, flatulence, and bowel movements.[9] Irritation and redness are common when the eyes come into contact with vinegar, and corneal injury can occur.[10] Using vinegar as a topical medication, ear cleaning solution, or eye wash is hazardous.[10] Although small amounts of apple cider vinegar may be used as a food flavoring,[10] it may be unsafe for use by pregnant and breastfeeding women and by children.[3] Different commercial brands of apple cider vinegar were found to have inconsistent acid levels, with some contaminated by molds and yeast.[4]
If used as a homemadecleaning agent, apple cider vinegar, like any kind of vinegar, should not be mixed with chlorine bleach, the combination of which may release chlorine gas and irritate airways, eyes, nose and throat.[10]
^National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Food and Nutrition Board; Committee to Review the Dietary Reference Intakes for Sodium and Potassium (2019). "Chapter 4: Potassium: Dietary Reference Intakes for Adequacy". In Oria, Maria; Harrison, Meghan; Stallings, Virginia A. (eds.). Dietary Reference Intakes for Sodium and Potassium. The National Academies Collection: Reports funded by National Institutes of Health. Washington, DC: National Academies Press (US). pp. 120–121. doi:10.17226/25353. ISBN978-0-309-48834-1. PMID30844154. Retrieved 5 December 2024.
^ abLaunholt TL, Kristiansen CB, Hjorth P (September 2020). "Safety and side effects of apple vinegar intake and its effect on metabolic parameters and body weight: a systematic review". European Journal of Nutrition (Systematic review). 59 (6): 2273–2289. doi:10.1007/s00394-020-02214-3. PMID32170375. S2CID212681609.
^ abcdeMary Elizabeth May (2017). "Vinegar: Not Just for Salad". National Capital Poison Center, Washington, DC. Retrieved 1 March 2017.