Table of ContentsView AllTable of ContentsUsesSide EffectsPrecautionsDosageToxicityInteractionsHow to StoreSimilar ProductsFrequently Asked QuestionsSources & What to Look For

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Table of Contents

Uses

Side Effects

Precautions

Dosage

Toxicity

Interactions

How to Store

Similar Products

Frequently Asked Questions

Sources & What to Look For

Kombuchais a fermented beverage that may offer health benefits.

Components of kombucha have also been linked to anti-inflammatory, antidiabetic, and antimicrobial effects, among others.

Green, black, or oolong tea is typically used to make kombucha. The probiotics used to make kombucha are known as SCOBY, which stands for “symbiotic culture of bacteria and yeasts.” Various probiotic strains may be used.

There are many methods for making kombucha. The type of tea used and how long the drink is fermented is thought to have a significant impact on the potential health benefits of the final kombucha product.

This article will discuss the scientific evidence supporting the uses of kombucha. It will also examine any side effects, precautions, drug interactions, and other things you should know about kombucha.

Kombucha FactsActive ingredient(s):Phenolic compounds, catechins, flavonoids, potassium, manganese, amino acids, vitamin E, vitamin KAlternate name(s):Manchurian mushroom tea, tea fungus, Kargasok tea, tea kvass, grib tea kvass, Indian tea fungus, Manchu fungus, teakwass, tea beerLegal status:Legal in the United States and sold over the counterSuggested dose:Dosing varies, with 4 ounces (100 grams) generally considered safeSafety considerations:Consumption or overconsumption of kombucha that may result in dizziness, headache, allergic reactions, or upset stomach

Kombucha Facts

Active ingredient(s):Phenolic compounds, catechins, flavonoids, potassium, manganese, amino acids, vitamin E, vitamin KAlternate name(s):Manchurian mushroom tea, tea fungus, Kargasok tea, tea kvass, grib tea kvass, Indian tea fungus, Manchu fungus, teakwass, tea beerLegal status:Legal in the United States and sold over the counterSuggested dose:Dosing varies, with 4 ounces (100 grams) generally considered safeSafety considerations:Consumption or overconsumption of kombucha that may result in dizziness, headache, allergic reactions, or upset stomach

Uses of Kombucha

Kombucha has been found to contain beneficial active ingredients, includingpolyphenols,flavonoids, andcatechins. These and other active substances act as antioxidants.

Preliminary research has shown that kombucha possesses various properties that may benefit human health. According to one review, these properties include:

However, the recipe for making kombucha has not been standardized. This means that the potential health benefits may vary from one kombucha product to the next.

Gut Health

Fermented foods and beveragescontain probiotics, or “good” bacteria, that can help improve the health of your gut.

As a fermented beverage, kombucha has been found to reduce gutdysbiosis, or an imbalance of thegut microbiome.

In one study, rats were fed a standard diet or a high-fat, high-fructose diet for eight weeks before receiving kombucha (made with either green tea or black tea) for 10 weeks. After the first eight weeks, the high-fat, high-fructose diet was found to cause metabolic changes in the rats, which included an increase in gut dysbiosis.

Unfortunately, human trials on this topic are limited. While many people assume that kombucha improves gut health, this has yet to be proven through solid scientific evidence.

Bacterial Infections

Many people use kombucha for its supposed antibacterial properties.

Some research has found kombucha to be effective against various bacteria strains, such asStaphylococcus aureus(S. aureus),Escherichia coli(E. coli), andKlebsiella pneumonia.

Researchers from one in vitro (lab) study compared the effects of various forms of black tea kombucha (fermented, unfermented, neutralized, and heat-treated) on a number ofbacteria. The fermented kombucha showed the most effects against the bacteria. Fermented kombucha was also found to inhibitE. coliandStaphylococcus aureusmore than the other kombuchas.

Multiple compounds, including acetic acid and catechins, are thought to be responsible for kombucha’s possible antibacterial activity.

Studies need to be performed on humans to confirm and strengthen these claims.

ablokhin / Getty Images

Person pouring kombucha fermented tea into two juice shot glasses on wooden table from bottle

Hypoglycemic Effects

Kombucha is thought to have a hypoglycemic (blood sugar–lowering) effect, but the research supporting this theory is weak.

In one study, mice were induced with type 2diabetesvia diet and medications and then given green tea kombucha for four weeks. Next, the researchers performed fecal studies and found that kombucha intake positively altered the gut microbiome, leading to decreased inflammation andinsulin resistancein the mice. Kombucha intake was also associated with an increase inshort-chain fatty acids(SCFA) in subjects, which promoted the secretion of hormones needed to lower blood sugar.

Another study was performed on 11 healthy adults in which participants ate a high-glycemic meal (containing foods high in carbohydrates that cause a rapid increase in blood glucose) with either soda water (the control), diet lemonade, or unpasteurized kombucha.

Compared to the other two beverages, kombucha showed a greater impact on post-meal blood sugar. The study participants who drank kombucha had significant reductions in blood sugar andinsulinafter their meal.

More vigorous, well-designed studies are needed to support using kombucha for type 2 diabetes.

High Cholesterol

Substances found in kombucha have been shown to exhibit cholesterol-lowering effects in lab and animal studies.

A study performed on rabbits found a link between kombucha consumption and lowercholesterollevels. In the study, rabbits were divided into four groups; normal diet, high-cholesterol diet, normal diet plus kombucha, or high-cholesterol diet plus kombucha. After 40 days, blood cholesterol was significantly reduced in the rabbits who received kombucha.

Other studies have found similar results, with research pointing to kombucha’s ability to decrease bothtriglyceridesandlow-density lipoprotein (LDL) cholesterol(considered “bad” cholesterol) in various animal models.

At this time, most studies on kombucha for high cholesterol have been performed on animals rather than humans. Until human trials are successfully completed, kombucha cannot be recommended as a treatment for high cholesterol.

Liver Health

Kombucha has been touted as a natural remedy for liver protection, with some going as far as to say that the fermented tea has a detoxifying effect.

While liver detoxification effects have not been proven regarding kombucha, it may offer some form of protection for the liver (hepatoprotection).

More research is needed on the potential role of kombucha in liver health.

What Are the Side Effects of Kombucha?

Kombucha is generally considered safe. But consuming kombucha may come with potential side effects that could be mild or severe.

Common Side Effects

The safety of kombucha has been questioned because it contains live, active bacteria cultures (probiotics). Some researchers worry that using the wrong probiotics, incorrectly fermenting kombucha, or preparing kombucha in unclean conditions may make side effects more likely. Reported side effects of kombucha include:

In general, kombucha is only thought to cause side effects if it was incorrectly prepared or if the person drinking it has a weakened immune system.

Severe Side Effects

Although extremely rare, kombucha has been linked to severe side effects. In most cases, severe side effects were noted due to overconsumption or consuming improperly prepared homemade kombucha.

Large-scale studies or reviews have not been performed on kombucha’s safety, so much of the information on potential severe side effects is from case reports.

In one case report, a woman who drank 32 ounces of kombucha per day (8 times the recommended amount) plus 10 to 15 ounces of wine for three months developed livernecrosis(death of tissue).Renal (kidney) failure, lactic acidosis, andhepatitishave also been linked to kombucha consumption, but only in rare cases.

For best practice, choose reputable brands and only drink the recommended amount of kombucha.

Not enough human research has been done on kombucha to determine whether it is safe for everyone. Some people may need to avoid or limit the consumption of kombucha.

There is some concern that kombucha may cause toxic effects in certain populations due to its acidity and trace amounts of alcohol and caffeine. Therefore, kombucha should be avoided in:

It is not clear if kombucha is safe for people who arebreastfeeding.

Talk with a healthcare provider if you have a health condition and are wondering if kombucha is safe for you.

Dosage: How Much Kombucha Should I Drink?

Always speak with a healthcare provider before taking a supplement to ensure that the supplement and dosage are appropriate for your individual needs.

The Centers for Disease Control and Prevention (CDC) has declared 4 ounces of kombucha daily to be a safe dose.

Additional dosage guidelines are not available for kombucha. More evidence is needed to determine safe kombucha dosing for various health benefits.

You may notice that many kombucha brands come in bottles and serving sizes much larger than 4 ounces. To be safe and to lower your risk of side effects, stick with four ounces of kombucha daily.

What Happens If I Drink Too Much Kombucha?

It’s important to monitor your intake of kombucha, as drinking too much may have consequences.

Typically, adverse events occur if you overconsume kombucha for more than a couple of weeks. Drinking too much kombucha may lead to:

Remember that an intake of just 4 ounces a day of kombucha has been deemed safe.

To avoid toxicity and side effects, only use kombucha as directed.

Kombucha Interactions

As with many herbs and dietary supplements, kombucha may interact with various medications, foods, or supplements.

Kombucha may lower blood sugar, which means people on antidiabetic and other blood sugar–lowering medications may need to avoid using it.If blood sugar gets too low,hypoglycemiamay occur. Hypoglycemia may cause fatigue, irritability,heartarrhythmia, headache, and other adverse events.

Other interactions may exist, so talk to a healthcare provider about any medications, herbs, or supplements you take before adding kombucha to your diet.

Carefully read the ingredients list and nutrition facts panel of any kombucha product to know which ingredients and how much of each ingredient is included. It’s advised that you review the nutrition label with a healthcare provider to discuss any potential interactions with foods, other supplements, and medications.

How to Store Kombucha

For quality purposes, it’s important to store kombucha properly.

Ready-made or homemade kombucha should be stored in the refrigerator. Unrefrigerated kombucha may continue to ferment, which could lead to changes in taste and potential health benefits.

Keep kombucha away from small children, who may accidentally consume too much. Children under 4 years old should not drink kombucha.

Discard kombucha as indicated on the packaging or once it expires. Kombucha may be safe to drink for up to four months, but after that time it may lose its potency and flavor.

Various dietary supplements and products may work similarly to kombucha. These include:

Many healthcare providers recommend taking just one supplement at a time for a health condition. Talk with a healthcare provider to learn which supplement may be best for you.

Frequently Asked QuestionsThe taste of kombucha may vary from one product to the next.Kombucha is often described as having a sour taste that is slightly fruity and sparkling. However, after storing a few days, unused kombucha may begin to taste more like wine vinegar.Although kombucha can be made in more ways than one, the ingredients tend to remain the same.Kombucha is most often made with black tea, but green tea or oolong tea may also be used. Other ingredients used to make kombucha include table sugar (sucrose) and SCOBY (symbiotic culture of bacteria and yeast).Learn MoreThe Health Benefits of Green TeaAt this time, long-term studies on kombucha consumption do not exist.More information may be needed to better determine the safety of kombucha.In general, though, you should not drink more than 4 ounces of kombucha daily. Drinking more than this may cause side effects.

The taste of kombucha may vary from one product to the next.Kombucha is often described as having a sour taste that is slightly fruity and sparkling. However, after storing a few days, unused kombucha may begin to taste more like wine vinegar.

The taste of kombucha may vary from one product to the next.

Kombucha is often described as having a sour taste that is slightly fruity and sparkling. However, after storing a few days, unused kombucha may begin to taste more like wine vinegar.

Although kombucha can be made in more ways than one, the ingredients tend to remain the same.Kombucha is most often made with black tea, but green tea or oolong tea may also be used. Other ingredients used to make kombucha include table sugar (sucrose) and SCOBY (symbiotic culture of bacteria and yeast).Learn MoreThe Health Benefits of Green Tea

Although kombucha can be made in more ways than one, the ingredients tend to remain the same.Kombucha is most often made with black tea, but green tea or oolong tea may also be used. Other ingredients used to make kombucha include table sugar (sucrose) and SCOBY (symbiotic culture of bacteria and yeast).

Although kombucha can be made in more ways than one, the ingredients tend to remain the same.

Kombucha is most often made with black tea, but green tea or oolong tea may also be used. Other ingredients used to make kombucha include table sugar (sucrose) and SCOBY (symbiotic culture of bacteria and yeast).

Learn MoreThe Health Benefits of Green Tea

At this time, long-term studies on kombucha consumption do not exist.More information may be needed to better determine the safety of kombucha.In general, though, you should not drink more than 4 ounces of kombucha daily. Drinking more than this may cause side effects.

At this time, long-term studies on kombucha consumption do not exist.More information may be needed to better determine the safety of kombucha.

In general, though, you should not drink more than 4 ounces of kombucha daily. Drinking more than this may cause side effects.

What to Look For When Choosing Kombucha

Besides beverages, other forms of kombucha are available.

Kombucha drinks are probably the most popular option, but you can also find kombucha as a powder or capsule supplement. However, there isn’t solid scientific evidence behind these other supplement forms, as most studies have been performed on kombucha beverages.

Most kombucha brands are naturally vegan andgluten-free. Organic options are also available. Read the product label to ensure the kombucha you choose fits your dietary preferences.

It’s important to understand that kombucha is largely unregulated. In fact, some believe that products should be standardized to improve both the safety and efficacy of kombucha as a whole.

If you’re making kombucha at home, follow directions closely and take extra measures to keep your work area clean. It’s also vital to ferment and store kombucha at proper temperatures.

Summary

Kombucha is a fermented beverage made with tea, sugar, and SCOBY.

It is touted as a natural remedy for many health conditions, including type 2 diabetes, bacterial infections, and high cholesterol. However, scientific evidence on these and other uses of kombucha is weak and more research is needed.

Kombucha may not be right for everyone, and side effects are possible. Talk with a healthcare provider before adding kombucha to your diet to make sure it’s a good fit.

20 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

Batista P, Penas MR, Pintado M, Oliveira-Silva P.Kombucha: perceptions and future prospects.Foods. 2022;11(13):1977. doi:10.3390/foods11131977

Jakubczyk K, Kałduńska J, Kochman J, Janda K.Chemical profile and antioxidant activity of the kombucha beverage derived from white, green, black and red tea.Antioxidants (Basel). 2020;9(5):447. doi:10.3390/antiox9050447

Antolak H, Piechota D, Kucharska A.Kombucha tea-a double power of bioactive compounds from tea and symbiotic culture of bacteria and yeasts (SCOBY).Antioxidants (Basel). 2021;10(10):1541. doi:10.3390/antiox10101541

Abaci N, Senol Deniz FS, Orhan IE.Kombucha - an ancient fermented beverage with desired bioactivities: a narrowed review.Food Chem X. 2022;14:100302. doi:10.1016/j.fochx.2022.100302

Costa MAC, Vilela DLS, Fraiz GM, et al.Effect of kombucha intake on the gut microbiota and obesity-related comorbidities: A systematic review[published online ahead of print, 2021 Oct 26].Crit Rev Food Sci Nutr. 2021;1-16. doi:10.1080/10408398.2021.1995321

Costa MAC, Dias Moreira LP, Duarte VDS, et al.Kombuchas from green and black tea modulate the gut microbiota and improve the intestinal health of Wistar rats fed a high-fat high-fructose diet.Nutrients. 2022;14(24):5234. doi:10.3390/nu14245234

Al-Mohammadi AR, Ismaiel AA, Ibrahim RA, et al.Chemical constitution and antimicrobial activity of kombucha fermented beverage.Molecules. 2021;26(16):5026. doi:10.3390/molecules26165026

Atkinson FS, Cohen M, Lau K, Brand-Miller JC.Glycemic index and insulin index after a standard carbohydrate meal consumed with live kombucha: a randomised, placebo-controlled, crossover trial.Front Nutr. 2023;10:1036717. doi:10.3389/fnut.2023.1036717

Alaei Z, Doudi M, Setorki M.The protective role of Kombucha extract on the normal intestinal microflora, high-cholesterol diet caused hypercholesterolemia, and histological structures changes in New Zealand white rabbits.Avicenna J Phytomed. 2020;10(6):604-614.

Lee C, Kim J, Wang S, et al.Hepatoprotective effect of kombucha tea in rodent model of nonalcoholic fatty liver disease/nonalcoholic steatohepatitis.Int J Mol Sci. 2019;20(9):2369. doi:10.3390/ijms20092369

Selvaraj S, Gurumurthy K.An overview of probiotic health booster-kombucha tea.Chin Herb Med. 2022;15(1):27-32. doi:10.1016/j.chmed.2022.06.010

Sannapaneni S, Philip S, Desai A, Mitchell J, Feldman M.Kombucha-induced massive hepatic necrosis: a case report and a review of literature.Gastro Hep Advances. 2023;2(2):196-198. https://doi.org/10.1016/j.gastha.2022.09.014

de Miranda JF, Ruiz LF, Silva CB, et al.Kombucha: a review of substrates, regulations, composition, and biological properties.J Food Sci. 2022;87(2):503-527. doi:10.1111/1750-3841.16029

National Institute of Diabetes and Digestive and Kidney Disease.Low blood glucose (hypoglycemia).

American Gastroenterological Association.AGA’s interpretation of the latest probiotics research.

Rahmani AH, Shabrmi FM, Aly SM.Active ingredients of ginger as potential candidates in the prevention and treatment of diseases via modulation of biological activities.Int J Physiol Pathophysiol Pharmacol. 2014;6(2):125-136. Published 2014 Jul 12.

Sahebkar A, Pirro M, Banach M, et al.Lipid-lowering activity of artichoke extracts: A systematic review and meta-analysis.Crit Rev Food Sci Nutr. 2018;58(15):2549-2556. doi:10.1080/10408398.2017.1332572

Davaatseren M, Hur HJ, Yang HJ, et al.Taraxacum official (dandelion) leaf extract alleviates high-fat diet-induced nonalcoholic fatty liver.Food Chem Toxicol. 2013;58:30-36. doi:10.1016/j.fct.2013.04.023

Yang J, Lagishetty V, Kurnia P, et al.Microbial and chemical profiles of commercial kombucha products.Nutrients. 2022;14(3):670. doi:10.3390/nu14030670

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