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Episode
AVOID This If You Have High Blood Pressure
~8 min
Episode Brief·YouTube

AVOID This If You Have High Blood Pressure

Eric Berg
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TL;DR

The four things you'd lose by not watching

4 items

TL;DR

The four things you'd lose by not watching

4 items
1

Licorice root blocks the enzyme 11BHSD2 that normally degrades cortisol, leading to sodium retention, potassium loss, and potential hypertension, muscle cramps, and arrhythmias.

2

Chronic daily intake as low as 2 cups of licorice tea or 100 mg of licorice candy over 2 weeks can cause dangerous electrolyte shifts.

3

DGL (deglycyrrhizinated) licorice removes the problematic compound glycyrrhizin, preserving gut and immune benefits without the cortisol-like side effects.

4

98% of the population fails to meet the 4,700 mg daily potassium requirement; licorice amplifies an already widespread deficiency.

Protocols

Concrete recipes — what, when, how much, and why

2 items

Avoid licorice root if you have high blood pressure, are older, on diuretics, or taking prednisone

WhatStop all forms of regular licorice root (tea, candy, supplements) if you have hypertension, are elderly, use diuretics, or take synthetic cortisol like prednisone, to prevent dangerous electrolyte imbalances.
WhenImmediately, especially if daily consumption exceeds 2 cups tea or 100 mg candy.
DoseThreshold: >2 cups licorice tea/day or >100 mg licorice candy/day for 2+ weeks.
For whomPeople with high blood pressure, older adults, anyone on diuretics or prednisone/prednisolone, and those already low in potassium.
WhyLicorice blocks the enzyme 11BHSD2, allowing cortisol to rise, which causes sodium retention, potassium wasting, increased blood pressure, muscle cramps, and cardiac arrhythmias. Those already at risk (hypertension, older age, diuretics, steroid use) are pushed into a danger zone.
CaveatsLicorice may be beneficial for some with low cortisol under professional supervision. Not all licorice is dangerous: DGL licorice has glycyrrhizin removed. Acute one-time use is not the danger; it's chronic daily intake.

The speaker frames licorice as the number one herb to avoid for hypertension, not because it’s inherently toxic, but because it taps into an ancient survival mechanism (sodium retention) that today’s sodium-rich, potassium-poor diet makes problematic. He notes that 98% of people are already deficient in potassium, so licorice’s potassium-depleting action can rapidly turn a mild deficiency into a severe, symptomatic one—muscle cramps, irregular heartbeat. Historical context: licorice was used for millennia and even appeared in a 1926 medical text. The speaker’s caution is directed at unsupervised daily use, especially among older adults and those on medications that already affect potassium (diuretics) or add exogenous cortisol (prednisone). He urges disclosure to doctors if symptoms arise, as licorice can mimic serious disorders. The bottom line: avoid regular licorice root unless you’re certain your potassium status and blood pressure are healthy, and never combine it with corticosteroids.

Mechanism

Glycyrrhizin, the active compound in licorice root, inhibits the enzyme 11BHSD2. This enzyme normally converts active cortisol into its inactive form, cortisone, in tissues like the kidneys and colon. When 11BHSD2 is blocked, cortisol levels rise locally, binding to mineralocorticoid receptors with aldosterone-like effects: increased sodium reabsorption, enhanced potassium excretion, and fluid retention. The result is pseudo-aldosteronism—hypertension, hypokalemia, and metabolic alkalosis—mimicking an adrenal tumor. The electrolyte shifts are especially dangerous for the heart, where low potassium can trigger arrhythmias.

I do not recommend that, especially if you're older, especially if you have high blood pressure, especially if you're on a diuretic. And even more than that, especially if you're taking a synthetic version of cortisol like prednisone and you take licorice, that is not good at all.

Also said
“So your body has a built-in safety enzyme to protect you from producing too much cortisol. ... And it just so happens that licorice blocks this enzyme because the active compound in licorice is this right here, glycyrrhizin.”— Explains the root mechanism of action.
“Too much cortisol will cause you to retain sodium, get rid of your potassium, increase your blood pressure, cause muscle cramps, and create heart arrhythmia issues.”— Links cortisol excess directly to the symptoms of concern.
“If you consume too much licorice, it's going to trick your body into doing all these things right here.”— Frames the effect as a mimicry of endogenous dysfunction.

Use DGL (deglycyrrhizinated) licorice for gut and immune benefits without electrolyte risk

WhatChoose DGL licorice supplements instead of regular licorice root if you want the ulcer-healing, anti-inflammatory, or immune-supporting effects without blocking the cortisol-deactivating enzyme.
WhenWhenever you would otherwise consume regular licorice long-term or if you have hypertension, potassium issues, or are on interacting medications.
DoseNo specific dose given; DGL is safe for daily use because glycyrrhizin is removed.
For whomAnyone seeking the benefits of licorice (ulcers, cough, inflammation, infections) who wants to avoid hypertension, potassium loss, or drug interactions; especially older adults, those with high blood pressure, or on diuretics/steroids.
WhyDGL has the glycyrrhizin compound extracted, so it does not inhibit 11BHSD2. Thus, you retain the soothing effects on the gut lining and immune system without the cortisol-like side effects on blood pressure and potassium.
CaveatsThe speaker does not specify brands or doses; this is a general recommendation. DGL is only for internal use; its safety in pregnancy or specific conditions is not discussed.

The speaker introduces DGL as the straightforward solution for those who want the historical benefits of licorice (used for 3,000 years for ulcers, coughs, infections) without the modern-day electrolyte problem. He emphasizes that the herbal world is generally safe and that complications are rare, but when they do occur, they can be serious. DGL represents a best-of-both-worlds approach, preserving the gut-healing and immune-modulating effects while sidestepping the enzyme blockade that makes regular licorice dangerous for a large segment of the population. The underlying message is that people should not abandon a useful remedy out of fear; they should simply choose the safer, deglycyrrhizinated version. Combined with the earlier potassium awareness, the protocol suggests pairing DGL with dietary potassium adequacy for maximum safety.

Mechanism

Standard licorice root contains glycyrrhizin, which inhibits 11BHSD2 and thereby increases cortisol activity. DGL is produced by removing glycyrrhizin, leaving behind flavonoids and other compounds that support mucosal health and exhibit anti-inflammatory properties without interfering with cortisol metabolism. This uncoupling allows the herb’s traditional benefits for gastric ulcers, sore throat, and respiratory issues to be harnessed while eliminating the risk of pseudo-aldosteronism.

Now there is a certain type of licorice that extracted this compound so that way you won't get this effect with this enzyme. That won't mess with this enzyme called DGL. So basically just take this thing out and you're getting the benefits of licorice without this thing that can create problems.

Also said
“Get the one that is a DGL licorice. Okay? And that way it won't create these effects right here. That way you can get the gut effects if you have an ulcer, you can get the positive immune effects without pulling all the potassium out and creating problems with your electrolytes, especially if you're going to use it long term.”— Specifics on which benefits are preserved and why long-term use is made safe.

What's new

Personal practice updates, fresh positions, predictions

3 items

licorice-induced-pseudo-aldosteronism

Consuming too much licorice can mimic the signs of adrenal tumors or hormone disorders by producing a false increase in aldosterone-like effects, a condition called pseudo-aldosteronism.

Why this matters: Highlights how a common herbal remedy can produce a misleading clinical picture that may cause misdiagnosis if patients don’t disclose licorice use.

Background

Licorice has been used for over 3,000 years for ulcers, cough, inflammation, and infections, and was listed in a 1926 medical book. Many people use it today for adrenal support and stress without being aware of its powerful endocrine effects.

The speaker emphasizes that the active compound glycyrrhizin blocks the enzyme 11BHSD2, which normally converts cortisol into its inactive form. Without this safety mechanism, cortisol levels rise, leading to sodium retention, potassium wasting, and hypertension. This biochemical cascade can create a clinical picture identical to a hormone-secreting tumor, even though it’s purely herb-induced. The condition is reversible upon stopping the licorice, but if a patient doesn’t tell their doctor they’re taking it, they risk unnecessary testing or misdiagnosis.

It's interesting because licorice could mimic the signs of adrenal tumors and hormone disorders because it can create this thing right here. It's called pseudo aldosteronism, which basically it's a kind of a false increase of aldosterone coming from this. It's not coming from a tumor.

Also said
“And so it's something that doctors would look at and this is why it's important if you're at the doctor to let them know, you know, everything you're doing if you're taking licorice because that could be the cause and if they don't have that data, they can misdiagnose you.”— Stresses the real-world diagnostic confusion that can arise.
“The good news is that if you have some of these symptoms from taking licorice, you can just stop taking it. The symptoms will reverse usually.”— Underscores reversibility but reinforces need for awareness.

chronic-low-dose-licorice-thresholds

Specific daily intake thresholds for licorice toxicity are provided: over 2 cups of licorice tea per day or 100 mg of licorice candy daily for two weeks can cause hospital-worthy electrolyte disturbances.

Why this matters: Gives concrete, actionable dosing limits, moving the danger from abstract to measurable daily habits.

Background

Many consumers use licorice products daily without realizing accumulation can occur. The speaker stresses that the real danger is not acute overdose but chronic, low-dose exposure that builds up in the body.

The speaker quantifies risk: consuming more than two cups of licorice tea every single day can initiate electrolyte shifts. Similarly, a daily intake of 100 milligrams of licorice candy over a two-week period can escalate to a point where hospitalization becomes possible. This is attributed to the progressive blockade of 11BHSD2 by glycyrrhizin and the corresponding loss of potassium, which is already insufficient in 98% of people. The emphasis is on cumulative, persistent exposure rather than a one-time dose, making it relevant for anyone enjoying licorice tea or candy regularly.

If you consume over two cups of licorice tea every single day, that could be enough to start shifting the electrolyte balance. Okay? Or if you're eating 100 milligrams of licorice candy a day over two weeks, that could be a problem even to the point where you can actually end up in the hospital.

Also said
“The real danger is not one dose. It's the chronic low dose exposure that builds up in the body.”— Clarifies the cumulative risk mechanism underlying the thresholds.

near-universal-potassium-deficiency

Citing reports that 98% of the population does not meet the 4,700 mg daily potassium requirement, the speaker warns that licorice can push a marginal deficiency into severe deficiency.

Why this matters: A stark statistic that reframes a common supplement side effect as a population-wide vulnerability.

Background

Historically, humans evolved to retain sodium because dietary potassium was abundant and sodium was scarce. Today, the reverse is true due to processed foods, but potassium intake remains critically low.

The speaker explains that the body’s sodium-retention mechanisms, once survival adaptations, now work against us because modern diets are high in sodium and low in potassium. With 98% of people already potassium-deficient, adding a substance that further depletes potassium (via cortisol-driven renal wasting) can precipitate muscle cramps, arrhythmias, and energy deficits. Potassium is highlighted as essential for heart rhythm, nerve function, muscle contraction, and glycogen storage, making its depletion particularly dangerous in combination with licorice.

There are reports that show that 98% of the population just does not get enough potassium. That's literally almost 100%. Because we need 4,700 milligrams.

Also said
“So the potassium issue is not uncommon. And the problem is by taking too much licorice or licorice tea or the candy, boy, you go from deficiency to severe deficiency.”— Links the widespread deficiency directly to the herb’s amplified danger.

Recommendations

Products, supplements, and tools mentioned in the episode

2 items

DGL (deglycyrrhizinated) licorice

Supplement

Recommended as a safe alternative to regular licorice root to obtain gut-healing, immune-supporting, and anti-inflammatory effects without the danger of hypertension, hypokalemia, or pseudo-aldosteronism.

The speaker contrasts DGL with standard licorice by explaining that the removal of glycyrrhizin eliminates the inhibition of 11BHSD2, the enzyme that protects against excess cortisol. This makes DGL appropriate for long-term use, even in individuals with high blood pressure, older age, or those on diuretics or corticosteroids. He underscores that licorice has a 3,000-year history as a remedy for ulcers, cough, and inflammation, and DGL allows modern users to access those benefits without the risks amplified by today’s sodium-heavy, potassium-deficient diets. The recommendation is positioned as a way to continue using a powerful herb responsibly.

vs alternatives

Compared to regular licorice root (tea, candy, standard supplements), DGL retains the beneficial mucosal and immune effects but does not cause sodium retention, potassium wasting, or blood pressure elevation. No comparison to other ulcer remedies or immune supplements is provided.

Now there is a certain type of licorice that extracted this compound so that way you won't get this effect with this enzyme. That won't mess with this enzyme called DGL. So basically just take this thing out and you're getting the benefits of licorice without this thing that can create problems.

Also said
“Get the one that is a DGL licorice. Okay? And that way it won't create these effects right here.”— A direct consumer directive.
Find DGL

Increase dietary potassium to 4,700 mg/day

Practice

To counteract the widespread potassium deficiency and protect against licorice-induced or general electrolyte imbalances, the speaker urges meeting the 4,700 mg daily potassium requirement.

The transcript highlights that 98% of people don't consume enough potassium, which is critical for heart rhythm, muscle and nerve function, energy production, and blood sugar regulation. Because licorice worsens potassium loss, and because modern diets are high in sodium, the speaker implies that increasing potassium-rich foods (leafy greens, avocados, etc.) is a fundamental practice for anyone, but especially for those exposed to licorice or diuretics. No specific foods or supplement doses are named, but the message is clear: aim for 4,700 mg from whole foods.

vs alternatives

Implicitly compared to relying on a low-potassium, high-sodium diet, which is the norm. Not explicitly compared to potassium supplements.

We need 4,700 milligrams. What does potassium do? It's a key electrolyte for the heart. It helps us generate energy in our nerves and our muscles. It also greatly helps protect you against blood sugar issues. It helps you store glycogen in your liver.

Also said
“There are reports that show that 98% of the population just does not get enough potassium. That's literally almost 100%.”— Quantifies the deficiency problem.
Find Increase
Disclosed sponsorships1speaker disclosed

Dr. Berg's Daily Routine Checklist (free download)

Tool Sponsored · disclosed

The speaker mentions a free PDF checklist of his daily health routine, which he uses to feel like he is 18 years old despite being 60, and invites viewers to download it.

DisclosureSpeaker is offering his own free downloadable checklist as a lead magnet.

At the end of the video, the speaker promotes a free resource: a personal daily routine checklist. He describes it as the exact routine he follows to maintain youthful vitality at age 60. No specifics of the checklist contents are detailed in the transcript—only the promise that it is free and accessible via a link. This is a typical audience growth tool, and the speaker's endorsement is that he personally uses it every day.

Personal experience

I have a free download that I want to give to you. This free download is my daily routine in a checklist. This is a routine that I use every day to feel like I'm 18 years old even though I'm 60 years old.

I have a free download that I want to give to you. This free download is my daily routine in a checklist.

Also said
“This is a routine that I use every day to feel like I'm 18 years old even though I'm 60 years old.”— Personal anecdote underscoring the claimed benefit.
Find Dr.

Notable quotes

Lines worth pulling out — contrarian, specific, or perfectly phrased

5 items
Too much cortisol will cause you to retain sodium, get rid of your potassium, increase your blood pressure, cause muscle cramps, and create heart arrhythmia issues.
Concisely sums the dangerous cascade triggered by licorice's action on cortisol.
If you consume over two cups of licorice tea every single day, that could be enough to start shifting the electrolyte balance. Okay? Or if you're eating 100 milligrams of licorice candy a day over two weeks, that could be a problem even to the point where you can actually end up in the hospital.
Gives unusually specific and actionable toxicity thresholds for a common herb.
The real danger is not one dose. It's the chronic low dose exposure that builds up in the body.
Reframes herbal risk from acute poisoning to cumulative effect, critical for daily consumers.
There are reports that show that 98% of the population just does not get enough potassium. That's literally almost 100%.
A startling statistic that underscores why licorice's potassium-wasting is so dangerous.
It could mimic the signs of adrenal tumors and hormone disorders because it can create this thing right here. It's called pseudo aldosteronism, which basically it's a kind of a false increase of aldosterone coming from this. It's not coming from a tumor.
Reveals how an herb can produce a clinically confusing picture leading to misdiagnosis.

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Topics covered

licorice-roothypertensioncortisol11bhsd2-enzymeglycyrrhizinpotassium-deficiencysodium-retentionelectrolyte-balancepseudo-aldosteronismdgl-licoriceherbal-safetyadrenal-supportdiuretics-interactionprednisone-interactiondaily-routine-checklist
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