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

