Can Drinking Black Tea Affect Iron Absorption While Taking Herbal Supplements? - Traditional Chinese Medicine

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Can I drink black tea while taking blood tonic herbal medicine?


Hello Dr.
Lin: I apologize for bothering you.
I am currently taking traditional Chinese medicine for blood replenishment, which is in the form of decoction.
I have heard that components in tea can affect iron absorption, but I really enjoy drinking black tea.
I'm wondering if drinking black tea will also impact my iron absorption.
Thank you for your response!

Xiao Nizi, 20~29 year old female. Ask Date: 2007/07/11

Dr. Lin Qingzhong reply Traditional Chinese Medicine


Dear online friend,
Here are the answers to your questions:
1.
Tea has brain-stimulating, digestive-cleansing, and fat-reducing effects.
Green tea can have anti-tumor properties, and regular tea consumption is beneficial for health.
2.
Tea contains a large amount of caffeine, theobromine, tannins, gallic acid, and minerals.
These components can interact with orally administered medications, interfering with and counteracting their effects, thereby affecting drug absorption and reducing efficacy.
Below are some medications that are prone to react with tea, and patients should avoid drinking tea while taking them:
A.
Medications containing heavy metals, such as aluminum hydroxide, ferrous sulfate, ferrous carbonate, and ferric ammonium citrate, as well as iron supplements.
The tannins in tea can bind with metals like iron and aluminum in these medications, forming insoluble compounds that affect drug absorption and may also irritate the gastrointestinal tract, leading to abdominal pain.
B.
Gastrointestinal medications, such as pepsin and lysozyme, which are protein-based and can easily combine with the tannins in tea to form tannin-protein complexes, resulting in loss of activity.
C.
Digestive aids, such as sodium bicarbonate tablets, digestive tablets, and pediatric digestive tablets, contain sodium bicarbonate.
Tannins can decompose these, leading to loss of efficacy.
3.
Since you are currently taking traditional Chinese medicine to replenish your blood, the components in tea may affect iron absorption.
Therefore, it is recommended that you avoid drinking black tea during your medication period to prevent interference with iron absorption.
Wishing you good health,
Dr.
Lin Ching-Chung, Assistant Professor, Department of Traditional Chinese Medicine, Fengyuan Hospital
Email: [email protected]

Reply Date: 2007/07/11

More Info


Drinking black tea while taking herbal supplements, particularly those aimed at improving iron levels, can indeed affect iron absorption. This is primarily due to the presence of tannins and polyphenols in tea, which can bind to iron and inhibit its absorption in the gastrointestinal tract. This interaction is particularly significant for non-heme iron, the type of iron found in plant-based foods and supplements, as opposed to heme iron, which is found in animal products and is more readily absorbed by the body.

When you consume black tea or any tea that contains tannins, it can form insoluble complexes with iron, making it difficult for your body to absorb this essential mineral. This is especially important for individuals who are already at risk of iron deficiency or those who are taking herbal supplements that are intended to boost iron levels. If you are consuming these supplements, it is advisable to avoid drinking black tea around the time you take them. Ideally, you should wait at least one to two hours after taking your iron supplements before consuming tea to minimize any potential negative interactions.

In addition to the effects on iron absorption, it is also important to consider the overall impact of caffeine, which is present in black tea. Caffeine can have various effects on the body, including increasing heart rate and potentially leading to anxiety or sleep disturbances, especially in sensitive individuals. For those with a history of anxiety or depression, as mentioned in your previous queries, it may be wise to limit caffeine intake, including from black tea, to avoid exacerbating these conditions.

Moreover, while tea can have health benefits, such as antioxidant properties and potential cardiovascular benefits, moderation is key. Drinking excessive amounts of black tea can lead to other health issues, such as gastrointestinal discomfort or increased risk of kidney stones due to oxalate content.
If you love black tea and are concerned about its effects on your iron absorption, consider the following strategies:
1. Timing: As mentioned earlier, separate the consumption of black tea and iron supplements by at least one to two hours. This will help ensure that your body can absorb the iron effectively.

2. Dietary Sources: Incorporate vitamin C-rich foods (like citrus fruits, strawberries, or bell peppers) when consuming iron-rich foods or supplements, as vitamin C can enhance the absorption of non-heme iron.

3. Alternative Beverages: Consider switching to herbal teas that do not contain tannins, such as rooibos or chamomile, which may not interfere with iron absorption.

4. Consultation: If you have ongoing concerns about your iron levels or the effects of your diet and supplements, it may be beneficial to consult with a healthcare professional or a registered dietitian. They can provide personalized advice based on your health history and dietary preferences.

In conclusion, while black tea can be enjoyed as part of a healthy diet, it is essential to be mindful of its potential effects on iron absorption, especially when taking herbal supplements aimed at improving iron levels. By managing the timing of your tea consumption and considering dietary strategies to enhance iron absorption, you can enjoy your favorite beverage without compromising your health.

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