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    Katherine Zeratsky, R.D., L.D.

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Question

Detox diets: Do they work?

Do detox diets offer any health benefits?

Answer

from Katherine Zeratsky, R.D., L.D.

Detox, or detoxification, diets are popular, but they're not scientifically proven.

Detox diets are touted as a way to remove toxins from the body. Specific detox diets vary — but typically a period of fasting is followed by a strict diet of raw vegetables, fruit and fruit juices, and water. In addition, some detox diets advocate using certain herbs and other supplements along with colon cleansing (enemas) to help empty the intestines. Most detox diets last seven to 10 days.

Some people report feeling more focused and energetic during and after detox diets. However, this may be due to a belief that they're doing something good for their bodies. There's little evidence that detox diets actually remove toxins from the body. Most ingested toxins are efficiently and effectively removed by the kidneys and liver and excreted in urine and stool.

It's also important to consider possible side effects. Among other problems, detox diets can lead to:

  • Dehydration
  • Fatigue
  • Dizziness
  • Nausea

If you're considering a detox diet, get the OK from your doctor first — and remember, the best diet is a healthy diet based on fruits and vegetables, whole grains and lean sources of protein.

Next question
Canola oil: Does it contain toxins?
References
  1. Colditz GA. Prudent diet. http://www.uptodate.com/home/index.html. Accessed Jan. 18, 2010.
  2. Salguero ML. Detoxification. In: Rakel D. Integrative Medicine. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/178822007-3/940842998/1494/154.html#4-u1.0-B978-1-4160-2954-0..50111-3--cesec33_4773. Accessed Jan. 18, 2010.
  3. Detoxification. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Jan. 18, 2010.
  4. Eaton DC, et al. Renal functions, anatomy, and basic processes. In: Eaton DC, et al. Vander's Renal Physiology. 7th ed. New York, N.Y.: McGraw-Hill Medical; 2009. http://www.accessmedicine.com/content.aspx?aid=4527701. Accessed Jan. 26, 2010.
  5. Barrett KE. Functional anatomy of the liver and biliary system. In: Barrett KE. Gastrointestinal Physiology. New York, N.Y.: Lange Medical Books/McGraw-Hill Medical Publishing; 2006. http://www.accessmedicine.com/content.aspx?aID=2306090. Accessed Jan. 26, 2010.
  6. Position of the American Dietetic Association: Food and nutrition misinformation. Journal of the American Dietetic Association. 2006;106:601.
  7. Duyff RL. Healthful eating: The basics. In: Duyff RL. American Dietetic Association Complete Food and Nutrition Guide. 3rd ed. Hoboken, N.J.: John Wiley & Sons; 2006:48.
  8. Colon and liver detoxification. Pharmacist's Letter/Prescriber's Letter. 2010;26:260211.
AN01334 April 22, 2010

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