Foods, Health and Disease, Rx to Wellness, Uncategorized

Vitamin K2 Foods Benefit Cardiovascular Health

Vitamin K2 Foods Benefit

Cardiovascular Health

 

Vitamin K2 - Dr. Axe

 

Full-fat cheeses, eggs and beef liver might not be the types of foods that come to mind when you think about eating a heart-healthy diet. But, you’d probably be surprised to know that in recent years, one of the most researched nutrients in the field of cardiovascular health has been vitamin K2, found in these very foods.

What are the benefits of vitamin K2? While vitamin K1 has the important role of preventing blood clots and bleeding disorders, K2 works differently.

According to a 2019 study published in the International Journal of Molecular Sciences, K2 benefits include helping with nutrient assimilation, growth in infants and children, fertility, brain function, and bone and dental health. Unfortunately many people don’t get enough of this type from their diets.

Something that makes vitamin K unique (both types: K1 and K2) is that it’s not usually taken in supplement form. K2 seems to be much more beneficial when obtained naturally from vitamin K foods.

Unlike vitamin K1, which is mostly found in plant foods like leafy greens, you get K2 from animal-derived foods, like grass-fed meats, raw/fermented cheeses and eggs. It’s also produced by the beneficial bacteria in your gut microbiome.

What Is Vitamin K2?

While we hear the most about vitamin K1 and K2, there are actually a bunch of different compounds that fall into the “vitamin K” category. Vitamin K1 is also known as phylloquinone, while K2 is known as menaquinone.

Compared to many other vitamins, the roles and health benefits of vitamin K2 were only recently discovered. What does vitamin K2 help with? It has many functions in the body, but the most important is helping the body to use calcium and preventing calcification of the arteries, which can lead to heart disease. Emerging studies show a lack of this vitamin is also associated with diseases including osteoporosis.

If there’s one thing that we need K2 for, it’s preventing calcium from building up in the wrong locations, specifically in soft tissues. Low intake of vitamin K2 can contribute to plaque building in the arteries, tartar forming on the teeth, and hardening of tissues that causes arthritis symptoms, bursitis, reduced flexibility, stiffness and pain.

Some evidence also suggests that K2 has anti-inflammatory properties and may offer some protection against cancer, including research published in the Journal of Nutrition and Metabolism.

What the difference between vitamin K2 and MK7? K2 is a group of menaquinones compounds, which are abbreviated as “MK.” MK7 is one type of menaquinones that is responsible for many of the benefits attributed to vitamin K2. MK4 has been the focus of many vitamin K2 studies, but other types like MK7 and MK8 also have unique abilities.

Vitamin K2 vs. Vitamin K1

  • There’s some evidence that people tend to get about 10 times more vitamin K1 (or phylloquinone) from their diets than vitamin K2 (menaquinone). Vitamin K1 deficiency is very rare, even said to be “almost nonexistent,” while K2 deficiency is much more common.
  • A growing body of research now demonstrates that vitamins K1 and K2 are not only different forms of the same vitamin, but basically operate like different vitamins all together.
  • Vitamin K1 is more abundant in foods but less bioactive than the vitamin K2. 
  • Vitamin K2 from animal foods is more active in humans. This doesn’t mean that plant foods that provide K1 are unhealthy, just that they are not the best dietary sources of bioavailable vitamin K2.
  • When we eat foods with K1, vitamin K1 mostly makes it to the liver and then the bloodstream once converted. K2, on the other hand, gets distributed to bones and other tissues more easily.
  • Vitamin K1 is very important for supporting blood clotting, but not as good at protecting the bones and teeth as K2.

 

 

Uses

What is vitamin k2 used for? Here are some of the major benefits and uses associated with this vitamin:

1. Helps Regulate Use of Calcium

One of the most important jobs that vitamin K2 has is controlling where calcium accumulates in the body. Vitamin K2 benefits the skeleton, heart, teeth and nervous system by helping regulate use of calcium, especially in the bones, arteries and teeth.

The “calcium paradox” is a common term for the realization by medical professionals that supplementing with calcium can somewhat reduce the risk of osteoporosis but then increases the risk of heart disease. Why does this happen? Vitamin K2 deficiency!

K2 works closely with vitamin D3 to helps inhibit osteoclasts, which are cells responsible for bone resorption.

The Vitamin D and calcium relationship is important, as vitamin D helps transport calcium from the intestines as it digests into the bloodstream. Unfortunately, vitamin D’s job is done at that point. Next, vitamin K2 must activate one of its dependent proteins, osteocalcin. Research shows it then takes calcium out of the bloodstream and deposits it into bones and teeth.

For the best overall health benefits, it’s important to get enough calcium, vitamin D3 and vitamin K. Depending on your age, health and diet, you may need to take a vitamin D3 supplement, and possibly other supplements, too.

Vitamin K2 is essential for the function of several proteins in addition to osteocalcin, which is why it helps with growth and development. For example, it’s involved in the maintenance of structures of the arterial walls, osteoarticular system, teeth and the regulation of cell growth.

2. Protects the Cardiovascular System

Vitamin K2 is one of the best vitamins for men because it offers protection against heart-related problems, including atherosclerosis (stiffening of the arteries), which are the leading causes of death in many developed countries. According to the Centers for Disease Control and Prevention, every year more than half of deaths due to heart disease are in men.

A 2015 report published in the Integrative Medicine Clinician’s Journal explains that

Vitamin K2 is associated with the inhibition of arterial calcification and arterial stiffening. An adequate intake of vitamin K2 has been shown to lower the risk of vascular damage because it activates matrix GLA protein (MGP), which inhibits the deposits of calcium on the walls.

The Rotterdam Study, a very large study done in the Netherlands that followed more than 4,800 adult men, found that the highest intake of vitamin K2 was associated with the lowest chances of suffering from aortic calcification. Men who consumed the most K2 were found to have a 52 percent lower risk of severe aortic calcification and a 41 percent lower risk of coronary heart disease.

The men in the study with the highest K2 intake also benefited from a 51 percent lower risk of dying from heart disease, and a 26 percent lower risk of dying from any cause (total mortality).

A 2017 study found that this vitamin was associated with a 12 percent increase in maximal cardiac output and that supplementation seemed to improve cardiovascular function in diseased patients. It seems to do this by restoring mitochondrial function and playing a “key role in production of mitochondrial adenosine triphosphate” (ATP).

3. Supports Bone and Dental Health

For decades, vitamin K was known to be important for blood coagulation — but only recently human studies have uncovered how it support bone health and protect against vascular diseases, too.

According to a 2017 article published in the Journal of Nutrition and Metabolism, “K2 may be a useful adjunct for the treatment of osteoporosis, along with vitamin D and calcium.”

Another 2015 meta-analysis supports the hypothesis that “vitamin K2 plays kind of a role in the maintenance and improvement of vertebral bone mineral density and the prevention of fractures in postmenopausal women with osteoporosis.”

K2 benefits the skeletal system by taking calcium and helping usher it into bones and teeth to make them solid and strong. A number of animal and human studies have investigated whether or not vitamin K2 can be useful for helping prevent or treat fractures, osteoporosis and bone loss.

Certain clinical studies have found that K2 slows the rate of bone loss in adults and even helps increase bone mass, plus it may reduce risk of hip fractures and vertebral fractures in older women.

K2 can enhance osteocalcin accumulation in the extracellular matrix of osteoblasts inside bones, meaning it promotes bone mineralization. A 2018 review reports that there is also evidence to support the effects of vitamin k2 on differentiation of other mesenchymal stem cells into osteoblasts.

Additionally, it helps maintain the structure of the teeth and jaws. Many traditional cultures included K2 foods in their diets because they believed it could help prevent cavities, tooth decay and plaque formation. This impact was observed in the 1930s by dentist Weston A. Price, who found that the primitive cultures with K2-rich diets had strong, healthy teeth although they’d never been exposed to western dental hygiene.

It turns out that getting plenty of K2 during pregnancy is also important for fetal growth and bone health. During fetal development, having limited osteocalcin proteins activated (which require vitamin K2) equates to undergrowth of the lower third of the facial bone and jaw structure. Some experts believe this is the reason so many children in modern society need braces.

4. May Protect From Cancer

Some research shows that those who have high amounts of K2 in their diet are at lower risk of developing some types of cancers. For example, vitamin K2 may help to protect specifically from leukemia, prostate, lung, and liver cancers.

5. Defends From Rheumatoid Arthritis Damage

In patients with rheumatoid arthritis, supplementing with vitamin K2 has been shown to result in a slowdown of bone mineral density loss and to decrease the amount of RANKL, an inflammatory compound, in the blood of subjects.

This suggests that K2 might be a useful supplement to a rheumatoid arthritis diet.

6. Improves Hormonal Balance

Inside our bones, K2 can be used to produce osteocalcin hormone, which has positive metabolic and hormonal effects.

Fat-soluble vitamins are important for the production of reproductive/sex hormones, including estrogen and testosterone. Because of its hormonal-balancing effects, women with polycystic ovarian syndrome (PCOS) and postmenopausal women can benefit from getting more K2 in their diets, according to recent studies.

K2 can also helps promote blood sugar balance and insulin sensitivity, which can reduce the risk for metabolic problems like diabetes and obesity. Some research suggests that K2 helps regulate glucose metabolism by modulating osteocalcin and/or proinflammatory pathways.

7. Helps Promote Kidney Health

K2 may benefit the kidneys by helping prevent the formation of calcium accumulation in the wrong places, the underlying cause of kidney stones. It may also do the same for other organs, too, including the gallbladder.

In addition, a lack of K2 and vitamin D has been associated in studies with a higher occurrence of kidney disease.

Foods

What foods are high in vitamin k2? Vitamin K1 is found in mostly vegetables, while K2 is found in mostly animal products or fermented foods.

K2 is a fat-soluble vitamin, so it’s present in animal foods that also contain fat, specifically saturated fat and cholesterol.

Animals help transform vitamin K1 into K2, while humans do not have the necessary enzyme to do this efficiently. This is why we benefit from getting K2 directly from animal-derived foods — and why sticking to grass-fed animal products provides the most K2.

The 20 best vitamin K2 foods include (percentages based on daily value requirement of 120 micrograms):

  1. Natto: 1 ounce: 313 micrograms (261 percent DV)
  2. Beef liver: 1 slice: 72 micrograms (60 percent DV)
  3. Chicken, especially dark meat: 3 ounces: 51 mcg (43 percent DV)
  4. Goose liver pate: 1 tablespoon: 48 micrograms (40 percent DV)
  5. Hard cheeses (such as Gouda, Pecorino Romano, Gruyere, etc.): 1 ounce: 25 micrograms (20 percent DV)
  6. Jarlsberg cheese: 1 slice: 22 micrograms (19 percent DV)
  7. Soft cheeses: 1 ounce: 17 mcg (14 percent DV)
  8. Blue cheese: 1 ounce: 10 micrograms (9 percent DV)
  9. Ground beef: 3 ounces: 8 micrograms (7 percent DV)
  10. Goose meat: 1 cup: 7 micrograms (6 percent DV)
  11. Egg yolk, specifically from grass-fed chickens: 5.8 micrograms (5 percent DV)
  12. Beef kidneys/organ meat: 3 ounces: 5 mcg (4 percent DV)
  13. Duck breast: 3 ounces: 4.7 micrograms (4 percent DV)
  14. Sharp cheddar cheese: 1 ounce: 3.7 micrograms (3 percent DV)
  15. Chicken liver (raw or pan-fried): 1 ounce: 3.6 micrograms (3 percent DV)
  16. Whole milk: 1 cup: 3.2 micrograms (3 percent DV)
  17. Canadian bacon/cured ham: 3 ounces: 3 micrograms (2 percent DV)
  18. Grass-fed butter: 1 tablespoon: 3 micrograms (2 percent DV)
  19. Sour cream: 2 tablespoons: 2.7 micrograms (2 percent DV)
  20. Cream cheese: 2 tablespoons: 2.7 micrograms (2 percent DV)

The more vitamin K1 an animal consumes from its diet, the higher the level of K2 that will be stored in the tissues. This is the reason that “grass-fed” and “pastured-raised” animal products are superior to products that come from factory farm raised animals.

Going back to the fact that vitamin K2 comes in several forms, MK7 is found in the highest concentration in animal foods, while the other types are found in mostly fermented foods. MK4 is the synthetic form of K2.

For those following a vegan diet, K2 can be hard to come by — unless you love natto! This “stinky sock” fermented soy food is an acquired taste and is also the only vegan source of K2. Fortunately, it’s also the richest source (and the food used to make the type of K2 supplement I recommend).

 

Dosage

How much vitamin k2 do you need each day?

The minimum daily requirement of K2 in adults is between 90–120 micrograms per day.

  • Some experts recommend getting about 150 to 400 micrograms daily, ideally from K2 foods as opposed to dietary supplements.
  • Overall it’s recommended to tailor your dosage depending on your current health.  People with a higher risk of heart disease or bone loss (such as older women) may benefit from getting a dose on the higher end of the spectrum (200 micrograms or more).
  • Those looking to maintain their health can get a bit less, especially from supplements, such as around 100 micrograms.

Is it beneficial to take vitamin K dietary supplements?

If you take a supplement that contains vitamin K, the chances are very likely that it’s vitamin K1 but not K2.

While some newer K2 supplements are now available, the type of supplement matters greatly.

  • MK4, the form of K2 found in many vitamin K supplements, is a synthetic K2 with a short half-life. This means that to get the full benefit of it, you have to take it multiple times throughout the day.
  • Often, an MK4 serving size is thousands of micrograms to counteract the half-life of the compound. However, MK7 derived from natto has a much longer half-life and can be taken in more reasonable doses like those listed above.

Remember that vitamin K works with other fat-soluble vitamins, like vitamins A and D, so the best way to obtain these nutrients is to eat foods that provide many different vitamins — like eggs and raw, full-fat dairy products.

Particularly for those at risk of osteoporosis, calcium should also be a nutrient you aim to eat a lot of while increasing your K2 intake.

Deficiency Symptoms

What happens if you get too little vitamin K?

Symptoms of vitamin K2 deficiency can include:

  • Blood vessel and heart-related problems, like arterial calcification and high blood pressure
  • Poor bone metabolism and possibly higher risk for bone loss and hip fractures
  • Kidney and gallstones
  • Cavities and other dental issues tied to tooth decay
  • Symptoms of inflammatory bowel disease, like bloody stool, indigestion and diarrhea
  • Poor blood sugar balance and higher risk for blood sugar issues and diabetes
  • Metabolic problems
  • Higher chance of having morning sickness in pregnant women
  • Spider veins/varicose veins

Among adults living in industrialized nations, deficiency in this vitamin is considered to be rare. However, newborn babies and infants are much more susceptible to deficiency due to how their digestive systems lack the ability to produce K2.

Adults are at a greater risk of developing vitamin K2 deficiency if they suffer from any of these health conditions:

  • Diseases that affect the digestive tract, including types of inflammatory bowel disease like Crohn’s disease, ulcerative colitis or celiac disease
  • Malnutrition, due to calorie restriction or poverty
  • Excessive alcohol consumption/alcoholism
  • Use of drugs that block K2 absorption, which can include antacids, blood thinners, antibiotics, aspirin, cancer treatment drugs, seizure medication and high cholesterol drugs — cholesterol-lowering statin drugs and certain osteoporosis drugs inhibit the conversion of K2, which can greatly lower levels
  • Prolonged vomiting and/or diarrhea

Risks and Side Effects

Is too much vitamin K2 bad for you? While it’s rare to experience side effects or vitamin k2 toxicity from getting high amounts from food alone, you might develop symptoms if you take high doses of vitamin K supplements.

However, for most people even high doses of this vitamin, such as 15 milligrams three times a day, have been shown to generally be safe.

Are there potential drug interactions to worry about? If you’re someone who takes the drug Coumadin, a potential side effect associated with taking too much vitamin K is increasing your risk for heart-related problems.

Too much vitamin K can also also contribute to complications in people with blood clotting disorders.

Look for a supplement that specifically lists menaquinone if you plan to supplement. Because vitamin K supplements can interact with many medications, talk to your doctor if you plan to take a vitamin K supplement and are taking any daily medications.

Final Thoughts

  • Vitamin K2 (also called menaquinone) is a fat-soluble vitamin that helps with calcium metabolism, bone and dental health, heart health, and hormone balance.
  • Vitamin K1 is found in mostly green vegetables, while vitamin K2 (the more bioavailable form) is found in mostly animal products or fermented foods.
  • Benefits of getting more vitamin K2 from your diet include: helping to reduce your risk for calcification of the arteries, atherosclerosis, cavities, tooth decay, kidney problems, and hormonal imbalances.
  • This vitamin seems to be much more beneficial when obtained naturally from foods high in vitamin K2, rather than supplements. Consuming raw, fermented cheeses and other full-fat dairy products is the best way to get adequate amounts. Eggs, liver and dark meats are other good sources.

 

Remember we are in this together!

Health and Wellness Associates
EHS Telehealth

WordPress:  https://healthandwellnessassociates.co/

 

Diets and Weight Loss, Foods

Green Linked to Decreased Dementia

greentea

Aside from water, tea is the most commonly consumed beverage in the world.1 In the US, black tea is by far the most popular, but green tea (which accounted for just 15 percent of the tea consumed in America in 20142) may have particularly powerful health benefits.

Regardless of variety, black and green tea (as well as oolong, dark, and white teas) come from the same plant, an evergreen called Camellia sinensis. It is the processing method and degree of oxidization (exposure to oxygen) that creates the different tea types.

While black tea is oxidized, green tea is not oxidized at all after the leaves are harvested. This minimal oxidation may help to keep the beneficial antioxidants in green tea intact. As explained by the World of Tea:3

Controlled oxidation usually begins after tea leaves are rolled or macerated, two processes that break down the cell walls in tea leaves. Chemically speaking, oxidation occurs when the polyphenols in the cell’s vacuoles and the peroxidase in the cell’s peroxisomes come in contact with the polyphenol oxidase in the cell’s cytoplasm.

The resulting reaction converts tea catechins into theaflavins and thearubigins. Theaflavins provide tea with its briskness and bright taste as well as its yellow color, and thearubigins provide tea with depth and body and its orange-brown color.

This conversion of catechins to theaflavins and thearubigins means that the longer the oxidation, the lower the amount of catechins in the finished tea. Also, during oxidation chlorophylls are converted to pheophytin, a pigment that lends to the dark color of oxidized teas. Lipids, amino acids, and carotenoids also degrade during oxidation to produce some of tea’s flavor and aroma volatile compounds.”

Drinking Green Tea Every Week May Slow Mental Decline

Green tea shows promise for protecting brain health. In a study presented at the 2015 International Conference on Alzheimer’s and Parkinson’s Diseases, those who drank green tea one to six days a week had less mental decline than those who didn’t drink it.4

In addition, the researchers revealed that tea drinkers had a lower risk of dementia than non-tea drinkers. It’s not the first time green tea has been linked to brain health. In a study of 12 healthy volunteers, those who received a beverage containing 27.5 grams of green tea extract showed increased connectivity between the parietal and frontal cortex of the brain compared to those who drank a non-green tea beverage.5

The increased activity was correlated with improved performance on working memory tasks, and the researchers believe the results suggest green tea may be useful for treating cognitive impairments, including dementia. According to the study authors:6

Our findings provide first evidence for the putative beneficial effect of green tea on cognitive functioning, in particular, on working memory processing at the neural system level by suggesting changes in short-term plasticity of parieto-frontal brain connections.

Modeling effective connectivity among frontal and parietal brain regions during working memory processing might help to assess the efficacy of green tea for the treatment of cognitive impairments in psychiatric disorders such as dementia.”

What Gives Green Tea Its ‘Super Powers’?

Green tea is rich in naturally occurring plant compounds called polyphenols, which can account for up to 30 percent of the dry leaf weight of green tea. Within the group of polyphenols are flavonoids, which contain catechins. One of the most powerful catechins is epigallocatechin-3-gallate (EGCG), which has been shown to positively impact a number of illnesses and conditions.

Green tea also contains theanine, an amino acid that crosses the blood-brain barrier and has psychoactive properties. Theanine increases levels of gamma-aminobutyric acid (GABA), serotonin, dopamine, and alpha wave activity, and may reduce mental and physical stress and produce feelings of relaxation.7

Theanine may also help to prevent age-related memory decline8 and has been shown to affect areas of your brain involved in attention and complex problem-solving.9

Green Tea May Be a Whole-Body Health Tonic

Tea has been enjoyed for close to 5,000 years. It was reportedly discovered in 2737 BC when tea leaves accidentally blew into Chinese Emperor Shen-Nung’s pot of boiling water.10 Tea has been used traditionally as a beverage and healing tonic ever since. As reported by the University of Maryland Medical Center:11

“In traditional Chinese and Indian medicine, practitioners used green tea as a stimulant, a diuretic (to help rid the body of excess fluid), an astringent (to control bleeding and help heal wounds), and to improve heart health.

Other traditional uses of green tea include treating gas, regulating body temperature and blood sugar, promoting digestion, and improving mental processes.”

Modern-day research has also confirmed green tea’s myriad of health benefits, which extend even beyond brain health. What else is green tea good for?

Reduced Mortality and Chronic Inflammation

Drinking green tea is associated with reduced mortality due to all causes, as well as mortality due to heart disease. Research also shows holistic benefits to green tea consumption, including lower blood pressure, oxidative stress, and chronic inflammation.12

Heart Health

Green tea improves both blood flow and the ability of arteries to relax, with research suggesting a few cups of green tea each day may help prevent heart disease.13

Study results also show EGCG can be helpful for the prevention of arterio­sclerosis, cerebral thrombus, heart attack, and stroke—in part due to its ability to relax your arteries and improve blood flow.14

Type 2 Diabetes

One study found people who consume six or more cups of green tea daily had a 33 percent lower risk of developing type 2 diabetes than those who consumed less than one cup per week.15

Weight Loss

There is some evidence that long-term consumption of green tea catechins is beneficial for burning fat and may work with other chemicals to increase levels of fat oxidation and thermogenesis. According to research in Physiology & Behavior:

Positive effects on body-weight management have been shown using green tea mixtures. Green tea, by containing both tea catechins and caffeine, may act through inhibition of catechol O-methyl-transferase, and inhibition of phosphodiesterase. Here the mechanisms may also operate synergistically.

A green tea-caffeine mixture improves weight maintenance, through thermogenesis, fat oxidation, and sparing fat free mass… Taken together, these functional ingredients have the potential to produce significant effects on metabolic targets such as thermogenesis and fat oxidation.”

Bone Health

Green tea polyphenols combined with a form of vitamin D called alfacalcidol could boost bone structure and strength, according to a new study in mice. The mixture may reverse damage to bones caused by lipopolysaccharide (LPS) induced chronic inflammation, which could in turn reduce the risk of osteoporosis.16

Green tea is a relative newcomer in the bone-health arena, but previous studies have also found that epigallocatechin-3-gallate (EGCG), a component of green tea, blocks the activity of two molecules, IL-6 and cyclooxygenase-2 (Cox-2), which play a role in breaking down bone.

Vision Health

Catechins in green tea could help protect you against glaucoma and other eye diseases, as research found that the compounds travel from your digestive system into the tissues of your eyes. During the study, the catechins found in green tea were absorbed into various parts of the eyes anywhere from 30 minutes to 12 hours after rats were given tea.17

Cancer

Green tea components have been shown to downregulate the expression of proteins involved in inflammation, cell signalization, cell motility, and angiogenesis, while an association between green tea intake and decreased risk of cancers (including ovarian and breast18) have been reported.19

Previous research has shown that green tea polyphenols act on molecular pathways to shut down the production and spread of tumor cells.20 They also discourage the growth of the blood vessels that feed the tumors. EGCG even acts as an antiangiogenic and antitumor agent, and helps modulate tumor cell response to chemotherapy.21

Tea Readily Absorbs Pollutants from Soil

It’s difficult to find many drawbacks to tea, but there is one potential issue you should be aware of: pollutants. Green tea plants are known to be especially effective at absorbing lead from the soil, which is then taken up into the plants’ leaves. Areas with excessive industrial pollution, such as China (where nearly 90% of the world’s green tea is produced),22 may therefore contain substantial amounts of lead.23

According to the ConsumerLab.com analysis, tea from brands like Lipton and Bigelow contained up to 2.5 micrograms of lead per serving compared to no measurable amounts in Teavana brand, which gets its tea leaves from Japan. While the lead in the tea leaves is not thought to leach very effectively into the tea you end up drinking, if you’re consuming Matcha green tea, one of my favorites, it’s especially important that it comes from Japan instead of China.

Matcha tea contains the entire ground tealeaf, and can contain over 100 times the EGCG provided from regular brewed green tea. Both black and green teas are also naturally high in fluoride, even if organically grown without pesticides. This is because the plant readily absorbs fluoride thorough its root system, including naturally occurring fluoride in the soil.

According to fluoride expert Jeff Green, who sadly passed away unexpectedly last year,24 there are reports of people who have developed crippling skeletal fluorosis from drinking high amounts of iced tea alone.25 If you live in an area with fluoridated drinking water, as the majority of Americans do, then you could be getting a double dose of fluoride when you drink tea.

When selecting tea of any kind, it should preferably be organic (to avoid pesticides) and grown in a pristine environment because, as mentioned, tea is known to accumulate fluoride, heavy metals, and other toxins from soil and water. A clean growing environment is essential to producing a pure, high-quality tea.

A Quick Trick to Boost the Health Benefits of Your Tea

To boost the benefits of green tea, add a squirt of lemon juice to your cup. Previous research has demonstrated that vitamin C significantly increases the amount of catechins available for your body to absorb. In fact, citrus juice increased available catechin levels by more than five times, causing 80 percent of tea’s catechins to remain bioavailable.26

On the other hand, while adding lemon juice is beneficial, adding milk is not. The proteins in milk may bind to and neutralize the antioxidants in tea, such that its health benefits are significantly reduced. One study even found, All [beneficial vascular protective] effects were completely inhibited by the addition of milk to tea.”27

Finally, know what to look for in terms of quality. A telltale sign of high-quality green tea is that the tea is in fact green. If your green tea looks brown rather than green, it’s likely been oxidized, which can damage or destroy many of its most valuable compounds. Many enjoy using loose tea leaves, which ConsumerLab found may offer even more antioxidants (while also avoiding potential toxins in tea bags).

A cup of green tea will give you anywhere from 20-35 mg of EGCG, so three in a day will supply you with 60-105 mg. There are some studies that have used much higher doses than this — upwards of 1,500 mg a day — but as of now there’s now clear-cut evidence of exactly how much is best.

The good news is that much of the research on green tea has been based on about three cups daily, which is easily attainable, and enjoyable, for most people. Here are a few simple guidelines for making the “perfect” cup of tea:

  • Bring water to a boil in a tea kettle (avoid using a non-stick pot, as this can release harmful chemicals when heated)
  • Preheat your teapot or cup to prevent the water from cooling too quickly when transferred. Simply add a small amount of boiling water to the pot or tea up that you’re going to steep the tea in. Ceramic and porcelain retain heat well. Then cover the pot or cup with a lid. Add a tea cozy if you have one, or drape with a towel. Let stand until warm, then pour out the water
  • Put the tea into an infuser, strainer, or add loose into the tea pot. Steeping without an infuser or strainer will produce a more flavorful tea. Start with one heaped teaspoon per cup of tea, or follow the instructions on the tea package. The robustness of the flavor can be tweaked by using more or less tea
  • Add boiling water. Use the correct amount for the amount of tea you added (i.e. for four teaspoons of tea, add four cups of water). The ideal water temperature varies based on the type of tea being steeped:
    • White or green teas (full leaf): Well below boiling (170-185° Fahrenheit or 76-85° Celsius). Once the water has been brought to a boil, remove from heat and let the water cool for about 30 seconds for white tea and 60 seconds for green tea before pouring it over the leaves
    • Oolongs (full leaf): 185-210° F or 85-98° C
    • Black teas (full leaf) and Pu-erhs
  • Cover the pot with a cozy or towel and let steep. Follow steeping instructions on the package. If there are none, here are some general steeping guidelines. Taste frequently as you want it to be flavorful but not bitter:
    • Oolong teas: 4-7 minutes
    • Black teas: 3-5 minutes
    • Green teas: 2-3 minutes
  • Once the desired flavor has been achieved you need to remove the strainer or infuser. If you’re using loose leaves, pour the tea through a strainer into your cup and any leftover into another vessel (cover with a cozy to retain the heat)