The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog ran from 2006 to 2016 and was intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    Getting toxic from drinking tea

    In an earlier post I stated that tea “has low toxicity.”

    That’s still true, but here are some people who developed toxicity from drinking too much tea.

    Dr. Julie Hallanger Johnson and colleagues from the Mayo Clinic reported 4 patients with bone disorders that resulted from chronic fluoride exposure due to excessive tea drinking.

    It turns out that tea often contains high levels of fluoride, and obsessive-compulsive drinking behaviors combined with kidneys that aren’t working up to snuff might predispose to excessive fluoride intake and accumulation.

    The article describes the typical findings in these patients

    • A discrepancy between the spine and hip bone mineral density.
    • Nausea, vomiting, and weight loss
    • Leg pain sometimes associated with stress fracture
    • Kidney dysfunction
    • Elevated blood levels of the enzyme alkaline phosphatase

    How much tea do you have to drink to get “toxic?”

    A lot! And you have to do it for a long time.

    • Patient 1: 6 liters (quarts) a day of iced tea, at triple the recommended concentration.
    • Patient 2: 10 to 16 cups per day
    • Patient 3: 15, 8-ounce glasses or more of iced tea daily combined with brushing teeth 10 times per day
    • Patient 4: 30-40, 8-ounce glasses of tea daily for the past 30 years

    The bottom line?
    Tea toxicity is rare in the US, but more common in areas of the world where tea drinking is more popular. Furthermore, these patients were compulsive: 3 out of 4 failed to stop drinking tea.

    The authors explain that, “Tea leaves are well known to accumulate fluoride from the soil and contain approximately 98% of the fluoride in the tea plant (Camellia sinensis). Fluoride in tea is readily released and available with its preparation. Certain types of tea, such as black and ready-to-drink tea, have been found to have high levels of fluoride. In addition, older tea (lower grade), such as brick tea, contains higher amounts of fluoride than higher-grade teas. Decaffeinated and instant teas, which can contain substantial amounts of fluoride, have also been associated with fluorosis.”

    6/18/07 18:53 JR

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