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Can a juice cleanse be harmful?

Long term, drinking just juice is not healthy since juice lacks protein, which could make it difficult to maintain muscle mass. Cleanses also could put you at risk for nutrient deficiencies since they lack fat-soluble vitamins and essential fatty acids.

healthmatters.nyp.org - The Truth About Juicing: Everything You Need to Know

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Doesn’t juice contain a lot of sugar and calories?

SS: Fruit juice, yes. With a fruit/vegetable juice, it depends on how much fruit has been juiced. I typically say if there’s more fruit than you would eat at one time, then it’s probably too much fruit, and therefore too much sugar, which could lead to weight gain over time. Vegetable juice typically doesn’t contain a lot of sugar and calories. It depends which vegetables are used. Beets and carrots, for example, are higher-sugar vegetables, while celery and greens, like kale and spinach, contain less sugar. I like to say aim for a 3:1 ratio of vegetables to fruit in your juice.

Is there anything you would suggest people look out for or avoid when buying a prepackaged, fresh-pressed juice blend?

SS: Look at the expiration date. Fresh juice can develop harmful bacteria and should be consumed as fresh as possible. Also, look at the servings in the bottle and how many grams of sugar it has. If a bottle of juice has two servings and 20 grams of sugar per serving, that’s 40 grams of sugar in one juice! One of the key recommendations from the 2015-2020 Dietary Guidelines for Americans is to consume less than 10 percent of calories per day from added sugar. Beverages, including 100 percent fruit juice, count for almost half of all added sugars consumed by Americans.

Would you recommend trying this diet?

SS: Personally, I do not recommend a juice cleanse for long-term sustainable weight loss for my patients. I actually don’t recommend it even for short-term weight loss. If you have a health condition such as diabetes, I would not recommend juicing due to its concentrated sugar content and ability to trigger an increased insulin response. If you have renal disease you may need to limit your fluid intake and avoid certain nutrients filtered by the kidneys, like potassium, which is found in many fruits and vegetables (oranges, bananas, tomatoes, and spinach). Also, some juices high in vitamin K, like those with kale or spinach, may affect anti-blood clotting medication.

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