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Another potential side effect to be aware of is hypokalemia, which occurs when potassium levels drop too low, says Dr. Mandal. Hypokalemia can lead to cardiac arrhythmia, or an irregular heartbeat. “When you have low potassium, you can also experience muscle cramps, weakness, and fatigue,” says Dr. Mandal. “This is even more concerning for people who are taking blood pressure medications such as diuretics,” which can also lower potassium.
Palinski-Wade adds that ACV has the ability to lower your potassium levels (especially if you overdo it), so if you already have low potassium you should avoid consuming it without talking to your doc. Either way, if you’re concerned or present symptoms of low potassium (muscle twitches, muscle cramps, lightheadedness, excessive urination, etc) it’s best to stop ACV consumption and check in with your doctor.
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