For years, the idea that kava can cause liver damage has circulated. This myth has caused some to avoid this popular beverage. However, with rigorous scientific evidence, it can be said that kava is safe for consumption.
Below are the 8 commonly cited factors for liver injury related to kava use that warrant nuanced examination based on existing scientific literature:
The claim that different cultivars of the kava plant contain varying levels of toxic constituents has circulated for years. According to the study by Lechtenberg , pipermethystine in concentration levels of 10 mg/kg is not toxic in any animal models. This study scrutinizes the role of pipermethystine in liver toxicity and concludes that it is not a contributing factor.
Based on the current research, the assertion of “inappropriate plant parts” is debunked. Pipermethystine, the alkaloid found in the upper portion of the plant, was once thought to be toxic, but it has been found non-toxic at levels far exceeding human consumption.
Kava products can be inadvertently contaminated by mold hepatotoxins such as aflatoxins. The quantity of fungi present is an important factor in the possible hepatotoxicity of an array of products. However, no new hepatotoxicity-related events have been reported in the past two decades.
Epidemiological data suggest that kava has been consumed for years without health issues. There is no upper limit of “treatment duration” in which there is a sudden increase in liver-related issues.
Currently, there is no safety guideline at which this is suggested, only efficacy is seen in the reduction of situational stress and anxiety. We technically have no upper dose limit for what is “suggested”.
No research suggests that any drugs consumed could be made further toxic with the inclusion of kavalactones at human concentrations. Furthermore, there is no evidence indicating that kavalactones interact with the pharmacokinetics of drugs.
Alcohol is a known liver toxin, and the combination of long-term consumption of alcohol and kava would cause no more liver issues than alcohol consumed alone. It should be understood that although we do not have convincing evidence that kava and alcohol are toxic to the liver, we do not have subsequent research regarding other organs that may be affected.
No research has suggested preexisting liver disease as a comorbidity in kava consumption. If liver disease exists, it is a preexisting condition.
In summary, while caution is advisable, many of the traditionally cited factors for liver injury related to kava use are not supported by rigorous scientific evidence.
Now you can enjoy your noble kava without fear of liver injury and misinformation.