Rob Brown, MD

A Physician's Unique Perspective on Wellness

Can Apple Cider Vinegar Reverse Cholesterol Plaque Build-up?

Disease from too much AND too little cholesterol

Most everyone in the US has been conditioned to believe that cholesterol is bad for one’s health. Scientists have defined bad cholesterol (LDL) and good cholesterol (HDL) and further subdivided those categories. We all know someone who watches their cholesterol intake and takes a cholesterol lowering medication such as a statin to limit the liver’s ability to produce cholesterol. Meats, eggs, lard, bacon, and butter are considered dangerous foods because they are high in cholesterol.

What is the reason for the anti-cholesterol movement? Atherosclerosis. Cholesterol deposits adhere to arterial walls. Initially forming fatty streaks, but over time, these deposits grow and cause structural damage to the arterial wall. Progressive narrowing of the artery’s lumen, a condition termed stenosis, can eventually compromise the blood supply to the tissue or organ the vessel is supplying. If that organ is the heart, a heart attack can result. If that organ is the brain, a stroke can occur. Other conditions resulting from narrowed arteries include high blood pressure and peripheral vascular disease.

I have always had a problem limiting my cholesterol intake because I know that almost every cell in the body needs cholesterol to function properly. Each and every cell membrane  incorporates cholesterol to ensure that the membrane has proper structure and function. Our bodies also use cholesterol to make hormones, some vitamins and bile, a fluid produced by the liver to help the body digest fats. Without proper production of hormones, the body doesn’t function as well. One of the side effects of low cholesterol is depression, which may then be treated with antidepressants. With antidepressants can come many additional side effects like insomnia, requiring even more medications. Understand the slippery slope?

What do people in the rest of the world do?

After visiting Prague last spring, I was impressed by the amount of red meat the people in Czech republic eat! We were served beef or pork at every meal of the day! In fact, during lunch and dinner, we had anywhere from one to three types of meat at each meal, including sausage. The meat was accompanied by delicious bread and/or potato dumplings, and sauerkraut at every meal. Their sauerkraut was delicious. Sauerkraut is a fermented food containing ascetic acid, and many other wonderful ingredients that enhance the immune system and support the intestinal microbiome.

During the plane ride back home, I thought about all of the foods from different cultures that eat fermented foods with their meal… yoghurt, kefir, kimchi, kombucha, pickles, and so on. I began to wonder if all the cholesterol I ate in Prague could somehow have been counteracted by the acetic acid in the sauerkraut.

I had previously read many articles and blogs on the value of drinking apple cider vinegar (ACV). The most comprehensive list of health benefits from vinegar I’ve found were detailed by Chen, et.al. in 2016.  The thought came to mind that maybe one more wonderful health benefit of ACV is that it can dissolve cholesterol from the lining of an artery, and in doing so, be a natural form of angioplasty. This idea gave me the impetus to do an experiment at home.

The ‘Eggsperiment’

In preparation, I separated the yolks from 6 chicken eggs, mixed them, and placed 3 tablespoons of yolk into 4 separate pint size Mason jars. I placed each jar on its side and periodically turned them so the sides would coat with egg yolk and harden, simulating fatty streaks and cholesterol plaques

Each jar was filled with 0.9 Normal saline, the salinity of human blood, and a specific volume of ACV as follows:

1.  Saline solution with 2 oz. ACV

2.  Saline solution with 1 oz. ACV

3.  Saline solution with 1 tbsp ACV

4.  Saline solution without ACV (A control)

Each sample was placed on a hot plate with a magnetic stirring mechanism to create heat, simulating body temperature, and turbulence to mimic arterial blood flow. Each sample ran for 7 hours.

This entire experiment was run 3 separate times.

The Results

Watch the accompanying video to see that not only is the dried up egg yolk removed from the side of the mason jar in the sample with the ACV, but it is completely dissolved into what appears to be a colloidal suspension. This means that the cholesterol molecules are turned into micro-particles. Even after this suspension sat motionless for two days, there was no aggregation of cholesterol into larger fat droplets.

Compare this result with this video showing the sample run without apple cider vinegar. In this video, you can see some detachment of the cholesterol deposits from the glass jar, no doubt due mechanical agitation. But, the majority of the egg yolk remains adhered to the glass. In this sample, debris from the “plaque” swirled in the water. In a living system, these particulates would be referred to as emboli which can float downstream and block smaller arterioles and create ischemia (diminished blood flow) or infarction (cell death) of structures fed by the blood vessels. Emboli are a common cause of stroke. The experiments with lesser concentrations of ACV showed incomplete removal of cholesterol deposits by 7 hours, which were ACV concentration related, meaning that the 1 oz sample removed more of the cholesterol than the 1 tablespoon sample (videos not uploaded).

Possible Implications

Can apple cider vinegar dissolve cholesterol lining arteries in the human body? It would be simple to run a scientific experiment to study people before and after they are “treated” with a regimen drinking dilute apple cider vinegar once or twice a day for varying periods of time. Noninvasive doppler ultrasound exams could assess any interval change in the plaque burden over time.

Even if a very small amount of the plaque is removed with each dose of ACV, the cumulative effects on blood flow over time would be tremendous! After all, it takes decades of cholesterol build up to cause the ill effects associated with atherosclerosis. Maybe a cardiologist reading this blog will consider formally researching this hypothesis?!

My gut tells me, in more ways than one, that the dilute ACV should be drank on an empty stomach. I suspect that if the ACV is taken while eating a fatty meal, such as in a salad dressing, the dissolving capacity of the acetic acid may be reduced. My suggestion would be to drink a glass of dilute apple cider vinegar on an empty stomach once or twice a day. I see no reason why the mixture cannot be sweetened with fruit juice or honey or even cinnamon. My bet is you’ll feel better quickly! In addition, if you are a meat eater or enjoy eating eggs and other cholesterol laden foods, add fermented foods into your diet regularly.

I just finished removing the crusted egg yolk from the samples hat hadn’t been removed by the ACV and it required quite a bit of elbow grease, a textured dish rag and detergent! Letting organic chemistry do the work was much less work!

By the way, ACV can be useful in and around the home for many applications. For a list of suggestions, check out this article in tipsbulletin!

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57 Comments

  1. Jeffrey

    Dear Dr. Brown,

    I just stumbled upon your article, and I find it very interesting. I have been recently taking Apple Cider Vinegar (ACV) pills, and have seen some interesting results with my blood pressure (BP). I am 46 years old male with grade 1 hypertension that I take a low dose of Lysinopril to treat.

    Before my last doctor’s appointment, I started taking 2 1000 mg ACV pills a day in the AM. In the doctor’s office, my BP shot up to 158, and normally runs about 128-140 for the systolic BP. I bumped up ACV pills to 4 in AM, & 4 in the afternoon, then noticed some chest discomfort that went away with exercised. I then stopped taking ACV and my BP dropped back to about 128-135. Weeks later I started again with 4 ACV pills 3 times a day (~6000 mg total). Overall, I feel better. BP is staying around 125-135, but I can tell I feel more relaxed, and BP seems to be consistently on the lower end now.

    If ACV really has merit in removing arterial plaque, Cardiologist will not want to hear it since they make a killing doing heart surgeries and procedures.

    I’d be happy to share with you more information and even send you my BP chart from the Qardio BP monitor I am now using with my iphone.

    Thank You.

    • Hi Jeffrey,

      Thank you for sharing your experiences. I have personally not tried ACV pills and I do not have any knowledge of ACV affecting blood pressure, so I cannot comment further on your observations. However, if you feel that you are more relaxed with this regimen, that is certainly a good thing! Be cautious with the amount of ACV you take daily. I don’t think too much is required to have beneficial health effects. I agree that if it is true that ACV reverses cholesterol plaque build-up, it would be a disaster for the cardiology and cardio-thoracic surgery industries because billions of dollars are made on patients who suffer with atherosclerosis each year. At some point, truth always has a way of making itself known to those that are willing to listen.

    • Dean Offer

      I’d love to hear any success stories, I had a brain aneurism rupture in may and nearly died, bp is an issue and hence i am trying hard to find away up reduce bp without medication (alongside existing medication, so I can come off some or all of the medications I am on)

      Regards
      Dean

      • Hi Dean, You had a serious health scare. Subarachnoid hemorrhage, the bleeding that typically occurs from an aneurysm in the brain can have a devastating effect. Given your history of a cerebral aneurysm and hypertension, I am sure you are well aware that you need to be extra careful to monitor your blood pressure. I completely understand your desire to lower your pressure naturally, and there are many techniques to reduce blood pressure without medications, but this needs to be done with careful surveillance. Do you have a high quality blood pressure cuff in your home? If not, invest in one and learn how to accurately check your pressure. Then, you can try to implement some changes in your lifestyle to see if you can bring your pressure down. Some of the more common techniques people use to naturally lower their pressure include daily meditation, aerobic exercise, stopping smoking (if you smoke), decreasing alcohol intake, and bringing weight down to an optimal level. In addition, there are many dietary factors that can cause elevated blood pressure, particularly too much salt (sodium) in the diet or excessive mineral uptake. Unfortunately, eating out in restaurants makes us all vulnerable to excessive dietary salt. Salt makes food taste better and it also increases the desire to order more drinks. In any event, it is very important for you to stay on your prescribed medication while attempting to alter your habits and be sure to communicate your lifestyle changes with your cardiologist regularly to ensure that you are on the proper dosage during your journey. Take care and be well!

  2. Anne

    Can I take less then a tablespoon
    I find it to be too much for my stomach even diluted in 8oz of water in morning 30 minutes before breakfast. How much of a lower dose can I go to to get benefits
    A tsp? 1/2 tsp?
    Thanks very much 😊

    • Dear Anne,
      Thank you for your inquiry. I did the “egg-speriment” with several different concentrations of ACV in the pint of salt water, including 1 tsp, 1 tablespoon and 1 ounce. There was a much smaller amount of yolk removed from the glass jar in the sample with 1 tsp. It was so small, in fact, that I couldn’t discern a difference between that sample and the control. Keep in mind that this experiment supports a hypothesis, but at this point in time, it is not proven. From my observations however, I would suggest that you try to stick with somewhere between 1 tablespoon and 1 ounce ACV in your mixture once or twice a day. If you can’t handle the taste, try to mix the dilute ACV in with a squirt of fresh lemon juice. Another idea is to slice up a fresh cucumber, put it in a glass carafe filled with water and store it in the refrigerator. When it comes time to dilute your ACV, use the cucumber water. That makes it much more palatable! Best of luck to you.

  3. Flavia

    My 11 year old skinny daughter was diagnosed with 254 total cholesterol and 155 triglycerides. I looked for a dietitian to help but she does not recommend ACV for children, against most of the articles I read. What’s your take on it? Thank you!

    • Thanks for your inquiry. The implications of elevated cholesterol and triglycerides in a child are different than that for an adult. Children aren’t really “little” people. It would be important to find out from your pediatrician the underlying cause for the abnormal labs. It could be genetic, dietary, chronic stress, or some other reason. Treatment would ultimately depend on the underlying cause for the elevated levels. With that being said, I don’t see how dilute apple cider vinegar could hurt while you are undergoing this investigation. Hope that helps

  4. Pamela

    How much cholesterol are we supposed to have daily to be healthy?

    • That’s a difficult question to answer. Given that we are all different sizes, ages and sexes, the amounts of cholesterol we all need differs. Actually, the amount of cholesterol we need can vary from one day to the next. Cholesterol is needed for many processes in the body. However, if it precipitates out of the blood stream and accumulates along the arteries, it can lead to vascular disease, including stroke and coronary artery disease. The proposition behind this blog is that a daily dose of dilute acetic acid found in apple cider vinegar and others might prevent the deposition of cholesterol and perhaps even cause cholesterol deposits to resorb back into solution in the blood stream. Research needs to be done to confirm or disprove this possibility.

  5. Kathleen Rudolph

    Hello- I have had problems with high cholesterol since retiring. Highest reading was 254. Had tried drinking kefir for 3 months and had my levels checked again. Results were 199. Continued for another 3 months and after having my levels checked again it was back to 253. I walk 3-4 miles daily and do weights 3-4 days a week. I am totally perplexed. Any suggestions????
    Thanks
    Kathy Rudolph

    • Hi Kathleen,
      I can’t really comment on why your cholesterol levels went up. The body’s production of cholesterol is related to many different variables besides diet. From what I understand, post menopausal women normally produce more cholesterol. Sally Fallon has a wonderful online seminar called “The Oiling of America” I recommend you check it out. BTW, have you tried ACV?

  6. fred

    did it–works like a charm–also have prostate cancer and these people saved my life-www.nutrition2000.com

  7. Joe Ranieri

    Can you please recommend how much water and how much ACV for best results? Also can I mix it with juice?

    • Hi Joe, I think a mixture of 1 oz ACV mixed in water or fruit juice daily would be fine. It is my suspicion that taking the ACV with a meal that includes fatty foods may improve the metabolism of the food you are eating, but may reduce the effectiveness of removing arterial plaque. Keep in mind though that this is a theory and not a proven effect. If your goal is to try and dissolve plaque off of your arteries, my suggestion is to take the ACV on an empty stomach at least a half hour before a meal daily.

  8. Maya

    Dr Brown,
    your article is very interesting. My mom had TIA few months ago (she’s diabetic, hypertension and she had high bad cholesterol), after doing the CT scan and MRI, they found that she have a very sensitive and narrow vessel in the brain that becomes narrower in area , so dr recommended that her blood pressure needs to be between 140-160 all the time and ask her to follow diet
    so my question regarding the apple vinegar to keep her cholesterol low , will that effect her blood pressure?
    Thank you very much

    • Hi Maya, Thank you for your question. I am not aware of any effects ACV has on blood pressure, but it won’t hurt to try it out and see. We all react to foods and environmental factors differently, so it might be worth having your mother take a small amount of dilute ACV daily and seeing if there is an effect. Regarding a narrowed vessel in the brain, this may be developmental, i.e. from birth. I can’t know for sure by your description, but there are many variations to blood flow in the brain that people are born with. Some of these variations include narrowed vessels. The limited blood delivery from these vessels is accounted for by increased flow from other vessels that can supply the same area. It might be worth inquiring further with your doctor to know if the he/she thinks the narrowing is due to atherosclerotic plaque or because of a developmental variation.

  9. Steve

    Is dilute ACV the same as, raw unfiltered unpasteurized ACV

    • Hi Steve, Dilute ACV means that the vinegar is mixed with water. It makes it much more palatable and safer to swallow than undiluted vinegar. The raw, unfiltered and unpasteurized ACV is excellent in that it is filled with probiotics. In addition to the metabolic effects ACV can help with, drinking this variety of ACV diluted in water will provide your intestines with healthy bacteria, keeping your microbiome in good shape.

  10. Nicki

    Dr Brown,

    I have genetically high cholesterol, despite eating pretty healthy. My last blood test in august showed I was high again and I decided to go vegetarian, cutting out all meat to see if it helped. I just retook a weeks ago, and my numbers are actually worse! I’m not sure how that’s happened but I’m discouraged and worried I may have to take statins to resolve the issue. I have heard that ACV helps with cholesterol but I also have GERD. Do you think taking the ACV, even diluted, would cause the acid reflux to flare? I’ve read various articles with conflicting info. Despite it being vinegar, I’ve seen some say that it won’t cause the same acidic effect. Would you recommend trying ACV for someone like me?

    • Hi Nicki, You have a complicated history! In answer to your question regarding reflux, if you experience a burning sensation with the GERD when you eat spicy foods or acidic foods, then you can try a dilute ACV and see if it bothers you. If the solution is dilute enough, it shouldn’t cause any burning. Certainly follow up regularly with your gastroenterologist for that condition. Your cholesterol management is beyond the scope of my blog. However, I would tell you that an integrated physician with a holistic approach to wellness will have a different approach than an allopathic cardiologist to hypercholesterolemia. Do a little investigating around and see if you can find a physician that you are comfortable entrusting your care to. Best of luck!

      • Patty

        I have bouts of reflux pretty bad,
        If I eat sugary or fatty or tomatoe based foods or meals in the evening I know the consequences when I ‘m in bed. The reflux burns my throat and esophagus so bad. I learned the only thing I can do is drink a fourth of a cup of water mixed with 1- 2 teaspoon of apple cider vinegar and honey. That’s the only thing that helps. So I do highly recommend it, I use the raw unfiltered apple cider vinegar. Try it and see if it helps you.

        • Reflux is a condition that needs to be checked out by a gastroenterologist. Chronic reflux can cause all kinds of problems if it is not addressed. Please make sure you have this followed up.

      • Robin Wenz

        take 10 oz water (i like using Flavored Pierer seltzer water), 1 pkg stevia, 2 tbsp Bragg’s Organic ACV, 1 tbsp olive oil. It should help keep your stomach coated. Pls write back and let me know how it works for you.

  11. Mihammad usman

    Hello Dr Brown.
    I’ve confidence in ACV as it was the likeable food of our Holy Prophet Muhammad saw. He once said that there is no food better than this.

  12. sten bjorsell

    A problem I have with the experiment is the pH. ACV would have pH below 3 even if diluted. Blood is kept around pH 7.2 or slightly alkaline.
    If the pH is adjusted to 7.2, what would happen? Neutralize with Baking Soda to pH 7.2 and test again, or try to remove limescale with it.
    Sten

    • Thank you for your excellent observation! I will repeat the experiment as per your suggestion.

      • Robin Wenz

        Let us know how it works. I’m off to get my cholesterol checked. I’ve been on ACV for around 8 weeks for prediabetes. Hopefully, I can remember to report the difference in cholesterol levels.

  13. Would it be safe to take ACV in conjunction with Crestor, blood thinners and a BP pill? Hearing varied reviews of statins and would prefer to find an alternative. Cholesterol is just above 200. No smoking, I exercise, and have a healthy diet, make my own sourdough bread, (cut out butter and ice cream. 🙁. ) Genetic factor is prevalent with a little hypertension.
    Thanks Doctor Rob.

    • Thank you for your questions. Unfortunately, I cannot give you medical advice on this blog. But, I can suggest that you find a suitable integrative medicine physician to guide you in your quest for optimal care. You will find that a physician with a more holistic approach will have a very different approach regarding the need for cholesterol lowering medications. Good luck!

      • Trevor Kamins

        Hi I am a huge supporter of ACV. I am 60 – at 18 years old I was diagnosed with hypertension- through extensive research hospital study (Grooteschur). Ruled as being “essential hypertension- just my nature.
        I have been on the maximum medication for BP for 40 years- I am fit and always have worked out in the gym.
        30 years ago I was placed on statins and have been under a heart specialist in two different continents- on the maximum statin for 25 years.
        I pass my annual treadmill test with my cardiologist ( who is also an associate professor of medicine at one of the country’s largest university medical school).
        Last year I convinced him to arrange a plaque CT scan.
        A reading of 1000 and above is recognised as a significant risk for CVD cardiovascular disease.
        My reading was over 2200- that’s after 25 years of Statins!
        I dropped the statins just over a year ago against the cardiologist advice.
        My cholesterol results for the last 6 months show a reduction in my cholesterol.
        For further information I suggest people watch The Oiling of America- as you also refer to. It is on YouTube- two hours- it’s free.
        But more importantly- if you want more scientific input research DrvLinus Pauling and his lifelong research- the only one if two people in the world to receive two Nobel awRds entirely in there own right.
        Watch also “The magic pill”- available on Netflix.
        Read the book by Dr David Perlmutter called Grain Brain.
        These films and books have been an awakening for me.
        To answer the question re ability to take ACV with statins, BP and blood thinners (disprins).- it never had any adverse effects on me- but as you say every individual is different. Maybe start with a small amount every second day and build from there.

        • Thanks for sharing your experiences! Can you please clarify for me and others when it was in your timeline that you started drinking the ACV? Also, I am assuming that when you said you had a plaque CT exam for the heart that you meant a CT Calcium scoring study. Is that correct or did you have a CT coronary angiogram? Those are different studies. The angiogram requires being injected with the contrast (dye) and shows soft plaque and calcifications. The Calcium scoring study only shows calcifications. Thank you!

  14. Ray

    A friend of mine tried ACV 10ml a day with honey and lemon for 3months and his levels dropped from 6.25 to 5.2
    I’m trying it in 750ml water with coffee and tumeric as I’m taking those anyway. I use warm water and drink most of it on the way to work. I don’t have food for 3 to 4 hours after. My levels are over 7.2 so it will be interesting to see. I’ve no other complicating factors. I have a science background so appreciate the experimental nature of this.

  15. I like this website because so much useful material on here : D.

  16. Kathy

    Very interesting article… I have been drinking ACV for years on a daily basis… (because I love the taste) …
    I have been following a LCHF / Keto diet and my CHO levels on my last bloodwork are a little higher than previous years (not concerned about it)
    TC: 409
    HDL: 145 – LDL: 244 – TG:88
    And I still drinking ACV. Daily… I have increased the ACV dose to (aprox 5 oz a day) and will retest soon!

  17. Apple cider vinegar is an alkalizing drink mainly due to the acidic substances it contains that give it a rather acid taste, which stands out precisely because it is its main characteristic. This means that it is an ideal natural drink to promote and improve the alkalinity of our body , which is essential when it comes to preventing the formation of chronic and serious diseases, such as cancer.

    • Yes, I agree that ACV actually promotes alkalinity within the body, helping by preventing inflammation and therefore some chronic inflammatory diseases. However, attributing this pH effect as the only benefit to this chemical compound may be limited.

  18. Chester

    Dr. Brown, you ran an interesting high school ‘experiment’ with yolks. What really begs for examining this ‘experiment’ of yours, is how totally remote are the yolk conditions you have played with, like the affinity of yolk to the glass in presence of ACV… LOL, to the condition, character, of the surface of the living arterial wall. At the first place, yolk DOES NOT enter the blood stream as yolk, and in any way you do not elucidate how ACV would do the same. So this misleading, mechanistic play with yolk in a jar is so far remote from the complex conditions of the blood flow through the arteries, that makes one blush. Perhaps as an MD. …your training led you in this direction, but please, your inferences of behavior of yolk in a glass in reaction with ACV, reflected into behavior of live vascular environments, seems puerile. Suggested is a study of how yolk and ACV are actually metabolized, and under what conditions, what metabolites of the above, do affect the composition of the blood.

    • Chester, Thank you for your comments. You are correct in that this is a simple high school style experiment. And, of course as you point out, yolks do not enter the blood stream as intact yolks. However, I disagree with your assertion that the conditions of an atheroma lining an artery are so far removed from this experiment that this study has no value and is “puerile.” I believe this study may have relevance to living systems and warrants an in vivo study.

  19. Regenia Newton

    It is so nice to find a web site that is help full, and some one is not trying to get rich on my misery.Keep up your good work and help

  20. Robin Wenz

    ACV for prediabetes – works fast!

    104 mg/dl H Sept 27, 2018
    October 2018 Started using apple cider vinegar
    November 24, 2018 100 mg/dl tested blood glucose
    Dec 31 2018 88 mg/dl tested blood glucose prediabetes

    Looks like ACV is quite amazing for bringing down prediabetes!

  21. Sheila shiu

    Do you think drinking pickle juice would be helpful

  22. Andrew

    Do you suppose kombucha would have similar effect as it is also a fermented living-probiotic beverage (as long as it’s good quality, unfiltered, etc.)? Also, do you recommend the ACV be taken in warm water as is often done with lemon water? I’m 39, and just found out about a surprisingly high LDL (231) and high triglercerides (251!) plus slightly elevated BP (such as 140-150/88) varying by day…

    I’ve been trying hard to work off 25-30 lbs as in the past few years my BP has once <115/75 and triglycerides were <80. I run 3x/week with my HR ranging from 70-90% depending on the day and despite being heavier I manage 7:30-8:00 min/mile. At that time I was also taking 1-2 tspns ACV about once a day on an empty stomach and either spirulina or a greens formula. During last 2-3 months I’ve been experimenting with keto/paleo and can’t help but thinking this has raised my #’s even higher. The keto camp claims cholesterol is not too important and of course you need it for your body to work properly (I agree with this, to an extent…) and it’s more LDL particular size/density that matters—the fluffier larger ones are ok and the smaller dense ones are hazardous. I totally get the idea of lower simple carbs/sugar but not at the expense of higher than normal protein. I’d recommend ketotarian to anyone trying to eat clean. To the earlier commenter who mentioned their cholesterol #’s higher going vegetarian, maybe watch your vegetable oils and white flour/grains? Any thoughts?!

  23. Do you suppose kombucha would have similar effect as it is also a fermented living-probiotic beverage (as long as it’s good quality, unfiltered, etc.)? Also, do you recommend the ACV be taken in warm water as is often done with lemon water? I’m 39, and just found out about a surprisingly high LDL (231) and high triglercerides (251!) plus slightly elevated BP (such as 140-150/88) varying by day…

    I’ve been trying hard to work off 25-30 lbs as in the past few years my BP has once <115/75 and triglycerides were <80. I run 3x/week with my HR ranging from 70-90% depending on the day and despite being heavier I manage 7:30-8:00 min/mile. At that time I was also taking 1-2 tspns ACV about once a day on an empty stomach and either spirulina or a greens formula. During last 2-3 months I’ve been experimenting with keto/paleo and can’t help but thinking this has raised my #’s even higher. The keto camp claims cholesterol is not too important and of course you need it for your body to work properly (I agree with this, to an extent…) and it’s more LDL particular size/density that matters—the fluffier larger ones are ok and the smaller dense ones are hazardous. I totally get the idea of lower simple carbs/sugar but not at the expense of higher than normal protein. I’d recommend ketotarian to anyone trying to eat clean. To the earlier commenter who mentioned their cholesterol #’s higher going vegetarian, maybe watch your vegetable oils and white flour/grains? Any thoughts on this?

    • Andrew, Yes. Kombucha also contains acetic acid, just like ACV. Regarding your question about warm water, I don’t see how the temperature of the drink would have any effect on the chemistry once the liquid is consumed. Thank you for your input!

  24. Audrey

    Try mixing it in hot water with a little honey and a piece of ginger root sip it through a straw, really quite tasty!

  25. Judy

    Is it OK to add an equal amount of honey to the ACV? I’ve been taking 1 Tbsp ACV and 1 Tbsp of honey diluted in water twice a day, but I’m wondering if the honey makes the ACV less effective in lowering cholesterol. I’m also concerned that 2 Tbsps of honey a day might be a little much.

    • I sometimes add honey to the ACV to make it more palatable. I don’t think it should have any effect on the effectiveness of the ACV.

  26. Bill

    I just found this web page recently and find it very interesting. I’ve been wondering about the effects of ACV on cholesterol build up and my first research revealed it does nothing at all which was disappointing. But then I found your page and though it doesn’t give conclusive results it does give an interesting hypothesis, enough so that I’ve decided to start taking ACV myself. When I was a kid I did a science experiment where you put a chicken ‘wishbone’ in a jar of vinegar for 3 days. When you take the ‘wishbone’ out it has the consistency of a rubber band. Just saying…

  27. Thanks for posting. I’m aware of these health benefits of ACV. Dissolving cholesterol plaques is not yet on the ACV list, but may need to be…

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