Licorice

Last Updated: August 27, 2024

Licorice is the common name for plants of the Glycyrrhiza genus. Licorice has been used traditionally to treat and support the respiratory, gastrointestinal, cardiovascular, and genitourinary systems.

Licorice is most often used for

What is licorice?

Licorice is the common name for plants of the Glycyrrhiza genus. There are more than 30 species in the Glycyrrhiza genus, but the two most widespread are G. glabra and G. uralensis. Glycyrrhiza glabra has been identified primarily throughout Asia and Europe. Glycyrrhiza uralensis, on the other hand, is best known in Asia, but it is grown throughout Asia, Europe, and North America.[24][12]

The word “glycyrrhiza” is derived from the Greek words “glycos” (sweet) and “rhiza” (root). Since the oil responsible for the characteristic licorice flavor also has some bioactive components, it is often considered to be a functional food.[25][12] As a flavoring agent, it is generally recognized as safe (GRAS) for consumption. However, US regulations restrict the maximum glycyrrhizin content in food products to less than 0.1% for baked goods, beverages, seasonings, and as a flavor enhancer, while confectionaries like gum (1.1%), soft candies (3.1%), and hard candies (16.0%) can contain more.

Glycyrrhizin is the component of licorice frequently cited as being responsible for its effects. However, licorice also contains other bioactive compounds including flavonoids, coumarins, and polyphenols like glabridin, quercetin, liquiritigenin and licochalcone.[12][26][27][28][29]

What are licorice’s main benefits?

Licorice may aid digestive health through reductions in ulcerations, pain, and inflammation along the digestive tract, which may explain why it is considered to improve symptoms of functional dyspepsia (indigestion) and ulcerative colitis.[30][31][32][33] Similarly, licorice has shown some evidence of relieving the symptoms of postoperative sore throat, rheumatoid arthritis, and atopic dermatitis by suppressing T-cell activity and reducing inflammation (See this FAQ for details.)[34][35][36][37][38][39][40][41]

It is also possible that licorice might prevent tumor growth, protect cells from chemotherapy damage, benefit some cardiovascular measures, and aid in neurological conditions like dementia and epilepsy.[42][43][44][45][46][47][48][49][50][51][52] These findings are promising, but they generally still require further human-based clinical evidence before they can be considered conclusive.

What are licorice’s main drawbacks?

Licorice intoxication or overdose is possible and has been associated with death and rhabdomyolysis (muscle breakdown due to low potassium) in case studies.[53][10][11] In one small study, 3 of 4 people who consumed 200 grams of licorice in under an hour reported feelings of nausea and fatigue which correlated with serum glycyrrhizin levels.[53]

The glycyrrhizin component of licorice in particular may raise blood pressure in individuals with hypertension.[4][54][55] However, supplements with reduced (or undetectable) glycyrrhizin content may not be associated with the same adverse effects.[56]

High doses of licorice (>500 mg of glycyrrhizin) are known to increase cortisol levels, decrease testosterone, and alter estrogen receptor activity.[57][58][3][5][6][7][8][59][60][61][62][63] Some of the hormonal effects of licorice (including increases in parathyroid hormone and decreases in DHEA) may be sex dependent.[64][65] Though licorice shows some promise for body fat reduction, these results are still conflicting, and it is possible that weight can increase through water retention.[66][4][67][68]

How does licorice work?

Glycyrrhizin (and its other forms, glycyrrhetinic and glycyrrhizic acid) is one of the more notable components of licorice, likely due to its high content and bioavailability.[69][70][71][72] One mechanism of glycyrrhizin seems to be its ability to inhibit enzymes, particularly along hormonal pathways. In clinical studies, these enzymatic inhibitions may produce effects such as increased cortisol and reduced testosterone.[57][58][3][9][73][74][60] Preclinical evidence suggests that the enzymatic inhibition by glycyrrhizin might also improve insulin sensitivity (via increased lipoprotein lipase activity), increase lipolysis (via hormone-sensitive lipase activation), and enhance the antiproliferative effects of corticosteroids.[75][76][77][78][79][80] Glycyrrhizin also might provide cardioprotection and relief of stomach cramps.[81][82][83][84][85][86]

Flavonoid groupings, such as glabridin and liquiritigenin, and phenols such as licochalcone A are also found in licorice and may provide other health benefits. Dietary consumption of glabridin may protect LDL cholesterol from oxidation, slowing the progression of atherosclerosis.[51][52]

In preclinical (animal) studies, glabridin and licochalcone A have shown anti-inflammatory effects through the inhibition of NF-kB activation.[87][88] Licochalcone A and liquiritigenin both may reduce cytokine release, relax intestinal muscles, and have antitumor properties.[43][45] Glabridin may also reduce fat storage and/or act as a selective estrogen receptor modulator,[89][90] and liquiritigenin may reduce the absorption of lipids from the intestines.[91] However, further research is needed to confirm these findings clinically in humans.

What are other names for Licorice?
Note that Licorice is also known as:
  • Liquorice
  • Yashtimadhu
  • Glycyrrhiza
  • Glycyrrizha uralensis
  • Glycyrrizha glabra
Dosage information

When used as a treatment, licorice can be found in a wide variety of formulations, including but not limited to tablets, powder, drops, chewables, capsules, tea, dried root infusions, decoctions, syrups, tinctures, and gum. It’s also found in a wide variety of candies, foods, beverages, and even cigarettes as a flavoring agent.[12] The glycyrrhizin content of licorice products varies by the species and origin of the raw licorice root; according to one study, it can range from from 0.3–8.3% (with an average around 3.3%), but other studies have cited it as high as 6–10%.[13][14] Deglycyrrhizinated licorice is also available, and it has been processed to reduce glycyrrhizin content below detectable levels.

To treat ulcers and gastritis, daily dosing can range from 1–15 grams.[15] However, it should be noted that individual characteristics (sex, age, health status, etc.) and how the root has been prepared may affect its action or potency.[15][1][16]

Traditional Chinese Medicine recommends 8–15 grams of licorice extract for general health and up to 100 grams for use in health conditions, but it is commonly found combined with other ingredients in this context.[1] The components of licorice appear to interact with other nutrients, typically in a synergistic manner. When combined with lycopene, it may work synergistically to prevent LDL oxidation.[17] If taken alongside oriental bezoar and Panax ginseng, it is thought to synergistically reduce stress-induced biomarker changes.[18][19] Combining licorice with cranberry may confer a synergistic anti-inflammatory and antibacterial effect.[20][21][22][23]

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References
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Examine Database References
  1. Cortisol - Sigurjonsdottir HA, Manhem K, Axelson M, Wallerstedt SSubjects with essential hypertension are more sensitive to the inhibition of 11 beta-HSD by liquoriceJ Hum Hypertens.(2003 Feb)
  2. Estrogen - Helga Agusta Sigurjonsdottir, Magnus Axelson, Gudmundur Johannsson, Karin Manhem, Ernst Nystrom, Sven WallerstedtLiquorice in moderate doses does not affect sex steroid hormones of biological importance although the effect differs between the gendersHorm Res.(2006)
  3. Body Fat - Bell ZW, Canale RE, Bloomer RJA dual investigation of the effect of dietary supplementation with licorice flavonoid oil on anthropometric and biochemical markers of health and adiposityLipids Health Dis.(2011 Feb 10)
  4. Testosterone - Armanini D, Bonanni G, Mattarello MJ, Fiore C, Sartorato P, Palermo MLicorice consumption and serum testosterone in healthy manExp Clin Endocrinol Diabetes.(2003 Sep)
  5. Cortisol - Al-Dujaili EA, Kenyon CJ, Nicol MR, Mason JILiquorice and glycyrrhetinic acid increase DHEA and deoxycorticosterone levels in vivo and in vitro by inhibiting adrenal SULT2A1 activityMol Cell Endocrinol.(2011 Apr 10)
  6. Testosterone - R A Josephs, J S Guinn, M L Harper, F AskariLiquorice consumption and salivary testosterone concentrationsLancet.(2001 Nov 10)
  7. Testosterone - Armanini D, Bonanni G, Palermo MReduction of serum testosterone in men by licoriceN Engl J Med.(1999 Oct 7)
  8. Testosterone - Mee Jung Mattarello, Stefano Benedini, Cristina Fiore, Valentina Camozzi, Paola Sartorato, Giovanni Luisetto, Decio ArmaniniEffect of licorice on PTH levels in healthy womenSteroids.(2006 May)
  9. LDL Oxidation - Carmeli E, Fogelman YAntioxidant effect of polyphenolic glabridin on LDL oxidationToxicol Ind Health.(2009 May-Jun)
  10. Canker Sores Symptoms - Martin MD, Sherman J, van der Ven P, Burgess JA controlled trial of a dissolving oral patch concerning glycyrrhiza (licorice) herbal extract for the treatment of aphthous ulcersGen Dent.(2008 Mar-Apr)
  11. Luteinizing Hormone - Decio Armanini, Mee Jung Mattarello, Cristina Fiore, Guglielmo Bonanni, Carla Scaroni, Paola Sartorato, Mario PalermoLicorice reduces serum testosterone in healthy womenSteroids.(Oct-Nov 2004)
  12. Oxidative Stress Biomarkers - B Fuhrman, S Buch, J Vaya, P A Belinky, R Coleman, T Hayek, M AviramLicorice extract and its major polyphenol glabridin protect low-density lipoprotein against lipid peroxidation: in vitro and ex vivo studies in humans and in atherosclerotic apolipoprotein E-deficient miceAm J Clin Nutr.(1997 Aug)
  13. Sore Throat Symptoms - Wang G, Qi Y, Wu L, Jiang GComparative Efficacy of 6 Topical Pharmacological Agents for Preventive Interventions of Postoperative Sore Throat After Tracheal Intubation: A Systematic Review and Network Meta-analysis.Anesth Analg.(2021 Jul 1)