Herb & supplement monograph

Juice Fasting Drug Interactions, Uses, Effectiveness, Safety & More

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Interaction report

Drugs that interact with Juice Fasting

0 medications have a known interaction with Juice Fasting, graded by severity. Select any drug for the full evidence-based detail.

We don’t currently list any known drug interactions for Juice Fasting. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.

Read The List Like a Pharmacist

What Severity, Likelihood & Evidence Mean

Severity — How Serious It Can Be

  • Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
  • Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
  • Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
  • No known interaction. Checked against our sources with nothing documented — not the same as proven safety.

Likelihood — How Well It’s Documented

  • Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
  • Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
  • Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.

Where This Data Comes From

  • Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
  • Each drug listed above links to the full report for that exact Juice Fasting combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Monograph

Juice Fasting: Uses, Safety & Side Effects

The bottom line

Juice fasting means consuming only fruit and vegetable juices for a set period, often marketed for 'detox' or quick weight loss. There is little solid evidence that it cleanses the body or offers lasting health benefits, and your liver and kidneys already remove toxins on their own. Short juice fasts are low-risk for healthy adults, but they can be unsafe for some people, so check with a pharmacist or doctor first.

Part used
Fruit and vegetable juices
Common forms
Fresh-pressed (cold-pressed) juices, store-bought juice blends, commercial juice-cleanse programs
People commonly use it for
  • Weight loss
  • Detoxification or 'cleansing'
  • Boosting fruit and vegetable intake
  • Improving energy or well-being
  • Resetting eating habits

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

Generally low-risk for short periods in healthy adults, but lacks protein and fiber and may cause side effects.

PregnancyPossibly Unsafe

During pregnancy and lactation. Juice fasting is not intended to provide adequate nutrition and can result in electrolyte imbalances when used short-t...

Read the full pregnancy detail
BreastfeedingPossibly Unsafe

During pregnancy and lactation. Juice fasting is not intended to provide adequate nutrition and can result in electrolyte imbalances when used short-t...

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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Overview

Juice fasting is a type of diet where, for a set period of time, a person drinks only fruit and vegetable juices and avoids solid food. It is sometimes called a 'juice cleanse' or 'detox.' Fasts can last anywhere from a single day to a week or more.

Juice fasting is not a single herb or plant. Instead, it is an eating practice that uses juices pressed from foods like apples, oranges, carrots, beets, celery, kale, spinach, ginger, and lemon. Some people make their own juices at home with a juicer, while others buy pre-made bottles or sign up for commercial cleanse programs.

People try juice fasting for many reasons, including losing weight quickly, 'resetting' their diet, or feeling that it rids the body of toxins. It has become popular through wellness brands and social media rather than through medical recommendation.

How it works

Juice fasting works mainly by sharply cutting calorie intake and removing solid food. This calorie restriction is why people often lose weight during a fast.

Juices do supply vitamins, minerals, and plant compounds such as antioxidants. Supporters believe these nutrients support the body's natural cleansing systems. However, this idea is largely based on general nutrition science and laboratory studies, not on proof that juicing produces a special 'detox' effect.

Importantly, juicing removes most of the fiber found in whole fruits and vegetables. Fiber helps digestion, feeds healthy gut bacteria, and slows the rise of blood sugar. Without fiber, the natural sugars in fruit juice are absorbed quickly, which can spike blood sugar. Juices also contain little or no protein or fat, which the body needs every day.

Effectiveness

Does Juice Fasting work?

Evidence overview · 1 use evaluated
1 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.

For Juice Fasting, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 1 condition — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Obesity
Rating & evidence shown verbatim from Natural Medicines

It is unclear if juice fasting is beneficial in adults with obesity.

Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.

Safety & precautions

For most healthy adults, a short juice fast of a day or two is unlikely to cause harm. Longer or repeated fasts carry more risk because juices do not provide balanced nutrition.

Certain people should be especially careful or avoid juice fasting entirely. This includes people with diabetes (juice can raise blood sugar), kidney disease (some juices are high in oxalate or potassium), eating disorders or a history of disordered eating, low blood pressure, or anyone who is underweight, frail, or recovering from illness. Children and older adults should not juice fast without medical guidance.

Unpasteurized or homemade juices can carry harmful bacteria, which is riskier for people with weak immune systems. Always wash produce well and keep fresh juice cold.

Pregnancy and breastfeeding: Juice fasting is not recommended. Pregnancy and nursing require steady, balanced nutrition with enough calories, protein, and key nutrients that juice alone cannot provide. If you are pregnant or breastfeeding, avoid juice fasting and talk to your doctor about safe nutrition.

Because individual situations vary, check with a pharmacist or doctor before starting any fast, especially if you take medication or have a health condition.

Side effects

Common side effects during a juice fast include hunger, headaches, fatigue, dizziness, irritability, and trouble concentrating. These often happen because of low calorie and caffeine intake.

Other possible effects include diarrhea or loose stools (especially with juices that have a laxative effect), low blood sugar symptoms such as shakiness, and feeling cold. Longer fasts can lead to muscle loss and nutrient shortages.

Rare but more serious problems can occur, particularly with prolonged fasting or in vulnerable people. These include dangerous drops in blood sugar, electrolyte imbalances, dehydration, kidney strain from high-oxalate juices, and fainting. Stop the fast and seek medical care if you feel very weak, confused, faint, or unwell.

Juice Fasting: Reported Adverse Effects

Documented safety reports on Juice Fasting from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

There is currently a limited amount of reliable information available on the adverse effects of juice fasting. However, juice fasts do not provide adequate nutrition and involve the consumption of large quantities of water, which can lead to electrolyte imbalances when used short-term and malnutrition when used long-term. Additionally, there are multiple case reports of serious oxalate-induced renal injury due to juice fasting in otherwise healthy adults.

  1. National Center for Complementary and Integrative Health. "Detoxes" and "Cleanses": What you need to know. Available at: https://www.nccih.nih.gov/health/detoxes-and-cleanses-what-you-need-to-know. Updated September 2019. Accessed on: June 15, 2020.
  2. Makkapati S, D'Agati VD, Balsam L. "Green Smoothie Cleanse" Causing Acute Oxalate Nephropathy. Am J Kidney Dis. 2018 Feb;71(2):281-286.
  3. Lien YHH. Juicing is not all juicy. Am J Med. Sept 2013;126(9):755-6.
  4. Getting JE, Gregoire JR, Phul A, Kasten MJ. Oxalate nephropathy due to 'juicing': case report and review. Am J Med. Sept 2013;126(9):768-72.
Reports by condition
Malnutrition Other

Juice fasts do not provide adequate nutrition and can lead to malnutrition when followed long-term.

  1. National Center for Complementary and Integrative Health. "Detoxes" and "Cleanses": What you need to know. Available at: https://www.nccih.nih.gov/health/detoxes-and-cleanses-what-you-need-to-know. Updated September 2019. Accessed on: June 15, 2020.
Myasthenia gravis Renal

There are multiple case reports of oxalate-induced kidney injury in adults who are participating in juice fasts. It is likely that this kidney injury is due in part to the significant increase in oxalate consumption, as well as the reduction in calcium intake, that occurs during a juice fast.

In one case report, a 65-year-old female developed acute oxalate nephropathy that progressed to end-stage renal disease after consuming a green smoothie juice "cleanse" that was prepared by juicing oxalate-rich green leafy vegetables and fruits. Prior to the cleanse, she had normal renal function. In another case report, a male developed acute renal failure after consuming a daily average of 1260 mg of oxalate from juicing for over 6 weeks. He presented to the emergency department with a high oxalate level that responded to temporary hemodialysis. Although he recovered most of his kidney function, he had a permanent reduction in glomerular filtration rate. In a third case report, a 68-year-old male developed acute oxalate nephropathy and dehydration, progressing to irreversible dialysis-dependent end-stage renal disease after consuming a juice regimen prepared from multiple vegetables. Daily oxalate intake was around 1500 mg daily (10 times the normal dietary intake), with spinach, Swiss chard and beets providing the highest amounts. Renal biopsy showed severe tubular injury, with intratubular oxalate crystal deposition.

  1. Lien YHH. Juicing is not all juicy. Am J Med. Sept 2013;126(9):755-6.
  2. Getting JE, Gregoire JR, Phul A, Kasten MJ. Oxalate nephropathy due to 'juicing': case report and review. Am J Med. Sept 2013;126(9):768-72.
  3. Makkapati S, D'Agati VD, Balsam L. "Green Smoothie Cleanse" Causing Acute Oxalate Nephropathy. Am J Kidney Dis. 2018 Feb;71(2):281-286.
  4. Chaudhari H, Michaud J, Srialluri N, Mahendrakar S, Granz C, Yudd M. Acute Oxalate Nephropathy Caused by Excessive Vegetable Juicing and Concomitant Volume Depletion. Case Rep Nephrol 2022;2022:4349673.
  5. Obadan OI, Yudd M. AKI in a Patient Engaged in Vegetable Juicing. Kidney360 2020;1(7):716-717.
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no standardized or medically established way to do a juice fast. Programs vary widely in how many juices are consumed per day and how long the fast lasts.

If you choose to try a short juice fast, keeping it brief (about one to three days), staying well hydrated with water, and easing back into solid food gradually are common-sense steps. Follow any reputable product or program instructions, and do not extend a fast beyond what is safe for you.

Because individual needs differ, talk with a pharmacist, doctor, or registered dietitian before starting—especially if you have a health condition, take medicine, or plan to fast for more than a day.

Pregnancy & Breastfeeding

Juice Fasting & Pregnancy

Possibly Unsafe

During pregnancy and lactation. Juice fasting is not intended to provide adequate nutrition and can result in electrolyte imbalances when used short-term, as well as malnutrition when used long-term.

  1. National Center for Complementary and Integrative Health. "Detoxes" and "Cleanses": What you need to know. Available at: https://www.nccih.nih.gov/health/detoxes-and-cleanses-what-you-need-to-know. Updated September 2019. Accessed on: June 15, 2020.

Juice Fasting & Breastfeeding

Possibly Unsafe

During pregnancy and lactation. Juice fasting is not intended to provide adequate nutrition and can result in electrolyte imbalances when used short-term, as well as malnutrition when used long-term.

  1. National Center for Complementary and Integrative Health. "Detoxes" and "Cleanses": What you need to know. Available at: https://www.nccih.nih.gov/health/detoxes-and-cleanses-what-you-need-to-know. Updated September 2019. Accessed on: June 15, 2020.
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 2026 Therapeutic Research Center

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 6 references that drive our Juice Fasting monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Makkapati S, D'Agati VD, Balsam L. "Green Smoothie Cleanse" Causing Acute Oxalate Nephropathy. Am J Kidney Dis. 2018 Feb;71(2):281-286. PubMed
  2. Lien YHH. Juicing is not all juicy. Am J Med. Sept 2013;126(9):755-6. PubMed
  3. Getting JE, Gregoire JR, Phul A, Kasten MJ. Oxalate nephropathy due to 'juicing': case report and review. Am J Med. Sept 2013;126(9):768-72. PubMed
  4. National Center for Complementary and Integrative Health. "Detoxes" and "Cleanses": What you need to know. Available at: https://www.nccih.nih.gov/health/detoxes-and-cleanses-what-you-need-to-know. Updated September 2019. Accessed on: June 15, 2020.
  5. Chaudhari H, Michaud J, Srialluri N, Mahendrakar S, Granz C, Yudd M. Acute Oxalate Nephropathy Caused by Excessive Vegetable Juicing and Concomitant Volume Depletion. Case Rep Nephrol 2022;2022:4349673. PubMed
  6. Obadan OI, Yudd M. AKI in a Patient Engaged in Vegetable Juicing. Kidney360 2020;1(7):716-717. PubMed
Keep reading

This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Pharmacist Counseling Corner

Juice Fasting: Common Questions

What is Juice Fasting used for, and does it work?
People use Juice Fasting for a range of reasons, but according to the Natural Medicines database the current clinical evidence is insufficient to confirm it works for the specific conditions it has been studied for. See the graded list on this page, and talk to your pharmacist or doctor before relying on it for any condition.
Does Juice Fasting interact with prescription medications?
We do not currently list any known drug interactions for Juice Fasting. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Juice Fasting interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Juice Fasting with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Juice Fasting interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
Does Juice Fasting really detox your body?
There is no good evidence that Juice Fasting removes toxins. Your liver, kidneys, and other organs already do this naturally every day.
Will I lose weight with a juice fast?
You may lose some weight quickly because you are eating very few calories, but much of it is water and the weight usually returns once you eat normally again. Juice Fasting is not a reliable way to lose weight long-term.
Is Juice Fasting safe for everyone?
No. People with diabetes, kidney disease, eating disorders, or those who are pregnant, breastfeeding, underweight, very young, or elderly should avoid it or get medical advice first.
How long is it safe to juice fast?
Short fasts of a day or two are low-risk for healthy adults, but longer fasts increase the risk of nutrient shortages, muscle loss, and other problems. Check with a healthcare provider before fasting longer than a day.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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