DEAR DR. BLONZ: I'm inquiring about the use of activated charcoal to help get toxins out of the body: how much to take and whether it works as a blood purifier. -- L.N., Anderson, North Carolina
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DEAR L.N.: Activated charcoal, a purified form of charcoal ground into a fine powder, needs some explanation. Activated charcoal is not absorbed into the body; instead, it acts locally with whatever substance it comes in direct contact with. Its fine powder consistency gives it a large surface area to do its job, and its pure carbon composition attracts and holds onto substances using a process known as adsorbence (not to be confused with absorbance).
Adsorbency is why activated charcoal is used in water filters: It grabs and holds heavy metals, unwanted minerals and odors. Activated charcoal is often used in first aid after accidental poisonings, as it holds on to the poison and prevents it from getting into the blood. (According to a position statement of the American Academy of Clinical Toxicology, activated charcoal is more beneficial if administered within one hour of poison ingestion.)
It is unclear how activated charcoal could work as a blood purifier, because it isn't absorbed into the body. It can keep things out, but there is no evidence it can grab on to toxins already in the body. So unless your doctor instructs you otherwise, there is no reason to consume activated charcoal regularly. It can reduce the absorption of nutrients, but even more concerning, activated charcoal can adsorb medications, rendering them unavailable for absorption. (For more on activated charcoal, see b.link/r65ey55.)
DEAR DR. BLONZ: I drink three to four liters of sparkling (carbonated) water daily that I make from filtered tap water in a home device. I don't like regular water, so I figured this would give me my daily requirements. I often add fresh lemon or lime juice, but no sweetener. I don't drink any sodas.
I was on a plane recently, and after ordering soda water, the man sitting next to me stated that drinking carbonated water affects the nutrients the body absorbs because of the CO2 it contains, and now I'm concerned. I am health-conscious, eat well and work out regularly. Are even unsweetened sparkling beverages bad? -- A.H., Pomona, California
DEAR A.H.: Outside of causing a burp now and then, there is no evidence that the carbon dioxide (or CO2) in carbonated water -- also known as sparkling water or club soda -- causes any nutrient deficits. Albeit a bit more costly, drinking a carbonated mineral or spring water is a perfectly fine way to get your daily water requirements.
Send questions to: "On Nutrition," Ed Blonz, c/o Andrews McMeel Syndication, 1130 Walnut St., Kansas City, MO, 64106. Send email inquiries to questions@blonz.com. Due to the volume of mail, personal replies cannot be provided.