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Note: Theoretical interactions are based on potential pH altering effects of apple cider vinegar. The degree to which apple cider vinegar affects blood pH is currently not established. Theoretically, long-term oral use of apple cider vinegar can decrease potassium levels. This may increase the risk of toxicity of cardiac glycoside herbs, add to the potassium-lowering effects of diuretics, and/or add to the potassium-lowering effects of laxative herbs. You should read product labels, and discuss all therapies with a qualified healthcare provider. Natural Standard information does not constitute medical advice, diagnosis, or treatment.