Citric Acid

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nephriticus
Posts: 88
Joined: Sun Aug 22, 2004 5:02 am
Location: Sequim, WA

Citric Acid

Post by nephriticus »

Last year about this time with increased yard duties I began drinking quantities of lemonade. Long story short, I discovered that it was relapsing RLS symptoms after a ten year hiatus of symptom free (another long story). I now drink lemonade only in very limited quantities. But the RLS returned again this year. This time it was the Gatorade Zero. The second ingredient of Zero (after water) is citric acid. I guess citric acid doesn't like me. Perhaps this info will help one or more of you with this dreadful symptom. [ And a 'Hi' to Viewsaskew. It's been a long time.]
Neph
Currently RLS free. Symptoms stopped almost abruptly after my long term, full time care giving duties ended with passing of wife. No stress, no RLS.
***************************************

XenMan
Posts: 80
Joined: Sun Aug 26, 2018 7:41 pm

Re: Citric Acid

Post by XenMan »

A few people get good management of RLS with the low oxalate diet. However there is often a delay with success due to the time it takes for symptoms to resolve. Oxalate crystals in the site of RLS symptoms appear to be caused more by the movement in and out, storage or release, than their presence.

The oxalate issue is a combination of oxalates being excessively absorbed in the gut, high levels in blood and then blocking excretion of further oxalates in the kidneys. This leaves them nowhere to go but to be stored in the body. For kidney stone prone people they form stones, in RLS sufferers it appears to be storage in leg muscles which result in symptoms.

Citrate is produced naturally in the kidneys to stop stone formation. It can also break down oxalate crystals stored in the body if consumed. I use Garcinia cambogia which is high dose citrate, and early on made my legs burn as the oxalate crystals released. Dreadful RLS symptoms ensued.

On another forum someone mentioned apple cider vinegar helped their RLS. This is often high in citrate and most likely helped the oxalates clear the kidneys, reduced blood levels and stopped storage of crystals. This stopped symptoms.

What you have may be the opposite. The citrate in the drinks is releasing stored oxalates making symptoms worse. There are no studies on this but the anecdotal success of the low oxalate diet combined with the papers on oxalates, kidney stones and autism, make it an interesting consideration.

It may not relate to oxalates at all for you, but if it is, you are lucky in that you may have an avenue to explore.

ViewsAskew
Moderator
Posts: 16202
Joined: Thu Oct 28, 2004 6:37 am
Location: Los Angeles

Re: Citric Acid

Post by ViewsAskew »

neph! Hey!
BTW - I am in Los Angeles these days. Hope you are doing well. Glad to hear the RLS is still primarily gone. Hope it remains as such.
Ann - Take what you need, leave the rest

Managing Your RLS

Opinions presented by Discussion Board Moderators are personal in nature and do not, in any way, represent the opinion of the RLS Foundation, and are not medical advice.

Frunobulax
Posts: 308
Joined: Mon Jun 02, 2014 7:41 pm

Re: Citric Acid

Post by Frunobulax »

nephriticus wrote:Last year about this time with increased yard duties I began drinking quantities of lemonade. Long story short, I discovered that it was relapsing RLS symptoms after a ten year hiatus of symptom free (another long story). I now drink lemonade only in very limited quantities. But the RLS returned again this year. This time it was the Gatorade Zero. The second ingredient of Zero (after water) is citric acid. I guess citric acid doesn't like me.
Lemonade and Gatorade Zero contain artificial flavors/colors and sweeteners, which are known to exacarbate RLS (especially sweeteners). Personally, I'm sticking to water and unsweetened tee/coffee.

Citric acid may activate something that exacarbates RLS (possibly including oxalates), but I'd expect you'd need a lot more than you'll get from a Gatorade. Citric acid is in fruit, vegetables and salad. I'm not sure how much vitamin C is in a Gatorade, but most drinks contain just a little bit, say what you would get from an apple or two. Does eating sour fruit or salad exacarbate your RLS too?

You could do a test: Get some citric acid (vitamin C) powder and take a teaspoon, solved in water, which is an order of magnitude more than you would get from a Gatorade. If you get symptoms, it's the citric acid. If not, it's the sweeteners. Then you'll know what to avoid.

XenMan
Posts: 80
Joined: Sun Aug 26, 2018 7:41 pm

Re: Citric Acid

Post by XenMan »

From the kidney stone people:

"Citric acid is an organic acid and a natural component of many fruits and fruit juices. It is not a
vitamin or mineral and is not required in the diet. However, citric acid, not to be confused with
ascorbic acid (vitamin C), is beneficial for people with kidney stones."

Frunobulax
Posts: 308
Joined: Mon Jun 02, 2014 7:41 pm

Re: Citric Acid

Post by Frunobulax »

XenMan wrote: "Citric acid is an organic acid and a natural component of many fruits and fruit juices. It is not a
vitamin or mineral and is not required in the diet. However, citric acid, not to be confused with
ascorbic acid (vitamin C), is beneficial for people with kidney stones."
Then I stand corrected, and my experiment should be conducted with citric acid instead. Thanks for pointing this out. Citric acid is available as supplement too, although probably not as easy to get as vitamin C.

nephriticus
Posts: 88
Joined: Sun Aug 22, 2004 5:02 am
Location: Sequim, WA

Re: Citric Acid

Post by nephriticus »

I would not know whether the cause be citric acid or artificial sweeteners but it prolly is just as well to avoid the artificial sweeteners anyway. I do not remember orange juice ever bothering me but I've never drank it to hydrate while laboring. Water for hydration is just fine and I wish it was such an easy answer for you continuing sufferers. Thanks for your responses. {Viewsaskew: I'm in Washington State now right across the Strait of Juan de Fuca from Victoria, B.C., Canada}
Neph
Currently RLS free. Symptoms stopped almost abruptly after my long term, full time care giving duties ended with passing of wife. No stress, no RLS.
***************************************

ViewsAskew
Moderator
Posts: 16202
Joined: Thu Oct 28, 2004 6:37 am
Location: Los Angeles

Re: Citric Acid

Post by ViewsAskew »

nephriticus wrote:{Viewsaskew: I'm in Washington State now right across the Strait of Juan de Fuca from Victoria, B.C., Canada}
Beautiful place!
Ann - Take what you need, leave the rest

Managing Your RLS

Opinions presented by Discussion Board Moderators are personal in nature and do not, in any way, represent the opinion of the RLS Foundation, and are not medical advice.

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