- Dandruff
A home remedy for dandruff is to mix 1/4 cup apple cider vinegar with 1/4 cup water. The vinegar solution is thought to restore the restore the pH balance of the scalp and discourage the overgrowth of malassezia furfur, the yeast-like fungus thought to trigger dandruff.
The vinegar mixture is usually poured into a spray bottle and spritzed on the hair and scalp, avoiding the eye and ear area. A towel is then wrapped around the head and left on 15 minutes to an hour. After that, the vinegar can be washed from the hair. Alternative practitioners often recommend it once to twice a week for dandruff.
- High Cholesterol
A 2006 study found that rats fed acetic acid (the main ingredient in vinegar) had significantly lower total cholesterol and triglyceride levels. Large, human trials are needed to see if the same results occur in humans.
- Acid Reflux
Apple cider vinegar in water is a popular home remedy for acid reflux. It's based on a theory by some alternative medicine practitioners that heartburn and reflux are actually symptoms of insufficient stomach acid caused by aging, poor diet or overusing antacids or other medications. Alternative practitioners usually rely on laboratories that conduct alternative tests to assess stomach acidity prior to any treatment. Critics say that insufficient stomach acid, or hypochlorhydria, isnt a common condition and that it isnt a known cause of acid reflux or heartburn.
Apple cider vinegar isnt recommended as a home remedy for acid reflux or heartburn, because it may damage the delicate lining of the digestive tract and it could possibly worsen the problem. If you have acid reflux or heartburn, see a qualified health practitioner for a proper diagnosis and treatment.
- Acne
Apple cider vinegar is a home remedy for acne. A typical application is one part apple cider vinegar to three parts water and the solution is dabbed onto the pimple. Although some people swear by it, caution should be used because there have been case reports of skin damage and burns from using full-strength vinegar on the face.
- Blood Pressure
Preliminary studies suggest that the acetic acid in vinegar may help to lower blood pressure. How it might work is unclear, although studies suggest that it may increase levels of nitric oxide, a compound in the body that relaxes blood vessels, or it might inhibit an enzyme called angiotensin-converting enzyme from producing angiotensin II, a hormone that causes blood vessels to constrict or narrow.
Side Effects and Safety Concerns
Undiluted apple cider vinegar, in liquid or pill form, may damage the esophagus and other parts of the digestive tract. Apple cider vinegar drinks may damage tooth enamel if sipped.
One case report linked excessive apple cider vinegar consumption with low blood potassium levels (hypokalemia) and low bone mineral density. People with osteoporosis, low potassium levels and those taking potassium-lowering medications should use caution.
People with allergies to apples should avoid apple cider vinegar.
Apple cider vinegar tablets may become lodged in the throat or esophagus and cause serious damage to those tissues.
Vinegar applied to the skin may cause burns and scarring.
Excessive doses of apple cider vinegar have been found to cause damage to the stomach, duodenum and liver in animals.
The quality of apple cider vinegar tablets varies. A 2005 study compared eight brands of apple cider vinegar supplements and found that the ingredients didnt correspond with the ingredients listed on the packaging, and that the chemical analysis of the samples led researchers to question whether any of the products were actually apple cider vinegar or whether they were just acetic acid.
Possible Drug Interactions
Theoretically, prolonged use of apple cider vinegar could lead to lower potassium levels, which could increase the risk of toxicity of cardiac glycoside drugs such as Lanoxin (digoxin), insulin, laxatives and diuretics such as Lasix (furosemide).
Because apple cider vinegar may affect blood glucose and insulin levels, it could theoretically have an additive effect if combined with diabetes medications. Apple cider vinegar may also lower blood pressure, so it may have an additive effect if combined with high blood pressure medications.
Sources:
Fushimi T, Suruga K, Oshima Y, Fukiharu M, Tsukamoto Y, Goda T. Dietary acetic acid reduces serum cholesterol and triacylglycerols in rats fed a cholesterol-rich diet. Br J Nutr. (2006) 95.5: 916-924.
Ostman E, Granfeldt Y, Persson L, Björck I. Vinegar supplementation lowers glucose and insulin responses and increases satiety after a bread meal in healthy subjects. Eur J Clin Nutr. (2005) 59.9: 983-988.
White AM, Johnston CS. Vinegar ingestion at bedtime moderates waking glucose concentrations in adults with well-controlled type 2 diabetes. Diabetes Care. (2007) 30.11: 2814-2815.

