Choose red, you live….

Liquorice rolls Bulk sale at a confectioner’s. (Photo by: Andia/Universal Images Group via Getty Images)

It’s a known phenomenon, but perhaps not widely known, or at least not widely enough to help a Massachusetts construction worker whose switch from red to black Twizzlers killed him.

Discussions with his family revealed he had been eating one to two “large” bags of black licorice every day for about three weeks before his heart stopped.

It’s not just Twizzlers. Licorice flavored jelly beans, and other candies, and even some Belgian beers and chewing tobaccos contain glycyrrhizic acid.

In your gut you have hundreds kinds of bacteria, as well as viruses and fungi, collectively called your microbiome. And among the bacteria are some that turn glycyrrhizic acid into glycyrrhetinic acid. In the kidneys, glycyrrhetinic acid derivatives suppress conversion of cortisol to cortisone, which regulates ion, salt, and water balances. At the end of this chain reaction, you have critically low potassium levels leading to erratic behavior by the heart and lots of other problems.

If you’re wondering why the FDA would allow even small amounts of such a chemical, remember that all rice contains arsenic, and almost all fish and shellfish contain mercury.

A spokesman for the Hershey Company, which makes Twizzlers, wrote “all of our products are safe to eat and formulated in full compliance with FDA regulations,” but also that all foods, including candy, “should be enjoyed in moderation.”

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