Franziska Spritzler, RD: Psyllium husk guide - Diet Doctor (2024)

By Franziska Spritzler, RD, CDE, medical review by Dr. Andreas Eenfeldt, MD

Whatispsylliumhusk?| Healtheffects| Sideeffects| Benefitsincooking| Howtouse| Substitutions| Wheretofind

Psyllium husk has received its fair share of attention within the low-carb community. But what is it, exactly? And what is its role in keto and low-carb baking? Read on to find out all about psyllium husk and how to get the best results when using it.

What is psyllium husk?

Psyllium seed comes from a plant known as Plantago ovato, which is native to southern and western Asia. The seed is covered by psyllium husk, which is a rich source of viscous soluble fiber (the type that absorbs water to form a gel). In fact, nearly all of the carbs in psyllium husk come from fiber. In some countries, and in some health care centers particularly in the UK and Europe, it also goes by the name ispaghula husk.

One tablespoon (5 grams) of whole psyllium husk (as pictured above) contains 4 grams of carbs in the form of indigestible fiber, of which most is soluble fiber.

Psyllium husk can also be ground into a powder, the form most often used in cooking. Because it is more concentrated, one-half tablespoon (5 grams) of psyllium husk powder has the same nutritional composition as one tablespoon of whole psyllium husk.

As the active ingredient in the stool-softeners Metamucil and Fybogel, psyllium husk is best known for its laxative properties.

What are the health effects of psyllium husk?

Research suggests that psyllium husk may provide several potential benefits:

  • May help control blood sugar: By forming a gel with water, psyllium husk can slow down the movement of food through your digestive tract and the absorption of glucose into your bloodstream. A large review of 35 studies found that taking 5-20 grams of psyllium per day significantly lowered fasting blood sugar and HbA1c values in people with diabetes and prediabetes.1 This effect is likely noticeable mostly for people who eat a significant amount of carbs. On a strictly low-carb or keto diet it may not help much, as there is far less glucose to be absorbed from the food in the first place.
  • May improve some heart health markers: Psyllium can bind to bile acids, which may help lower LDL cholesterol levels. Additionally, psyllium has been shown to decrease triglycerides and increase HDL cholesterol, which may reduce heart disease risk.2
  • May improve stool consistency: Because of its strong water-holding capacity, psyllium husk has a potentially positive effect on bowel function: It may improve both constipation and diarrhea.3

Does psyllium husk have any side effects?

Unlike many other soluble fibers, psyllium husk isn’t readily fermented by bacteria in your colon. Therefore, it’s less likely to cause excess gas or other digestive issues. However, if you take a large amount of psyllium husk (greater than 15 grams per day), you might experience bloating, GI discomfort, or increased gassiness.

A good rule of thumb is to introduce a small amount of psyllium husk into your diet initially and gradually increase it.

When consumed with adequate fluid and in moderate amounts, psyllium husk is considered safe. Like other types of fiber, consuming large amounts of psyllium without taking in enough fluid can lead to constipation or even an intestinal blockage, in the worst case (and very rarely).4 Psyllium could be a potential choking hazard if not mixed with enough water when consumed as a laxative, but this is not a risk when used in low carb recipes.

Overall, allergic reactions to psyllium are rare. However, they have been reported, primarily among health care workers who are exposed to large amounts of psyllium in laxatives given to patients. Although components in the seed rather than the husk are responsible for the reaction, researchers report that these components sometimes remain in psyllium husk powder.5 Individuals with highly allergic tendencies, however, can become sensitized to psyllium husk through frequent exposure, particularly through the inhalation of psyllium particles.

The benefits of using psyllium husk in keto and low-carb cooking

Psyllium husk can be a very useful ingredient in low-carb cooking, especially baking.

For many people, giving up bread, pizza, bagels, and other baked goods when going low-carb or keto is even harder than forgoing sweets.

Fortunately, psyllium can help you recreate keto-friendly, gluten-free versions of these and other high-carb favorites because of its ability to replicate their texture. It enables bread to hold more moisture and achieve a light, airy consistency. In addition, it helps make dough more pliable, making it easier to handle and shape or roll out.

Franziska Spritzler, RD: Psyllium husk guide - Diet Doctor (2024)

FAQs

What is the downside of psyllium husk? ›

3 side effects associated with psyllium

Diarrhea. Flatulence. Increased bowel movements. Nausea and vomiting.

How much psyllium husk per day for weight loss? ›

Results of the meta-analysis showed that psyllium husk at a mean dose of 10.8 g/day taken just before meals, over the mean duration of 4.8 months, was effective for decreasing body weight by 2.1 kg, BMI by 0.8 kg/m2, and waist circumference by 2.2 cm in overweight and obese populations.

Is it okay to take psyllium husk every day? ›

Taking fiber supplements every day seems to be safe. Popular fiber supplements include inulin, psyllium (Metamucil, Konsyl, others) and methylcellulose (Citrucel). Fiber is good for the body. It helps the bowel work well and prevents constipation.

Do doctors recommend psyllium? ›

Your doctor may recommend psyllium to help soften stool and reduce the pain associated with hemorrhoids. Although studies are not entirely conclusive, adding fiber to your diet, particularly psyllium, may help lower blood pressure.

Who Cannot take psyllium husk? ›

Before taking psyllium,

tell your doctor if you have or have ever had diabetes mellitus, heart disease, high blood pressure, kidney disease, rectal bleeding, intestinal blockage, or difficulty swallowing. tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding.

What does psyllium husk do to your colon? ›

And psyllium husk can be gentler on your digestive system than stimulant or osmotic laxatives. It doesn't cause your intestines to contract or use water to soften your stool. It works by increasing the weight of your stool, which helps trigger a bowel movement.

Can psyllium husk reduce belly fat? ›

Various types are available, including psyllium husk, glucomannan and inulin, and some evidence shows they can help you lose belly fat. For example, one six-week study in teenage boys showed that taking a psyllium husk supplement reduced belly fat ( 28 ).

Is it better to take psyllium in the morning or at night? ›

Any time of day is a great day to take Metamucil's psyllium husk, so long as you drink plenty of water with it (at least 8 oz). Start with one serving per day, then gradually increase your daily servings each week to reach your health goals.

What to avoid when taking psyllium? ›

If you are being treated with any of the following medications, you should not use psyllium supplements without first talking to your health care provider.
  • Antidepressant medications, Tricyclics. ...
  • Carbemazepine (Tegretol) ...
  • Cholesterol-lowering medications (bile acid sequestrants) ...
  • Diabetes medications. ...
  • Digoxin. ...
  • Lithium.
Oct 19, 2015

Is Metamucil or psyllium husk better? ›

Metamucil has an average rating of 6.8 out of 10 from a total of 71 ratings on Drugs.com. 59% of reviewers reported a positive effect, while 30% reported a negative effect. Psyllium has an average rating of 7.1 out of 10 from a total of 89 ratings on Drugs.com.

What is the best brand of psyllium husk? ›

We deemed Viva Naturals Organic Psyllium Husk Powder (on Amazon) the best fiber supplement because it's third-party tested for purity and made with organic psyllium, which is a research-backed form of fiber with proven health benefits.

What are the symptoms of too much psyllium? ›

Common side effects of psyllium include:
  • Constipation.
  • Abdominal cramps.
  • Diarrhea.
  • Esophageal obstruction.
  • Intestinal obstruction.
  • Allergic reaction in people sensitive to inhaled or ingested psyllium.

What is better than psyllium? ›

When compared to psyllium husk, flaxseed had a better mix of soluble and insoluble fiber. Flaxseed contains more insoluble fiber, whereas psyllium husk contains more soluble fiber.

Is psyllium better than oatmeal? ›

Regular consumption of 7-10 grams (two teaspoons twice a day) can reduce LDL cholesterol by between 6 to 18 percent. Psyllium is 70% soluble fibre (means it dissolves in water) and contains around 8 times more soluble fibre than oat bran.

Do gut bacteria eat psyllium? ›

These non-digestible fibers serve as nourishing fuel for the good bacteria, promoting their growth and enhancing their activity. Moreover, Psyllium Husk, rich in soluble fiber, not only acts as a prebiotic but also fuels the natural fermentation process that occurs in your gut.

Is psyllium husk inflammatory? ›

Fiber supplement especially psyllium decreases inflammation in the gut. Epidemiological studies have shown that psyllium supplementation decreases CRP levels in IBS patients.

How long can you safely take psyllium? ›

Do not take this medication for more than 7 days unless directed by your doctor. Tell your doctor if your condition lasts or gets worse, or if bleeding from the rectum occurs. If you think you may have a serious medical problem, get medical help right away.

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