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Speak with a healthcare professional before taking sodium bicarbonate internally if you have:
* kidney disease
* heart failure
* high blood pressure
* liver disease
* swelling or fluid retention
* a sodium-restricted diet
It can also interact with the absorption or action of certain medications.
## Baking Soda and Medications
Because sodium bicarbonate changes acidity in the stomach and urine, it can affect how some medicines are absorbed or eliminated.
If you regularly take prescription medications, avoid using baking soda internally as a home remedy without checking with a pharmacist or healthcare professional.
Separating medicines and antacids by a certain amount of time may sometimes be recommended, depending on the medication.
## Baking Soda and Vinegar: Should You Mix Them?
Baking soda and vinegar react strongly and release carbon dioxide gas.
The bubbling can be useful for some household cleaning tasks, but combining them does not create a powerful medical detox.
For personal health or dental use, there is generally no reason to drink a baking soda-and-vinegar mixture.
## Baking Soda Is Useful — But It Is Not a Detox
Perhaps the biggest misconception surrounding baking soda is that it can “alkalize the body” and remove toxins.
Your body tightly regulates blood pH through the lungs, kidneys, and other physiological systems.
Eating or drinking baking soda does not safely transform the body into a healthier “alkaline” state.
Your liver and kidneys already perform the main work involved in processing and eliminating waste.
## The Bottom Line
