Evidence Based







25 Acidic Foods to Avoid and Healthier Alternatives


Acidic foods - Dr. Axe

The alkaline diet has been in the limelight recently, with everyone from celebrities to health gurus touting the benefits of cutting acidic foods out of your diet.

Studies show that limiting your intake of acidic foods may help improve bone strength, reduce the risk of kidney stones, lower chronic pain, improve hormone levels and alleviate acid reflux as part of an acid reflux diet.

Following a healthy diet full of nutrient-rich, unprocessed foods and reducing your intake of a few of the most acidic foods can be a great way to help you make strides toward achieving optimal health.

So are strawberries acidic? Is rice acidic, and where exactly do your other favorite foods fall on the pH chart?

What Are Acidic Foods?

Your body maintains a tightly regulated pH level. This is a measure of acidity and alkalinity in the fluids and tissues of the body that is based on a scale from 0 to 14.

A lower pH level is more acidic, and higher pH levels are considered more alkaline. While a pH of 7 is neutral, a slightly alkaline pH of 7.35–7.45 is considered optimal for human health.

Even minute changes in your body’s pH levels can cause a major impact on health. Alkalosis, which is caused by a high pH level, can cause symptoms like confusion, muscle twitching and nausea, while acidosis can result in fatigue, shallow breathing and headaches.

Luckily, your kidneys do most of the work in controlling your body’s pH by maintaining electrolyte levels and excreting/reabsorbing acidic and alkaline ions through the urine. However, eating a diet high in alkaline foods may come with some benefits to health.

Limiting your intake of acidic foods could help preserve bone strength, prevent kidney stones and even decrease acid reflux symptoms.

Acidic Foods to Limit or Avoid

Here’s a quick list of the top 25 most acidic foods that you may want to limit. These foods are considered acid-forming, and their intake should be moderated on a healthy diet:

  1. Convenience meals
  2. Alcohol
  3. Milk
  4. Caffeinated drinks
  5. Processed cereals
  6. Pizza
  7. Artificial sweeteners
  8. Peanuts
  9. Cheese
  10. Pasta
  11. Rice
  12. Bread
  13. Wheat products
  14. Butter
  15. Cold cuts
  16. Refined vegetable oils
  17. French fries
  18. Hot chocolate
  19. Red meat
  20. Sports drinks
  21. Table sugar
  22. Corn syrup
  23. Pancakes
  24. Fried foods
  25. Soda

Keep in mind that not all acidic foods should be eliminated from the diet completely. Some ingredients on the acidic foods chart provide important nutrients and can be included in moderation as part of a healthy diet.

Most types of meat, for example, are considered acidic but supply many important vitamins and minerals to the diet. They can also help you meet your daily protein needs to improve the health of your cells and muscles.

Walnuts nutrition is also considered acidic but is rich in antioxidants and omega-3 fatty acids, which can reduce inflammation and promote better health. Other healthy foods that are classified as acidic include oats, eggs, whole grains, and citrus fruits like lemons, limes and oranges.

The key is to include these acidic foods as part of a healthy, whole food diet in combination with plenty of non-acidic fruits, vegetables and plant-based proteins as well.

Acidic Foods vs. Alkaline Foods

So how exactly is the list of acidic and alkaline food groups determined?

When you eat, the calories and nutrients are extracted from foods, and they are metabolized, leaving behind an ash residue. This ash residue is what determines the pH of your food, separating it into either an acid-forming or alkalinizing food.

Acid-forming foods typically include animal proteins like meats, eggs, poultry, fish and milk products, as well as grains and alcohol. Meanwhile, fruits, vegetables and plant-based protein foods are generally considered alkalinizing, or non-acidic foods.

Side Effects and Dangers

There are plenty of reasons you may want to cut back on your consumption of acidic foods. Here are a few of the top side effects to consider.

1. Lower Bone Density

Some research has found that a diet rich in acid-forming foods could increase the amount of calcium lost through the urine, leading to a decline in bone density and a higher risk of osteoporosis.

One study published in the journal Osteoporosis International out of Switzerland gave participants either an acidic or alkaline diet and showed that the acidic diet increased the amount of calcium excreted through the urine by 74 percent. Another study showed that men with low intake of calcium and a diet high in acidic foods were more likely to have lower bone mineral density.

The pH of milk is slightly acidic, but there are many other sources of calcium available to promote healthy bones and teeth. Vegetables like kale, broccoli and spinach are all good, non-dairy calcium-rich foods.

2. Exacerbate Acid Reflux

Acid reflux, also known as gastroesophageal reflux disease or GERD, is a condition in which acid from the stomach flows back up to the esophagus, causing symptoms like heartburn and chest pain.

When working correctly, the esophagus has a band of muscles known as the sphincters that close to prevent this back flow and keep acid in the stomach. However, with GERD, these esophageal sphincters are often weakened or damaged and unable to work efficiently.

Many acidic foods can contribute to acid reflux by relaxing the esophageal sphincter and allowing acid to splash up. Caffeinated drinks, alcohol and high-fat foods, for instance, are common triggers for acid reflux.

Meanwhile, alkaline foods, such as vegetables and non-citrus fruits, are considered foods that reduce stomach acid, which may help decrease symptoms. Additionally, balancing your pH to neutralize stomach acid, eating smaller meals and making healthy lifestyle changes can all alleviate acid reflux as well.

3. Can Cause Kidney Stones

The foods that you eat can have a big effect on the pH of your urine. When you eat more acidic foods, the pH of your urine is more likely to be acidic.

Eating lots of non-acid foods, on the other hand, is more likely to result in an alkaline pH.

Having an acidic pH in your urine increases the risk of developing uric acid or cystine kidney stones, which are small mineral deposits that form in your kidneys and often must be surgically removed or passed through the urinary tract.

When you have kidney stones, limiting your intake of acidic foods, such as animal proteins and soft drinks, may help.

Additionally, drinking more water, reducing your salt intake and avoiding foods rich in oxalate, an antinutrient that can contribute to kidney stone formation, may also help reduce your risk.

4. Contribute to Chronic Pain

Some acidic foods that cause inflammation could also contribute to chronic pain. In fact, acidosis has been linked to symptoms like muscle spasms, headaches and chronic back pain.

A study out of Germany supplemented 82 participants with chronic back pain with alkaline minerals. After four weeks, symptoms were reduced in 92 percent of participants.

Further research has found that a whole-foods, plant-based diet similar to the alkaline diet could help reduce symptoms of osteoarthritis.

Following a healthy diet, getting in plenty of physical activity and incorporating some natural painkillers into your daily routine could also help alleviate chronic pain.

5. Alter Hormone Levels

Research published in the European Journal of Nutrition out of the University of California shows that acidosis could lead to decreased levels of human growth hormone (HGH) in the blood. HGH is a hormone that is produced in the pituitary gland and is responsible for stimulating cell regeneration and growth.

A study published in the Journal of Clinical Investigation evaluated growth in a group of 10 children and infants with familial or idiopathic classic renal tubular acidosis. Alkali therapy was initiated at ages ranging from eight days to 9.5 years to evaluate the results on growth over four prolonged observation periods.

Six of the patients had stunted growth at the start of the study, while two were too young to have stunted growth and the other two were nonacidotic.

The researchers found that with sustained alkali therapy:

(a) each patient attained and maintained normal stature; (b) the mean height of the 10 patients increased from the 1.4+/-4 to the 37.0+/-33 percentile (of a normal age- and sex-matched population); (c) the mean height reached the 69th percentile in the eight patients whose heights could be analyzed according to parental prediction (Tanner technique); (d) the rate of growth increased two- to threefold, and normal heights were attained within 6 mo of initiating alkali therapy in the stunted infants and within 3 yr in the stunted children; (e) the height attained correlated inversely with the maximal possible duration of acidosis (before alkali therapy) only in those patients in whom alkali therapy was started after 6 mo of age, and not in those treated earlier.

In addition to promoting growth and proper development, growth hormone may also reduce heart disease risk factors, improve body composition, and enhance memory and cognition.

Healthy Alternatives

Following a low-acid diet can be as simple as making a few simple substitutes and trading out unhealthy ingredients for a few of the top alkaline foods instead.

Here are a few ideas for easy exchanges you can make to increase your intake of low-acid foods:

  • Swap out your soft drinks for alkaline water, and start your day with a refreshing green smoothie instead of coffee.
  • Try including a plant-based protein, such as beans or legumes, in your meal in place of meat a few times per week.
  • Sweeten up your foods using natural sweeteners like raw honey or maple syrup instead of artificial sweeteners.
  • Limit your intake of processed foods and instead focus on mostly unprocessed whole foods.
  • Opt for organic produce whenever possible, and look for grass-fed, free-range or wild-caught sources of beef, poultry and seafood.

Ready to revamp your recipe collection and start improving your health? They key is to look for recipes that are made up of mostly alkaline foods like fruits and vegetables with minimal amounts of acidic foods.

Here are some recipes that you can try at home:

Acidic food substitutes - Dr. Axe

Final Thoughts

  • Acidic foods are foods with a low/acidic pH that can decrease the pH of the urine.
  • Some research has found that regular consumption of acidic foods may contribute to kidney stones, low bone density, acid reflux, chronic pain and altered hormone levels.
  • A few ingredients on the acidic foods chart include alcohol, dairy products, processed cereals and artificial sweeteners, among others.
  • However, some high-acid foods are healthy and OK to include as part of a healthy, well-balanced diet, including oats, walnuts, eggs and meat.
  • Aim for minimal amounts of processed foods, and include plenty of fruits, vegetables and whole foods in your diet to help achieve better health and improve overall quality of life.
Josh Axe

Get FREE Access!


Free eBook to boost
metabolism & healing

30 Gluten-Free Recipes
& detox juicing guide

Shopping Guide &
premium newsletter

More Nutrition