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  • Decreasing Your Caffeine Intake

    IMAGE There are some conditions that may be improved if you decrease your caffeine intake. If your doctor suggests that you cut down on caffeine, here are some steps to help you do so.

    Here's Why:

    Caffeine is a mild stimulant. Many people drink coffee, tea, or soda for this effect—it helps them feel more awake and alert. However, this stimulant effect can also cause jitters, anxiety, and difficulty sleeping. Each person's tolerance to caffeine is different. As we age, we become more sensitive to the effects of caffeine.
    You may be advised to reduce your caffeine intake in certain situations. For example:
    • If you are pregnant or nursing—During pregnancy, you may be more sensitive to caffeine. Also, caffeine can pass through the placenta and breast milk to your baby.
    • If you have a specific medical problem such as high blood pressure, other risk factors for heart attack, gastritis, or ulcers, talk to your doctor about how caffeine affects you in order to determine if you need to cut back.

    Here's How:

    First, you will need to know all the possible sources of caffeine in your diet. The following table should help understand the caffeine content of different beverages. While chocolate does not contain caffeine, for some people the theobromines in chocolate have similar effects. We have also listed the caffeine equivalents for some chocolate products below.
    Common Sources of Caffeine Serving Size Average Caffeine Content (mg)
    Over-the-Counter Drugs
    NoDoz (maximum strength) 1 tablet 200
    Excedrin (extra strength) 2 tablets 130
    Coffee
    Coffee, brewed 16 ounces 133
    Espresso coffee 2 ounces 150
    Coffee, instant 8 ounces 148
    Decaffeinated 12 ounces 5
    Tea
    Arizona Iced Tea, black 16 ounces 30
    Black tea 8 ounces 30-80
    Soft Drinks
    Mountain Dew 12 ounces 54
    Dr. Pepper, regular or diet 12 ounces 41
    Colas 12 ounces 35
    7-UP or Diet 7-UP 12 ounces 0
    Energy Drinks
    Jolt Energy Drink 23.5 ounces 280
    5-hour Energy 1.9 ounces 208
    Monster Energy 16 ounces 160
    Red Bull 8.4 ounces 80
    Chocolate Products
    Hershey's Special Dark 1.5 ounce 20
    Hershey's chocolate bar 1.6 ounces 9
    Hot cocoa 1 tbs. 8

    Cut Back Gradually

    Some people experience headaches or drowsiness if they all remove sources of caffeine from their diet. Decreasing over a period of time can help prevent these effects. Try the following:
    • Mix half regular and half decaffeinated coffee
    • Drink instant coffee, which has less caffeine than regular coffee
    • Brew tea for a shorter time—a 1-minute brew contains about half of the caffeine that a 3-minute brew contains
    If you find that one of the above three methods of gradual cutting back works for you, then you can begin to:
    • Drink decaffeinated coffee or tea, which has almost no caffeine.
    • Drink herbal tea, which naturally has no caffeine.
    • Replace coffee, tea, and soda with water or juice.
    If you are trying to lose weight, then do not forget that juices and sugar-containing soft drinks may have more calories than some of the caffeinated beverages you are giving up.

    Read Labels

    You may be surprised at the caffeine content of your favorite beverages or of some of the over-the-counter products in your medicine cabinet. Be sure to check labels. Many sodas and other products come in caffeine-free forms, so look for these.

    RESOURCES

    American Heart Association http://www.heart.org

    International Food Information Council http://www.foodinsight.org

    CANADIAN RESOURCES

    Dietitians of Canada http://www.dietitians.ca

    Health Canada http://www.hc-sc.gc.ca

    References

    Caffeine. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated January 18, 2013. Accessed March 11, 2014.

    Caffeine and heart disease. American Heart Association website. Available at: http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/HealthyDietGoals/Caffeine-and-Heart-Disease%5FUCM%5F305888%5FArticle.jsp. Updated February 21, 2012. Accessed March 11, 2014.

    Caffeine content of food & drugs. Center for Science in the Public Interest website. Available at: http://www.cspinet.org/new/cafchart.htm. Updated December 2012. Accessed March 11, 2014.

    Cornelis MC, El-Sohemy A, Kabagambe EK, Campos H. Coffee, CYP1A2 genotype, and risk of myocardial infarction. JAMA. 2006;295(10):1135-1141.

    Lopez-Garcia E, van Dam RM, Willett WC, et al. Coffee consumption and coronary heart disease in men and women: a prospective cohort study. Circulation. 2006;113(17):2045-2053.

    Neurodegenerative disorders: coffee and age-related cognitive decline. Coffee & Health website. Available at: http://www.coffeeandhealth.org/coffee-and-health-topics/coffee-consumption-and-neurodegenerative-disorders/coffee-and-age-related-cognitive-decline/. Accessed March 11, 2014.

    ST-elevation myocardial infarction (STEMI). EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated February 11, 2014. Accessed March 11, 2014.

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