
Kann Kombucha Ihre Gesundheit fördern?
Begutachtet von Dr Colin Tidy, MRCGPZuletzt aktualisiert von Victoria RawLast updated 11. März 2026
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Kombucha – einst ein Nischen-Health-Drink – ist dank seiner einzigartigen Kombination aus Hydratation, Geschmack und Sprudel zu einem festen Bestandteil des Mainstreams geworden. Doch jenseits seines unverwechselbaren Geschmacks, erfahren Sie, ob die gesundheitlichen Vorteile von Kombucha seinem Ruf gerecht werden.
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What is kombucha?
Kombucha is a fermented drink made from sweetened black or green tea. It's produced by fermenting the tea with a symbiotic culture of bacteria and yeast (SCOBY). The fermentation process gives kombucha its characteristic slight fizz and tangy flavour. It can also be enhanced with fruit juice or spices.
The fermentation process of kombucha involves several steps:
Black or green tea leaves are steeped in hot water - then sugar is added.
The mixture is introduced to bacteria and yeast and left to ferment at room temperature for 1-2 weeks.
During fermentation, the bacteria and yeast produce a cellulose layer on the surface.
The resulting fermented liquid is the kombucha tea that we drink.
What are the health benefits of kombucha?
Kombucha contains a range of potential health-promoting compounds produced during fermentation, including the following.
Organic acids
Antimicrobial: The organic acids found in kombucha may have germ-fighting properties that could help you sleep.
Detoxifying: Some may also help cleanse your liver.
Antioxidant: Powerful antioxidants (polyphenols) might guard against various illnesses - for example, heart disease. Green tea kombucha is higher in antioxidants than black.
Vitamins and electrolytes
Kombucha also has B vitamins, linked to healthy ageing, mood, memory and reducing your chance of stroke or obesity. It contains some vitamin C - another antioxidant - which may help lower stress hormones (cortisol).
Probiotika
Kombucha is a fermented tea which means it's full of friendly microbes that feed the good bacteria in your gut. These good bacteria improve tummy health, boost immunity and regulate nutrient absorption and bodily functions.
Fitness and nutrition advisor Dr Chris Mohr, former Sports Nutritionist for the US football team Cincinnati Bengals and University of Massachusetts Athletic Program says that kombucha may provide benefits similar to other fermentierte Lebensmittel - such as improving digestion and boosting immunity.
"The probiotics found in kombucha can help maintain a healthy gut, which is good for people with conditions such as Reizdarmsyndrom (IBS)," he adds. "The antioxidants in kombucha might also support liver health."
However, Mohr warns that kombucha should not be used as a treatment for specific medical conditions.
"While some kombucha drinks have ingredients with potential benefits, the actual health impact - and the amounts needed - requires more scientific research to confirm these claims," he notes. "The probiotic content of kombucha can also vary - depending on the fermentation process.
"Alternative fermented foods, such as plain yoghurt - especially varieties labelled with 'live and active cultures' - are a more reliable source of probiotics."
Does kombucha have caffeine in it?
Zurück zum InhaltKombucha contains caffeine - but in much smaller amounts than coffee or tea.
Dr Raj Dasgupta, ABIM quadruple board-certified physician says that kombucha has some caffeine in it because it's brewed from tea - which naturally contains caffeine.
"The exact amount can vary based on the type of tea used and how it's brewed," he explains. "If you're keeping an eye on your caffeine intake, it's worth checking the label or asking about the tea base when choosing kombucha."
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Is kombucha alcohol-free?
Zurück zum InhaltKombucha makes small amounts of alcohol during fermentation - usually less than 0.5%. The longer the kombucha ferments, the higher the alcohol content becomes. Dasgupta explains that shop-bought versions are generally safe, though there may be a slight chance of harmful bacteria if it hasn't been brewed or stored correctly. Only buy kombucha from trustworthy sources.
Are there any side effects to drinking kombucha?
Zurück zum InhaltKombucha's potential health benefits continue to be explored. The acids in kombucha may help friendly gut bacteria growth. But contamination during fermentation might cause additional health conditions such as an imbalance of acid in your body (metabolic acidosis). Kombucha's high acidic levels could also damage the enamel in your teeth, which could lead to tooth decay.
Mohr advises: "Moderation is important when it comes to kombucha - especially if you’re new to drinking it. Start with small servings to lower the chance of harmful effects such as bloating or digestive issues."
Dasgupta adds that - for most people - drinking up to one can of kombucha a day is generally considered safe. However, tolerances may vary from person to person.
Heart disease management and prevention specialist, Michelle Routhenstein, Entirely Nourished, says that people with compromised immune systems or sensitivity to caffeine should use caution when consuming kombucha.
If you are pregnant you should not drink kombucha as the acid, alcohol, and caffeine content - along with the fact it's unpasteurised - could harm your baby. Those contents mean children should not drink kombucha either.
Kombucha's sudden rise in popularity could also lead to safety issues. Poor-quality ingredients, improper containers, and unhygienic fermentation create a chance of toxin contamination. To ensure safety and quality, health organisations should set legal guidelines for production methods, ingredients, and quality control.
Dasgupta warns that if you're pregnant or breastfeeding, have a compromised immune system, or deal with severe acid reflux, stomach ulcers or alcohol sensitivity, it's a good idea to talk to your doctor before trying kombucha.
"Its fermentation process and ingredients could pose risks for these people," he explains.
He adds that kombucha could also interact with certain medicines. This is due to the presence of certain by-products formed during the fermentation process. These by-products could affect how your medicines are absorbed or metabolised in your body.
Mohr says: "If you're taking any medicines - particularly for diabetes, liver or kidney issues - it's best to avoid drinking kombucha."
While safe to drink in moderate doses, kombucha's health benefits lack strong scientific backing. Enjoy it as a refreshing drink, but don't expect it to be a cure-all. Check labels for caffeine and alcohol content, and remember, more research is needed to confirm its health claims.
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About the authorView full bio

Victoria Raw
Feature-Autorin
BA (Hons), Englische Literatur
Victoria is a content writer with Patient whose special interests focus on mental wellbeing, societal trends and the impact of technology on our health.
About the reviewerView full bio

Dr Colin Tidy, MRCGP
Allgemeinmediziner, Medizinischer Autor
MBBS, MRCGP, MRCP (Paediatrics), DCH
Dr. Colin Tidy ist ein NHS-Arzt mit Sitz in Oxfordshire.
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11. März 2026 | Neueste Version
28. Juli 2024 | Ursprünglich veröffentlicht
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