11 Surprising Ways Slippery Elm Can Level Up Your Health

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After years of using natural remedies in my functional medicine practice, I have developed a few go-to remedies that I often call upon to aid my patients again and again. Slippery elm is one of them! Plants like this have been used as powerful natural remedies since humans first discovered that they were good for more than just food.

Once known only to those who studied herbal medicines, today, we can easily access information on which herbs to take for which problems. Let's explore the impressive benefits of slippery elm and how it can enhance your health.

What Is Slippery Elm?

Slippery elm, scientifically known as Ulmus rubra and commonly referred to as Red Elm or Indian Elm, is a native North American tree. It can live for up to 200 years and is mainly found growing in northern Florida, westward to eastern Texas, southeast North Dakota, and even parts of Canada.

The slippery elm tree thrives in moist soil and can reach up to 50 feet in height. Its most distinctive feature is its “slippery,” gummy-textured inner bark, which has a sweet, almost maple-like smell.

This inner bark has medicinal properties and is commonly dried and powdered for use in teas and natural supplements. (1) Native Americans began using the bark of the Red Elm tree as a remedy in the 19th century, likely to help with digestion.

What makes slippery elm a standout in this arena is the substance it contains known as mucilage. When mixed with water, the mucilage forms a thick gel that coats the throat and the intestinal lining, making it a perfect remedy for symptoms of chronic gastrointestinal problems such as leaky gut syndrome, ulcerative colitis, Crohn’s disease, and irritable bowel syndrome (IBS).

Slippery elm can also be helpful for colds that cause a sore throat because it eases throat pain. It is also full of bioflavonoids, starch, tannins, calcium, and vitamin E, each with its own useful properties.

The use of slippery elm as a complementary herbal remedy extends to various digestive health issues and is a key ingredient in Gut Feelings, an herbal supplement duo I personally designed to support the brain-gut connection effectively.

13 Impressive Benefits

Slippery elm is known for its versatility in treating so many health issues. Here are 13 benefits of incorporating this powerful herb into your wellness routine:

1. Respiratory Problems

Thanks to its mucilage content that soothes and coats the throat, slippery elm is a widely used ingredient in cough drops and lozenges meant to relieve throat pain. It can also be used as an antitussive to suppress coughing and ease symptoms of laryngitis, asthma, and other upper respiratory problems.

2. Digestive Issues

Slippery elm is a known demulcent (meaning it forms a protective film that reduces irritation) due to its mucilage content and ability to reduce inflammation in the gut.

It can ease symptoms of digestive problems like IBS and stimulate nerve endings in the gastrointestinal tract to increase mucous secretion. This increase may also help protect against stomach ulcers.

Plus, since it’s high in both soluble and insoluble fiber, slippery elm is considered a prebiotic and producer of beneficial short-chain fatty acids (SCFAs). In other words, it can help support a healthy microbiome by giving beneficial microbes their favorite food — and we all know how important that is.

Its high fiber content also makes slippery elm a great natural laxative. So, if you’re going to add this to your wellness routine and aren’t dealing with constipation, keep it in moderation!

Read Next: Causes Of Leaky Gut

3. Psoriasis

A preliminary study has shown that supplementing with slippery elm benefits the rashes and scaly dry patches caused by psoriasis. (2)

In one small-scale investigation, researchers followed 5 people with psoriasis who improved their diets and drank slippery elm bark water daily. Every patient showed significant improvement in their symptoms afterward.

4. De-Stressor

The phenolic compounds in slippery elm can protect against the effects of stress. (3) Research has shown that adding slippery elm and other high-phenolic herbs to the diet is a great way to relieve both stress and anxiety.

LISTEN: The Rising Anxiety Epidemic + How To Calm Your Mind With Food | Dr. Uma Naidoo

5. Heartburn, Acid Reflux, And GERD

Heartburn, acid reflux, and gastroesophageal reflux disease (GERD) can occur when stomach acid creeps back up into the esophagus. Slippery elm mucilage coats the esophagus and eases symptoms by protecting it from stomach acid.

When using slippery elm for GERD, acid reflux, or heartburn, it is best to take it right after meals. Mixing 1-2 tablespoons of slippery elm powder in a glass of water or tea after meals and before bed (up to a total of three times throughout the day) can help manage these conditions.

Make sure not to use too much powder in proportion to liquid – if there is too much powder, you may have trouble ingesting it. You can also add some honey or sweetener to make it taste a little better.

6. Wound And Burn Healing

Due to its high mineral and antioxidant content, slippery elm is perfect for salves and other topical remedies for treating burns and other wounds. Its dried mucilage can act like a bandage, providing added protection for wounds so they can heal. (4) Slippery elm poultices have been used historically for their soothing properties on the skin.

7. Detoxifier

Slippery elm promotes detoxification via its natural laxative effect and acts as a mild diuretic, helping flush out toxins. It's a common ingredient in many natural liver detox products.

8. Blood Sugar Regulation

High-fiber diets are key for regulating blood sugar and managing your risk for developing diabetes. Slippery elm, high in both soluble and insoluble fiber, can be a helpful addition to the diet of anyone looking to stabilize their blood sugar.

Scientific evidence suggests that mucilage similar to what’s found in slippery elm can be beneficial for maintaining blood sugar levels. (5) However, approach this topic with caution — slippery elm, specifically, has not been studied for its direct impact on blood sugar management.

9. Anti-Aging

The antioxidants in slippery elm fight free radical damage, which is a major contributor to the aging process. (4) These antioxidants help reduce wrinkles and other signs of aging by protecting the skin cells from oxidative stress.

10. Immune Support

The bioflavonoids and other nutrients in slippery elm support the immune system, making it a good supplement during cold and flu season. Vitamin C and other antioxidants in slippery elm may help boost the body's defense mechanisms.

11. Inflammation Reduction

Slippery elm's anti-inflammatory properties reduce inflammation throughout the body, whether in the digestive tract, skin, or other tissues. This benefits conditions like arthritis and inflammatory bowel disease (IBD). (6)

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Who Should Not Take Slippery Elm?

Slippery elm is generally safe for most people. However, its mucilage content could decrease medication absorption.

Pregnant or breastfeeding women, people taking medications (especially blood thinners, antibiotics, or diabetes medications), and those with allergies to elm trees should consult a healthcare professional before using slippery elm.

In rare cases, slippery elm can cause mild gastrointestinal issues such as nausea or diarrhea, particularly if taken in large amounts. It’s best to start with a small dose to see how your body reacts before increasing it.

According to traditional Chinese medicine, slippery elm is considered a "damp" herb. Those with conditions involving excess dampness, such as yeast infections or bloating, should use caution and consult a qualified practitioner before using it.

Always seek medical advice before incorporating new herbal supplements into your routine to ensure they are appropriate for your specific health conditions.

My Favorite Ways To Use It

You can find slippery elm in many forms, including tea, lozenges, powder, tablets, and supplements. To avoid toxins, choose organic versions whenever possible.

My favorite way to use slippery elm is in tea, as it’s easy to sip throughout the day. Slippery elm, a tree native to North America, also pairs well with other natural products and herbal remedies like licorice for enhanced health benefits. Here are my top go-to recipes:

Slippery Elm Tea

Ingredients

  • 1 cup water
  • 1 tablespoon slippery elm powder
  • Manuka honey to taste

Directions

  1. Boil water in a kettle.
  2. Pour the hot water into a mug.
  3. Stir in slippery elm powder and honey.

Slippery Elm Cough Drops

Ingredients

  • 1½ cups of water
  • 1 handful dried slippery elm
  • Manuka honey to taste

Directions

  1. Place dried slippery elm in a fine mesh bag.
  2. In a large pot, bring water to a boil.
  3. Turn off the stove, add the mesh bag, cover, and let steep for 20 to 30 minutes.
  4. Remove the mesh bag, add honey, and heat until it reaches 300°F.
  5. Pour into small candy molds, let cool, and store in a sealed container.

As one of the first functional medicine telehealth clinics in the world, we provide webcam health consultations for people around the globe.

Read Next: How To Heal Your Gut: A Functional Medicine Guide To Restoring Microbiome Health

FAQs

Yes, slippery elm can be taken daily, but it's best to consult a healthcare provider if you plan on using it long-term.

Yes, you can take slippery elm and a probiotic together. Slippery elm’s prebiotic properties may even enhance the effectiveness of probiotics.

Slippery elm’s mucilage can coat the digestive tract for a few hours. The exact duration depends on the person’s metabolism and digestion.

The side effects of slippery elm can include reduced medication absorption due to its mucilage content, potential allergic reactions, and possible gastrointestinal issues such as nausea or diarrhea.

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  1. Gilmore, MR (1919). Slippery elm inner bark ulmus rubra muhl: Standards of analysis, quality control, and therapeutics. American Herbal Pharmacopoeia, 126.
  2. Brown, A. C., Hairfield, M., Richards, D. G., McMillin, D. L., Mein, E. A., & Nelson, C. D. (2004). Medical nutrition therapy as a potential complementary treatment for psoriasis-five case reports. Alternative Medicine Review, 9(3), 297-307.
  3. Bhattacharya, A., Sood, P., & Citovsky, V. (2010). The roles of plant phenolics in defence and communication during Agrobacterium and Rhizobium infection. Molecular plant pathology, 11(5), 705-719.
  4. Shenefelt, P. D. (2012). Herbal treatment for dermatologic disorders.
  5. Uddin Zim, A. I., Khatun, J., Khan, M. F., Hossain, M. A., & Haque, M. M. (2021). Evaluation of in vitro antioxidant activity of okra mucilage and its antidiabetic and antihyperlipidemic effect in alloxan‐induced diabetic mice. Food Science & Nutrition, 9(12), 6854-6865.
  6. Joo, Y. E. (2014). Natural product-derived drugs for the treatment of inflammatory bowel diseases. Intestinal Research, 12(2), 103.

The information on this website has not been evaluated by the Food & Drug Administration or any other medical body. We do not aim to diagnose, treat, cure or prevent any illness or disease. Information is shared for educational purposes only. You must consult your doctor before acting on any content on this website, especially if you are pregnant, nursing, taking medication, or have a medical condition.

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BY DR. WILL COLE

Evidence-based reviewed article

Dr. Will Cole, DNM, IFMCP, DC is a leading functional medicine expert who consults people around the globe, starting one of the first functional medicine telehealth centers in the world. Named one of the top 50 functional and integrative doctors in the nation, Dr. Will Cole provides a functional medicine approach for thyroid issues, autoimmune conditions, hormonal imbalances, digestive disorders, and brain problems. He is also the host of the popular The Art of Being Well podcast and the New York Times bestselling author of Intuitive Fasting, Ketotarian, Gut Feelings, and The Inflammation Spectrum.

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