Additive blood sugar lowering
Cassia cinnamon contains coumarin compounds; may interact
Coumarin in cassia is hepatotoxic at high doses; additive liver stress
Coumarin is metabolized via CYP2A6; competition possible
Cassia cinnamon (most common type sold) contains 1-10mg coumarin per gram. The European Food Safety Authority tolerable daily intake is 0.1mg/kg. For a 70kg adult, that's 7mg — easily exceeded with 2-3g of cassia cinnamon daily. Chronic coumarin exposure causes hepatotoxicity (PMID: 20024932). Ceylon (true) cinnamon contains negligible coumarin (<0.01mg/g) and is safe at higher doses.
Not Prohibited
Allen RW et al. Cinnamon use in type 2 diabetes: an updated systematic review and meta-analysis.
Abraham K et al. Toxicology and risk assessment of coumarin.
Khan A et al. Cinnamon improves glucose and lipids in people with type 2 diabetes.
Independently graded against 173,636 indexed supplements with 177 published clinical interactions, sourced from PubMed, FDA CAERS, openFDA, and NIH DSLD | Last updated: April 2026
Not medical advice. Based on published clinical research and systematic reviews.