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Fact: Proanthocyanidins are thought to be the active ingredient in cranberries that helps prevent UTI-causing bacteria from adhering to the cells that line the urinary tract. A 2012 systematic review of 24 studies concluded that cranberry's preventative role is less effective than previously found in a 2008 review, although some small studies demonstrated a limited benefit for women with recurrent UTIs.
Current research does not clarify whether drinking cranberry juice or taking a cranberry extract supplement is more beneficial or what the most effective dose of either alternative is. If you're considering trying cranberry juice to prevent a UTI, it is best to use 100% pure cranberry juice, which is costly, can be hard to find and may taste unpalatable to some people. Cranberry juice cocktail contains more water and sugar and is typically a blend of other less expensive juices so it has a much smaller amount of proanthocyanidins. If you are considering taking a cranberry extract supplement, check the label for a Natural Product Number (NPN) or a Drug Identification Number (DIN). This means the product is regulated and approved for sale in Canada. Cranberry juice and cranberry extract capsules interact with some medications so check with a pharmacist or your physician before taking either for UTI prevention.
Cranberry products are not effective for treating existing urinary tract infections. If you think you have a UTI, contact your healthcare provider for assessment and treatment.
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The University of Waterloo acknowledges that much of our work takes place on the traditional territory of the Neutral, Anishinaabeg and Haudenosaunee peoples. Our main campus is situated on the Haldimand Tract, the land granted to the Six Nations that includes six miles on each side of the Grand River. Our active work toward reconciliation takes place across our campuses through research, learning, teaching, and community building, and is co-ordinated within the Office of Indigenous Relations.