Mostly false Certainty of evidence: low provisional C-VEG-08

Nitrate from fertilisers (together with pesticides) in lettuce, rocket and other leaves harms the people who eat them.

Conclusion: For adults, vegetable nitrate is not shown to be harmful and may lower blood pressure.

Original statement

شويه نترات في اسمده شويه مبيدات حضرتك بيخشوا لك مع الخص والجرجير مع الكونروف مع الورق مع البتاع

verbatim according to source. Translation by the project; the Arabic wording is authoritative.

Translation

Nitrate from fertilisers (together with pesticides) in lettuce, rocket and other leaves harms the people who eat them.

Origin

Source status
Video transcript (own words)
Attribution
Elawady (machine transcript)
Video
Dr Diaa Al Awady د ضياء العوضي is live! شريحة في الدماغ (Open source)
Published
1 February 2026
Timestamp
0:58:14 (location in the original video’s automatic YouTube caption track; confirms where the words occur, not who speaks)
Attribution uncertainty
Archive transcript (YouTube captions or AI-generated); wording may contain transcription errors; no timestamps available.
Claimed mechanism

Fertiliser nitrate accumulates in leaves.

Claimed health effect

Toxic effects, methaemoglobinaemia ('green man').

Population concerned

Everyone

Geographic restriction by Elawady

none found

Diverging source versions

Source status
Archive editors
Attribution
Archive editors
Origin
https://eltayebat.com/rule/leafy-greens-cucurbits/
Attribution uncertainty
Archive editorial text and study selection written by the archive operators, not necessarily by Elawady.

Scientific assessment

Mostly false – Essential parts of the statement are not supported by the evidence or are strongly exaggerated.

Certainty of evidence: low – Further research is likely to change the assessment considerably.

1. What was claimed?

Fertiliser nitrate in greens harms consumers.

2. What is demonstrably correct?

Leafy greens such as rocket, lettuce and spinach accumulate nitrate, influenced by fertilisation and light; nitrite/nitrate poisoning causing methaemoglobinaemia exists (mainly from contaminated water or infant feeding).

3. What is wrong or exaggerated?

For adults, vegetable nitrate is converted to nitric oxide and lowers blood pressure in trials (Siervo 2013). The EU regulates maximum levels; exceeding a limit is not the same as harm.

4. What remains unclear?

Long-term effects of high vegetable nitrate intake on hard outcomes are not established in RCTs.

5. Which studies support it?

None for adults.

6. Which studies contradict it?

Siervo 2013; Aune 2017 (green leafy vegetables inversely associated with CVD).

7. What applies to Germany and Europe?

Regulated by EU Reg. 2023/915.

8. What is known about Egypt?

Egyptian nitrate monitoring data were not found.

9. What practical conclusion is appropriate?

Normal consumption of leafy greens is not a nitrate risk for adults; infants are a special case.

Assessment details

Rationale for certainty of evidence

For adults, RCTs show that dietary nitrate lowers systolic blood pressure (-4.4 mm Hg, short-term trials); nitrate levels in leafy vegetables are regulated in the EU. Long-term outcome data and the debate about nitrosamine formation (mainly from processed meat) keep certainty low.

Source quality

Machine transcript; mixes fertiliser nitrate, pesticides and a clinical case of nitrite poisoning.

Regional transferability

EU maximum levels exist (e.g. fresh spinach 3,500 mg/kg; rocket 6,000-7,000 mg/kg; lettuce 2,000-5,000 mg/kg depending on type and season). Egyptian levels were not reviewed.

Individual exceptions

Young infants (see C-VEG-07).

Regional scope of the claim
general (biological/medical)
Last reviewed
25 October 2026 provisional

In plain language

Elawady said that fertiliser nitrates and pesticides enter the body with lettuce and rocket. Leafy vegetables do contain nitrate, and the EU sets limits for it. In adults, nitrate from vegetables is turned into a substance that relaxes blood vessels, and trials show a small drop in blood pressure. The real risk applies to very young babies.

Studies on this claim

Studies supporting the claim (0)

No studies in this group.

Studies contradicting or limiting the claim (3)

  • Dietary nitrate and blood pressure

    Siervo M et al.. J Nutr 2013 · PMID 23596162 · DOI 10.3945/jn.112.170233
    Meta-analysisindependent cross-checkabstract only checked★ key study

    Nitrate from beetroot juice lowered systolic blood pressure by about 4 mm Hg in short trials.

    Does the study support the specific claim? No · Methodological quality: moderate · Certainty of evidence: see overall assessment of the claim

    Original publication · Scientific details

    Study explained simply
    What did the researchers want to find out?

    Nitrate and BP

    How was the study done?

    Meta-analysis of RCTs

    How many people, animals or samples were studied?

    254

    What was actually found?

    Lower systolic BP

    How large was the observed effect?

    -4.4 mm Hg

    What do the results mean in everyday life?

    Vegetable nitrate may benefit BP.

    What are the study's limitations?

    Short

    What does it say about Elawady's specific claim?

    Contradicts harm claim

    Do the results apply to Germany and Europe?

    High

    What can explicitly not be concluded from this study?

    Cannot show long-term outcomes.

    Scientific details →

  • EU nitrate limits for leafy vegetables

    European Commission. Official document 2023
    Guideline / position statementindependent cross-checkfull text checked★ key study

    The EU caps nitrate in spinach, lettuce and rocket and sets a much lower limit for baby food.

    Does the study support the specific claim? No · Methodological quality: moderate · Certainty of evidence: see overall assessment of the claim

    Original publication · Scientific details

    Study explained simply
    What did the researchers want to find out?

    Set limits

    How was the study done?

    Regulation

    How many people, animals or samples were studied?

    Not applicable

    What was actually found?

    Limits per product

    How large was the observed effect?

    Not applicable

    What do the results mean in everyday life?

    Nitrate in EU greens is controlled.

    What are the study's limitations?

    Limits are not health thresholds per se

    What does it say about Elawady's specific claim?

    Regulatory context

    Do the results apply to Germany and Europe?

    High

    What can explicitly not be concluded from this study?

    Cannot show harm or safety at individual level.

    Scientific details →

  • Fruit, vegetables and death rates

    Aune D et al.. Int J Epidemiol 2017 · PMID 28338764 · DOI 10.1093/ije/dyw319
    Meta-analysisindependent cross-checkfull text checked★ key study

    Each extra 200 g of fruit and vegetables a day was linked to 10% lower death risk; green leafy vegetables and salads were also protective.

    Does the study support the specific claim? No · Methodological quality: high · Certainty of evidence: see overall assessment of the claim

    Original publication · Scientific details

    Study explained simply
    What did the researchers want to find out?

    F&V and outcomes

    How was the study done?

    Meta-analysis

    How many people, animals or samples were studied?

    95 studies

    What was actually found?

    Lower CVD, cancer, mortality

    How large was the observed effect?

    RR 0.90 per 200 g

    What do the results mean in everyday life?

    Eat plenty of vegetables.

    What are the study's limitations?

    Observational

    What does it say about Elawady's specific claim?

    Contradicts avoidance

    Do the results apply to Germany and Europe?

    High

    What can explicitly not be concluded from this study?

    Cannot prove causation.

    Scientific details →

Studies with mixed or unclear results (1)

  • Courgette soup poisoning in two babies

    Savino F et al.. Ann Nutr Metab 2006 · PMID 16809905 · DOI 10.1159/000094301
    Case series / case reportcited by the Tayebat archiveabstract only checked

    Two infants under 3 months developed methaemoglobinaemia from concentrated courgette soup.

    Does the study support the specific claim? Partly · Methodological quality: low · Certainty of evidence: see overall assessment of the claim

    Original publication · Scientific details

    Study explained simply
    What did the researchers want to find out?

    Report cases

    How was the study done?

    Case report

    How many people, animals or samples were studied?

    2 infants

    What was actually found?

    Methaemoglobinaemia

    How large was the observed effect?

    30.4% and 27%

    What do the results mean in everyday life?

    Don't give vegetable broths to young infants.

    What are the study's limitations?

    Two cases

    What does it say about Elawady's specific claim?

    Infant-specific

    Do the results apply to Germany and Europe?

    High

    What can explicitly not be concluded from this study?

    Cannot show harm in adults.

    Scientific details →

Regional context

Germany / EU

Regulated by EU Reg. 2023/915.

Egypt

Egyptian nitrate monitoring data were not found.

What applies in my country?

General scientific assessment

Mostly false For adults, vegetable nitrate is not shown to be harmful and may lower blood pressure.

The following areas of food safety are relevant to this statement:

  • Pesticides and pesticide residues
  • Veterinary medicines and antibiotics
  • Hormonal growth promoters
  • Contaminants (heavy metals, PFAS, PCBs, dioxins, nitrate)
  • Pathogens (Salmonella, Campylobacter, etc.)

Eggs · Poultry · Dairy · Fish and seafood · Red meat · Fruit and vegetables

Choose a country to see the checked information for it.

Limits: legal rules describe what is allowed, not what every single food contains. Measurement data come from samples and are meaningful only together with their method details.

Country of residence or purchase Compare with another country

References

  1. Inorganic nitrate and beetroot juice supplementation reduces blood pressure in adults: a systematic review and meta-analysis.. Siervo M et al.. J Nutr 2013 · PMID 23596162 · DOI 10.3945/jn.112.170233
  2. Commission Regulation (EU) 2023/915 on maximum levels for certain contaminants in food (Annex I, section 6.1 Nitrates). European Commission. Official document 2023
  3. Fruit and vegetable intake and the risk of cardiovascular disease, total cancer and all-cause mortality-a systematic review and dose-response meta-analysis of prospective studies.. Aune D et al.. Int J Epidemiol 2017 · PMID 28338764 · DOI 10.1093/ije/dyw319
  4. Methemoglobinemia caused by the ingestion of courgette soup given in order to resolve constipation in two formula-fed infants.. Savino F et al.. Ann Nutr Metab 2006 · PMID 16809905 · DOI 10.1159/000094301

← Back to overview