Sauerkraut is a winter classic of the Ukrainian table, but behind its pleasant sourness lie not only benefits for the immune system and intestines, but also unexpected risks. Nutritionists explained how the fermented product affects the body, who it will help and who it can harm.
With the onset of cold weather, jars of pickles return to the daily diet of millions of Ukrainians, and sauerkraut is an undisputed favorite among them. The product, born from the simple formula of "salt + cabbage + fermentation", has long gone beyond traditions and has become the focus of nutritionists, cardiologists, and nutritionists.
Fermentation makes cabbage not only savory, but also functional. The process produces lactic acid bacteria – the same probiotics that strengthen the intestinal microbiome, reduce inflammation and aid digestion. “A healthy gut is the foundation of a strong immune system,” explains nutritionist Chris Morch, emphasizing that fermented foods boost the body’s defenses just as much as trendy dietary supplements.
The benefits aren’t limited to digestion. Sauerkraut contains vitamin C, a natural immune booster, as well as vitamin K2, which, according to cardio-dietitian Michelle Rautenstein, directs calcium into the bones, not the blood vessels. This means a stronger skeleton and a lower risk of vascular calcification. Add to that a daily serving of fiber and you’ll get better bowel movements, more stable blood sugar levels, and a longer feeling of satiety.
There are also less obvious bonuses. The moderate amount of sodium in sauerkraut can help people who exercise vigorously or sweat a lot maintain electrolyte balance. And thanks to the gut-brain axis, the fermented product can even affect mood and concentration, reducing stress.
However, there is a downside. The main risk is excess salt. According to the American Heart Association, the daily sodium intake should not exceed 1,500–2,300 mg, and sauerkraut easily pushes you to this limit. This can cause blood pressure spikes, fluid retention, and swelling. In addition, for people with sensitive gastrointestinal tracts, the first servings may “respond” with bloating, cramps, or discomfort. Doctors advise starting small to give your intestines time to adapt.
Experts agree on one thing: sauerkraut is a powerful product with a real impact on the body. But this power works for good only when you know the measure. Regularity – yes, uncontrolled – no. And although sauerkraut will not replace a full-fledged diet, it can become its most valuable winter component.

