Yoga guide

Yoga for detox: what your liver and kidneys already do, what detox claims get wrong, what yoga can do, the evidence, and the classes

Yoga doesn't detox your body, and it doesn't need to: your liver and kidneys clear waste and toxins all day, and no study has found a pose, a twist or a hot room that helps them do it. Sweat is mostly water and salt, and twists don't wring out your organs. What yoga can do is honest and useful: get you moving, build strength, and help you rest and sleep, which is much of what people want from a detox.

This guide explains what your liver and kidneys already do, what detox claims get wrong, twists, sweating and hot yoga, what really helps your liver and kidneys, when detox teas, fasts and supplements can do harm, the warning signs that need a doctor rather than a cleanse, and the classes that count towards your weekly activity.

The short version

Your body detoxes itself, all day

Liver UK: "The liver and kidneys are detox experts. Together they remove toxins from the blood and send them out of the body when you go to the loo." Your kidneys filter about 150 quarts (about 140 litres) of blood a day into 1 to 2 quarts of urine. The British Dietetic Association: "The whole idea of detox is nonsense."

Sources 1, 2, 3

No study shows yoga removes toxins

We found 33 records on yoga and detoxification, and none measured toxins leaving the body. For detox diets in general, a critical review found very little evidence and no randomised trials of commercial detox diets.

Sources 4, 5

Twists and sweat don't clear toxins

No study has tested twists on digestion, the liver or detox, and during exercise blood flow to the kidneys falls rather than being flushed. Sweat is mostly water and salt, and its role in removing waste looks minor next to the kidneys and gut, though that rests mainly on one review whose author works for a sports-drink company's research institute.

Sources 6, 7, 8

What helps your liver and kidneys is ordinary

The NHS lists obesity, hepatitis and alcohol as the main causes of liver disease, and high blood pressure and diabetes as the commonest causes of kidney disease. In fatty liver, exercise lowered liver fat even without weight loss: about 150 minutes a week of brisk walking made a meaningful fall 3.5 times as likely (14 trials, 551 people).

Sources 9, 10, 11

Yoga's honest place: movement, strength and rest

Brisk flowing yoga and strength poses count towards the guidelines of 150 minutes of moderate activity a week and strength work on at least 2 days; gentle classes are light activity, so walk or cycle as well. Liver experts are unsure where yoga fits: "The appropriateness of other types of physical activity including yoga and Pilates remains uncertain."

Sources 12, 13, 14

Detox products and fasts can do harm, and some signs need a doctor

Detox teas work "by acting as a laxative, which is not without risk", and herbal and dietary supplements caused 15.5% of liver injuries in a US network. Yellow skin or eyes need urgent medical help, not a cleanse; the warning signs below have the rest.

Sources 3, 15, 16

What your liver and kidneys already do

Two meanings of detox

In medicine, detoxification is the body's own processing of waste, and the supervised treatment of poisoning or of withdrawal from alcohol or drugs. In the wellness sense, a detox or cleanse is a diet, juice fast, supplement, tea, colon cleanse, sauna or yoga sequence said to remove unnamed toxins. Detox diets "tend to last anything from one day to around a month", the dietitians say. This page answers the wellness question; alcohol and drug detox is medical care, and our yoga for addiction recovery guide covers where yoga fits.

Sources 17, 3

Your liver

Liver UK: "The liver has over 500 jobs." It stores energy, vitamins and iron, helps fight infection, makes the proteins that clot blood and, with the kidneys, removes toxins. "At any time, more than a pint of your blood will be passing through your liver." It breaks down about 90% of the alcohol you drink.

Sources 1, 8

Your kidneys

Each kidney has about a million tiny filters. Together they filter "about a half cup of blood every minute", about 150 quarts a day, of which only 1 to 2 quarts become urine. They remove waste and extra water, keep salts, minerals and acid in balance, and help control blood pressure and make red blood cells.

Source 2

Your gut, lungs and skin

Heavy metals leave the body mainly in poo, and a little alcohol leaves in your breath. Sweating cools you; sweat is mostly water and salt, with small amounts of other substances, and the waste products lost in it are "insignificant compared with elimination rates through the kidneys". Bisphenol A, a plastics chemical often measured in sweat studies, mostly leaves in urine within 5 to 7 hours.

Source 8

What actually strains the liver and kidneys

For the liver, the NHS's 3 main causes are obesity, an undiagnosed hepatitis infection and alcohol misuse. For the kidneys: high blood pressure, diabetes, high cholesterol, infections, inherited cysts, blockages and long-term use of some medicines, such as anti-inflammatory painkillers. Dehydration, low blood pressure, infections and some medicines can cause sudden kidney injury, and herbal and dietary supplements are a growing cause of liver injury. None of these is a build-up of toxins that a pose or a fast could clear.

Sources 9, 10, 18, 15

Early disease is silent

The NHS: "Most types of liver disease do not cause any symptoms in the early stages." and "There are usually no symptoms of kidney disease in the early stages." Feeling sluggish or bloated isn't a sign of a toxic liver, and a clean feeling after a cleanse isn't a sign of a healthy one. Liver UK: "If you think you might be at risk of liver disease do not wait until you get symptoms. Speak to your GP."

Sources 9, 10, 19

Why people feel better on a detox

Detox plans usually cut alcohol, caffeine and processed food, and add sleep, water, fruit and vegetables and activity. The dietitians point out that "not smoking, drinking less alcohol, getting enough sleep, fresh air and exercise will also help you feel healthier and more energised". Quick weight loss on a fast "is largely water and glycogen (the body's carbohydrate stores), rather than fat", and tends to come back when you eat normally again.

Sources 3, 17

The detox claims, tested

Yoga and toxins: no study found

Our search found 33 records on yoga with detox, toxin or toxicant terms. None measured toxins leaving the body after yoga: they were trials of yoga during drug or alcohol withdrawal, digital detox studies, reviews and two detox programme studies with no comparison group. The site's earlier searches for our yoga for digestion, lymphatic drainage and fatty liver guides found the same.

Source 4

Detox diets: no randomised trialsStrong evidence

A critical review: "Although the detox industry is booming, there is very little clinical evidence to support the use of these diets." and "To the best of our knowledge, no randomised controlled trials have been conducted to assess the effectiveness of commercial detox diets in humans." The US National Center for Complementary and Integrative Health (NCCIH) says no studies have looked at the long-term effects of detox programmes.

Sources 5, 17

Detox programmes that include yogaMixed evidence

A 7-day programme in 25 people and a 4-month online Ayurveda programme in 98 adults (diet, routine, yoga and herbs) had no comparison group and measured how people felt, symptoms or weight, not toxins. Neither can separate yoga from everything else.

Sources 20, 21

Twists and your organs

No study found

Our searches for yoga twists with digestion, bowel, constipation, liver or detox terms found 0 records in Europe PMC and 0 in PubMed. Claims that twists squeeze or massage the liver, kidneys or spleen are untested. Our yoga for digestion guide says the same: the yoga trials for bowel problems tested whole classes, not single poses.

Source 6

What exercise does to blood flow to the kidneysEmerging evidence

During exercise, the body narrows the blood vessels to the kidneys and sends more blood to the working muscles, so blood flow to the kidneys falls. In 9 men resting in the heat, blood flow to the kidneys and liver fell by about 11% and 18%. Exercise and heat send blood away from these organs for a while; they don't flush them. This is indirect evidence: a physiology review we read as an abstract, and a small lab study whose flows were estimated from published values.

Sources 7, 22

The bottom line

Twists are fine for how they feel and for keeping your spine moving; they don't massage, squeeze, wring out or detox your organs. With osteoporosis, twist smoothly; with a disc problem, keep twists gentle (see who should change what).

Sweat, heat and hot yoga

Sweat cools you; it isn't a cleaning systemEmerging evidence

A detailed review of sweat: "The role of sweating to eliminate waste products and toxicants seems to be minor compared with other avenues of excretion via the kidneys and gastrointestinal tract". Studies reporting high levels of metals, plastics chemicals or pollutants in sweat mostly had people collect it off their own skin, where it mixes with skin oil and dirt, so "direct evidence for sweating as an effective detoxification method is lacking." A 2012 review that argued for sweating as a detox pooled 24 small reports whose methods and results varied widely.

Weigh this knowing it rests mainly on one narrative review, whose author works for a sports-drink company's research institute. We found nothing that shows sweat removes meaningful amounts of toxins.

Sources 8, 23

Alcohol and hangoversEmerging evidence

The liver breaks down about 90% of alcohol, and the other 10% leaves in your breath, sweat and urine; the review concludes that "sweating likely plays a very small role in alcohol detoxification or hangover cures". Sweating it out in a hot class the morning after adds heat to dehydration.

Source 8

What a hot class losesEmerging evidence

In 5 experienced women, a 90-minute Bikram class lost about 1.5 litres of sweat, carrying about 6.8 g of salt, and they drank only about 0.4 litres during the class. That is water and salt, which drinking and your kidneys put right over the next day.

Source 24

Hot yoga in generalEmerging evidence

Across 43 studies (942 people), hot yoga raised heart rate and body temperature but not the energy used, compared with other yoga, and "claims that hot yoga provides greater health benefits than other forms of yoga or traditional exercise are at present unsubstantiated". In a small study, kidney function didn't change over a year in 19 hot yoga practitioners compared with 32 others. Our hot yoga guide has the safety rules.

Sources 25, 26

What really helps your liver and kidneys

Activity lowers liver fat, with or without weight lossStrong evidence

In 14 randomised trials (551 people with fatty liver), exercise made a 30% fall in liver fat on magnetic resonance imaging (MRI) scans 3.5 times as likely, and about 150 minutes a week of brisk walking was enough. In 19 trials (745 people), interval training and steady moderate exercise lowered liver fat by similar amounts. Our yoga for fatty liver guide covers this in detail.

Sources 11, 27

What liver experts recommendStrong evidence

An American College of Sports Medicine roundtable recommends at least 150 minutes a week of moderate activity, or 75 of vigorous, for everyone with fatty liver disease, preferably aerobic exercise with resistance training. It adds: "The appropriateness of other types of physical activity including yoga and Pilates remains uncertain."

Source 14

Yoga's own liver trials are smallMixed evidence

In 40 women with type 2 diabetes and fatty liver, 8 weeks of yoga three times a week lowered liver enzymes and the ultrasound grade compared with their usual activity, in a single-centre trial. In 37 women with prediabetes, 3 months of yoga led to "No escalation of fatty liver", with no improvement reported. Neither measured toxins or detoxification.

Sources 28, 29

Protecting your liverStrong evidence

The NHS says you can lower your risk of many types of liver disease by keeping to a healthy weight and not drinking too much alcohol. Our yoga for fatty liver and exercise for fatty liver guides cover the detail.

Source 9

Protecting your kidneysStrong evidence

High blood pressure and diabetes are the commonest causes of kidney disease, so keeping them under control, and taking medicines as advised, is what protects the kidneys. Being active helps both; our yoga for kidney health guide covers yoga with kidney disease.

Source 10

Yoga's kidney trials are few and smallMixed evidence

In 54 people with chronic kidney disease, 6 months of yoga lowered blood pressure more than usual care, but the waste markers in the blood didn't differ significantly between groups. In 81 people with moderate to severe kidney disease, 12 weeks of yoga (5 hours a week) gave slightly better kidney blood tests than usual care, in a single-centre trial we could read only as an abstract. These test yoga alongside kidney care, not a detox of healthy kidneys.

Sources 30, 31

Water

Drinking enough protects the kidneys, especially in hot weather or when you're ill with sickness or diarrhoea. Drinking far more than you need isn't a detox, and it can be dangerous.

Sources 18, 3

When detox does harm

Laxative teas, fasts and huge drinks of waterStrong evidence

The dietitians: "Products like detox teas work by acting as a laxative, which is not without risk." NCCIH: "Drinking large quantities of water and herbal tea and not eating any food for days in a row could lead to dangerous electrolyte imbalances", and "Also, fasting can cause headaches, fainting, weakness, and dehydration." Fasting before a hot or vigorous class adds to the risk of fainting (our suggestion).

Sources 3, 17

Supplements and the liverEmerging evidence

In a US network of 8 liver centres, herbal and dietary supplements caused 130 of 839 cases of liver injury (15.5%), and their share rose from 7% to 20% between 2004 and 2013. These were cases referred to specialists, not population rates, and not all were detox products, but natural isn't the same as safe for the liver.

Source 15

Food, weight and control

The NHS lists signs such as spending a lot of time worrying about your weight and body shape, exercising too much, and having very strict habits or routines around food. If that sounds like you, see a GP as soon as you can. You can also talk in confidence to the eating disorder charity Beat: 0808 801 0677 (England), 0808 801 0432 (Scotland), 0808 801 0433 (Wales) or 0808 801 0434 (Northern Ireland), 3pm to 8pm, Monday to Friday.

The NHS also lists "making yourself sick or taking laxatives after you eat" among the symptoms of an eating disorder; if you use laxative detox teas to control your weight, the same support is there for you (our suggestion).

Sources 32, 33

What yoga can honestly offer

Movement minutes

Gentle hatha yoga is light activity; brisk flowing styles and sun salutations come nearer moderate, as our yoga for fatty liver guide explains. Count brisk flows towards your 150 minutes a week, and walk, cycle or swim too.

Sources 12, 13

Strength

The NHS lists yoga among strengthening activities, done "to the point where you need a short rest before repeating the activity", and the UK Chief Medical Officers ask for strength work "on at least 2 days a week". Standing poses, bridges, planks and back lifts count.

Sources 12, 13

Rest, sleep and less drinking

Slow breathing and relaxation suit the reset people want from a detox, and the dietitians list sleep, fresh air, exercise and drinking less alcohol as what makes people feel better. Our yoga for stress and addiction recovery guides cover those.

Source 3

How it compares

Brisk walking or any moderate exercise has the stronger evidence for liver fat; yoga is an enjoyable way to add strength and some of the minutes. No pose, breath or hot room adds a separate detox effect.

Sources 11, 27

Get moving: the part that counts towards your 150 minutes

Standing march 2 minutes at an easy pace, arms swinging; walking 20 minutes at a pace where you can talk but not sing; sun salutation A 3 rounds, stepping back rather than jumping, knees down to lower if you need to (our walk and yoga workout).

Strength poses

Chair pose 3 holds of 20 seconds; warrior II and high lunge 30 seconds each side; locust 3 holds of 15 seconds (our walk and yoga workout). Goddess pose 12 slow pulses (our strength yoga workout). Glute bridge 10 slow lifts (our yoga for groin strain class). Straight-arm plank: "3 holds of 15 to 30 seconds. A suggested starting point. No trial has tested this move on its own." (the move page's dose). Band row: "3 sets of 10 to 15, stopping 2 to 3 reps short of failure, with 60 to 90 seconds' rest: an editorial starting point." (from the move page's dose). For a chair or wall option: sit to stand 8 to 10 slow stands (our yoga for arthritis class) and wall push-up 2 sets of 10 (our yoga for wrists class).

Twists and the tummy, for comfort

None of these detoxes or massages an organ; they're for how they feel. Cat-cow: "8 waves, slower than feels natural" (the move page's dose). Thoracic rotation: "6 rotations per side, moving with the breath" (the move page's dose). Supine spinal twist 45 seconds each side, knees on a cushion (our walk and yoga workout). Half lord of the fishes, optional, 3 to 5 breaths each side, only as far as is comfortable (our editorial starting point). Double knee-to-chest stretch: "Hold 20 to 30 seconds, 2 to 4 times (our editorial starting point)." (from the move page's dose). Child's pose 1 minute, knees wide so your tummy has room (our yoga for digestion class).

Breathe and rest

Slow breathing: "At least 5 minutes, done regularly as part of your daily routine: the NHS breathing exercise for stress, which counts 1 to 5 in and 1 to 5 out." (from the move page's dose). Alternate nostril breathing: "3 to 5 minutes of slow rounds, once or twice a day (our editorial starting point)." (from the move page's dose), with no breath holds. Legs up the wall, optional, 2 minutes for tired legs, not to drain anything (our yoga for legs class). Corpse pose: "Lie still for at least 5 minutes, up to 10, usually at the end of a session: Yoga Journal's guide suggests at least 5." (the move page's dose).

What to change or leave out

Fast "cleansing" breaths

Kapalbhati and breath of fire have no evidence for detox or the liver, and NCCIH advises beginners to avoid forceful breathing. Use slow breathing instead.

Source 34

Headstands, shoulder stands and plough, sold as flushing the body

No study backs the claim. The headstand's page says: "Not for anyone with neck problems, glaucoma or other eye conditions, uncontrolled high blood pressure, or a history of stroke or arterial dissection." The supported shoulderstand's says: "Avoid with any neck or disc problem, glaucoma, or uncontrolled high blood pressure, and never turn your head while you are up."

Deep or bound twists, sold as wringing out the organs

No study backs that either. Choose the gentle twists above; the revolved triangle's page warns it is "Easy to overtwist the low back."

Source 6

Hot rooms for sweating out toxins

Sweat isn't a detox route. If you enjoy hot yoga, our hot yoga guide has the safety rules.

Source 8

Salt-water cleanses and fasting before class

The salt-water cleanse is a supervised bowel preparation, not a home detox, as our yoga for digestion guide explains, and fasting can cause fainting and dehydration.

Source 17

With fluid in the tummy, after a kidney transplant or on dialysis

Legs up the wall's page says: "With heart failure, or kidney or liver disease that causes fluid build-up, ask your doctor first." Bow pose, boat pose and deep folds need changing too; our yoga for fatty liver and kidney health guides list the changes.

Classes to follow

None of these is a detox. Our walk and yoga workout gives the activity minutes and strength work the liver evidence supports; the strength and stamina classes add more; the digestion class is for bloating; and the restorative, bedtime and breathing practices are for rest.

Walk and yoga workout

A 45-minute session for weight loss and health: a 20-minute brisk walk, which does more for the scales, then a standing yoga flow for strength and balance.

45 minBeginner12 movesCardio machine

Strength yoga: a 35-minute workout with a band

Thirty-five minutes of yoga built for strength: long standing holds, slow lowering from plank, single-leg balances and a band row, with harder options.

35 minIntermediate18 movesStep, band

Yoga for stamina: a 30-minute flow that keeps you moving

A 30-minute yoga class built to keep you moving: a brisk warm-up, continuous sun salutations and standing poses at a talk-but-not-sing pace, then a slow cool-down.

30 minBeginner13 movesNo equipment

Yoga for digestion: a 25-minute routine for bloating and IBS

Twenty-five minutes of movement, upright poses, knee hugs and slow belly breathing for bloating and IBS, with no face-down poses.

25 minBeginner14 movesStep, firm cushion

Gentle yoga for beginners

A 25-minute gentle yoga class for complete beginners and over-50s: slow breathing, a warm-up, supported standing poses, floor poses and a closing rest.

25 minBeginner14 movesNo equipment

Chair yoga for seniors

A free 20-minute chair yoga class for older adults: slow breathing, gentle seated stretches and twists, standing poses holding the chair, and a calm finish.

20 minBeginner18 movesBench or box, something with weight

Chair-to-mat yoga for bigger bodies: a 30-minute class seated, standing at a chair and wall, and on the mat, with a chair-only option

A 30-minute yoga class for plus-size and bigger bodies: seated, then standing with a chair and wall, then an optional mat block, with a chair-only option.

30 minBeginner21 movesBench or box, step

Restorative yoga sequence: 45 minutes of supported rest

A 45-minute restorative yoga sequence: five fully supported poses held for 4 to 10 minutes each, with slow breathing and a long final rest.

45 minBeginner6 movesFirm cushion, wall

Bedtime yoga: a 20-minute wind-down on the mat, with slow breathing, gentle lying poses and no breath holds

A 20-minute bedtime yoga class on the mat: slow breathing with no holds, a few gentle movements, lying stretches and a long rest before bed.

20 minBeginner9 movesFirm cushion, wall

Breathing exercises to relax

A 6-minute breathing routine: slow breathing, crocodile breathing, alternate nostril breathing, box breathing and 4-7-8 breathing.

6 minBeginner5 movesNo equipment

Plans

Build up to 150 minutes of walking a week over 8 weeks.

Who should change what

Liver or kidney disease, dialysis or a transplant

Our yoga for fatty liver and kidney health guides list the changes, such as fluid limits, no hot rooms without your team's agreement, and less pressure on the tummy with cirrhosis or peritoneal dialysis.

Hot rooms

Our hot yoga guide lists who should avoid them, including in pregnancy, with heart conditions or postural tachycardia syndrome (PoTS), and with some medicines.

Osteoporosis or a disc problem

Half lord of the fishes' page says: "With osteoporosis, sit tall and twist smoothly, only as far as is comfortable; with a high fracture risk or after a spinal fracture, twist gently lying on your back instead." Revolved chair's page says: "Ease off with disc related back pain or sacroiliac pain, and in pregnancy, where closed twists are usually avoided."

Pregnancy

Skip fasts, detox teas and hot rooms (our suggestion); our yoga in pregnancy guide covers the practice.

Older adults

See your GP first if you get chest pain, breathlessness or dizziness when you are active, if you have a heart condition and want to exercise harder, or if you have had a fall.

Source 35

Warning signs: when to get help

These are the site's lines from our fatty liver, kidney health and other guides, word for word, with the NHS's own words where the site has no line. This is general information, not a diagnosis. A&E means accident and emergency; in the US, call 911 for 999, and use your doctor's urgent line or urgent care for NHS 111.

Yellow skin or eyes: urgent GP appointment or NHS 111

  • Your skin or the whites of your eyes turn yellow (jaundice), perhaps with itchy skin, darker pee and paler poo.
  • You have cirrhosis and you're more short of breath than usual, or your tummy, legs, ankles or feet are swelling.

Sources 16, 36, 37

Jaundice, in the NHS's words

"Jaundice is when your skin or the whites of your eyes turn yellow. It can be a sign of something serious, such as liver disease, so you need to get urgent medical help." And: "Yellowing of the skin may be less noticeable if you have brown or black skin, but the white part of your eyes will look yellow."

Source 16

Vomiting blood or black poo: call 999

  • You're vomiting blood (it can look bright red, brown or black, or like coffee granules) and feel unwell, confused, faint or dizzy, have rapid or shallow breathing, cold, clammy, pale skin, tummy pain or black poo.
  • You have cirrhosis and you're vomiting blood, your poo is very dark or black, or you suddenly become confused or have slurred speech.

Sources 37, 36, 38

Signs of more advanced liver disease: tell a doctor

Liver UK lists these signs of more advanced liver disease:

  • Yellowing of the skin and the whites of the eyes.
  • Dark urine.
  • A swollen tummy (ascites), or swollen legs, ankles or feet.
  • Weight loss you can't explain.
  • Vomiting blood, or dark, black, tarry poo.
  • Confusion, memory problems, mood changes or poor judgement.
  • Itchy skin.

Source 39

Kidney injury or muscle breakdown

The NHS says to ask for an urgent GP appointment or get help from NHS 111 if you think you may have acute kidney injury: peeing a lot less than usual, feeling very thirsty, feeling or being sick, swollen feet or legs, feeling tired, dizzy, confused or sleepy, or feeling breathless, especially when you lie down.

Muscle pain, swelling or weakness far worse than the session explains, and dark pee (red, brown, tea or cola coloured), sometimes starting hours or days later. Dark pee isn't always there, so muscles far sorer, more swollen or weaker than the session explains still need the same-day check. Get medical help the same day: call NHS 111, or go to A&E if you feel very unwell. Call 999 for sudden, severe pain in a swollen, tight muscle.

Sources 18, 40

A kidney infection

Ask for an urgent GP appointment or get help from NHS 111 if you think you may have a kidney infection (often pain in your lower back or side, with burning or stinging when you pee or needing to pee more often) and you have a very high temperature or feel hot, cold or shivery, a temperature below 36C, pain in the lower tummy or in the back just under the ribs, blood in your pee, you feel or are sick, you haven't had a pee all day, or you're pregnant. Call 999 or go to A&E if you're confused, drowsy or have difficulty speaking.

Source 41

Worried about your liver or kidneys

The NHS: "See a GP if you have persistent or worrying symptoms that you think could be caused by kidney disease." Liver UK: "If you think you might be at risk of liver disease do not wait until you get symptoms. Speak to your GP." Early liver and kidney disease usually causes no symptoms, so a GP's blood test is the check, not a cleanse.

Sources 10, 19

Dizzy, very tired or dark pee after a fast, a laxative tea or a hot class

Ask for an urgent GP appointment or call NHS 111 if you feel unusually tired, dizzy when you stand up and it doesn't go away, or have dark yellow pee. Call 999 for confusion, cold or blotchy skin, or fast breathing.

Sources 42, 43

After a hot class

Call 999 if someone is still unwell after 30 minutes of resting in a cool place, being cooled and drinking fluids, or has a very high temperature, hot skin that's not sweating, a fast heartbeat, fast breathing or shortness of breath, confusion and lack of coordination, a seizure or fit, or loses consciousness (the NHS's heatstroke signs).

Source 43

Don't over-drink

Over-drinking can dangerously lower blood sodium. Replace about 1 to 1.5 times what you sweat, with no need for more than about 3 litres.

Source 25

Don't stack them

Don't fast, take laxative detox teas or sit in a hot room on the same day as a vigorous or hot class, and eat and drink normally before yoga (our suggestion).

Sources 17, 42

Feeling faint or sick in a class

It isn't toxins leaving. The NHS says that if you feel you're about to faint, lie down with your legs raised, or sit with your head lowered between your knees. In a hot room, dizziness can be heat exhaustion: move somewhere cooler and drink some water, and call 999 for the heatstroke signs above (our suggestion, from the NHS pages).

Sources 44, 43

Alcohol: get medical help before you stop

The NHS: "It can be very dangerous to stop drinking suddenly if you're dependent on alcohol. If you get withdrawal symptoms, get medical help before you try to stop drinking." Our yoga for addiction recovery guide covers where yoga fits. After a heavy weekend, a normal day of water, food, sleep and a walk is the detox; sweating in a hot class doesn't clear alcohol faster (our suggestion).

Source 45

Eating, weight and laxatives

The NHS lists spending a lot of time worrying about your weight and body shape, eating very little food, exercising too much, and having very strict routines around food among the signs of an eating disorder, and says to see a GP as soon as you can. Worrying a lot about one area of your body can be body dysmorphic disorder. Beat's helpline in England is 0808 801 0677, and our eating disorders guide has the other numbers.

Sources 32, 46, 33

Chest pain or fainting while exercising: call 999

Call 999 if:

  • You get sudden pain or discomfort in your chest that doesn't go away; it can feel like squeezing or pressure, burning or indigestion.
  • The pain spreads to your left or right arm, or your neck, jaw, stomach or back.
  • You have chest pain and feel sweaty, sick, light-headed or short of breath.
  • Someone faints while exercising, can't be woken within 1 minute, or has chest pain or a pounding, fluttering or irregular heartbeat.

Sources 47, 44

Unusual breathlessness

Call 999 or go to A&E (accident and emergency) straight away for severe difficulty breathing (gasping, choking or not able to get words out), a chest that feels tight or heavy, pain that spreads to your arms, back, neck and jaw, lips or skin turning very pale, blue or grey, or sudden confusion. If you're more short of breath than usual, or your heart is racing, fluttering or skipping beats, contact NHS 111.

Source 48

Stop and get medical help

If you get chest pain or pressure, feel faint or dizzy, are unusually breathless, or your heart races or beats irregularly during exercise, as our plans advise.

During yoga

A joint pain that is sharp, gets worse during a session, lingers into the next day or changes how you move is a reason to use an easier version, and to see a GP or physiotherapist if it keeps happening (the rule in our plans). Muscle soreness for a day or two after something new is normal. In a hot class, stop if you feel dizzy, sick or unwell; our hot yoga guide lists the signs of heat illness.

You can say no to any hands-on adjustment, and a teacher registered with Yoga Alliance must get your explicit consent each time.

Sources 34, 49

Head-down poses, bones and pregnancy

With glaucoma, or high blood pressure that isn't under control, skip headstands, shoulder stands and long head-down holds. With osteoporosis, swap deep forward folds for a flat-back hinge from the hips, and twist smoothly. In pregnancy, our yoga in pregnancy guide covers the changes. NCCIH advises beginners to avoid headstands, shoulder stands, the lotus position and forceful breathing.

Sources 50, 34

Before you start

The NHS advises getting advice from a healthcare professional first if you have a health problem, an injury or symptoms, or have recently had a heart attack or an operation.

If you have a heart, lung or joint condition, are pregnant or have recently been unwell, start gently and read our guide for your condition. Muscle soreness for a day or two after a new exercise is common and fades as you repeat it.

If you have a heart condition, follow your cardiac team's advice on how hard to work, and stop for the warning signs above. People with long-term conditions may wish to ask their specialist before starting. With uncontrolled high blood pressure, avoid straining against a held breath; the high blood pressure guide has more.

Myths

"Yoga detoxes your body"

We found no study showing it: none of 33 records measured toxins leaving the body after yoga. The dietitians call the idea of detox nonsense, and your liver and kidneys do the work all day.

Sources 4, 3, 1

"Twists wring out toxins or massage your organs"

We found no study of it in two databases. During exercise, blood flow to the kidneys falls rather than being flushed. Twists are fine for how they feel.

Sources 6, 7

"Hot yoga sweats out toxins"Emerging evidence

Sweat is mostly water and salt, its role in removing waste looks minor next to the kidneys and gut, and studies claiming otherwise mostly collected sweat that had mixed with dirt on the skin. A hot class loses about 1.5 litres of water and salt, not toxins.

Sources 8, 23, 24

"Yoga detoxes your liver"

No study has measured it: the two small yoga trials graded liver fat on ultrasound, and neither measured detoxification. What lowers liver fat is regular exercise of any kind, about 150 minutes a week, and experts call yoga's place uncertain. Our yoga for fatty liver guide covers it.

Sources 28, 29, 11, 14

"Inversions flush toxins and lymph"

We found no study of it, and inversions carry neck, eye and blood pressure cautions; NCCIH advises beginners to avoid headstands and shoulder stands. Our yoga for lymphatic drainage guide covers the lymph system.

Source 34

"You can sweat out a hangover"Emerging evidence

The liver clears about 90% of alcohol, and sweating plays a very small role. Water, food, sleep and time help; a hot class on a dehydrated morning adds risk.

Source 8

"A detox diet or juice cleanse before yoga resets your body"Strong evidence

No randomised trials of commercial detox diets exist, quick weight loss on a fast is mostly water and glycogen, and fasting can cause headaches, fainting, weakness and dehydration.

Sources 5, 3, 17

"Detox teas and supplements are natural, so they're safe"Strong evidence

Detox teas act as laxatives, which the dietitians say is not without risk, and supplements caused 15.5% of liver injuries in a US network of liver centres.

Sources 3, 15

"Feeling dizzy or sick in yoga is toxins leaving"

The NHS lists standing up too quickly, not eating or drinking enough and being too hot among the causes of fainting. Lie down with your legs raised, and see the warning signs if it doesn't pass.

Sources 44, 43

"Kapalbhati or breath of fire cleanses the organs"

We found no study of it for detox or the liver, and NCCIH advises beginners to avoid forceful breathing.

Source 34

Questions people ask

Does yoga detox your body?

No study shows it: none of the 33 studies we found measured toxins leaving the body after yoga. Your liver and kidneys do that job all the time, and dietitians call the idea of detox nonsense.

Do yoga twists detox your organs?

No study has tested it. Twists turn your spine and can feel good, but they don't wring out, squeeze or flush the liver or kidneys; during exercise, blood flow to the kidneys actually falls.

Does hot yoga sweat out toxins?

No. Sweat is mostly water and salt, and sweating looks like a minor route for waste compared with your kidneys and gut. A hot class loses about 1.5 litres of water and salt, which comes back when you drink.

What yoga is good for the liver?

Any yoga that gets you moving and builds strength, alongside walking or other activity: about 150 minutes a week of brisk walking made a meaningful fall in liver fat 3.5 times as likely in fatty liver trials. Yoga's own liver trials are small, and our yoga for fatty liver guide covers them.

Can yoga help my kidneys?

Being active helps blood pressure and blood sugar, which protects the kidneys, but no pose detoxes or massages them. Yoga's kidney trials are few and small; our yoga for kidney health guide covers yoga with kidney disease.

Why do I feel so good after a detox retreat?

Probably because of more sleep, less alcohol, no smoking, fresh air and exercise, which dietitians say make people feel healthier. You can keep those without a detox.

Is yoga with a detox diet or juice cleanse good for weight loss?

The quick loss on a fast is mostly water and the body's carbohydrate stores rather than fat, and it tends to come back. Our yoga for weight loss guide has the steady approach that works.

Are detox teas or supplements safe to take with yoga?

Detox teas work as laxatives, which can dehydrate you, and herbal and dietary supplements are a growing cause of liver injury. Ask a pharmacist or GP before taking them, especially with a health condition.

What signs mean my liver or kidneys need checking?

Yellow skin or eyes, darker pee and paler poo need an urgent GP appointment or NHS 111, as do peeing much less than usual, swollen feet or legs, or breathlessness when you lie down. Early liver and kidney disease usually has no symptoms, so ask your GP about a blood test if you're at risk.

Can yoga help with an alcohol detox?

Stopping drinking suddenly can be dangerous if you're dependent on alcohol, so get medical help first. Yoga can support recovery alongside treatment; our yoga for addiction recovery guide covers it.

Is it normal to feel dizzy or sick after detox yoga?

It isn't toxins leaving. Standing up too quickly, not eating or drinking enough and being too hot can all make you feel faint: lie down with your legs raised, cool down and drink some water, and see the warning signs if it doesn't pass.

Sources

  1. Liver UK · About the liver
  2. NIDDK · Your kidneys and how they work (US National Institute of Diabetes and Digestive and Kidney Diseases, last reviewed June 2018)
  3. British Dietetic Association · Detox diets: food fact sheet (August 2025)
  4. Our searches · Europe PMC for yoga, asana, pranayama or yogic with detox, detoxification, toxin or toxicant terms (4 November 2026): 33 records, none measured toxins leaving the body after yoga
  5. Klein 2015 · Detox diets for toxin elimination and weight management (critical review, J Hum Nutr Diet)
  6. Our searches · Europe PMC and PubMed for yoga twists with digestion, bowel, constipation, liver or detox terms (4 November 2026): 0 records in each
  7. Rocha 2023 · Blood flow to the kidneys during exercise (review, J Appl Physiol)
  8. Baker 2019 · How sweat glands work, and what sweat contains (narrative review by a scientist at a sports-drink company's research institute, Temperature; read in full)
  9. NHS · Liver disease (past its review date: reviewed August 2023, review due August 2026)
  10. NHS · Chronic kidney disease (past its review date: reviewed March 2023, review due March 2026)
  11. Stine 2023 · Exercise and a 30% fall in MRI liver fat: 14 trials, 551 people (systematic review and meta-analysis, Am J Gastroenterol)
  12. NHS · Physical activity guidelines for adults aged 19 to 64 (last reviewed May 2024)
  13. UK Chief Medical Officers · Physical activity guidelines (GOV.UK, updated July 2026)
  14. Stine 2023 · Physical activity and fatty liver disease (American College of Sports Medicine roundtable report, Hepatol Commun; read in full)
  15. Navarro 2014 · Liver injury from herbal and dietary supplements in the US Drug-Induced Liver Injury Network (registry study, Hepatology)
  16. NHS · Jaundice (last reviewed January 2024)
  17. NCCIH · Detoxes and cleanses: what you need to know (US National Center for Complementary and Integrative Health, updated March 2025)
  18. NHS · Acute kidney injury (AKI) (last reviewed March 2026)
  19. Liver UK · Symptoms of liver disease
  20. MacIntosh 2000 · A 7-day detoxification programme in 25 healthy adults, with no control group (uncontrolled study, Altern Ther Health Med)
  21. Luhaste 2025 · An online Ayurveda detox and lifestyle programme in 98 adults, with no control group (pilot study, J Integr Complement Med)
  22. Brochu 2021 · Organ blood flow at rest in the heat: 9 men (lab study, Can J Physiol Pharmacol)
  23. Sears 2012 · Arsenic, cadmium, lead and mercury in sweat: 24 small studies (systematic review, J Environ Public Health)
  24. Alrefai 2020 · Sweat, salt and water after a 90-minute Bikram class in 5 women (feasibility study, Physiol Rep)
  25. Willmott 2025 · Hot yoga: the body's responses and adaptations, 43 studies (systematic review, Sports Med Open)
  26. Bordman 2022 · Hot yoga and kidney function: 51 practitioners over a year (observational pilot study, Int J Yoga Therap)
  27. Sabag 2022 · Interval or steady exercise and liver fat on MRI: 19 trials (systematic review and meta-analysis, J Clin Endocrinol Metab)
  28. Bayat 2026 · Yoga and the liver in 40 women with type 2 diabetes and fatty liver (clinical trial, J Clin Transl Endocrinol; read in full)
  29. Singh 2019 · A diabetes yoga programme and the liver on ultrasound in 37 women with prediabetes (randomised trial, Diabetes Metab Syndr)
  30. Pandey 2017 · Six months of yoga in chronic kidney disease: 54 people (randomised trial, Int J Yoga)
  31. Nair 2026 · Yoga in chronic kidney disease stages 3 to 4: 81 people (randomised trial, Ann Behav Med)
  32. NHS · Eating disorders: overview (last reviewed January 2024)
  33. Beat · Support now: helplines for England, Scotland, Wales and Northern Ireland
  34. NCCIH · Yoga: effectiveness and safety (US National Center for Complementary and Integrative Health)
  35. NHS · Physical activity guidelines for older adults (last reviewed August 2024)
  36. NHS · Cirrhosis: symptoms (last reviewed February 2025)
  37. NHS · Vomiting blood (last reviewed August 2025)
  38. NHS · Heart attack (last reviewed March 2026)
  39. Liver UK · What are the symptoms of MASLD? (reviewed July 2026)
  40. MedlinePlus · Rhabdomyolysis (US National Library of Medicine, reviewed September 2025)
  41. NHS · Kidney infection (last reviewed February 2025)
  42. NHS · Dehydration (last reviewed May 2026)
  43. NHS · Heat exhaustion and heatstroke (last reviewed May 2026)
  44. NHS · Fainting (last reviewed August 2026)
  45. NHS · Alcohol-use disorder (last reviewed April 2026)
  46. NHS · Body dysmorphic disorder (BDD) (past its review date: reviewed October 2023, review due October 2026)
  47. NHS · Chest pain (past its review date: reviewed August 2023, review due August 2026)
  48. NHS · Shortness of breath (last reviewed January 2024)
  49. Yoga Alliance · Code of conduct: consent before hands-on adjustments
  50. Jasien 2015 · Eye pressure in four common yoga positions: 10 people with glaucoma and 10 without (lab study, PLoS One)

Exercise education, not a personal prescription, and clinical review of these guides is pending. If you are pregnant, have a health condition such as glaucoma, high blood pressure or osteoporosis, or have had recent surgery, check with a doctor, midwife or physiotherapist before starting, and stop for sharp or increasing pain. Health disclaimer.