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Is It Safe to Eat Liver During Pregnancy? Here’s What You Need to Know

08 Mar 2025
Is It Safe to Eat Liver During Pregnancy Here’s What You Need to Know
Liver is packed with nutrients like iron, protein, and vitamin A, making it a highly nutritious food. But if you’re pregnant, you may have heard mixed advice about whether it’s safe to eat. The short answer? It depends. While liver can provide essential nutrients, it also contains very high levels of vitamin A (retinol), which can be harmful to your baby in excess amounts. Let’s break down the benefits, risks, and safe alternatives so you can make the best choice for you and your baby.

The Benefits of Eating Liver During Pregnancy

Liver is one of the most nutrient-dense foods available. Just a small portion contains: Iron – Helps prevent anemia, which is common in pregnancy.
Folate – Important for fetal brain and spinal cord development.
Protein – Supports your baby’s growth.
Vitamin B12 – Essential for red blood cell formation and nerve function. Liver can be especially beneficial if you’re low in iron or have low energy levels during pregnancy.

Why Too Much Liver Can Be Harmful

The main concern with liver is its extremely high vitamin A (retinol) content. Too much vitamin A during pregnancy can:
  • Increase the risk of birth defects, especially in the first trimester.
  • Harm fetal development, particularly the baby’s brain, heart, and spinal cord.
How Much Vitamin A Is Too Much?
  • The recommended daily intake of vitamin A during pregnancy is 770 mcg (2,565 IU) per day.
  • A 3.5-ounce (100g) serving of beef liver contains over 6,000 mcg (22,000 IU)—far exceeding the safe limit.

Can You Eat Liver Safely During Pregnancy?

If you enjoy liver, you don’t have to avoid it completely, but you should limit how often and how much you eat to avoid excess vitamin A. General Guidelines:
Occasionally (1-2 times per month): Small amounts are likely safe.
Best in the second or third trimester: The first trimester is when vitamin A poses the highest risk.
Avoid eating large portions frequently.
Avoid liver supplements (e.g., cod liver oil), which are highly concentrated. If you’re unsure, always check with your healthcare provider before including liver in your diet.

Safe Alternatives for Key Nutrients

If you want the benefits of liver without the risks, try these pregnancy-safe alternatives:
  • For Iron: Lean red meat, beans, lentils, spinach, and fortified cereals.
  • For Folate: Leafy greens, oranges, avocados, and prenatal vitamins.
  • For Vitamin A (Beta-Carotene, the Safer Form): Carrots, sweet potatoes, and mangoes.
Tip: Beta-carotene (found in plant-based foods) does not carry the same risks as animal-based vitamin A (retinol).

Final Thoughts: Should You Eat Liver While Pregnant?

Liver is nutrient-rich but high in vitamin A, which can be harmful in excess during pregnancy. If you love liver, limit it to once or twice a month and avoid supplements that contain high doses of vitamin A. If you’re unsure, it’s best to play it safe and choose other iron-rich foods to support a healthy pregnancy. Always talk to your doctor or midwife about any concerns regarding your diet.
Content Reviewed by Dr V. profile picture

Content Reviewed by Dr V.

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Dr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.

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