Cardiologists Debunk 6 Heart-Health Myths About Pumpkin Spice Lattes

Fall’s Favorite Drink Under the Microscope

Pumpkin spice lattes may be the unofficial symbol of autumn, but cardiologists say your favorite seasonal indulgence comes with some misconceptions. While the beloved PSL is loaded with sugar—a 16-ounce Starbucks version packs 50 grams—it’s not an automatic heart health disaster. Experts say moderation and smart choices can make all the difference.

Myth #1: “It’s Made with Real Pumpkin, So It’s Healthy”

Even though many coffee shops now use real pumpkin puree, cardiologists caution that the small amount of pumpkin doesn’t outweigh the sugar and whipped cream. “Once the sugar and flavored syrups are added, the latte is no longer heart-healthy,” says Dr. Rohit Vuppuluri of Chicago Heart & Vascular Specialists.

Myth #2: “If It’s Not Healthy, Go All In”

Not true, experts say. Choosing a smaller size, skipping whipped cream, and reducing syrup pumps can cut sugar by up to 70%. Using skim milk or unsweetened plant-based milk further reduces saturated fat.

Myth #3: “The Milk You Choose Doesn’t Matter”

It does. Unsweetened soy milk and 1% dairy milk are the best options, according to preventive cardiology dietitian Michelle Routhenstein. Whole milk and sweetened nut milks can increase cholesterol risk.

Myth #4: “You Can’t Make a Healthy PSL at Home”

Homemade versions using pumpkin puree, cinnamon, nutmeg, and ginger can boost antioxidants and limit sugar. Just skip coconut milk—its saturated fat content makes it less heart-friendly.

Myth #5: “One PSL Will Wreck Your Heart”

Enjoying one occasionally is fine, experts agree. The issue arises with daily consumption, which can elevate blood sugar and cholesterol over time.

Myth #6: “It’s the Only Fall Drink Worth Having”

Apple cider and chai tea are lower-fat alternatives. The key, cardiologists say, is balance—enjoying what you love without making it a daily habit.