The natural sweetener erythritol does not appear to carry the adverse effects associated with other non- and low-caloric natural and artificial sweeteners, and may actually have antioxidant potential.
Erythritol May Be a Sweet Antioxidant – UPDATE: don’t eat! (See doc note below)
Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.
The only nontoxic, noncaloric, or low-calorie sweetener may be erythritol. For a while, it was only available in Japan. But now, it’s pretty much available anywhere.
It’s found naturally in pears and grapes. But industrially, we just have yeast make it for us. Doesn’t cause cavities, and hasn’t been implicated in fibromyalgia, preterm birth, headaches, hypertension, brain disorders, platelet disorders.
In videos in years past, I’ve talked about erythritol as being harmless. But, new data suggests I may have to change my tune. Now, it actually may be helpful. Adding to its role as a “low-calorie, tooth-friendly, bulk sweetener,” erythritol may be “a sweet antioxidant.”
This shows the dose-dependent protective effect of an increasing concentration of erythritol on the oxidative destruction of red blood cells. The reason they even looked for antioxidant activity is because it structurally looks like mannitol, a well-known antioxidant. The problem with mannitol and the other polyols (such as xylitol and sorbitol) is that they aren’t absorbed, and so can cause gastrointestinal symptoms lower down in the colon.
“Safety studies suggest that erythritol is well tolerated and shows no signs of toxicity. It is therefore an excellent sugar substitute [for example] for individuals with [diabetes]” because it can both replace sugar and maybe even help reduce free radical formation. Both are expected to reduce the onset and progression of painful and life-threatening diabetic complications.”
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- Roberts HJ. Aspartame-induced thrombocytopenia. South Med J. 2007 May;100(5):543.
- den Hartog GJ, Boots AW, Adam-Perrot A, Brouns F, Verkooijen IW, Weseler AR, Haenen GR, Bast A. Erythritol is a sweet antioxidant. Nutrition. 2010 Apr;26(4):449-58.
- Jacob SE, Stechschulte S. Formaldehyde, aspartame, and migraines: a possible connection. Dermatitis. 2008 May-Jun;19(3):E10-1.
- Ciappuccini R, Ansemant T, Maillefert JF, Tavernier C, Ornetti P. Aspartame-induced fibromyalgia, an unusual but curable cause of chronic pain. Clin Exp Rheumatol. 2010 Nov-Dec;28(6 Suppl 63):S131-3.
- Halldorsson TI, Strøm M, Petersen SB, Olsen SF. Intake of artificially sweetened soft drinks and risk of preterm delivery: a prospective cohort study in 59,334 Danish pregnant women. Am J Clin Nutr. 2010 Sep;92(3):626-33.
- Roberts HJ. Perspective on aspartame-induced pseudotumor cerebri. South Med J. 2009 Aug;102(8):873.
- Roberts HJ. Overlooked aspartame-induced hypertension. South Med J. 2008 Sep;101(9):969.
- Arrigoni E, Brouns F, Amadò R. Human gut microbiota does not ferment erythritol. Br J Nutr. 2005 Nov;94(5):643-6.
Images thanks to Edgar181 and Su-no-G via Wikimedia; Anders Ljungberg via flickr; and Crunchy Betty.
Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.
The only nontoxic, noncaloric, or low-calorie sweetener may be erythritol. For a while, it was only available in Japan. But now, it’s pretty much available anywhere.
It’s found naturally in pears and grapes. But industrially, we just have yeast make it for us. Doesn’t cause cavities, and hasn’t been implicated in fibromyalgia, preterm birth, headaches, hypertension, brain disorders, platelet disorders.
In videos in years past, I’ve talked about erythritol as being harmless. But, new data suggests I may have to change my tune. Now, it actually may be helpful. Adding to its role as a “low-calorie, tooth-friendly, bulk sweetener,” erythritol may be “a sweet antioxidant.”
This shows the dose-dependent protective effect of an increasing concentration of erythritol on the oxidative destruction of red blood cells. The reason they even looked for antioxidant activity is because it structurally looks like mannitol, a well-known antioxidant. The problem with mannitol and the other polyols (such as xylitol and sorbitol) is that they aren’t absorbed, and so can cause gastrointestinal symptoms lower down in the colon.
“Safety studies suggest that erythritol is well tolerated and shows no signs of toxicity. It is therefore an excellent sugar substitute [for example] for individuals with [diabetes]” because it can both replace sugar and maybe even help reduce free radical formation. Both are expected to reduce the onset and progression of painful and life-threatening diabetic complications.”
Please consider volunteering to help out on the site.
- Roberts HJ. Aspartame-induced thrombocytopenia. South Med J. 2007 May;100(5):543.
- den Hartog GJ, Boots AW, Adam-Perrot A, Brouns F, Verkooijen IW, Weseler AR, Haenen GR, Bast A. Erythritol is a sweet antioxidant. Nutrition. 2010 Apr;26(4):449-58.
- Jacob SE, Stechschulte S. Formaldehyde, aspartame, and migraines: a possible connection. Dermatitis. 2008 May-Jun;19(3):E10-1.
- Ciappuccini R, Ansemant T, Maillefert JF, Tavernier C, Ornetti P. Aspartame-induced fibromyalgia, an unusual but curable cause of chronic pain. Clin Exp Rheumatol. 2010 Nov-Dec;28(6 Suppl 63):S131-3.
- Halldorsson TI, Strøm M, Petersen SB, Olsen SF. Intake of artificially sweetened soft drinks and risk of preterm delivery: a prospective cohort study in 59,334 Danish pregnant women. Am J Clin Nutr. 2010 Sep;92(3):626-33.
- Roberts HJ. Perspective on aspartame-induced pseudotumor cerebri. South Med J. 2009 Aug;102(8):873.
- Roberts HJ. Overlooked aspartame-induced hypertension. South Med J. 2008 Sep;101(9):969.
- Arrigoni E, Brouns F, Amadò R. Human gut microbiota does not ferment erythritol. Br J Nutr. 2005 Nov;94(5):643-6.
Images thanks to Edgar181 and Su-no-G via Wikimedia; Anders Ljungberg via flickr; and Crunchy Betty.
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Erythritol May Be a Sweet Antioxidant – UPDATE: don’t eat! (See doc note below)
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Content URLDoctor's Note
IMPORTANT NOTE: Though the observational data does appear rife with reverse causation, a new study published interventional data in mice and in vitro on 2/27/23 that suggests erythritol may indeed be harmful, and so I urge everyone to stop consuming it until we know more. See Update on Erythritol Sweetener Safety: Are There Side Effects?.
2024 UPDATE: New research on xylitol has come out, indicating that it may be associated with increased cardiovascular risk. Although further studies are needed, for now, I recommend avoiding products containing xylitol.
This is the third video in a series on sweeteners. See Aspartame-Induced Fibromyalgia, and also Diet Soda and Preterm Birth. I’ll close out this series with three videos that address a few possibilities of how even harmless artificial sweeteners can cause harm: How Diet Soda Could Make Us Gain Weight; Neurobiology of Artificial Sweeteners; and Unsweetening the Diet.
For further context, check out my associated blog posts: Is There a Safe, Low-Calorie Sweetener?; How to Gain Weight on Diet Soda; and Hibiscus Tea: The Best Beverage?
For all of my latest videos on sweeteners, see the topic page.
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