Evidence Based
In 2023, a study published in Nature Medicine claimed erythritol—the zero-calorie sweetener used in everything from chewing gum to pancake syrup and health supplements—was linked to cardiovascular disease.
News outlets seized on the conclusion, declaring erythritol a hazard to heart health.
The evidence-based health and fitness community were more skeptical, however, with many pointing out that the study only showed a link between high erythritol levels and heart problems—not that eating erythritol caused them.
Many also questioned other aspects of the research.
For one, the participants were already unhealthy—most were overweight, diabetic, or had cardiovascular disease. People with these conditions naturally produce more erythritol, so their high levels may have been a byproduct of their poor health rather than their diet.
But the researchers didn’t measure how much erythritol these people ate, so we can’t say for certain why their levels were elevated.
On top of that, much of the data came from lab experiments on cells or a small trial involving just eight people who consumed an exceptionally large dose of erythritol. In other words, the results didn’t necessarily reflect how people use erythritol in real life.
Recently, the same researchers returned with another study. This time, they claimed erythritol increases the risk of blood clotting, potentially raising your chances of heart attack or stroke.
Should we be concerned this time?
Again, probably not.
The study involved 20 healthy people, 10 of whom consumed a drink containing 30 grams of erythritol. Their blood erythritol levels spiked, and their platelets—the cells responsible for clotting—became more prone to clumping, which could lead to a heart attack or stroke.
While that sounds alarming, this study has the same issue as the last: the conditions didn’t reflect real life.
Thirty grams of erythritol is far more than the vast majority of people consume in a day, let alone in one sitting. The blood levels measured were also far beyond what you’d see from normal use. When people eat a more realistic amount, erythritol likely doesn’t have the same effects.
So, it still seems that consuming erythritol in reasonable amounts is safe—at least according to most research. While it’s worth keeping an eye on future studies, there’s no reason to worry right now about chewing gum or taking supplements that contain erythritol.
Scientific References +
- Khafagy, Rana, et al. “Erythritol as a Potential Causal Contributor to Cardiometabolic Disease: A Mendelian Randomization Study.” Diabetes, 8 Nov. 2023, diabetesjournals.org/diabetes/article/73/2/325/153839/Erythritol-as-a-Potential-Causal-Contributor-to, https://doi.org/10.2337/db23-0330.
- Cramer, Thorsten, et al. “Plasma Erythritol and Cardiovascular Risk: Is There Evidence for an Association with Dietary Intake?” Frontiers in Nutrition, vol. 10, 23 May 2023, https://doi.org/10.3389/fnut.2023.1195521. Accessed 27 May 2024.
- Mazi, Tagreed A., and Kimber L. Stanhope. “Erythritol: An In-Depth Discussion of Its Potential to Be a Beneficial Dietary Component.” Nutrients, vol. 15, no. 1, 1 Jan. 2023, p. 204, www.ncbi.nlm.nih.gov/pmc/articles/PMC9824470/, https://doi.org/10.3390/nu15010204.
- Witkowski, Marco, et al. “Ingestion of the Non-Nutritive Sweetener Erythritol, but Not Glucose, Enhances Platelet Reactivity and Thrombosis Potential in Healthy Volunteers.” Arteriosclerosis Thrombosis and Vascular Biology, 8 Aug. 2024, https://doi.org/10.1161/atvbaha.124.321019.
- Witkowski, Marco, et al. “The Artificial Sweetener Erythritol and Cardiovascular Event Risk.” Nature Medicine, vol. 29, 27 Feb. 2023, pp. 1–9, www.nature.com/articles/s41591-023-02223-9, https://doi.org/10.1038/s41591-023-02223-9.
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