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Erythritol, an ingredient in stevia, linked to heart attack and stroke, study finds
CBS News ^ | SEPTEMBER 29, 2023 / 7:23 AM | Staff

Posted on 10/03/2023 6:10:53 AM PDT by Red Badger

A sugar replacement called erythritol — used to add bulk or sweeten stevia, monkfruit and keto reduced-sugar products — has been linked to blood clotting, stroke, heart attack and death, according to a study.

"The degree of risk was not modest," said lead study author Dr. Stanley Hazen, director of the Center for Cardiovascular Diagnostics and Prevention at the Cleveland Clinic Lerner Research Institute.

People with existing risk factors for heart disease, such as diabetes, were twice as likely to experience a heart attack or stroke if they had the highest levels of erythritol in their blood, according to the study, published February 27 in the journal Nature Medicine.

"If your blood level of erythritol was in the top 25% compared to the bottom 25%, there was about a two-fold higher risk for heart attack and stroke," Hazen said. "It's on par with the strongest of cardiac risk factors, like diabetes."

Additional lab and animal research presented in the paper revealed that erythritol appeared to be causing blood platelets to clot more readily. Clots can break off and travel to the heart, triggering a heart attack, or to the brain, triggering a stroke.

"This certainly sounds an alarm," said Dr. Andrew Freeman, director of cardiovascular prevention and wellness at National Jewish Health, a hospital in Denver, who was not involved in the research.

"There appears to be a clotting risk from using erythritol," Freeman said. "Obviously, more research is needed, but in an abundance of caution, it might make sense to limit erythritol in your diet for now."

In response to the study, the Calorie Control Council, an industry association, told CNN that "the results of this study are contrary to decades of scientific research showing reduced-calorie sweeteners like erythritol are safe, as evidenced by global regulatory permissions for their use in foods and beverages," the council's Robert Rankin said in an email.

The results "should not be extrapolated to the general population, as the participants in the intervention were already at increased risk for cardiovascular events," Rankin said.

The European Association of Polyol Producers declined to comment, saying it had not reviewed the study.

What is erythritol?

Like sorbitol and xylitol, erythritol is a sugar alcohol, a carb found naturally in many fruits and vegetables. It has about 70% of the sweetness of sugar and is considered zero-calorie, according to experts.

Artificially manufactured in massive quantities, erythritol has no lingering aftertaste, doesn't spike blood sugar and has less of a laxative effect than some other sugar alcohols.

"Erythritol looks like sugar, it tastes like sugar, and you can bake with it," said Hazen, who also directs the Cleveland Clinic's Center for Microbiome and Human Health.

"It's become the sweetheart of the food industry, an extremely popular additive to keto and other low-carb products and foods marketed to people with diabetes," he added. "Some of the diabetes-labeled foods we looked at had more erythritol than any other item by weight."

Erythritol is also the largest ingredient by weight in many "natural" stevia and monkfruit products, Hazen said. Because stevia and monkfruit are about 200 to 400 times sweeter than sugar, just a small amount is needed in any product. The bulk of the product is erythritol, which adds the sugar-like crystalline appearance and texture that consumers expect.

Connection between erythritol and cardiovascular issues The discovery of the connection between erythritol and cardiovascular issues was purely accidental, Hazen said: "We never expected this. We weren't even looking for it."

Hazen's research had a simple goal: find unknown chemicals or compounds in a person's blood that might predict the risk for a heart attack, stroke or death in the next three years. To do so, the team began analyzing 1,157 blood samples in people at risk for heart disease collected between 2004 and 2011.

"We found this substance that seemed to play a big role, but we didn't know what it was," Hazen said. "Then we discovered it was erythritol, a sweetener."

The human body naturally creates erythritol but in low amounts that would not account for the levels they measured, he said.

To confirm the findings, Hazen's team tested another batch of blood samples from more than 2,100 people in the United States and an additional 833 samples gathered by colleagues in Europe through 2018. About three-quarters of the participants in all three populations had coronary disease or high blood pressure, and about a fifth had diabetes, Hazen said. Over half were male and in their 60s and 70s.

In all three populations, researchers found that higher levels of erythritol were connected to a greater risk of heart attack, stroke or death within three years.

But why? To find out, researchers did further animal and lab tests and discovered that erythritol was "provoking enhanced thrombosis," or clotting in the blood, Hazen said.

Clotting is necessary in the human body, or we would bleed to death from cuts and injuries. The same process is constantly happening internally as well.

"Our blood vessels are always under pressure, and we spring leaks, and blood platelets are constantly plugging these holes all the time," Hazen said.

However, the size of the clot made by platelets depends on the size of the trigger that stimulates the cells, he said. For example, if the trigger is only 10%, then you only get 10% of a clot.

"But what we're seeing with erythritol is the platelets become super responsive: A mere 10% stimulant produces 90% to 100% of a clot formation," Hazen said.

"For people who are at risk for clotting, heart attack and stroke — like people with existing cardiac disease or people with diabetes — I think that there's sufficient data here to say stay away from erythritol until more studies are done," Hazen said.

Oliver Jones, a professor of chemistry at RMIT University in Australia, noted that the study had revealed only a correlation, not causation.

"As the authors themselves note, they found an association between erythritol and clotting risk, not definitive proof such a link exists," Jones, who was not involved in the research, said in a statement.

"Any possible (and, as yet unproven) risks of excess erythritol would also need to be balanced against the very real health risks of excess glucose consumption."

Blood tests tracked erythritol levels and clotting risk

In a final part of the study, eight healthy volunteers drank a beverage that contained 30 grams of erythritol, the amount many people in the US consume, Hazen said, according to the National Health and Nutrition Examination Survey, which examines American nutrition each year.

Blood tests over the next three days tracked erythritol levels and clotting risk.

"Thirty grams was enough to make blood levels of erythritol go up a thousandfold," Hazen said. "It remained elevated above the threshold necessary to trigger and heighten clotting risk for the following two to three days."

Just how much is 30 grams of erythritol? The equivalent of eating a pint of keto ice cream, Hazen said.

"If you look at nutrition labels on many keto ice creams, you'll see 'reducing sugar' or 'sugar alcohol,' which are terms for erythritol. You'll find a typical pint has somewhere between 26 and 45 grams in it," he said.

"My coauthor and I have been going to grocery stores and looking at labels," Hazen said. "He found a 'confectionery' marketed to people with diabetes that had about 75 grams of erythritol."

There is no firm "accepted daily intake," or ADI, set by the European Food Safety Authority or the US Food and Drug Administration, which considers erythritol generally recognized as safe.

"Science needs to take a deeper dive into erythritol and in a hurry, because this substance is widely available right now. If it's harmful, we should know about it," National Jewish Health's Freeman said.

Hazen agreed: "I normally don't get up on a pedestal and sound the alarm," he said. "But this is something that I think we need to be looking at carefully."


TOPICS: Agriculture; Business/Economy; Food; Health/Medicine
KEYWORDS: aspartame; cardiac; cardiovascular; diabetes; heart; renal; sorbitol; sugar; xylitol
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To: Red Badger; LilFarmer

Exactly....

Everything is causing these clots....except.....the thing.

Was just posting about this, very recently.


21 posted on 10/03/2023 6:33:17 AM PDT by Jane Long (What we were told was a conspiracy theory in ‘20 is now fact. Land of the sheep, home of the knaves)
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To: Mr Rogers

PS: I don’t use this sweetener, but I’ve used various artificial sweeteners for 50 years. Other than my being a ‘Trans-denying MAGA threat to democracy’, it has had no harmful effects...


22 posted on 10/03/2023 6:33:24 AM PDT by Mr Rogers (We're a nation of feelings, not thoughts.)
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To: Red Badger

Years ago I would use the pink & green packets in my iced tea. One day I drank unsweetened tea with lemon & never looked back. Will never use those again.


23 posted on 10/03/2023 6:34:11 AM PDT by leaning conservative (snow coming, school cancelled, yayyyyyyyyy!!!!!!)
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To: Red Badger

Most Stevia is just that-—Stevia from the plant. The article makes it seem that Stevie is the same as Erythritol. Usually an item is sweetened with one or the other. Stevia is from a plant and steeped in alcohol to leech out the sweetness...

https://www.healthline.com/nutrition/erythritol-vs-stevia


24 posted on 10/03/2023 6:34:53 AM PDT by mikelets456
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To: Jane Long
Everything is causing these clots....except.....the thing.

Careful, the Homeland Security Misinformation Task Force will be looking for you......................

25 posted on 10/03/2023 6:34:57 AM PDT by Red Badger (Homeless veterans camp in the streets while illegal aliens are put up in hotels.....................)
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To: Jane Long

I think that all of these things are being used as cover for the clots caused by the vax. Just my .02.


26 posted on 10/03/2023 6:38:01 AM PDT by Melinda in TN
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To: Red Badger

How fortunate to discover something that causes clotting problems and heart attacks at this particular moment in history.


27 posted on 10/03/2023 6:40:12 AM PDT by americas.best.days... ( Donald John Trump has pulled the sword from the stone.)
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To: americas.best.days...

yes, what a coincidence.


28 posted on 10/03/2023 6:45:36 AM PDT by imabadboy99
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To: mikelets456

thats what i was thinking

its hard to find stevia without the erthy...

but it is out there


29 posted on 10/03/2023 6:46:15 AM PDT by joshua c (to disrupt the system, we must disrupt our lives, cut the cable tv)
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To: americas.best.days...

Will the wonders of Medical Science never cease?...................


30 posted on 10/03/2023 6:49:21 AM PDT by Red Badger (Homeless veterans camp in the streets while illegal aliens are put up in hotels.....................)
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To: Melinda in TN

Yes...my thoughts, exactly.


31 posted on 10/03/2023 6:56:40 AM PDT by Jane Long (What we were told was a conspiracy theory in ‘20 is now fact. Land of the sheep, home of the knaves)
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To: Red Badger

Strange. What else causes sudden heart attacks, blood clots, and strokes?


32 posted on 10/03/2023 7:05:12 AM PDT by HYPOCRACY (This is the dystopian future we've been waiting for!)
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To: HYPOCRACY

Nothing known to Medical Science!......................

33 posted on 10/03/2023 7:07:53 AM PDT by Red Badger (Homeless veterans camp in the streets while illegal aliens are put up in hotels.....................)
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To: Red Badger

34 posted on 10/03/2023 7:09:14 AM PDT by dfwgator (Endut! Hoch Hech!)
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To: dfwgator

That actually looks like Fauci!.................


35 posted on 10/03/2023 7:10:25 AM PDT by Red Badger (Homeless veterans camp in the streets while illegal aliens are put up in hotels.....................)
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To: Red Badger

also works as well as ex-lax


36 posted on 10/03/2023 7:11:10 AM PDT by Lib-Lickers 2
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To: Red Badger

"Good heavens, Miss Sakamoto, you're beautiful!"

37 posted on 10/03/2023 7:12:21 AM PDT by dfwgator (Endut! Hoch Hech!)
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To: Red Badger

It appears this is a report on the study done earlier this year, and posted:

https://freerepublic.com/focus/f-chat/4134608/posts

Thanks for the heads-up, though!


38 posted on 10/03/2023 7:17:15 AM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: joshua c

You can get pure Stevia on Amazon.


39 posted on 10/03/2023 7:18:27 AM PDT by Oldhunk
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To: Red Badger

There are versions of Stevia without it, though, such as Stevia in the Raw, which my wife uses.


40 posted on 10/03/2023 7:27:06 AM PDT by william clark (A man who is unwilling to be proven wrong has little regard for truth.)
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