Artificial Sweeteners

Overview

Artificial sweeteners are sugar substitutes added to foods and drinks because they offer a sweet taste without the calorie load or cavity risk—and they generally don't raise blood sugar levels. Since these lab-produced substances are often hundreds of times sweeter than table sugar, they can be swapped in at low levels to achieve the same flavor. The six approved artificial sweeteners in the US include aspartame (NutraSweet and Equal), neotame (Newtame), sucralose (Splenda), saccharin (Sweet'N Low), advantame, and acesulfame potassium (Sweet One and Sunett).

Separately, the US Food and Drug Administration allows other plant- and fruit-based sweeteners to be used in food, including stevia-derived substances (Truvia and PureVia), which are highly processed and purified but come from plant leaves.

Use of sugar alternatives has risen in recent years, even as ongoing research investigates how these substances affect gut health and glucose tolerance. Recent research has also linked certain sugar alcohol sweeteners (erythritol and xylitol) to elevated risks of heart attack and stroke.

Though research in the 1970s linked multiple artificial sweeteners to cancer in lab rats, subsequent studies concluded that those risks didn't hold true in humans, and the US Food and Drug Administration-approved compounds are now generally regarded as safe at moderate levels. The World Health Organization labeled aspartame as "possibly carcinogenic" in 2023 based on limited animal and human evidence, but the agency and US regulators both say that the substance remains safe at typical levels of daily consumption. A person weighing about 132 pounds would need to have 75 packets daily to reach an unsafe level, according to the US Food and Drug Administration.

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