Table of ContentsView AllTable of ContentsWhat Is It?Is It Healthy or Safe?Tolerable DoseSubstitutesOn Food Labels

Table of ContentsView All

View All

Table of Contents

What Is It?

Is It Healthy or Safe?

Tolerable Dose

Substitutes

On Food Labels

Erythritolis touted as a zero-calorie sweetener. It is a sugar alcohol that occurs naturally in fruits such as watermelon, grapes, and pears, as well as in fermented foods such as soy sauce and cheese.

For those monitoring calories, it adds sweetness without cost to the diet. While erythritol is popping up in more and more foods, the public has not yet entirely made up its mind about it.

In this article, you’ll find out what erythritol is, whether it is considered good or bad for you, how much you can safely have, and what you need to know to be a savvy consumer of this sweetener.

mirror-images / Getty Images

Packets of sweeteners on a table

What Is Erythritol?

Erythritol: Healthy, Unsafe, or Somewhere in Between?

Erythritol has some definite benefits to its use but also some drawbacks. If you’re looking for a sugar substitute, you may wish to weigh the facts.

Research finds that erythritol may cause side effects, such as:

The link to cardiovascular events came to light in a study published in 2023.Study findings show that those with levels of erythritol in the top 25% range had twice the risk of cardiovascular issues as those in the lowest 25% range.Researchers think erythritol may increase the chances of blood clot formation. But further research is needed on this.

On the positive side, this sweetener can offer real benefits for dental health. It has proven effective at minimizing the development of cavities and keeping bacterial growth in the mouth low.

Erythritol also has the potential to benefit those withdiabetessince some research shows it doesn’t affect blood insulin or glucose levels the way sugar does.This makes it safer than table sugar (sucrose) for people with diabetes.

It’s easy to see why some people may be wild about erythritol while others are wary.

Daily Erythritol Dosage: How Much Can You Have?

Since erythritol can cause digestive side effects if you eat too much of it, it’s important to know the accepted limits and then find out what yours are.

In general, it’s OK to take in about 0.66 grams per kilogram (g/kg) of body weight a day for men and 0.80 g/kg of body weight a day for women.(Note that when research or health authorities are cited, the terms for sex or gender from the source are used). This would be 60 grams (2.1 ounces) for a 200-pound man and 54 grams (1.9 ounces) for a 150-pound woman.

But in some, doses as high as 1 g/kg of body weight per day can be consumed without digestive side effects.That would be 90 grams (3.2 ounces) for a 200-pound person, 68 grams (2.4 ounces) for a 150-pound person, and 54 grams (1.9 ounces) for a 120-pound person. All in all, it’s a question of finding your limits.

Erythritol Substitutes to Try Instead

If erythritol does not agree with you, there are othersugar substitutesyou can try, such as the following:

Keep in mind that the artificial sweetener Truvia contains both erythritol and stevia.Avoid Truvia if you have issues with erythritol. Consider taking a sweetener that contains just stevia since there are differences between these two.

Erythritol vs. Stevia

Erythritol on Food Labels

Remember, though, that erythritol is not the only sugar alcohol. Others include sorbitol, mannitol, lactitol, isomalt, xylitol, and hydrogenated starch hydrolysates (HSH).

Don’t assume that because something is listed as “sugar-free” and contains sugar alcohol that it also is low in calories. It’s possible for products containing sugar-alcohol substitutes to still have a large number of calories, fat, and carbohydrates.

To find out exactly what foods containing erythritol may be adding to your diet, check the nutritional facts label. It will break down the different components in the food, such as carbohydrates, cholesterol, and sodium.

Also, when looking for sugar amounts, remember to note the total carbohydrates, which will include sugar, sugar alcohols, and fiber. But do keep in mind that your body will only absorb about half of the sugar from most types of sugar alcohol.In figuring out the total amount of carbohydrates, such as when counting carbohydrates for diabetes management, you need to factor this in.

Summary

For those for whom sugar is currently not an option, the sweetener erythritol may be a viable alternative. It does occur naturally in some foods, but in such low amounts it must be artificially produced.

While it can offer benefits such as minimizing tooth decay and not affecting glucose or insulin levels, there’s a potential downside as well. Erythritol has been linked to some heart issues. If too much is consumed, it can lead to digestive problems.

12 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

Regnat K, Mach RL, Mach-Aigner AR.Erythritol as sweetener—wherefrom and whereto?Appl Microbiol Biotechnol. 2018;102(2):587-595. doi:10.1007/s00253-017-8654-1

Mazi TA, Stanhope KL.Erythritol: an in-depth discussion of its potential to be a beneficial dietary component.Nutrients. 2023;15(1):204. doi:10.3390/nu15010204

National Institute of Health.Erythritol and cardiovascular events.

Witkowski M, Nemet I, Alamri H, et al.The artificial sweetener erythritol and cardiovascular event risk.Nat Med. 2023;29(3):710-718. doi:10.1038/s41591-023-02223-9

Food & Drug Administration.How sweet it is: all about sweeteners.

Center for Science in the Public Interest.Thaumatin.

Truvia.Why Truvia?

American Diabetes Association.Nutrition for life: sugar substitutes.

Food & Drug Administration.Aspartame and other sweeteners in food.

Food & Drug Administration.Interactive nutritional facts label - sugar alcohols.

University of California San Francisco.Counting sugar alcohols.

Meet Our Medical Expert Board

Share Feedback

Was this page helpful?Thanks for your feedback!What is your feedback?OtherHelpfulReport an ErrorSubmit

Was this page helpful?

Thanks for your feedback!

What is your feedback?OtherHelpfulReport an ErrorSubmit

What is your feedback?