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Heart attack risk could rise with artificial sweetener consumption, study finds

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Heart attack risk could rise with artificial sweetener consumption, study finds

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A common artificial sweetener has been linked to an increased risk of heart attacks and strokes, according to a new study from Cleveland Clinic.

Erythritol, a sugar alcohol that is used to sweeten many low-sugar, reduced-calorie drinks and foods — particularly in low-carb or “keto” diets — was found to cause a spike in blood platelets and blood clot formation, researchers say.

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The findings were published in the journal Arteriosclerosis, Thrombosis and Vascular Biology.

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The team’s previous study, which appeared in Nature Medicine, found that heart patients with high levels of erythritol in their system had double the risk of experiencing a major cardiac event within three years.

“In this study, we directly compared drinking a sweetened drink with either 30 grams of glucose, which is sugar, or 30 grams of erythritol,” senior author Stanley Hazen, M.D., PhD, co-section head of preventive cardiology at Cleveland Clinic, said in a video provided to Fox News Digital.

A common artificial sweetener has been linked to an increased risk of heart attacks and strokes, according to a new study from Cleveland Clinic. (iStock)

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The small study consisted of 20 healthy volunteers, averaging 30 years of age, whose blood was drawn after an overnight fast.

The participants drank water mixed with either 30 grams of erythritol (comparable to the dose in an artificially sweetened soda or baked good) or 30 grams of glucose.

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After 30 minutes, another blood draw assessed the participants’ plasma levels of erythritol as well as platelet function.

Those who consumed the artificial sweetener were found to have more than 1,000 times the erythritol level of those who consumed sugar.

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Sugar and sugar cubes

Erythritol, a sugar alcohol that is used to sweeten many low-sugar, reduced-calorie drinks and foods, was found to cause a spike in blood platelets and blood clot formation. (iStock)

“There is every reason to believe that after drinking the erythritol, there is a heightened risk of clotting, or thrombosis” — which could heighten the chances of heart attack or stroke, Hazen said.

That effect was not seen with the patients who drank glucose.

“It looks like it’s safer to drink a glucose-sweetened drink rather than an erythritol-sweetened drink.”

“Based on the current data, it looks like it’s safer to drink a glucose-sweetened drink rather than an erythritol-sweetened drink,” Hazen said.

“I recommend my patients avoid the artificial sweeteners and sugar substitutes, to try to eat whole foods, to stay away from processed foods and to shop the produce section.”

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Soda pouring from a bottle

Approximately 65% of adults in the United States consume sugar-sweetened beverages daily, statistics show. (iStock)

For those who do want to sweeten a food or drink, Hazen would recommend — based on the data — using honey or fruit instead of artificial sweetener.

This same effect has been observed with other sugar alcohols, the doctor noted.

Erythritol is classified by the U.S. Food and Drug Administration (FDA) and the European Food Safety Authority as GRAS (“generally recognized as safe”).

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Other than the “bare minimum,” there is no mandate in place for this to be tested for safety, Hazen said.

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“I would like to see regulatory bodies reevaluate the safety of the use of sugar alcohols.”

Further clinical studies are needed to measure the long-term cardiovascular safety of erythritol, according to the researchers.

heart shaped bowl with fruits and vegetables

“I recommend my patients avoid the artificial sweeteners and sugar substitutes, to try to eat whole foods, to stay away from processed foods and to shop the produce section,” the lead researcher said. (iStock)

Dr. Bradley Serwer, a cardiologist and chief medical officer at VitalSolution, a Cincinnati, Ohio-based company that offers cardiovascular and anesthesiology services to hospitals, was not involved in the study but said that it raises “significant concerns.”

“Many artificial sweeteners have been studied and historically have been sold as healthy alternatives to sugar, but they have often been found to have significant side effects,” he told Fox News Digital. 

POPULAR ARTIFICIAL SWEETENER, ERYTHRITOL, COULD RAISE RISK OF HEART ATTACK AND STROKE: STUDY

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“There have been other studies showing that erythritol increases platelet activity, which leads to abnormal blood clot formation.”

Several other sugar substitutes, such as xylitol, have also been linked to adverse health consequences, according to Serwer.

“In addition to increasing the risk of cardiovascular events, these artificial sugars often trick the body into producing more insulin,” he noted. 

Sugar substitutes

Several other sugar substitutes, such as xylitol, have also shown adverse health consequences, according to a cardiologist. (iStock)

“Insulin increases sweet cravings, so people crave more sugar after eating artificial sweeteners, thus causing a negative impact that can lead to metabolic syndrome.”

In his cardiology practice, Serwer said his patients often seek healthier alternatives to high-calorie, sugary foods.

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“It is important to inform them that it may be better to avoid these sugar alcohols altogether,” the cardiologist said.

He said he hoped “this data will cause the FDA to reevaluate the safety of erythritol.”

Industry group urges ‘extreme caution’

The Calorie Control Council (CCC), an international association that represents the low- and reduced-calorie food and beverage industry, advised consumers to interpret Cleveland Clinic’s study with “extreme caution.”

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“The limited number of participants were given an excessive amount of erythritol, nearly double to triple the maximum amount approved in any single beverage in the United States based on a standard 8-16 oz serving,” Carla Saunders, president of the Washington, D.C.-based CCC, said in a statement sent to Fox News Digital.

"For 30 years, science has shown that erythritol is a proven safe and effective choice for sugar and calorie reduction," stated the Calorie Control Council.

“For 30 years, science has shown that erythritol is a proven safe and effective choice for sugar and calorie reduction,” stated the Calorie Control Council. (iStock)

Erythritol levels were only measured once after consumption, she pointed out. 

“The pilot lacked control over lifestyle factors that may affect the outcome, which could introduce confounding variables and impact the reliability of the findings,” Saunders added. 

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“Further, as erythritol levels were only measured at baseline and 30 minutes after consumption, there is no way to demonstrate any lasting effect of excessive consumption on any health outcome,” she also said. 

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“For 30 years, science has shown that erythritol is a proven safe and effective choice for sugar and calorie reduction.”

Fox News Digital contacted Cleveland Clinic for comment on the CCC’s position.

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Shed Pounds and Boost Calorie Burn With Our Walking Plan for Weight Loss

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Shed Pounds and Boost Calorie Burn With Our Walking Plan for Weight Loss


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WHO asks experts to help decide if mpox outbreak in Africa is global emergency

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WHO asks experts to help decide if mpox outbreak in Africa is global emergency
  • The World Health Organization Director-General said he would ask independent experts to advise WHO on whether the increasing spread of the mpox virus in Africa should be declared a global emergency.
  • The Africa Centers for Disease Control and Prevention reported that cases are up 160% and deaths have jumped by 19% compared with the same time period last year.
  • Earlier this year, scientists reported the emergence of a new form of the deadlier version of mpox in Congo, which can kill up 10% of people.

The head of the World Health Organization said Wednesday he will convene an expert group to determine if the increasing spread of the mpox virus in Africa warrants being declared a global emergency.

At a press briefing in Geneva, WHO Director-General Tedros Adhanom Ghebreyesus said that given the increasing spread of mpox cases beyond Congo, he has decided to ask independent experts to advise WHO “as soon as possible.”

Last week, the Africa Centers for Disease Control and Prevention reported that mpox, also known as monkeypox, has now been detected in 10 African countries this year including Congo, which has more than 96% of all cases and deaths. Compared with the same time period last year, the agency said cases are up 160% and deaths have jumped by 19%.

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Officials at the Africa CDC said nearly 70% of cases in Congo are in children younger than 15, who also accounted for 85% of deaths.

Mpox was reported last week in Burundi and Rwanda for the first time while other countries including Kenya and the Central African Republic also identified cases.

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A colorized transmission electron micrograph shows monkeypox particles (red) found within an infected cell (blue). Kenya and the Central African Republic declared new outbreaks of mpox on July 31, 2024, as Africa’s health officials are racing to contain the spread of the disease. (NIAID via AP, File)

WHO’s Tedros said the agency has released $1 million from its emergency fund to support the response to mpox.

Earlier this year, scientists reported the emergence of a new form of the deadlier version of mpox, which can kill up 10% of people, in a Congolese mining town that they feared might spread more easily among people. Mpox spreads via close contact with infected people, including via sex.

In 2022, WHO declared mpox to be a global emergency after it spread to more than 70 countries, mostly affecting gay and bisexual men. Before that outbreak, the disease had mostly been seen in sporadic epidemics in central and West Africa when people came into contacted with infected animals.

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Western countries mostly shut down the spread of mpox with the help of vaccines and treatments, but very few of those have been available in Africa.

Maria Van Kerkhove, who leads WHO’s outbreak department, said there were numerous concerning issues in Africa’s mpox epidemic and called for a more urgent response.

“We do not want the world to sit and watch and wait,” she said. “The time (to act) is now.”

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