Do You Need To Cut Out Aspartame
Moderation is important for lowering risks
Closeup of sugar substitute in granulated and pill
form on a blue background.
Some things are well-understood to be healthy for our
bodies: fruits, vegetables, exercise.
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And some things are almost universally agreed as a
danger to your well-being: smoking, drug use, driving without a seatbelt.
But not everything is so clear-cut. Not every food we
eat or activity we do can fall neatly into the category of “good for you” or
“bad for you.” There are gray areas. Questions of quantity. Matters of how you
personally react to one thing or another.
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That’s the case with the artificial sweetener
aspartame.
On one hand, aspartame can be a saving grace for
people with diabetes (“Sweet taste without the calories, and no impact on your
blood sugar!”). On the other, there’s reason to be cautious.
Amid reports declaring aspartame a possible carcinogen
(cancer-causing agent), we talked with oncologist Dale Shepard, MD, PhD, about
aspartame — the good, the bad and what to do about it.
What is aspartame?
Aspartame is an artificial sweetener that goes by
brand names like NutraSweet®, Equal® and Sugar Twin®.
Like other artificial sweeteners — including saccharine (Sweet’n Low®) and sucralose (Splenda®) — it’s a common ingredient in foods labeled “sugar-free” or “no added sugar.”
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That
can include products like:
Diet soda.
Juice.
Gum.
Candy.
Baked goods.
Ice cream.
Packaged snacks and desserts.
Yogurt.
Aspartame and other non-nutritive sweeteners are
popular among people looking for a sugarless route to satisfying their sweet
tooth. That includes people with diabetes, people on sugar-restricting diets
like keto and people who are trying to lose weight.
A gram of aspartame contains 4 calories, which is the
same as sugar. But aspartame is 200 times sweeter than sugar. So, you don’t
have to use nearly as much to get the same sweetness factor.
So, if you switch from sugar to aspartame, you
essentially cut the calories to zero. And aspartame doesn’t impact your blood
sugar, so it’s marketed as a good choice for people with diabetes and other
people who need to be monitor their blood sugar.
Does aspartame cause cancer?
The latest scientific evidence suggests that aspartame
may be associated with cancer. And the World Health Organization (WHO) lists
aspartame as a possible cause of cancer. None of that means that aspartame
directly causes cancer. There’s a difference.
Let’s look at the research.
In the largest trial to date on the effects of aspartame, researchers followed more than 100,000 people over about eight years and documented what they ate and drank. They found that people who consumed aspartame at high levels were about 15% more likely to develop cancer than people who didn’t have aspartame in their diet. That included an
increased risk of:
Breast cancer.
Endometrial cancer.
Colon cancer.
Stomach cancer.
Prostate cancer.
“When we research foods and their connection to cancer, we can see when people
who eat a particular type of food are more likely to develop cancer, but that’s
not proving a causal relationship,” Dr. Shepard clarifies. “We don’t know
necessarily whether aspartame causes cancer.”
It’s a complicated question to research. Do people who
eat a lot of aspartame get cancer because of aspartame? Or do high-aspartame
consumers have something else in common — like a chronic health condition,
vitamin deficiency or lifestyle choices — that leads to their increased cancer
risk? After all, aspartame use is likely to be higher among people living with
diabetes and obesity. Might those conditions be the root cause of a higher
cancer risk?
As of now, we don’t know for sure, and the WHO’s
designation of aspartame reflects that uncertainty.
The WHO ranks carcinogens into four groups based on
how likely they are to cause cancer. Aspartame is listed as a “Group 2B
carcinogen.” That’s the designation reserved for things believed to possibly
cause cancer but that don’t have sufficient evidence to say they do for sure.
“Group 1
carcinogens are things we know cause cancer, like tobacco use and sun
exposure,” Dr. Shepard explains. “Then, there’s Group 2A, which are things that
probably cause cancer, like red meat. Group 2B is a step below that and
includes things like car exhaust, lead and aspartame.”
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Aspartame risks and side effects
In addition to its association with cancer, aspartame
can come with some other unwanted effects.
Some scientists and physicians say sugar and
artificial sweeteners like aspartame can be addictive in a way. They light up
your nervous system, sending loads of feel-good hormones, like dopamine,
throughout your body. It makes your body want more and more of the sweet stuff,
which can lead to overconsumption.
What’s more is that some people may not react well to
aspartame and other artificial sweeteners. The sugar alcohols used in making
some artificial sweeteners can cause stomach discomfort, like bloating, cramps
and diarrhea. And one common sugar alcohol, erythritol, has been linked to
increased risk for heart attack and stroke.
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With my best wishes