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Healthy Home Economist / Archives / Healthy Living / Erythritol Risk for Strokes and Heart Attacks (Large Cleveland Clinic Study)

Erythritol Risk for Strokes and Heart Attacks (Large Cleveland Clinic Study)

by Sarah Pope / Mar 2, 2023 / Affiliate Links ✔

Table of Contents[Hide][Show]
  • Large Study with over 4000 Participants
  • Correlation or Causation?
  • Conclusions

Using erythritol as an alternative sweetener is associated with increased risk for heart attacks and strokes according to a large, 4000+ person study by the Cleveland Clinic.

clot inducing erythritol on a spoon

For almost 10 years, I have warned my readers to avoid erythritol found in a dizzying array of low-carb foods and alternative sweeteners like Swerve.

This low-calorie sweetener is very popular with those following the keto diet, Trim Healthy Mama or similar low-carb protocols to lose weight.

Erythritol is perhaps the most popular of the sugar alcohols, which contribute to gut imbalance among other potential harms to beneficial intestinal flora.

This nail in the coffin for erythritol once again demonstrates that there is no free lunch when you are trying to change your diet to get healthy.

Fake sweeteners like erythritol and chemical cousins like diarrhea-inducing xylitol just aren’t going to get you there over the long-term.

In other words, you can’t have your artificially sweetened flourless cake and eat it too.

You need to eat REAL FOOD for health…that includes whole sweeteners like raw honey or maple syrup if you wish to enjoy something sweet on occasion!

Let’s look at the details of this damning study on erythritol.

You would be well advised to go to your pantry and immediately toss anything in there that contains it!

bags of erythritol which causes increased heart attack and stroke risk

Large Study with over 4000 Participants

The Cleveland Clinic conducted the study with the peer-reviewed journal Nature Medicine publishing the finding in February 2023. (1)

The study included more than 4,000 participants in America and Europe. (2)

The findings revealed that people with higher blood erythritol levels had a greater risk of suffering a heart attack, stroke, or even death.

They also examined the effects of adding erythritol to either whole blood or isolated platelets, which are cell fragments that clump together to stop bleeding and contribute to blood clots. Results revealed that erythritol made platelets easier to activate and form a clot. Pre-clinical studies confirmed ingestion of erythritol heightened clot formation [emphasis mine]. (3)

Correlation or Causation?

The large study on the negative health effects of blood level of erythritol shows an associated risk and is not double-blind causative research.

However, in the wise words of the Florida Surgeon General Dr. Joseph Ladapo,

Just because correlation does not equal causation does not mean we should abandon common sense!

Ignoring this research because the link is associative is very short-sighted.

Conclusions

Per the Cleveland Clinic, erythritol is about 70 percent as sweet as sugar.

However, when consumed, the intestinal tract has difficulty metabolizing the product.

This means that some ends up in the blood, where it doesn’t belong.

The Cleveland Clinic press release described the scenario as follows:

Instead, it [erythritol] goes into the bloodstream and leaves the body mainly through urine. The human body creates low amounts of erythritol naturally, so any additional consumption can accumulate.

Predictably, Calorie Control Council Executive Director Robert Rankin downplayed the study’s results as “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.” (4)

Hmmm. I don’t think that “global regulatory permissions” is an indicator that something is safe at all!

As one of many examples of how ludicrous this statement is, consider that the FDA allows aluminum in cheese processing. Is this a guarantee of aluminum’s safety in the human diet?

Hardly not!

Wise consumers who have been eating erythritol would do well to eliminate this artificial sweetener from their diet. This would include related sugar alcohols such as xylitol, sorbitol, isomalt, mannitol, lactitol, and maltitol among a few others.

References

(1) The artificial sweetener erythritol and cardiovascular event risk

(2, 3) Cleveland Clinic Study Finds Common Artificial Sweetener Linked to Higher Rates of Heart Attack and Stroke

(4) Study: Erythritol Sweetener Linked to Higher Risk of Heart Attack and Stroke

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Category: Healthy Living
Sarah Pope

Sarah Pope MGA has been a Health and Nutrition Educator since 2002. She is a summa cum laude graduate in Economics from Furman University and holds a Master’s degree from the University of Pennsylvania.

She is the author of three books: the bestseller Get Your Fats Straight, Traditional Remedies for Modern Families, and Living Green in an Artificial World.

Her four eBooks Good Diet…Bad Diet, Real Food Fermentation, Ketonomics, and Ancestrally Inspired Dairy-Free Recipes are available for complimentary download via Healthy Home Plus.

Her mission is dedicated to helping families effectively incorporate the principles of ancestral diets within the modern household. She is a sought after lecturer around the world for conferences, summits, and podcasts.

Sarah was awarded Activist of the Year in 2010 at the International Wise Traditions Conference, subsequently serving on the Board of Directors of the nutrition nonprofit the Weston A. Price Foundation for seven years.

Her work has been covered by numerous independent and major media including USA Today, ABC, and NBC among many others.

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Reader Interactions

Comments (45)

  1. Nancy

    Mar 16, 2023 at 12:12 am

    It seems that this may be more of the cover up of increased heart attacks and strokes from the death shot. Maybe.

    Reply
    • Sarah Pope

      Mar 16, 2023 at 9:39 am

      Yes, could be gaslighting, however, erythritol has been know for over a decade to harm the immune system which would make a person more susceptible to cardiovascular events.

  2. JC

    Mar 14, 2023 at 9:35 am

    Hello, I know that YOU KNOW a lot about things going on in this world….so you might want to look at WHO did that study!!!  go to the original source of this study and there you will see how it was funded… page 12 under “Acknowledgments”. You will see where the funding came from and you can make your own conclusions.  😉
    and incase you wondered:
    The National Institutes of Health, commonly referred to as NIH , is the primary agency of the United States GOVERNMENT responsible for biomedical and public health research. It was founded in the late 1880s and is now part of the United States Department of Health and Human Services.
    BOOM 😉

    Reply
    • Sarah Pope

      Mar 15, 2023 at 9:56 am

      Note that there are many good, competent people at the NIH despite the evil people who run it. Note that Dr. Russell Blaylock’s excellent piece exposing the scamdemic is also on the NIH website! ncbi.nlm.nih.gov/pmc/articles/PMC9062939/

      No organization is 100% good or bad. Discernment is critical.

  3. Leah

    Mar 11, 2023 at 3:53 pm

    It’s so hard to know what to believe anymore. I’m a member of Trim Healthy Mama on fb and they’ve been all over this study and they’ve proclaimed it just another demonization of something healthy. I haven’t seen evidence either way that’s conclusive.

    Reply
    • Sarah Pope

      Mar 12, 2023 at 9:35 am

      Again, even setting this study aside… erythritol along with all sugar alcohols, disrupt gut function and damage beneficial flora balance. **This has been known for over 10 years** That alone should be a red flag that it isn’t safe to use.

  4. Ryan

    Mar 11, 2023 at 9:50 am

    A family member gifted me kombucha (Remedy Kombucha Tea Organic Drink) that contains erythritol. I had about 5 over the course of a week. I felt a little off (slight headache, tired) and the skin on my arms was itchy and red. Thankfully, I figured it out before more damage was done. Seemed like it took a week for the symptoms to completely resolve.

    Reply
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