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FYI-artificial sweetener makes platelets easier to activate and form clots.

dogtail profile image
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ContactAlicia Reale-Cooney216.408.7444Shannon Kelley216.318.8067Media DownloadsImages 0 Videos 1 Audio 0 Text 0Show Media DownloadsNew Cleveland Clinic research showed that erythritol, a popular artificial sweetener, is associated with an increased risk of heart attack and stroke. Findings were published today in Nature Medicine.Researchers studied over 4,000 people in the U.S. and Europe and found those with higher blood erythritol levels were at elevated risk of experiencing a major adverse cardiac event such as heart attack, stroke or 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.Stanley Hazen, M.D., Ph.D.“Sweeteners like erythritol, have rapidly increased in popularity in recent years but there needs to be more in-depth research into their long-term effects,” said senior author Stanley Hazen, M.D., Ph.D., chairman for the Department of Cardiovascular & Metabolic Sciences in Lerner Research Institute and co-section head of Preventive Cardiology at Cleveland Clinic. “Cardiovascular disease builds over time, and heart disease is the leading cause of death globally. We need to make sure the foods we eat aren’t hidden contributors.”Artificial sweeteners, such as erythritol, are common replacements for table sugar in low-calorie, low-carbohydrate and “keto” products. Sugar-free products containing erythritol are often recommended for people who have obesity, diabetes or metabolic syndrome and are looking for options to help manage their sugar or calorie intake. People with these conditions also are at higher risk for adverse cardiovascular events like heart attack and stroke.Erythritol is about 70% as sweet as sugar and is produced through fermenting corn. After ingestion, erythritol is poorly metabolized by the body. Instead, it 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. Measuring artificial sweeteners is difficult and labeling requirements are minimal and often do not list individual compounds. Erythritol is “Generally Recognized As Safe (GRAS)” by the FDA, which means there is no requirement for long-term safety studies.The authors note the importance of follow-up studies to confirm their findings in the general population. The study had several limitations, including that clinical observation studies demonstrate association and not causation.“Our study shows that when participants consumed an artificially sweetened beverage with an amount of erythritol found in many processed foods, markedly elevated levels in the blood are observed for days – levels well above those observed to enhance clotting risks,” said Dr. Hazen. “It is important that further safety studies are conducted to examine the long-term effects of artificial sweeteners in general, and erythritol specifically, on risks for heart attack and stroke, particularly in people at higher risk for cardiovascular disease.”Authors recommend talking to your doctor or a certified dietician to learn more about healthy food choices and for personalized recommendations. Disclosures: Dr. Hazen is named as co-inventor on pending and issued patents held by Cleveland Clinic relating to cardiovascular diagnostics and therapeutics.The study was partially funded by the National Heart, Lung, and Blood Institute and the Office of Dietary Supplements, both of the National Institutes of Health, under grant award numbers P01 HL147823 and R01 HL103866 to Dr. Stanley Hazen. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health

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MaryF profile image
MaryFAdministrator

Interesting! newsroom.clevelandclinic.or... I never touch them myself, having a pretty natural diet due to my mix of disease. MaryF

GinaD profile image
GinaD

Serious 🤔, Is this a key to understanding the origins of our disease? Or to why some of us have errativpc INRs? I will definately stay tuned to this!

Annslack profile image
Annslack

Thank you for posting this . I had a bad experience after drinking tonic water and Kombucha containing these sweeteners. I never usually have them . I had to stay on at a friend's house for longer than planned after very extreme gastric issues.

MrBigDog profile image
MrBigDog

Thanks dogtail for this information, as it seems every day there is something new on the list of harmful, man-made, substances that might do us harm. Oh well, something else I need to make sure I am not consuming; soon I'll be on nothing but bread and water...but wait, do I drink tap, spring, or distilled, and what about gluten!🙃

dogtail profile image
dogtail in reply toMrBigDog

😊

Pooky7 profile image
Pooky7 in reply toMrBigDog

thanks for the laugh. I too am limited on many foods. I am ok with it, as I feel better. I learned last week not to use my infared heating pad. Ugh. I knew infared caused bleeeding, as in saunas. But forgot that the heating pad I bought years ago was infared. Let’s just say, my extremities look polka dot with bleeds and my INR was 6.4. All is good now. I ate a lot more vitamin K this weekend 😊

dogtail profile image
dogtail in reply toPooky7

Good to know about the heating pad- never realized that. Thanks!

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