Can you overdo stevia and what happens if you do?
Stevia, derived from the leaves of the Stevia rebaudiana plant, has gained popularity as a zero-calorie, natural-origin sweetener. It is praised for being a healthier alternative to sugar and artificial sweeteners. However, with any food additive, moderation is key. Overconsumption, though difficult to achieve for most, can lead to side effects, and the risks often depend on the type of stevia product consumed.
The 'Acceptable Daily Intake' (ADI) for stevia
For high-purity steviol glycoside extracts, which are the only form approved for use as sweeteners in the U.S. and Europe, the ADI is set at 4 mg per kilogram of body weight per day. Reaching this limit through normal consumption of purified stevia products is highly improbable for most adults.
What are the potential side effects of too much stevia?
While highly purified stevia extracts are generally well-tolerated, the primary adverse effects linked to stevia products are often caused by other ingredients or are related to excessive intake. It is important to consider the type of stevia product being used when evaluating side effects.
Digestive issues: Many commercially available stevia products contain sugar alcohols like erythritol. High intake of these can lead to gastrointestinal symptoms such as bloating, gas, nausea, and diarrhea in sensitive individuals.
Taste sensitivity: Some people find that consuming too much stevia results in a lingering bitter or licorice-like aftertaste.
Drug interactions: Stevia may potentially lower blood pressure and blood sugar levels. This can be a risk for individuals on medication for these conditions, as excessive amounts could amplify the effects and lead to dangerously low levels.
Potential for increased food intake: Some research suggests non-caloric sweeteners like stevia might increase cravings or lead to consuming more calories later, but evidence is mixed.
The crucial distinction: Purified extracts vs. Crude stevia
The safety of stevia products depends heavily on processing and purity.
Whole-leaf stevia and crude extracts: The U.S. FDA has not approved these forms as food additives due to insufficient safety evaluation.
High-purity steviol glycoside extracts: This is the widely used and approved form, considered "Generally Recognized As Safe" (GRAS) by the FDA.
Comparing Different Stevia Product Types
| Feature | Whole-Leaf/Crude Stevia | High-Purity Stevia Extract | Stevia Blends | 
|---|---|---|---|
| Processing Level | Minimally processed leaves or crude liquid extracts. | Highly refined to isolate specific steviol glycosides. | Refined stevia extract mixed with other ingredients like sugar alcohols. | 
| FDA/EFSA Status | Not approved as a food additive due to insufficient safety data. | Generally Recognized as Safe (GRAS). | Safe, but safety of other added ingredients varies. | 
| Aftertaste | Often has a more pronounced bitter aftertaste. | Generally has a cleaner taste. | Aftertaste depends on the blend; sugar alcohols can cause digestive issues. | 
| Common Side Effects | Insufficient safety data, potential concerns regarding long-term organ effects. | Minimal side effects when consumed within ADI. | Digestive issues (gas, bloating, diarrhea) due to sugar alcohols. | 
How to avoid overdoing stevia
- Read labels: Choose products with high-purity steviol glycosides (e.g., Reb A) and be aware of added fillers like sugar alcohols.
 - Use sparingly: Stevia is much sweeter than sugar; use minimal amounts.
 - Consider total intake: Be mindful of consuming multiple stevia-sweetened products daily.
 - Monitor your body: If you experience digestive discomfort or other unusual symptoms, reduce intake or try a different product.
 - Consult a healthcare provider: Discuss stevia use with a doctor if you have chronic conditions or take related medications.
 
Conclusion
While it is technically possible to overdo stevia, it's highly unlikely with typical consumption of purified extracts. Risks are more often linked to added ingredients like sugar alcohols in blends or using unapproved crude forms. By choosing high-purity products and practicing moderation, most people can safely enjoy stevia. For more information on general nutrition and sweeteners, you can consult authoritative health resources like the Harvard T.H. Chan School of Public Health Nutrition Source.