Stevia's Safety and Approval Status
For those asking, "is stevia ok to have daily?", the short answer is yes, when consuming highly purified stevia extract within the recommended limits. It is crucial to understand the distinction between purified extract and the unprocessed or whole-leaf form. The U.S. Food and Drug Administration (FDA) has given highly purified steviol glycosides a Generally Recognized as Safe (GRAS) designation, meaning they can be legally used as a food additive. This is based on extensive scientific reviews that found no evidence of adverse health effects at typical intake levels. The FDA does not, however, approve whole-leaf stevia or crude extracts for use in food, as their safety has not been fully evaluated.
The Acceptable Daily Intake (ADI)
To ensure safety, health authorities worldwide, including the Joint FAO/WHO Expert Committee on Food Additives (JECFA), have established an Acceptable Daily Intake (ADI) for steviol glycosides. The ADI is set at 4 milligrams of steviol per kilogram of body weight per day. For a 150-pound person, this equates to roughly 10 packets of a typical stevia sweetener, a quantity most people would never reach in a day due to its intense sweetness. Staying within this limit minimizes any potential risks associated with intake.
Potential Health Benefits
Aids in Blood Sugar Management
For individuals with diabetes, stevia is often a recommended sugar alternative because it does not raise blood glucose or insulin levels. By replacing sugar with stevia, people with diabetes can enjoy sweetness without the glycemic impact, helping them manage blood sugar more effectively.
Supports Weight Management
As a zero-calorie sweetener, stevia can be a valuable tool for weight management. Replacing high-calorie sugar with stevia can significantly reduce daily calorie intake without sacrificing taste, which is a key factor for successful weight loss. Some studies have also suggested that stevia may help increase satiety and decrease hunger, further supporting weight control efforts.
May Benefit Blood Pressure
Some research suggests that stevia may have a blood pressure-lowering effect. While this is beneficial for individuals with hypertension, those already on blood pressure medication should consult their doctor to avoid their blood pressure dropping too low.
Potential Downsides and Considerations
While highly purified stevia is considered safe for most, some potential drawbacks and side effects exist, particularly with certain products or excessive consumption. It's important to be aware of these before consuming stevia daily.
Gastrointestinal Issues
Some commercially available stevia blends are mixed with sugar alcohols (e.g., erythritol) to add bulk or mask a slight aftertaste. In some individuals, these sugar alcohols can cause digestive discomfort, including bloating, gas, and nausea. These effects are generally not caused by the stevia extract itself but by the additives in the product.
Impact on Gut Microbiome
Preliminary research, primarily in animal studies, has shown mixed results on stevia's effect on gut bacteria. Some studies have indicated that non-nutritive sweeteners, including stevia, may alter the composition of the gut microbiome. However, more human-based research is needed to fully understand the long-term impact on gut health.
Taste and Aftertaste
One of the most common complaints about stevia is its lingering aftertaste, which some describe as licorice-like or slightly bitter, especially in higher concentrations. The quality of the stevia extract can also influence the taste, with more highly purified versions generally having a cleaner flavor profile.
Stevia vs. Sugar: A Comparison
| Feature | Highly Purified Stevia Extract | Refined Table Sugar (Sucrose) | 
|---|---|---|
| Calories | Zero | High (approx. 16 per tsp) | 
| Blood Sugar Impact | None | High Glycemic Index, causes spikes | 
| Impact on Diabetes | Safe, helps manage blood sugar | Avoided or limited; can worsen control | 
| Weight Management | Supports weight loss by reducing calories | Contributes to weight gain and obesity | 
| Dental Health | Non-cariogenic, does not cause tooth decay | Contributes to tooth decay and cavities | 
| Origin | Plant-based, from Stevia rebaudiana leaves | Derived from sugarcane or sugar beets | 
| Taste | Intense sweetness with potential aftertaste | Familiar, consistent sweet taste | 
Conclusion: A Prudent Approach to Daily Stevia
Is stevia ok to have daily? For most people, consuming highly purified stevia extract within the ADI is safe and presents a healthier alternative to sugar. It can be particularly beneficial for those managing diabetes or seeking to reduce their caloric intake for weight management. However, the key is moderation and choosing high-quality, purified products to avoid potential additives or impurities. Whole-leaf or crude stevia extracts remain unapproved by the FDA and should be avoided. As with any dietary change, consulting a healthcare provider is recommended, especially for individuals with pre-existing health conditions or those taking certain medications. By understanding the science and being mindful of product quality, daily stevia use can be a safe and effective part of a balanced diet.
The Difference in Stevia Forms
Stevia is available in different forms, and their safety profiles vary. It's important to know the difference to make an informed choice for daily use. Highly purified stevia extract is the form approved by the FDA and other major health organizations, containing 95% or more steviol glycosides. These products often come as tablets, powders, or liquids. Whole-leaf stevia, on the other hand, consists of the unprocessed, raw leaves of the plant and lacks sufficient safety research for food use. Crude stevia extracts, which are less refined than the highly purified form, are also not FDA-approved as a food additive.