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What is better for you, stevia or erythritol? An In-Depth Look at Zero-Calorie Sweeteners

5 min read

According to a 2023 study published in Nature Medicine, high blood levels of the popular sweetener erythritol were linked to an increased risk of heart attack and stroke. For consumers navigating the world of zero-calorie alternatives, this recent finding has prompted a critical re-evaluation of sweeteners like stevia and erythritol. So, when comparing what is better for you, stevia or erythritol?, the answer now involves new and serious health considerations beyond just calorie content.

Quick Summary

This article provides a comprehensive comparison of stevia and erythritol, evaluating their origins, health impacts, taste profiles, and culinary uses. It explores the recent cardiovascular concerns associated with erythritol and contrasts them with stevia's long-standing safety record. The information aids consumers in choosing the best sweetener based on individual health needs and dietary preferences.

Key Points

  • Cardiovascular Risk: Recent studies have linked erythritol consumption to an increased risk of heart attack and stroke, a risk not associated with stevia.

  • Sweetness and Taste: Stevia is much sweeter and can have a bitter aftertaste, while erythritol is closer to sugar in sweetness and flavor profile.

  • Blood Sugar Impact: Both stevia and erythritol have a glycemic index of zero, making them suitable for diabetics and low-carb diets, but always check product labels for added bulking agents.

  • Digestive Effects: High doses of erythritol are more likely to cause digestive upset than stevia, which is well-tolerated at normal usage levels.

  • Baking Performance: Erythritol provides better bulk and texture for baking, whereas stevia's intense sweetness requires recipe adjustments.

  • Safety Profile: Stevia has a long history of safe use and a positive safety record, whereas new cardiovascular concerns have emerged for erythritol.

In This Article

Origins and Processing

Stevia and erythritol both originate from natural sources but undergo different processing methods, affecting their final form and purity. Stevia is derived from the leaves of the Stevia rebaudiana plant, native to South America. The plant's sweet-tasting compounds, known as steviol glycosides, are extracted and purified to create the sweetener used in foods and beverages. Purified stevia extracts have a long history of traditional use and are approved as 'Generally Recognized as Safe' (GRAS) by the FDA.

Erythritol is a sugar alcohol found naturally in small amounts in some fruits and fermented foods. However, the commercially available product is produced through an industrial process that involves fermenting glucose from corn starch using yeast. While its origins are natural, the extensive manufacturing process is distinct from stevia's more direct extraction.

Sweetness and Taste Profile

One of the most immediate differences between the two is their sweetness intensity and flavor profile.

Sweetness and Concentration

  • Stevia: Steviol glycosides are intensely sweet, ranging from 200 to 400 times sweeter than table sugar. This high potency means that only tiny amounts are needed to achieve the desired sweetness, making overconsumption of stevia for calorie reasons virtually impossible.
  • Erythritol: Erythritol offers a more moderate sweetness, about 60–80% as sweet as table sugar. This means larger quantities are needed for the same level of sweetness, which is why it often serves as a bulking agent in blended sweeteners.

Flavor and Aftertaste

  • Stevia: Some individuals find that stevia has a distinct aftertaste, often described as bitter or licorice-like, especially in less refined products. However, higher-quality extracts, particularly those rich in rebaudioside A (Reb A), have minimized this off-flavor.
  • Erythritol: Many people find erythritol's taste profile cleaner and closer to regular sugar, with a neutral flavor. A mild cooling sensation can occur, but it is generally well-tolerated.

Health and Metabolic Effects

Both sweeteners are popular for their minimal impact on blood sugar, but recent findings have raised major health distinctions.

Glycemic Impact

Both stevia and erythritol have a glycemic index of zero, meaning they do not affect blood glucose or insulin levels. This characteristic makes both suitable for individuals with diabetes, low-carb dieters, and those on ketogenic diets. It is important to note that many blended products contain bulking agents like dextrose or maltodextrin that can impact blood sugar, so checking ingredient labels is crucial.

Cardiovascular Concerns and Safety

  • Erythritol: Recent research, notably a 2023 study from the Cleveland Clinic, revealed a concerning link between higher blood levels of erythritol and an increased risk of heart attack and stroke. The study found that erythritol appeared to cause blood platelets to clot more easily. These findings have prompted significant safety questions, particularly for individuals with existing risk factors like diabetes. While more research is ongoing, these findings challenge the long-held assumption that erythritol is unequivocally safe for long-term, regular consumption.
  • Stevia: Stevia maintains a positive safety record supported by extensive research and decades of traditional use. The FDA has approved purified stevia extracts as safe, and studies have not shown any evidence of cardiovascular risk or enhanced blood clotting. Its natural elimination pathway through the kidneys avoids systemic accumulation and further solidifies its safety profile.

Digestive Effects and Gut Health

  • Erythritol: Like other sugar alcohols, excessive consumption of erythritol can cause digestive issues such as bloating, gas, and diarrhea, though it is generally better tolerated than others like sorbitol or xylitol. It is largely absorbed before it reaches the colon, minimizing its impact on the gut microbiome.
  • Stevia: Stevia is well-tolerated by most people, and its intense sweetness means small amounts are used, reducing the likelihood of digestive upset. The steviol glycosides are metabolized by gut bacteria but do not significantly alter the overall diversity of the microbiome.

Culinary Uses and Baking

Both sweeteners have different properties that affect their use in cooking and baking.

  • Erythritol: Its crystalline structure and moderate sweetness make it an excellent 1:1 sugar replacement in many baking recipes, providing necessary bulk and texture. It maintains stability at cooking temperatures. However, it can crystallize in some recipes, such as ice cream.
  • Stevia: Due to its high concentration, stevia requires recipe modifications for bulk when baking. While it is heat-stable, its intense sweetness can be difficult to measure precisely for baking, and the aftertaste can affect the final product. Blending it with bulking agents like erythritol can help, but this reintroduces the cardiovascular risk associated with erythritol.

Stevia vs Erythritol: Comparison Table

Characteristic Erythritol Stevia
Source Fermented corn starch Stevia plant leaves
Calories 0.2 calories per gram 0 calories
Sweetness 60–80% of sugar 200–400x sweeter than sugar
Glycemic Index 0 0
Taste Profile Sugar-like, neutral, sometimes a cooling effect Intense, can have a bitter/licorice aftertaste
Cardiovascular Risk Linked to increased heart attack and stroke risk in recent studies No evidence of cardiovascular risk
Digestive Impact High doses can cause gas, bloating, diarrhea Well-tolerated, minimal digestive impact
Baking Use Good bulk and texture, 1:1 replacement in many recipes Lacks bulk, requires recipe modification

Conclusion: Which is the Better Choice?

When considering what is better for you, stevia or erythritol, current scientific evidence increasingly favors stevia, especially for long-term, regular consumption. While both offer the benefit of zero glycemic impact, the recent research linking erythritol to an increased risk of cardiovascular events raises significant concerns. This is particularly relevant for individuals already at risk for heart disease, for whom erythritol was previously considered a safe alternative.

For those seeking a zero-calorie, zero-risk sweetener, purified stevia extract is the more prudent choice based on its robust safety profile and decades of safe use. Its primary downsides are its intense sweetness and potential aftertaste, which are a matter of personal preference and can be managed by using high-quality extracts.

Erythritol may still be a viable option for occasional baking where its sugar-like properties are advantageous, or for individuals without cardiovascular risk factors and in moderation. However, given the emerging evidence, health-conscious consumers should be cautious and perhaps consider blending with safer alternatives or opting for stevia exclusively.

Ultimately, the best choice depends on individual health status, taste preferences, and usage context. Always check product labels, as many 'stevia' and 'monk fruit' products are blended with erythritol. For definitive health guidance, consulting a healthcare professional is recommended. For more information on non-nutritive sweeteners, see this resource from the National Institutes of Health: Neuroendocrine and metabolic effects of low-calorie and non-calorie sweeteners.

Frequently Asked Questions

Based on current research, stevia appears to have a more established and positive safety record, with no cardiovascular risks identified. Recent studies have raised significant safety concerns about erythritol's potential link to heart attack and stroke.

Both stevia and erythritol have a glycemic index of zero and do not raise blood sugar. However, due to the emerging cardiovascular concerns with erythritol, stevia is often considered the more prudent choice for regular use, particularly for individuals with existing heart disease risk factors.

Yes, many products blend stevia and erythritol to achieve a more sugar-like taste and texture. This can help mask stevia's potential aftertaste and provide the bulk needed for baking.

Consuming large quantities of erythritol can cause digestive upset, such as gas, bloating, or diarrhea, especially in sensitive individuals.

Erythritol is a good sugar replacement for baking due to its sugar-like bulk and crystalline properties. However, its safety for regular, long-term use is now under question due to potential cardiovascular risks.

No, neither stevia nor erythritol contribute to tooth decay because oral bacteria cannot metabolize them. Erythritol may even offer dental benefits by reducing plaque formation.

Some people find that certain stevia products have a bitter or licorice-like aftertaste. This often occurs with less-refined extracts. Higher-quality stevia, rich in rebaudioside A, typically has a cleaner taste.

The recent findings linking high blood erythritol levels to an increased risk of heart attack and stroke warrant caution, particularly for those with heart disease risk factors. Limiting intake and discussing concerns with a doctor is advisable until more research provides clarity.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.