The Flawed Origin: The Chinese Restaurant Syndrome
In 1968, an obscure letter was published in the New England Journal of Medicine, where a physician described experiencing symptoms like neck numbness and heart palpitations after eating at Chinese restaurants. The author speculated that the cause might be cooking wine, sodium, or monosodium glutamate (MSG). Despite the author's own uncertainty and the lack of any scientific evidence, the letter gained widespread media attention. This launched a moral panic and birthed the now-discredited term, "Chinese Restaurant Syndrome," which was later revised to "MSG symptom complex" due to its problematic racial overtones. The incident singled out Chinese cuisine, implying it was uniquely suspect and unhealthy, a dangerous notion amplified by prevailing anti-Asian sentiment.
The Role of Bad Science
In the wake of the 1968 letter, scientists rushed to investigate MSG, but the early research was often flawed and exaggerated. One infamous 1969 study involved injecting massive, unrealistic doses of MSG into newborn mice. The researchers reported neurological damage and stunted growth, and the sensational findings were widely reported, fueling consumer fears. However, subsequent, more rigorous research debunked these findings by pointing out the un-contextualized dosing and injection method bore no resemblance to how humans consume MSG. Decades of better-designed studies, including double-blind, placebo-controlled trials, have since failed to consistently trigger adverse reactions in individuals, even those who self-identify as sensitive to MSG.
Scientific Consensus: The Safety of MSG
Today, the scientific community and major health organizations are in broad agreement: MSG is a safe food additive for the general population when consumed in customary amounts.
The Body Doesn't Differentiate
The glutamate in MSG is chemically indistinguishable from the glutamate found naturally in many common foods. The body metabolizes both sources identically.
- Foods rich in natural glutamate include:
- Tomatoes
- Aged cheeses, like Parmesan
- Mushrooms
- Meat and poultry
- Seaweed (kombu)
 
- Processed foods with added MSG include:
- Canned soups and vegetables
- Snacks, like chips and crackers
- Deli meats and hot dogs
- Seasoning blends
 
Can MSG Reduce Sodium?
Interestingly, MSG contains only about one-third the amount of sodium as table salt. By using MSG in combination with or in place of some salt, home cooks and restaurants can reduce a dish's overall sodium content without sacrificing its savory flavor.
Table: MSG vs. Table Salt
| Feature | MSG (Monosodium Glutamate) | Table Salt (Sodium Chloride) | 
|---|---|---|
| Primary Function | Flavor enhancer (umami) | Flavor enhancer (salty) | 
| Sodium Content | ~12% sodium by weight | ~39% sodium by weight | 
| Usage | Added to dishes to boost savory notes | Primarily used for saltiness | 
| Body Metabolism | Metabolized as glutamate, a natural amino acid | Metabolized as sodium and chloride ions | 
| Reputation | Historically stigmatized, now gaining acceptance | Common household staple, excessive use linked to health issues | 
The Role of Racism and a Cultural Scapegoat
The persistent fear of MSG was not rooted in medical fact but in prejudice. As renowned chef Anthony Bourdain famously put it, "You know what causes Chinese Restaurant Syndrome? Racism". The anti-MSG panic provided a socially acceptable way to express distrust of Chinese and Asian cultures by characterizing their food as dangerous and unnatural. Americans had been consuming MSG for decades in processed foods like canned soups and TV dinners without concern, yet when associated with Chinese restaurants, it became a supposed threat. This double standard highlights the xenophobia at the heart of the myth, forcing many Chinese restaurants to placate customers with "No MSG" signs to survive.
Reclaiming the Flavor Enhancer
Fortunately, a new generation of chefs, food writers, and informed consumers are pushing back against the stigma. In recent years, public education campaigns by organizations like Ajinomoto, the original MSG manufacturer, have worked to correct historical inaccuracies. Efforts to change institutional records have also been successful; in 2020, Merriam-Webster updated its definition of "Chinese Restaurant Syndrome," acknowledging it as an outdated and offensive term. Culinary figures are openly embracing MSG for its umami-boosting properties, showcasing that it is simply a tool for deliciousness. This cultural shift reflects a growing willingness to embrace diverse cuisines and challenge decades of misinformed assumptions rooted in prejudice, not science.
Conclusion
The enduring stigma surrounding MSG has little to do with science and everything to do with a historical mix of misinformation, poor research, and cultural bias. While MSG was once the victim of a food scare rooted in xenophobia, it has since been vindicated by decades of scientific research. Today, major health organizations confirm its safety, and a new wave of culinary voices is proudly embracing its use as a flavor enhancer. The next time you see "No MSG" on a menu, remember the flawed history behind the label and rest assured that modern science has moved on from this baseless scare.
Learn more about the FDA's position on MSG from their official website.