Original article published on Sept. 6, 2019 | Written by: The New York Times

A new study that links artificially sweetened beverages to premature death is prompting public angst. Some scientists say it has significant flaws.

Does guzzling diet soda lead to an early demise?

There was a collective gasp among Coke Zero and Diet Pepsi drinkers this week after media reports highlighted a new study that found prodigious consumers of artificially sweetened drinks were 26 percent more likely to die prematurely than those who rarely drank sugar-free beverages.

The study, published in the journal JAMA Internal Medicine, followed 450,000 Europeans over 16 years and tracked mortality among soft-drink consumers of all persuasions — both those with a fondness for sugary beverages and those who favored sugar-free drinks.

Given the well-documented health effects of consuming too much sugar, it was little surprise the authors found that people who drank two or more glasses of sugar-sweetened beverages a day were eight percent more likely to die young compared to those who consumed less than one glass a month.

But what grabbed headlines, and prompted widespread angst, was the suggestion that drinking Diet Coke could be even more deadly than drinking Coca-Cola Classic.

The study is not a one-off. Over the past year, other research in the United States has found a correlation between artificially sweetened beverages and premature death.

The problem, experts say, is that these and other studies have been unable to resolve a key question: Does consuming drinks sweetened with aspartame or saccharin harm your health? Or could it be that people who drink lots of Diet Snapple or Sprite Zero lead a more unhealthy lifestyle to begin with?

A number of nutritionists, epidemiologists and behavioral scientists think the latter may be true. (It’s a theory that will be instantly recognizable to anyone who has guiltily ordered a Diet Coke to accompany their Double Whopper with cheese.)

“It could be that diet soda drinkers eat a lot of bacon or perhaps it’s because there are people who rationalize their unhealthy lifestyle by saying, ‘Now that I’ve had a diet soda, I can have those French fries,’” said Vasanti S. Malik, a researcher at the Harvard T.H. Chan School of Public Health and the lead author of a study in April that found that the link between artificial sweeteners and increased mortality in women was largely inconclusive. “This is a huge study, with a half million people in 10 countries, but I don’t think it adds to what we already know.”

The authors of the JAMA paper tried to account for these risk factors by removing study participants who were smokers or obese, and they tried to improve its accuracy through statistical modeling.

But Dr. David Ludwig, an obesity specialist at Boston Children’s Hospital, said these so-called observational studies cannot really determine cause and effect. “Maybe artificial sweeteners aren’t increasing mortality,” he said. “Maybe it’s just that people with an increased risk of mortality, like those with overweight or obesity, are choosing to drink diet soda but, in the end, this doesn’t solve their weight problem and they die prematurely.”

Still, scientists say the alternative to observational studies — a clinical trial that randomly assigns participants to a sugary drinks group or a diet soda group — isn’t feasible.

“Clinical trials are considered the gold standard in science, but imagine asking thousands of people to stick to such a regimen for decades,” said Dr. Malik of Harvard. “Many people would drop out, and it would also be prohibitively expensive.”

Concerns about artificial sweeteners have been around since the 1970s, when studies found that large quantities of saccharin caused cancer in lab rats. The Food and Drug Administration issued a temporary ban on the sweetener, and Congress ordered up additional studies and a warning label, but subsequent research found the chemical to be safe for human consumption. More recently-created chemical sweeteners like aspartame and sucralose have also been extensively studied, with little evidence that they negatively impact human health, according to the F.D.A.

Some studies have even found a correlation between artificial sweeteners and weight loss, but others have suggested they may increase cravings for sugary foods.

“There’s no evidence they are harmful to people with a healthy diet who are trying to live a healthy lifestyle,” said Dr. Barry M. Popkin, a nutritionist at the University of North Carolina, Chapel Hill. He and others remain concerned that giving diet beverages to young children might encourage a sweet tooth.

Still, many scientists say more research is needed to determine the long-term effects of consuming artificial sweeteners. Although Dr. Mullee, one of the authors of the study, cautioned against drawing stark conclusions from their data, she said the deleterious effects of artificial sweeteners can’t be ruled out, noting studies that suggest a possible link between aspartame and elevated levels of blood glucose in humans. “Right now the biological mechanisms are unclear but we’re hoping our research will spark further exploration,” she said.

For consumers, the mixed messaging can be confusing. Dr. Jim Krieger, the founding executive director of Healthy Food America, an advocacy group that presses municipalities to enact soda taxes and increase consumer access to fruits and vegetables, said the new study and others like it raise more questions than they answer.

“Gosh, at this point, you probably want to go with water, tea or unsweetened coffee and not take a chance on beverages we don’t know much about,” he said. “Certainly, you don’t want to drink sugary beverages because we know that these aren’t good for you.”


About the Author:
Andrew Jacobs is a reporter with the Health and Science Desk, based in New York. He previously reported from Beijing and Brazil and had stints as a Metro reporter, Styles writer and National correspondent, covering the American South. @AndrewJacobsNYT
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Source: A version of this article appears in print on , Section D, Page 6 of the New York edition with the headline: Alarm Over Diet Sodas, and Questions, Too .

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If you consume products that contain Sucralose, please be warned of its various negative health effects!

Common side effects of Sucralose & Splenda consumption include:
+ Gastrointestinal problems (Sucralose can destroy as much as 50 percent of the microbiome in your gut)
+ Seizures, dizziness, and migraines
+ Heart palpitations or fluttering
+ Blurred vision & allergic reactions
+ Blood sugar increases, weight gain and Type 2 diabetes

*Read the entire article and findings below.


Original article by Dr. Mercola, author of Sugar Substitutes—What's Safe and What's Not | Published on December 18, 2013

STORY AT-A-GLANCE

  • An in-depth scientific review of sucralose (Splenda) reveals an extensive list of safety concerns, including toxicity, DNA damage, and heightened carcinogenic potential when used in cooking.
  • When heated, it releases chloropropanols, which belong to a class of toxins known as dioxins. Dioxin—a component of Agent Orange—is among the most dangerous chemicals known to man!
  • Sucralose can destroy as much as 50 percent of the microbiome in your gut. What’s worse, it appears to target beneficial microorganisms to a greater extent than pathogenic and other more detrimental bacteria.
  • Both animal and human studies have shown that Splenda alters glucose and glucagon-like peptide-1 (GLP-1) levels, thereby promoting weight gain and type 2 diabetes.
  • The adverse effects of sucralose are oftentimes misdiagnosed or overlooked entirely as the side effects are so varied and mimic common ailments.

Sucralose, marketed under the brand name Splenda, is a best-selling artificial sweetener around the world. (In the European Union, sucralose is also known under the additive code E955.)

It has been nearly eight years since I published my concerns about Splenda in my book, Sweet Deception. Since then, evidence continues to support the concerns I had back then.

Splenda is found in tens of thousands of processed food products sold in 90 different countries, many of which are specifically marketed to those seeking to either lose weight or manage their diabetes.

Mounting research, however, shows that not only does it tend to worsen both of those problems, but it's also associated with an array of other troublesome side effects.

The website www.TruthAboutSplenda.com lists a variety of consumer complaints from Splenda consumption, many of which mimic other health conditions. Some of the most commonly reported adverse effects include:

  • Gastrointestinal problems
  • Seizures, dizziness, and migraines
  • Blurred vision
  • Allergic reactions
  • Blood sugar increases and weight gain

But that's not all. Now, an in-depth scientific review12 of sucralose published in the Journal of Toxicology and Environmental Health3 reveals an extensive list of safety concerns, including toxicity, DNA damage, and heightened carcinogenic potential when used in cooking.

It also blows a huge hole in the argument that Splenda is a good choice for diabetics and/or those seeking to lose weight.

Sucralose—NOT Safe for Cooking After All

The featured report came to several important conclusions—all of which challenge the "generally recognized as safe" (GRAS) status of sucralose. Of primary concern is that sucralose is not an inert substance.

When heated, it releases chloropropanols, which belong to a class of toxins known as dioxins. One of the selling points of Splenda is that it remains stable when heated, making it well-suited for cooking and baking, but these findings refute such claims. (Many other artificial sweeteners, such as aspartame, are not recommended for cooking purposes as they're known to break down in high temperatures.)

As reported by Sayer Ji at GreenMedInfo.com,4 research now shows that sucralose starts breaking down at 119 degrees Celsius; 180 degrees Celsius causes it to degrade completely.

Dioxin is a waste product of incineration, smelting, chlorine bleaching, and pesticide manufacturing, and its well-documented health effects include cancer and endocrine disruption. In fact, dioxin, which was a toxic component of the Agent Orange used to defoliate jungles during the Vietnam War, is easily one of the most dangerous chemicals known to man.

Another study5 published in October also expressed concern over the chlorination reactions that occur when sucralose is cooked in stainless steel cookware, generating highly toxic compounds, including dioxins6 and polychlorinated dibenzofurans (PCDFs).

Recent animal research also suggests a link between Splenda consumption and an increased risk of leukemia.7 Based on such research, the time is more than ripe for the US Food and Drug Administration (FDA) to reconsider the GRAS status of sucralose...

Sucralose Also Destroys Your Gut Health

The featured review also concluded that sucralose destroys gut bacteria. (In fact, animal research8 published in 2008 found it could kill as much as 50 percent of your microbiome.)

This is very important, as anytime you destroy healthy intestinal bacteria, you open yourself up to unfriendly micro-organisms that can cause health problems. Your immune system, which is imperative for general health, is dependent on healthy gut flora, so the idea that this artificial sweetener may destroy up to half of all your healthy gut bacteria is disconcerting to say the least.

Worse yet, sucralose appears to target beneficial microorganisms to a greater extent than pathogenic and other more detrimental bacteria. And remarkably, according to one study, these adverse effects on gut microbiota remained even after a three-month long recovery period...

Early studies, upon which its approval was based, claimed that sucralose would simply pass unchanged through the human gastrointestinal tract, but more recent investigations show that it is indeed metabolized in your gut. And, as reported in the featured review, "the identity and safety profile of these putative sucralose metabolites are not known at this time."

Diabetics Beware...

The third issue is of particular importance for diabetics, who tend to use artificial sweeteners to manage their condition.9 Alas, both animal and human studies showed sucralose alters glucose and glucagon-like peptide-1 (GLP-1) levels. A related study published in the journal Diabetes Care10 in September came to a virtually identical conclusion. Compared to the control group, obese patients using sucralose experienced a greater incremental increase in peak plasma concentrations, a greater incremental increase and peak secretion rate ... According to the authors:

"These data demonstrate that sucralose affects the glycemic responses to an oral glucose load in obese people who do not normally consume non-nutritive sweeteners."

Toxicological Issues Still Need to Be Addressed

According to the featured review, there are "numerous toxicological issues regarding long-term exposure to sucralose" that remain "unresolved." This includes:

  1. Genotoxicity (DNA damage) and potentially adverse epigenetic effects
  2. The generation of toxic compounds when heated
  3. Bioaccumulation (One 2009 study found unmistakable evidence that Splenda is absorbed by body fat, contrary to previous claims)
  4. Potential drug interactions

The paper also notes that the acceptable daily intake (ADI) set for sucralose may in fact be hundreds of times too high to ensure safety! According to more recent research, the no-observed-effect-level (NOEL) in rats' gut bacteria is actually 454 times lower than earlier studies showed. If the biological effects of sucralose are similar in both rats and humans, then you could experience health effects even if you consume sucralose at levels well below the ADI. Also consider this:

"Sucralose is classified by the FDA as safe for human consumption as a food additive. The FDA stated that their decision was based upon results from 110 animal and human studies of the effects of sucralose. Of the 110 studies, two were on human beings, with one being a four day trial by the manufacturer,"The Examiner reports. [Emphasis mine]

I might also add that these two studies consisted of a combined total of 36 people, of which only 23 people actually ingested sucralose, and the four-day trial looked at sucralose in relation to tooth decay, not human tolerance! Sadly, if you're a long-term Splenda user, you're actually acting as a human guinea pig, as no one knows what happens when humans consume this substance for long periods.

If you look through the research literature, you'll find that only about 10 percent of the studies involving sucralose have anything at all to do with safety. In fact, eight years ago when I wrote the book Sweet Deception, in which I expose the many concerns related to the consumption of artificial sweeteners, there were only 15 studies relating to the safety of sucralose, and 13 of them were funded by the company that makes Splenda, leaving enormous room for conflict of interest.

Industry Funded Studies FAR More Prone to Miss Safety Concerns

If you believe a company can be trusted to perform independent safety studies for their own products, consider the following example. In 1996, Dr. Ralph G. Walton reviewed 165 studies on the widely used artificial sweetener aspartame, discovering a remarkable discrepancy between study results and their source of funding. Of the 165 studies, 74 had industry related funding and 91 were independently funded. Of those:

  • 100 percent of the industry funded studies supported aspartame's safety, while
  • 92 percent of the independently funded studies identified at least one potential health concern

Dr. Walton also pointed out that of the seven remaining non-industry funded studies that supported aspartame's safety, six were done by the FDA, and the seventh was a literature review of mostly industry sponsored research.11 Considering the long-standing revolving door between various industries and the FDA, it's questionable as to whether an FDA study can be considered truly "independent," even though they were counted as independent in Walton's review. If you give that concern any merit, you'd essentially be looking at 100 percent of industry related studies claiming aspartame to be safe, and 100 percent of independent studies flagging some sort of health concern!

This is truly powerful documentation of the influence of corporately sponsored trials on safety or any other potential complication that can occur. This type of funding bias is a fatal flaw in the system, because in order to receive FDA approval, the product is not required to undergo any kind of independent study. If you're in the US and want to take some action on this issue, you can follow The Examiner's suggestion12 to contact Senators Sherrod Brown13and Rob Portman14 and ask them to fund proper, independent safety studies on the artificial sweeteners sucralose and aspartame. They also recommend contacting Speaker of the House, John Boehner,15 and Congressmen Pat Tiberi,16 and Steve Stivers17 to support such research.

Prevalence and Diagnosis of Sucralose Sensitivity

Unfortunately, the adverse effects of sucralose are oftentimes misdiagnosed or overlooked entirely as the side effects are so varied and mimic common ailments. The following are common symptoms, usually noticed within a 24-hour period following consumption of a Splenda product:

Skin -- Redness, itching, swelling, blistering, weeping, crusting, rash, eruptions, or hives (itchy bumps or welts) Lungs -- Wheezing, tightness, cough, or shortness of breath Head -- Swelling of the face, eyelids, lips, tongue, or throat; headaches and migraines (severe headaches)
Nose -- Stuffy nose, runny nose (clear, thin discharge), sneezing Eyes -- Red (bloodshot), itchy, swollen, or watery Stomach -- Bloating, gas, pain, nausea, vomiting, diarrhea, or bloody diarrhea
Heart -- Palpitations or fluttering Joints -- Joint pains or aches Neurological -- Anxiety, dizziness, spaced-out sensation, depression

 

One of the best things you can do if you suspect you may be suffering from a sensitivity is to do an elimination challenge. Simply remove all sources of sucralose from your diet and see if your symptoms improve over the next several days. If the symptoms dissipate, then you probably have your answer. To double-check, reintroduce a small amount of sucralose and see how you react over the next 24 hours.

Keep in mind that if you've been using Splenda for some time, gastrointestinal problems and related health issues may take three months or longer to improve, as mentioned above. I would strongly suggest reseeding your gut with healthy bacteria to speed up the healing process. Your best bet is to regularly consume traditionally fermented foods such as fermented vegetables. Alternatively, use a high-quality probiotic supplement.

If you suffer side effects from an artificial sweetener like sucralose (Splenda), then avoidance is your only recourse. You'll need to be very vigilant about reading labels to ensure you're not accidentally buying foods that contain it. Keep in mind that diet foods are not the only products that contain sucralose. A wide variety of "regular" products can also contain it, and sometimes in combination with other artificial sweeteners.

Splenda Is Not a Safe and Healthy Alternative to Sugar

Splenda is made from sugar, but chemically it's more similar to DDT. Mounting research shows there's a veritable laundry list of health concerns associated with it, from destroying your gut health to promoting diabetes and cancer. Truly, you're consuming it at your own risk, as FDA approval is NOT a guarantee of safety... As stated by Sayer Ji:18

"Chlorinated compounds like dioxins and DDT are notorious for being both highly toxic and resistant to breaking down once released into the environment, which is why they are classified as 'persistent organic pollutants.'

Splenda was launched in 2000 with tagline 'Made from sugar, so it tastes like sugar,' until it retired this slogan in 2007 after settling with its rival, Merisant Co., the maker of Equal, who accused the makers of Splenda of intentionally confusing consumers into thinking its product was more natural and healthier than other artificial sweeteners. Long gone are the days that this artificial sweetener can be marketed as natural, safe and a healthy alternative to sugar."

My strong suggestion is to avoid ALL artificial sweeteners like the plague. While the mechanisms of harm may differ, they're all harmful in one way or another. This includes 


Additional resource: Global Healing Center 


WHAT’S IN YOUR CAN?

Check your label!
These popular brands all make products containing Sucralose/Aspartame:

Bang®  • C4® •  Celsius® • Nocco®


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