Artificial sweeteners can disrupt the balance of gut bacteria, leading to potential health issues like chronic disease, weight gain, and impaired sugar processing. This is because the microbiome, unlike human cells, can metabolize these compounds, altering its behavior and potentially causing harm.
Tim Spector found that consuming sucralose, an artificial sweetener, caused a significant spike in his blood sugar levels in two out of three trials. This suggested that artificial sweeteners are not inert and can affect metabolism, contradicting the industry's claims.
The biggest misconception is that artificial sweeteners are inert to the human body. In reality, they can interact with the microbiome and potentially cause adverse health effects.
Dr. Elinav's research showed that mice consuming artificial sweeteners developed glucose intolerance and a tendency toward diabetes. This was linked to changes in the gut microbiome, proving that these sweeteners are not inert and can have harmful effects.
The study found that half of the human participants experienced disturbances in blood sugar control after consuming artificial sweeteners, even after just one week. This personalized response was linked to individual differences in the microbiome.
Long-term risks may include increased susceptibility to diabetes, obesity, and cardiovascular diseases. Some studies suggest a 20% increase in disease risks, though the evidence is still not definitive.
The WHO cautions against the indiscriminate use of artificial sweeteners, especially for weight loss, and suggests that they may have harmful effects over time, though the evidence is not conclusive.
The experts recommend reducing consumption gradually, avoiding hidden sweeteners in processed foods, and opting for natural alternatives like water, tea, or kombucha. They emphasize that occasional use is less concerning than daily consumption.
Stevia, while natural, can still disrupt the gut microbiome and worsen blood sugar control in some individuals. It is likely better than some other sweeteners but still requires more research to determine its long-term effects.
Studies show that artificial sweeteners do not significantly aid weight loss. While they reduce calorie intake compared to sugar, the body compensates in other ways, such as increased appetite or altered metabolism, leading to minimal weight change.
Artificial sweeteners are everywhere. They hide in cereal, salad dressing – even in health foods. But are they really a guilt-free way to satisfy your sweet tooth? Or is it naive to think that – because they’re zero calorie – they’re free of consequence?
New research shows there is a consequence. And it could be massive. Artificial sweeteners may disrupt the delicate balance of bacteria that live in your gut. You could see ripple effects like chronic disease, weight gain and a weakened ability to process real sugar.
Today’s guest is at the forefront of this research. For the last decade, Dr Eran Elinav led breakthroughs on the science behind popular sweeteners. He leads The Institute for Microbiome Research at the Weizmann Institute of Science. He’s published over 100 publications in leading scientific journals. And his lab is on the cutting-edge of gut microbiome research.
We’re also joined today by Tim Spector. Tim is one of the world’s top 100 most-cited scientists, a professor of epidemiology, and my scientific Co-Founder at ZOE.
You’ll finish today’s episode knowing what's in your sweetener, how it’s affecting you, and where to turn to satisfy your sweet tooth.
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Timecodes:
00:00 The truth about artificial sweeteners
01:49 Quick fire questions
04:03 Tim's self-experiment
07:40 What is an artificial sweetener?
09:47 Examples of popular sweeteners
10:45 Detrimental effects of sugar on your health
13:11 Sugar's impact on gut health
16:30 Which factors affect the gut microbiome?
18:44 Full Fat Coke vs Diet Coke
21:05 Do diet drinks help weight loss?
26:00 Calorie restriction diets
28:01 Sweeteners and diabetes risk
35:50 Why your microbiome is a chemical factory
42:15 Not all sweeteners are created equal
49:00 The WHO's view on sweeteners
52:30 Practical advice on chemicals in food
55:05 How to transition off sweet drinks
📚Books by our ZOE Scientists
Every Body Should Know This by Dr Federica Amati)
Food For Life by Prof. Tim Spector)
Free resources from ZOE
Live Healthier: Top 10 Tips From ZOE Science & Nutrition)
Gut Guide - For a Healthier Microbiome in Weeks)
Mentioned in today's episode
Artificial sweeteners induce glucose intolerance by altering the gut microbiota (2023)), published in Nature
Personalized microbiome-driven effects of non-nutritive sweeteners on human glucose tolerance (2022)), published in Cell
Acute and two-week effects of neotame, stevia rebaudioside M and sucrose-sweetened biscuits on postprandial appetite and endocrine response in adults with overweight/obesity-a randomised crossover trial from the SWEET consortium (2024)), published in EBioMedicine
The contentious relationship artificial sweeteners and cardiovascular health (2023)), published in The Egyptian Journal of Internal Medicine
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Episode transcripts are available here).