Erythritol
A zero-calorie sugar alcohol that provides bulk and sweetness with minimal impact on blood sugar and insulin; mostly absorbed and excreted unchanged in urine.
Should I eat Erythritol?
Erythritol can meaningfully cut added sugar without spiking blood sugar, but it is a highly refined, fermentation‑derived sweetener that often causes diarrhea at large single doses. Keep portions modest (stay well below ~0.5 g/kg/day) and avoid big bolus drinks or candies—especially if you have cardiovascular risk.
Summary
Erythritol is a sugar alcohol made by fermenting glucose from corn or other starches and then purifying it into crystals. Your body absorbs most of it and excretes it unchanged, so it delivers sweetness with very few calories and minimal insulin response. EFSA’s 2023 review set an ADI of 0.5 g/kg/day based on diarrhea and found no genotoxic concerns; FDA has accepted multiple GRAS notices, and Codex lists it as INS 968. The practical takeaway is to watch quantity: large single servings or stacking multiple “sugar‑free” items can upset your gut. One 2023 study raised a possible heart‑risk signal at very high blood levels; if you’re at high cardiovascular risk, avoid large boluses while the science develops.
Key Research Points
Overview
What is it?
Why is it used?
Origin
Erythritol is a four-carbon polyol found in small amounts in foods like pears, watermelon, wine, and cheese. Industrially, Japanese researchers scaled food-grade production in the late 20th century using fermentation with osmophilic yeasts such as Moniliella and Yarrowia grown on glucose derived from corn or other carbohydrate feedstocks. As low-/no-sugar products surged in the 2000s, erythritol became a go-to bulking sweetener in blends with stevia or monk fruit across the U.S., EU, and Asia.
Process: Ferment, refine, crystallize
Steps
Chemicals
Research & Safety
Potential Concerns
The main proven risk is digestive upset at higher intakes, especially in large single servings or when multiple sugar alcohols are combined. EFSA set an ADI of 0.5 g/kg/day to minimize diarrhea risk; some exposure scenarios could exceed this if consumers drink or eat several high‑erythritol products in a day. A 2023 study linked higher blood erythritol with cardiovascular events, but it cannot prove causation and used blood levels that may be higher than typical daily use produces. Rare immediate allergies, including anaphylaxis, have been reported. People can reduce risk by moderating portion sizes and spreading intake across the day.
Potential Benefits
Erythritol provides sweetness and bulk with near‑zero calories, helping reduce sugar and energy in foods and drinks. Because it is mostly excreted unchanged, it has little effect on blood glucose or insulin, which can support glycemic control compared with sugar. It is non‑cariogenic and often used in gums, mints, and “keto” products. It also pairs well with high‑intensity sweeteners (like stevia or monk fruit) to improve taste and texture while keeping calories low.
Digestive Effects
Tolerance depends on dose and context: single boluses around 0.5–0.8 g/kg body weight may cause bloating or diarrhea in some people, while smaller amounts spread across meals are usually well tolerated. Beverages tend to cause symptoms at lower concentrations than solids; many formulations keep drinks at about 1–2% erythritol to reduce laxation. Children and people with IBS or sensitive guts are more likely to experience symptoms. Compared with sorbitol or xylitol, erythritol typically causes fewer gas‑related issues because it is less fermented in the colon.
Limit Consumption
Children are more sensitive to large single servings, so products aimed at kids should keep portions modest and avoid stacking multiple polyols in one sitting. People with IBS or a history of polyol intolerance may experience bloating or diarrhea at lower doses. Individuals at high cardiovascular risk (e.g., prior heart attack or stroke) may prefer to avoid very large bolus intakes until the observational cardiovascular signal is resolved by better trials. Immediate allergy to erythritol is rare but serious; anyone with a past reaction should avoid it and follow their clinician’s emergency plan. For infants, there is no benefit and a higher risk of diarrhea from concentrated servings.
Fact Sheet
Regulatory Status
ESG & Sustainability
Allergens and Diet
Natural Alternatives
Honey
Dates
Inulin
Citations
Re-evaluation of erythritol (E 968) as a food additive
2023-12-20EFSA FAF Panel • EFSA Journal
JECFA database: Erythritol (ADI: Not specified)
2000-01-01JECFA • WHO/JECFA
Agency materials referencing GRN 000076 (erythritol) – FDA had no questions
2023-03-04U.S. FDA • FDA
The artificial sweetener erythritol and cardiovascular event risk
2023-02-27Witkowski M, et al. • Nature Medicine
Plasma and urine kinetics of erythritol after oral ingestion in humans
1996-10-01Bornet FRJ, et al. • PubMed
Gastrointestinal tolerance of erythritol-containing beverage in children
2015-03-01Jacqz-Aigrain E, et al. • PubMed
Re-evaluation of erythritol (E 968) – summary
2023-12-20EFSA • EFSA (Plain language)
GSFA Online: Erythritol (INS 968) functions and provisions
2024-06-30Codex Alimentarius • Codex GSFA
Anaphylaxis induced by erythritol (case report)
2022-02-28Mori S, et al. • AACI Journal
First case of erythritol-induced anaphylaxis in Korea
2022-03-01Kim S, et al. • JKMS