The FDA just approved a new sugar substitute—but is it healthier? | MDLinx (2024)

Americans love sugar. The average person consumes about 17 teaspoons of added sugars every day—roughly twice the recommended amount—according to the CDC.[] Sugar is tough to avoid: It is in our cereals, coffees, cookies, candies, juices, and soft drinks. Regularly consuming large amounts of sugar has been linked to various chronic health conditions, including diabetes, heart disease, and obesity.[]

In an effort to reduce the health risks associated with excessive sugar intake, multiple low-calorie sugar substitutes have hit the market. Artificial sweeteners, like aspartame, sucralose, and xylitol, are among the most popular sugar substitutes. But research has revealed that these products also have risks, driving an increased interest in all-natural sweeteners.

Now, a new sweetener may start appearing in the food and beverage marketplace: brazzein.

What is brazzein?

The natural, sweet-tasting protein—which comes from a plant native to West Africa—appears to be safe, but there’s a lot we don’t know about it. While more research is needed to understand the effects of brazzein, health experts express cautious optimism.

“The epidemic of diabetes, obesity, and metabolic syndrome requires some sort of solution. This could be a step in the right direction,” Nima Majlesi, DO, Director of Medical Toxicology at Staten Island University Hospital, tells MDLinx.

Brazzein is a sweet-tasting protein found in the Pentadiplandra brazzeana Baillon fruit. It’s a potent sweetener, and only a very small amount is needed to sweeten foods and drinks. It’s estimated to be 2,000 times sweeter than sucrose.[]

It’s difficult and expensive to grow the plant, so manufacturers have looked at fermenting the protein using yeast,bacteria, and transgenic plants.[][] From there, the plant is isolated, purified, and characterized. Oobli is the first—and only—company in the United States that’s received approval from the FDA to produce the sweet protein.

According to the company, the sweet protein contains zero calories.[] A gram of sugar, for comparison, contains four calories. Following the March 2024 FDA approval, the sweet protein may soon be the new big sugar substitute in the US.

As one report published April 2024 argues, brazzein may be a promising sugar alternative that offers sweetness without the caloric burden.[]

“I think having substitutes and replacements for added sugars that reduce energy and sugar intake and have no unintended impacts on health is something that would be welcomed by the public, scientists and clinicians,” Andrew Odegaard, MPH, PhD, an associate professor of epidemiology and biostatistics with the University of California, Irvine Program in Public Health, tells MDLinx.

Comparing brazzein to competitors

Although artificial sweeteners, which generally contain fewer calories than cane sugar, are thought to suppress appetite and facilitate weight loss, they aren’t as safe as health experts originally thought.[]

Evidence suggests that artificial sweeteners can disrupt the gut microbiome, impact glucose homeostasis, and lead to weight gain.[] Furthermore, certain sweeteners, like aspartame, have been linked to a range of negative side effects, including gastrointestinal issues, mood changes, dizziness, and headaches.

Brazzein has long been used as a natural sweetener by African natives, and, though the evidence is limited, it’s believed to be healthy and safe. Sweet proteins do not affect blood sugar levels, insulin, and the gut microbiome like artificial sweeteners, evidence suggests.[] In addition, they are more nutritious and do not appear to contribute to obesity. This may be “ideal for people who struggle with the taste of artificial sweeteners or want to avoid synthetic additives in their diet overall,” says Kate Donelan, MS, RD, a registered dietitian with Stanford Health Care.

That said, it’s important to recognize that the research on brazzein is still in the early phases. “The basic, animal-based research has provided enough evidence for it to be classified as GRAS [generally recognized as safe],” Odegaard says. GRAS indicates that a substance added to food has been adequately shown to be safe, according to the FDA. However, we don’t know much more than this.

What we don’t know

Public health experts still have many questions about brazzein.

For example, some researchers suspect that the protein has allergenic potential. Furthermore, it’s unclear whether the sugar is safe for children and pregnant people, Dr. Majlesi says. And even though it doesn’t appear to impact the gut microbiome like commonly used artificial sweeteners, it could interfere with the microbiome in another way, he adds.

“I think the fact that it comes from a natural[ly] sourced fruit in Africa sometimes gives us a false sense of security,” Dr. Majlesi says. When used as a sweetener in the US, it will be processed—to an extent—and scientists question whether this might influence its health effects.

“We don’t have any evidence to know,” says Dr. Odegaard. The fermenting process needed to produce it on a large scale may increase the risk of contamination and product inconsistency, Donelan points out. “Testing would be necessary to ensure the safety and efficacy of the fermenting process,” she adds.

Looking forward, Dr. Majlesi would like studies to compare brazzein to other safe sweeteners, such as thaumatin and, potentially, cane sugar. That research, however, will take time. “These will require longitudinal studies looking at use over a week, months, and potentially longer,” Dr. Majlesi says.

What this means for you

The general consensus among health experts: While brazzein appears to be safe, more data is needed to fully understand its effects on humans. Until then, it’s best to proceed with caution and keep an eye on the new sweetener, which may soon be added to our favorite foods and drinks. Nonetheless, it’s an exciting development—one that may potentially reduce health risks, including metabolic diseases, that are linked to excessive sugar consumption.

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The FDA just approved a new sugar substitute—but is it healthier?
 | MDLinx (2024)

FAQs

Is there such a thing as a healthy sugar substitute? ›

If you absolutely must use a sweetener, consider a sugar substitute like stevia or try using a mixture of sugar and stevia. Load up on whole foods such as fruits, vegetables, whole grains, dairy products, lean proteins, seafood, nuts and seeds. Skip the soda, energy drinks, sweet teas and fruit juices.

What are the FDA sugar substitutes? ›

According to the FDA, sugar substitutes are  safe | Chegg.com.

What is the most unhealthy artificial sweetener? ›

The worst of the worst culprits include aspartame (found in Equal and NutraSweet), sucralose (found in Splenda), and Saccharin (found in Sweet 'N Low). Many people who cut artificial sugars out of their diets report the improvement of many health problems including migraines, depression, IBS, weight gain, and more.

What tastes like sugar but is healthy? ›

Sugar Alcohols: Erythritol and Xylitol

Erythritol and xylitol are low calorie sweeteners. Sugar alcohols are considered natural because they are derived from plants, but they are chemically reformulated for use. They taste much like conventional sugar, but can leave a mild aftertaste.

Which artificial sweetener is closest to real sugar? ›

Monk Fruit Sweetener: Often blended with erythritol, monk fruit delivers a sugar-like texture and sweetness, which makes it an excellent low carb sugar substitute for baking. Xylitol: Its granular form and sweetness closely mimics that of sugar, making xylitol a popular choice for a variety of uses.

Is honey healthier than sugar? ›

So is there a definitive answer to which is healthier, honey or sugar? Both should be consumed in limited amounts. Honey may have a slight edge, but excess consumption of either is more dangerous to your health than the advantage of choosing one over the other.

Is monk fruit a good sugar substitute? ›

Mogroside is generally recognized as safe (GRAS) according to the Food and Drug Administration (FDA) of the United States (5). This makes monk fruit extract a good alternative to table sugar for people who wish to reduce their calorie intake.

What artificial sweetener was banned by the FDA? ›

The artificial sweetener, sodium cyclamate, is banned in the United States but it is used in many other Western countries without safety concerns. The FDA banned cyclamates in 1970 based on one (now seen as flawed) study in rats, and despite lack of evidence for any safety concerns, the FDA has not reapproved it.

What is the healthiest sugar? ›

You can opt for coconut sugar, honey, maple syrup, and agave nectar, which are some good and healthy options. Another good option is shakkar, an unprocessed sugar rich in nutrients like zinc, iron, potassium, and magnesium. You can also use jaggery to sweeten up your desserts and beverages.

What is the downside of allulose? ›

The Drawbacks of Allulose

In addition, some research shows that allulose may promote the growth of certain bacteria associated with poor effects on gut health. In either case, allulose could cause GI symptoms of discomfort, gas or bloating similar to those with other sugar substitutes. Moderation is always the key.

Is monk fruit approved by the FDA? ›

ARE MONK FRUIT SWEETENERS SAFE TO CONSUME? YES. Extracts from monk fruit are Generally Recognized As Safe (GRAS),7 a regulatory review process category used by the U.S. Food and Drug Administration (FDA). The FDA also lists erythritol as GRAS for use in a variety of foods and beverages.

What is a good substitute for sugar in everyday life? ›

Jaggery. It is the most common natural sweetener derived from sugarcane and is affordable and widely available on the market. Jaggery is rich in nutrients like iron, fibre, and vitamins. It is available in various forms, including cubes, granules, and syrup.

What is the healthiest type of sugar? ›

You can opt for coconut sugar, honey, maple syrup, and agave nectar, which are some good and healthy options. Another good option is shakkar, an unprocessed sugar rich in nutrients like zinc, iron, potassium, and magnesium. You can also use jaggery to sweeten up your desserts and beverages.

Is there no such thing as a healthy sugar? ›

Swapping table sugar for honey or agave nectar doesn't make added sugar healthier, experts say. You can consider natural sources of sugar, such as whole fruits, which also provide fiber, minerals, and vitamins.

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