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Popular sugar substitute could raise the risk of blood clots and stroke

U.S. AND EUROPE, JUL 14 – A study of 4,000 people in the U.S. and Europe found higher erythritol levels linked to increased risk of heart attack and stroke within three years, researchers said.

  • New research from the University of Colorado Boulder shows that erythritol damages brain blood vessel cells, potentially raising stroke and blood clot risk.
  • In lab experiments, researchers exposed human cerebral microvascular endothelial cells to a 30 g erythritol dose, reducing nitric oxide, increasing constrictors, and impairing clot-busting pathways.
  • Assays indicated reactive oxygen species rose 204% within three hours in treated cells, and t-PA release was blunted when exposed to thrombin.
  • In a human epidemiological study of 4,000 people, higher erythritol levels were linked to increased risk of heart attack or stroke within three years, and these cellular changes create a higher risk environment for clotting and reduced cerebral blood flow.
  • Looking ahead, researchers caution that larger human trials are needed, and consumers should check labels for erythritol or `sugar alcohol`.
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News Medical broke the news in United States on Monday, July 14, 2025.
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