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The side effects of stevia include gastrointestinal issues, extremely low blood sugar levels, endocrine disruption, sore muscles, and numbness. Monk Fruit vs. Stevia: Which Sweetener Should You Use? Acceptable daily intakes aren't the same everywhere. Adding stevia products to foods instead of sugar can lead to lower energy intake, the same study concludes. Phytother Res 2006;20:732-6. What's the difference between juicing and blending? According to the FDA, the acceptable daily intake for steviol equivalents is 4 milligrams (mg) per kilogram of body weight. DOI: Pepino MY. Metabolism 2004;53:101-7. 000252. Geuns, J. M., Buyse, J., Vankeirsbilck, A., and Temme, E. H. Metabolism of stevioside by healthy subjects. Some sugar substitutes also are sold on their own in packets or other containers. Sucralose. However, whole stevia leaf is not approved by the FDA and is not generally recognized as safe for consumption by anyone, especially pregnant people. Exp Biol Med (Maywood.) Talk with your healthcare provider before using this product if you are taking lithium. Mayo Clinic does not endorse companies or products. Journal of Applied Science Research 2010;6(7):883-887. In a preliminary 2017 study, rats with diets comprised of up to 3.5 percent stevia for 90 days presented no clinical symptoms and experienced no change in blood chemistry, cellular function, compensation, or appearance. Nutrients. Though they're rare, stevia's side effects can include gastrointestinal symptoms, decreased blood pressure and blood sugar, and potential impacts on the liver. That's because sugar substitutes often are low in calories or have no calories. Stevioside. Stevia's taste has a slower onset and longer duration than that of sugar, and at high concentrations some of its extracts may have an aftertaste described as licorice -like or bitter. Koyama, E., Kitazawa, K., Ohori, Y., Izawa, O., Kakegawa, K., Fujino, A., and Ui, M. In vitro metabolism of the glycosidic sweeteners, stevia mixture and enzymatically modified stevia in human intestinal microflora. Stevia is a natural sweetener that comes from a plant. When you eat a sugary treat, your body produces the hormone insulin to help stabilize the sugar in your blood. Stevia use has been shown to help limit and reduce diarrhea and the symptoms of irritable bowel syndrome (IBS). The hidden hazardous effects of Stevia and sucralose consumption in male and female albino mice in comparison to sucrose. EFSA Panel on Food Additives and Flavourings (FAF), Younes M, Aquilina G, et al. 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Investigation of the antihypertensive effect of oral crude stevioside in patients with mild essential hypertension. These ingredients may get your tastebuds used to sweetness. Despite a lack of research, many people claim whole-leaf stevia is a safe alternative to its highly refined counterpart or table sugar. Boonkaewwan, C., Toskulkao, C., and Vongsakul, M. Anti-Inflammatory and Immunomodulatory Activities of Stevioside and Its Metabolite Steviol on THP-1 Cells. But be aware of how sugar substitutes affect your food and drink choices. 10. However, since stevia can have blood pressure and blood glucoselowering effects, as well as diuretic effects, those taking certain medications or who have certain health conditions should talk with their healthcare provider before consuming significant quantities of Stevia. https://www.mayoclinic.org/diseases-conditions/phenylketonuria/symptoms-causes/syc-20376302. Accessed on: May 6, 2022. In some people, stevia products made with sugar alcohols may cause digestive problems, such as bloating and diarrhea. But it's not clear whether sugar substitutes can help people manage their weight over the long term. Most studies have looked at the effects in adults. As a result, the FDA do not recognize stevia leaves and crude extracts as safe for consumption. How Does Stevia Compare to Other Zero-Calorie Sweeteners? Using sugar substitutes might make your symptoms flare up. health information, we will treat all of that information as protected health U.S. Food and Drug Administration. Hives. Reb-A sweeteners are available in liquid, powder, and granulated forms. It also increased HDL (good) cholesterol. https://www.mayoclinic.org/healthy-lifestyle/weight-loss/basics/weightloss-basics/hlv-20049483. If you replace added sugar with sugar substitutes, it could lower your risk of getting tooth decay and cavities. Effect of calcium and verapamil on renal function of rats during treatment with stevioside. Sugar substitutes are in many kinds of foods and drinks labeled sugar-free or diet. Since Stevia helps to reduce high blood pressure, it can also low down the blood pressure when consumed on a regular basis. And it may also interact with drugs like lithium. Progesterone is a hormone released into the ovary that plays a role in menstruation and the early stages of pregnancy. They are non-nutritive. Int J Occup Environ Health. If you're living with a rare genetic disease called phenylketonuria. There are about 320 different varieties of honey, which vary in color, odor and flavor. They add calories to your diet. Accessed Nov. 14, 2022. You should always speak with your doctor or health care professional before you start, stop, or change any prescribed part of your health care plan or treatment and to determine what course of therapy is right for you. Certain chemicals in stevia are commonly used as natural food sweeteners. However, one noted limitation in this study is that it took place in a laboratory setting, rather than in a real-life situation in a persons natural environment. Potential side effects linked to stevia consumption include: Stevia is considered a diuretic, meaning that it increases the speed at which the body expels water and electrolytes from the body in urine. (2012). Stevia side effects. Can whole-grain foods lower blood pressure? You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Some people are at an increased risk of developing side effects from regular stevia use. Carbohydr.Res 6-1-2011;346(8):1057-1060. High-intensity sweeteners. feeling of constant movement of self or surroundings. Phytomedicine 2002;9(1):9-14. Pope E, Koren G, Bozzo P. Sugar substitutes during pregnancy. 2019; doi:10.1542/peds.2019-2765. https://www.uptodate.com/contents/search. Jeppesen PB, Gregersen S, Poulsen CR, Hermansen K. Stevioside acts directly on pancreatic beta cells to secrete insulin: actions independent of cyclic adenosine monophosphate and adenosine triphosphate-sensitive K+-channel activity. Nat.Prod Res 2009;23(15):1378-1383. View abstract. Ginkgo biloba has been widely cultivated across the globe for a variety of uses, most of which are medicinal. If you have diabetes, stevia may help keep your blood sugar levels in check. Klongpanichpak, S., Temcharoen, P., Toskulkao, C., Apibal, S., and Glinsukon, T. Lack of mutagenicity of stevioside and steviol in Salmonella typhimurium TA 98 and TA 100. Get back on track in 5 steps. Acesulfame potassium (Sweet One, Sunett). 2020;10(1). CONDITIONS OF USE AND IMPORTANT INFORMATION: This information is meant to supplement, not replace advice from your doctor or healthcare provider and is not meant to cover all possible uses, precautions, interactions or adverse effects. Since stevia is a plant-based extract, there's some possibility it can cause allergies or irritation in certain people. Lemus-Mondaca R, Vega-Galvez A, Zura-Bravo L, Ah-Hen K. Stevia rebaudiana Bertoni, source of a high-potency natural sweetener: A comprehensive review on the biochemical, nutritional and functional aspects. Accessed Nov. 14, 2022. Because the kidney is responsible for filtering and creating urine, researchers initially thought that long-term consumption of stevia could damage the organ. That equates to about 12 mg of high-purity stevia extracts per kilogram of body weight per day. That makes sugar-free sweeteners popular among people with diabetes, who need to monitor blood sugar levels closely. OTHER NAME(S): Azucacaa, Caa-He-, Ca-A-Jhei, Ca-A-Yupi, Capim Do. Stevia (Pure Via, Truvia) Artificial sweeteners are also called sugar substitutes, low-calorie sweeteners or nonnutritive sweeteners. Advertisements 3. Whole-leaf stevia isnt approved for commercial use, but you can still grow it for home use. Accessed Nov. 11, 2022. Natural sweeteners in a human diet [Abstract]. The Food and Drug Administration (FDA) considers stevia leaf extract safe for consumption, and it is unlikely to cause side effects in most people. Did you know artificial sweeteners may actually increase the risk of diabetes or worsen your condition? (2009). The amount of sugar alcohol that causes these symptoms varies from person to person. Sugar alcohols may also slightly tip the carb count. Jeppesen, P. B., Gregersen, S., Rolfsen, S. E., Jepsen, M., Colombo, M., Agger, A., Xiao, J., Kruhoffer, M., Orntoft, T., and Hermansen, K. Antihyperglycemic and blood pressure-reducing effects of stevioside in the diabetic Goto-Kakizaki rat. Low-Dose Stevia (Rebaudioside A) Consumption Perturbs Gut Microbiota and the Mesolimbic Dopamine Reward System. This content does not have an Arabic version. (2017). Anything that actively lowers blood pressure can cause health complications with excessive, long-term use. If we combine this information with your protected Allergic reactions. All rights reserved. Lee, C. N., Wong, K. L., Liu, J. C., Chen, Y. J., Cheng, J. T., and Chan, P. Inhibitory effect of stevioside on calcium influx to produce antihypertension. It may also drop blood pressure too low or interact with medications that lower blood sugar. Int J Obes (Lond). DOI: Sharma N, et al. Reb-A is about 200 times sweeter than table sugar. Sucralose administered in feed, beginning prenatally through lifespan, induces hematopoietic neoplasias in male swiss mice. This article explains what whole eating is and shares 11 simple ways clean up your. Nutrition Journal. While several studies have identified potential side effects of stevia over the last few decades, most were done using laboratory animals, and many have since been disproved. View abstract. However, some products containing. Though research on the long-term effects of stevia is limited, there is no evidence that it causes cancer. Stevia is a sugar substitute made from the leaves of the stevia plant. According to a 2020 review, "In addition to its hypoglycemic property, the stevia plant also exhibits antibacterial, anti-inflammatory, hypotensive, antiseptic, diuretic, anti-fertility and cardiotonic properties." Below are some of the main advantages associated with stevia use: 1. Chronic administration of aqueous extract of Stevia rebaudiana in rats: renal effects. Chaturvedula, V. S. and Prakash, I. 4. Evaluation of the genotoxicity of stevioside and steviol using six in vitro and one in vivo mutagenicity assays. Mutagenesis 1996;11:573-9. Review/update the You can grow stevia plants at home and use the leaves to sweeten foods and beverages. Many focus on how the gut and brain communicate. ", Tufts Medical Center Community Care: "Stevia". All rights reserved. For some people, it may raise blood sugar and insulin levels. Developmental toxicity of steviol, a metabolite of stevioside, in the hamster. 2005-2023 Healthline Media a Red Ventures Company. People who drank high levels of diet soda, which typically contains NSSs, had increased rates of metabolic syndrome as well as Type 2 diabetes. In contrast, one teaspoon of sugar has about 16 calories. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). According to the Mayo Clinic, signs of allergic reaction may include: Tingling or itching in the mouth. The effect of stevioside on blood pressure and plasma catecholamines in spontaneously hypertensive rats. 2. However, some studies suggest that consuming nonnutritive sweeteners such as Stevia instead of sugar does not reduce overall calorie intake or blood sugar levels. Common potentially harmful chemicals found in stevia products include: When consumed at low doses, purified stevia is generally not considered to pose health risks for pregnant people. Low blood sugar: Stevia has the potential to lower blood sugar (blood glucose), especially in those using it to replace sugar. It is derived from the leaves of theStevia rebaudianaplant and has been used for centuries in South America. Moreover, people with certain medical conditions must stay away from this sweetener. GRN No. In this case, Reb-A has been evaluated for safety during pregnancy and otherwise. Some stevia side effects include digestive or stomach issues, allergies, an increased risk of weight gain and potential endocrine disruption. Studies dating back to the 1970s linked the artificial sweetener saccharin to bladder cancer in rats. Rebaudioside affords hepatoprotection ameliorating sugar sweetened beverage- induced nonalcoholic steatohepatitis. One way to add some extra flavor and nutrients to your day is by adding prune juice to your diet. For professional medical information on natural medicines, see Natural Medicines Comprehensive Database Professional Version. Taware, A. S., Mukadam, D. S., and Chavan, A. M. Antimicrobial Activity of Different Extracts of Callus and Tissue Cultured Plantlets of Stevia Rebaudiana (Bertoni). 2020-2025 Dietary Guidelines for Americans. Both the FDA and European Commission concluded that the number of individuals who are hypersensitive to stevia or at a risk of having an allergic response to it is low. The amount of sugar alcohol that causes these symptoms varies from person to person. Food and Chemical Toxicology. 2002;25(11):1488-1490. Metabolic effects of non-nutritive sweeteners. Stevia is a non-nutritive or zero-calorie sweetener made of steviol glycosides. Andrographis is a medicinal herb used to treat many health conditions, such as the common cold, osteoarthritis, and ulcerative colitis. From wellcurve.in. The same amount of cola sweetened with the artificial sweetener aspartame has none. According to the Mayo Clinic, the U.S. Food and Drug Administration, FDA, has approved refined stevia for use as a sugar substitute; however, whole-leaf or crude extracts of stevia are not approved. There are 11 steviol glycosides in the stevia leaf, responsible for giving stevia its sweet flavor. Safety of a proposed amendment of the specifications for steviol glycosides (E 960) as a food additive: to expand the list of steviol glycosides to all those identified in the leaves of Stevia Rebaudiana Bertoni. https://www.cancer.gov/about-cancer/causes-prevention/risk/diet/artificial-sweeteners-fact-sheet. Cardiovascular health: Insomnia linked to greater risk of heart attack. 2015;50(3):129-134. Read our. https://www.dietaryguidelines.gov. stomach discomfort or upset. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Consuming too much of any artificial sweetener may cause diarrhea, bloating, gas, or have a laxative. View abstract. Some stevia products contain added sugar alcohols that may cause unpleasant symptoms in individuals that are very sensitive to the chemicals. Prakash I, Dubois GE, Clos JF, et al. FoodData Central. Many people choose to replace sugar with stevia to reduce their calorie consumption. Li, J., Jiang, H., and Shi, R. A new acylated quercetin glycoside from the leaves of Stevia rebaudiana Bertoni. 1. When used as a sweetener or to flavor foods, experts do not consider highly purified stevia to cause adverse side effects. Center for Food Safety and Applied Nutrition. Consult your physician before using a product containing stevia. Phenylketonuria (PKU). (2015). While stevia is generally considered safe to be used in food and drink, some extracts of the plant have not been approved by the Food & Drug Administration (FDA). Some studies suggest it may have anti-inflammatory properties, though more research is needed to determine the magnitude of this effect. Learn more about stevia side effects to educate yourself on how to incorporate sweeteners into your diet. Stevia may also work as a better option than sugar for people wanting to maintain good oral health. The FDA considers stevia and its compounds steviol glycosides safe, deeming it "generally recognized as safe" (GRAS). US Food and Drug Administration. Abudula, R., Jeppesen, P. B., Rolfsen, S. E., Xiao, J., and Hermansen, K. Rebaudioside A potently stimulates insulin secretion from isolated mouse islets: studies on the dose-, glucose-, and calcium-dependency. One of the Stevia side effects is Hypoglycemia, also known as low blood sugar, can be caused due to the increased consumption of Stevia. Clin Ther 2003;25:2797-808. shakiness skin blisters slurred speech sore throat sores, ulcers, or white spots on the lips or in the mouth stomach cramps, tenderness, or pain sweating swelling of the eyes, face, or inside of the nose swelling or inflammation of the mouth swollen or painful glands trouble breathing unusual bleeding or bruising watery or bloody diarrhea Sugar alcohols, stevia and luo han guo can cause bloating, gas and diarrhea. Chaturvedula, V. S., Rhea, J., Milanowski, D., Mocek, U., and Prakash, I. Melis MS, Sainati AR. Additional information about high-intensity sweeteners. A new study reveals the mechanisms behind, Millions of people routinely consume artificial sweeteners. All rights reserved. These agencies check ingredients, such as sugar substitutes, before foods or drinks that contain them can go on sale. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. While adding a raw stevia leaf to a cup of tea now and then is unlikely to cause harm, you shouldnt use it if youre pregnant. A 2019 study reported a possible link between nonnutritive sweeteners, including stevia, and disruption in beneficial intestinal flora. CFSAN/Office of Food Additive Safety. Although hypersensitivity to sugar alcohol is rare, its symptoms can include: Several studies using rodent and human cell cultures have demonstrated the potential gastrointestinal benefits of steviol glycosides. Low-calorie sweeteners increase fat formation, study finds, The benefits and risks of acesulfame potassium. However, some people have reported negative side effects, which include: Nausea Bloating Dizziness Numbness Muscle pain Abdominal fullness Allergic reactions such as rashes Hypotension (low blood pressure) It's possible people with pollen or plant allergies related to things like ragweed may also be more sensitive to stevia. Study participants consumed 20 milliliters of stevia extract daily for one month. Effects of aspartame-, monk fruit-, stevia- and sucrose-sweetened beverages on postprandial glucose, insulin and energy intake. blood pressure conditions and medications. Ajami M, Seyfi M, Abdollah Pouri Hosseini F, et al. If youre trying to lose weight, this aspect may be appealing. Import Alert 45-06: Detention without Physical Examination of Stevia Leaves, Crude Extracts of Stevia Leaves and foods Containing Stevia Leaves and/or Stevia Extracts. Avicenna J Phytomed. It may also drop blood pressure too low or interact with medications that lower blood. Increasingly, stevia supplements and extracts are being found to contain counterfeit ingredients, primarily artificial sweeteners that are linked to known health risks. Stevia may be a healthy option for those looking to lower their calorie or carbohydrate intake, such as people with type 2 diabetes. A study published in December 2015 in Physiology & Behavior notes that certain non-nutritive sweeteners have been linked to a reduction in dental cavities. Although stevia is considered safe for people with diabetes, brands that contain dextrose or maltodextrin should be treated with caution. Specific immunomodulatory and secretory activities of stevioside and steviol in intestinal cells. Maki KC, Curry LL, Carakostas MC, et al. Consumption of stevia may be linked to cancer. Stevia leaves are about 200 times sweeter than traditional white sugar and people have used them for centuries as a sweetener and herbal supplement. View abstract. However, the United States Food and Drug Administration (FDA) only consider high-purity steviol glycosides to be safe for human consumption currently. According to a 2015 review, there are very few reported cases of stevia allergy. Effects of stevioside and steviol on intestinal glucose absorption in hamsters. Principles and methods for the risk assessment of chemicals. Though research on this issue is limited, it's possible that stevia may have an effect on the endocrine system, which includes glands that produce hormones. View abstract. In this article, we look at the possible risks and side effects associated with this natural sweetener. Stevia is available in a few different forms. Principles and methods for the risk assessment of chemicals. American Diabetes Association. Some stevia brands also contain natural flavors. Sweeteners made with Reb-A are considered novel sweeteners because theyre blended with different sweeteners, such as erythritol (a sugar alcohol) and dextrose (glucose). View abstract. Stevia: Nature's Zero-Calorie, Sustainable Sweetener. Read more: 10 Foods You Don't Realize Are Packed With Sugar. Food Chem Toxicol 2008;46 Suppl 7:S40-6. 2019;11(12):3036. Office of Regulatory Affairs. It may seem strange that a highly refined product is considered safer than a natural one. 2020;10(2):118-127. Pezzuto JM, Compadre CM, Swanson SM, et al. It is based on significant research. Effects of the Daily Consumption of Stevia on Glucose Homeostasis, Body Weight, and Energy Intake: A Randomised Open-Label 12-Week Trial in Healthy Adults. View abstract. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. https://professional.diabetes.org/sites/professional.diabetes.org/files/pel/source/sugar_substitutes.pdf. Government health agencies oversee ingredients that product-makers add to food. In addition to its use as a natural sweetener, honey is used as an . A 2020 study found that people with type 2 diabetes who drank 1 cup of stevia-sweetened tea per day for 8 weeks had no significant changes in their blood glucose levels. A critical review of the genetic toxicity of steviol and steviol glycosides. Effects of chronic administration of Stevia rebaudiana on fertility in rats. In general, artificial sweeteners are safe in limited amounts for healthy people, including pregnant people. It found that many stevia glycoside derivatives were toxic to specific leukemia, lung, stomach, and breast cancer cell lines. These products rarely cause side effects. Theres concern that raw stevia herb may harm your kidneys, reproductive system, and cardiovascular system. Information from this source is evidence-based and objective, and without commercial influence. Stevia might lower blood pressure. MNT is the registered trade mark of Healthline Media. https://www.fda.gov/food/food-additives-petitions/additional-information-about-high-intensity-sweeteners-permitted-use-food-united-states. include protected health information. It is many times sweeter than sugar yet has virtually zero calories. View abstract. Stevia leaf extract, known to most as stevia, is a natural, zero-calorie sweetener used as asugar substitute. As a type of steroid, steviol glycosides can interfere with hormones controlled by the endocrine system. Metabolism 2004;53(10):1378-1381. Nutr Today. This article discusses the different forms of stevia and the side effects of this sugar alternative. Factors that may increase the risk of stevia side effects include: There are many different types of steviol glycoside found in stevia, classified into five major groups. View abstract. Stevia in the Raw recommends replacing half the total amount of sugar in your recipe with their product. Over time, it's most important to eat a healthy diet and get exercise. Poor digestion of sugar alcohol may cause abdominal pain, gas, bloating and diarrhea. (2013). Accessed Nov. 11, 2022. As with most nonnutritive sweeteners, a major downside is the taste. Farhat G, Berset V, Moore L. Effects of Stevia Extract on Postprandial Glucose Response, Satiety and Energy Intake: A Three-Arm Crossover Trial. Anton SD, et al. View abstract. High blood pressure may also increase the risk of heart attacks. 2. Barriocanal LA, Palacios M, Benitez G, et al. In general, experts need to do more studies to learn what long-term health effects sugar substitutes might have on children. Again, to be safe, only use the type of stevia that is considered safe by the FDA (anything that's pure stevia extract rather than crude extracts or the leaf itself). 8 Ways Food Companies Hide the Sugar Content of Foods, 11 Simple Ways to Focus on Whole Foods Instead of Clean Eating, Berberine A Powerful Supplement With Many Benefits, The Top Health Benefits of Prunes and Prune Juice, What to Know About Andrographis Supplements: Potential Benefits and Uses, Kerry Boyle D.Ac., M.S., L.Ac., Dipl. This side effect might. Br J Clin Pharmacol 2000;50:215-20. Psychological Effects Both have pros and cons, but is one better for you? Boonkaewwan C, Ao M, Toskulkao C, Rao MC. Ac., CYT, 12 Benefits of Ginkgo Biloba (Plus Side Effects & Dosage). In fact, many stevia products have very little stevia in them at all. Melissa Nieves, LND, RD, is a registered dietitian working for a private practice. Mkinen KK. Stevioside induced ROS-mediated apoptosis through mitochondrial pathway in human breast cancer cell line MCF-7 [Abstract]. Remember that stevia is much sweeter than table sugar, so you wont need to use as much. Stevia, also called Stevia rebaudiana, is a plant that is a member of the chrysanthemum family, a subgroup of the Asteraceae family (ragweed family). View abstract. J Nutr Sci Vitaminol (Tokyo) 1995;41:105-13. Can poor sleep impact your weight loss goals? 2012;132(3):1121-1132. Some have no calories. 4. Jeppesen, P. B., Gregersen, S., Alstrup, K. K., and Hermansen, K. Stevioside induces antihyperglycaemic, insulinotropic and glucagonostatic effects in vivo: studies in the diabetic Goto-Kakizaki (GK) rats. However, given the popularity of stevia, there are several large-scale, comprehensive studies working on the matter. The ADI is the maximum average daily intake of a substance over a person's lifetime that is expected to be safe. Stevia also has blood pressure and blood glucoselowering effects, so people on certain medications or conditions should speak with their healthcare provider before using stevia for a prolonged period. Friend or Foe? 1984;47(3):439-444. swelling. Overdosing with stevia may lead to tingling or numbness in your hands and feet, similar to the feeling of neuropathy, as well as a temporary loss in motor control. Although stevia may help control blood sugar in people with diabetes, it was also once thought that long-term or heavy stevia consumption might cause hypoglycemia or low blood sugar. FDA. View abstract. By Rebecca Valdez, MS, RDN People with chronic low blood pressure should speak to a doctor about prolonged stevia use. High doses or heavy, long-term use of stevia may worsen common pregnancy symptoms by increasing the workload on organs such as the kidneys, bladder, and heart. Which is a leading reason it's studied for use in diabetic patients. View abstract. They're different in the United States and Europe, for example. https://www.fda.gov/consumers/consumer-updates/how-sweet-it-all-about-sugar-substitutes. Video of the Day The Science Behind Stevia Stevia, not to be confused with Splenda, is a sugar substitute sweetener that comes from the plant Stevia rebaudiana, which is native to South America. This has since been proven highly unlikely, except in individuals with abnormally low blood sugar levels. However, more research needs to be done to provide conclusive evidence on weight management, diabetes and other health issues. J Med Assoc Thai. (2017). Don't get tricked by these 3 heart-health myths, Get to know the new Nutrition Facts label, Nutrition rules that will fuel your workout, Nuts and your heart: Eating nuts for heart health. The use of nonnutritive sweeteners in children. View abstract. If you are concerned about the potential side effects of stevia, research shows that it is safe to consume and unlikely to cause side effects in most people.
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