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Wellness

Should You Rethink Erythritol?

Medically reviewed by Dr. Brandon Mines, MDLast reviewed May 1, 2026

Erythritol is a sugar alcohol found throughout low-sugar and keto products — and recent research suggests it may be worth a second look. It has long been considered a safe sweetener, but newer studies have raised questions worth weighing.

What the research found

Studies published in Nature Medicine and PNAS Nexus reported that elevated erythritol levels in the blood were associated with a higher risk of cardiovascular events such as stroke and heart attack. The research also suggested erythritol may increase platelet clumping and could affect the blood-brain barrier, though human data on that last point remains limited. These are associations from emerging research, not proof of cause, and more study is needed.

Where it hides

Erythritol turns up in many “sugar-free” items — baked goods, candy, electrolyte drinks, zero-sugar sodas, and even oral care products. Because it is less sweet than table sugar, manufacturers often use large amounts.

How to use it wisely

You do not necessarily need to eliminate erythritol entirely. A measured approach makes sense, especially for metro Atlanta shoppers browsing health-focused grocers in Acworth and Marietta where “zero sugar” labels are everywhere.

  • Read labels and notice how much is added
  • Rotate in whole foods when you can
  • Talk to your physician if you have cardiovascular or clotting concerns

Talk to a physician

For nutrition guidance tailored to your health, talk with our Cobb County team.

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