Erythritol vs Guar Gum: which is worse?

What is Erythritol?

Erythritol is a four-carbon sugar alcohol naturally occurring in small amounts in fruits, fermented foods, and mushrooms. Commercially produced via fermentation of glucose by yeasts such as Moniliella pollinis, it has approximately 70% of sucrose's sweetness, provides 0.24 kcal/g, and has a glycemic index of 0. It is nearly completely absorbed in the small intestine and excreted unchanged in urine, which explains its unusually low laxative effect compared to other polyols.

What is Guar Gum?

Guar gum is a galactomannan polysaccharide extracted from guar beans (Cyamopsis tetragonoloba), grown primarily in India and Pakistan. It is a highly effective thickener — approximately 8 times more powerful than cornstarch — and functions as a dietary fiber. It is used extensively in food, pharmaceutical, and industrial applications.

Documented risks

Erythritol: A 2023 observational study published in Nature Medicine (Hazen et al., Cleveland Clinic) found that elevated blood erythritol levels were associated with increased risk of major adverse cardiovascular events (MACE), including heart attack and stroke. Additionally, erythritol was found to enhance platelet aggregation in vitro. This study was widely reported and has generated significant scientific debate; critics note that it was observational (not causational), and that the study population had pre-existing cardiovascular risk factors. Regulatory agencies have not changed their approval status. The long-term cardiovascular implications require further research.

Guar Gum: Generally recognized as safe. At high doses (e.g., dietary supplement doses of 10–20 g/day), guar gum can cause flatulence, bloating, and diarrhea. Historically, concentrated guar gum dietary supplements were associated with esophageal obstruction, prompting the FDA to ban such supplements in 1992. At typical food additive use levels, no significant safety concerns have been identified. EFSA confirmed its safety as a food additive in 2017.