Erythritol vs Soy Lecithin: 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 Soy Lecithin?

Soy lecithin is a phospholipid mixture extracted from soybeans during oil processing, primarily composed of phosphatidylcholine, phosphatidylethanolamine, and phosphatidylinositol. It is one of the most widely used food emulsifiers globally. Most commercial soy lecithin is derived from genetically modified soybeans, though organic varieties are available.

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.

Soy Lecithin: Generally recognized as safe. Soy lecithin is highly refined, and most soy proteins that trigger allergies are removed during processing; however, highly soy-allergic individuals may react. EFSA conducted a safety re-evaluation in 2017 and confirmed its safety at current use levels. The majority of commercial soy lecithin comes from GMO soybeans, which some consumers prefer to avoid. No major toxicological risks have been identified at normal dietary exposure levels.