Erythritol vs Tapioca Syrup: 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 Tapioca Syrup?

Tapioca syrup is produced by enzymatically or acid-hydrolyzing tapioca starch (derived from cassava root). It is often marketed as a 'clean label' alternative to corn syrup, particularly in organic and natural food products. Chemically, it is similar to corn syrup, consisting primarily of glucose polymers.

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.

Tapioca Syrup: Tapioca syrup contributes added sugar to the diet and has a high glycemic index comparable to corn syrup. A 2019 investigation by the Clean Label Project found that many 'organic' snack bars sweetened with tapioca syrup had sugar contents equivalent to candy, despite their 'natural' branding. The FDA has noted that tapioca syrup, when listed on ingredient labels without quantification, may obscure the total sugar content of a product. Health impacts are equivalent to those of other refined sugars.