Propylene Glycol vs Sodium Nitrate: which is worse?

What is Propylene Glycol?

Propylene glycol is a synthetic organic compound used as a humectant, solvent, and emulsifier in food, pharmaceuticals, cosmetics, and industrial applications. It is produced from propylene oxide (derived from petroleum). Its chemical formula is C3H8O2.

What is Sodium Nitrate?

Sodium nitrate (NaNO3) is a naturally occurring salt found in soil and some plants, and also synthetically produced for use as a food preservative and curing agent. It is converted to sodium nitrite by bacterial action in foods or in the body, where it exerts its preservative and curing effects. Sometimes called 'Chile saltpeter' after its natural South American ore source.

Documented risks

Propylene Glycol: Propylene glycol is generally considered safe by the FDA and is metabolized by the liver to lactic acid and pyruvate (normal metabolites). However, at high doses — particularly from intravenous pharmaceutical formulations — propylene glycol can accumulate and cause lactic acidosis, kidney toxicity, and CNS effects. These effects are seen in critically ill patients receiving high-dose PG-containing intravenous medications, not from food consumption. In children and people with impaired liver or kidney function, PG accumulation may occur at lower doses than in healthy adults. Animal studies have found reproductive and developmental effects at high doses. EFSA's 2018 re-evaluation found no concerns at typical food use levels but noted the EU limits PG use as a direct food additive, using it only as a carrier solvent for permitted additives.

Sodium Nitrate: Sodium nitrate shares the same health concerns as sodium nitrite: conversion to nitrosamines is the primary mechanism of concern. Sodium nitrate is converted to nitrite by bacterial reduction in foods and by nitrate-reducing bacteria in saliva before reaching the stomach. The subsequent conversion of nitrite to nitrosamines carries the same carcinogenicity concerns described for sodium nitrite. IARC's 2015 classification of processed meat as Group 1 human carcinogen applies to all nitrite/nitrate-cured processed meats. EFSA's 2017 re-evaluation established acceptable daily intakes (ADIs) for nitrate (3.7 mg/kg body weight/day) and nitrite (0.07 mg/kg body weight/day) based on risk assessment. A notable paradox in nitrate nutrition: dietary nitrate from vegetables (particularly leafy greens like spinach, arugula, and lettuce, and root vegetables like beets) is associated with cardioprotective effects through the nitrate-nitrite-NO pathway, where nitric oxide from dietary nitrate improves vascular function and reduces blood pressure. This beneficial effect of vegetable nitrate contrasts with the potential harm from processed meat nitrate/nitrite, suggesting that the food matrix and associated compounds (antioxidants in vegetables vs. amines in meat protein) significantly influence whether nitrite produces beneficial or harmful effects. Infant exposure to high nitrate levels — particularly from well water — can cause methemoglobinemia ('blue baby syndrome'). The EU and WHO set strict nitrate limits for infant water and food for this reason.