Saccharin vs Butylated Hydroxytoluene: which is worse?

What is Saccharin?

Saccharin is the oldest artificial sweetener, discovered accidentally at Johns Hopkins in 1879. It is a sulfonamide compound approximately 300-400 times sweeter than sucrose with no caloric value. It has a slightly bitter metallic aftertaste at higher concentrations. Saccharin's sodium salt (sodium saccharin) is the form used in most food applications.

What is Butylated Hydroxytoluene?

Butylated hydroxytoluene (BHT) is a synthetic lipophilic phenolic antioxidant preservative derived from petroleum. It is a white crystalline solid with chemical formula C15H24O. Like BHA, it prevents fat oxidation and is widely used in food, cosmetics, pharmaceuticals, jet fuel, and rubber.

Documented risks

Saccharin: Saccharin's carcinogenicity history is one of the most tumultuous in food regulatory history. In 1977, the FDA proposed banning saccharin after studies found it caused bladder cancer in rats at very high doses. Congress passed the Saccharin Study and Labeling Act, which put a moratorium on the ban and required a cancer warning label on saccharin products ('Use of this product may be hazardous to your health. This product contains saccharin which has been determined to cause cancer in laboratory animals.'). By 2000, saccharin was removed from the US National Toxicology Program's Report on Carcinogens after subsequent research determined that the bladder cancer in male rats was caused by a rat-specific mechanism — high pH, high protein, and calcium phosphate in rat urine — that does not apply to human urine. The cancer warning label requirement was repealed. IARC also removed saccharin from its Group 2B list in 1999. However, Canada maintained its ban on food use saccharin, citing continued precautionary concern. A 2022 study in Cell found saccharin was among the artificial sweeteners most significantly altering gut microbiome composition and glucose tolerance in previously non-sweetener-using participants. Saccharin showed the largest effect on glucose tolerance among the sweeteners studied (saccharin, sucralose, aspartame, stevia). Saccharin passes through the placenta and appears in breast milk, raising questions about infant exposure that have not been fully resolved.

Butylated Hydroxytoluene: BHT's carcinogenicity profile is complex and bidirectional. Some NTP bioassays found liver tumors in female mice at high doses, while other studies suggested BHT might inhibit tumor initiation in certain contexts. A 1986 NTP bioassay found liver tumors in female mice but anti-carcinogenic effects in the rat forestomach — making BHT's net carcinogenicity uncertain. IARC has not formally classified BHT in a specific Group due to this conflicting evidence. The NTP notes that BHT's carcinogenicity data are complex. The 'Report on Carcinogens' does not currently list BHT, unlike BHA, but the NTP has noted inconclusive evidence. Potential endocrine disruption: a 2017 study in Environmental Science & Technology found BHT disrupted thyroid hormone levels in female rats. Multiple animal studies have demonstrated weak estrogenic effects. The American Academy of Pediatrics' 2018 policy statement on food additives mentioned BHT as a synthetic preservative warranting reduced childhood exposure. Kellogg's Frosted Flakes in the US contains BHT to preserve freshness; the European version uses mixed tocopherols (vitamin E) instead — a commercially meaningful difference demonstrating feasibility of substitution. Japan banned BHT for food use based on its precautionary approach. The EU restricts it with ADI-based maximum permitted levels.