Saccharin vs Sodium Aluminum Phosphate: 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 Sodium Aluminum Phosphate?

Sodium aluminum phosphate (SALP) is a leavening acid and food additive used in baked goods, particularly self-rising flour and baking powder. It provides a slow, sustained leavening action during baking. SALP is also used as an emulsifying salt in processed cheese products.

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 The cancer warning label requirement was repealed.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.

Sodium Aluminum Phosphate: The primary health concern with SALP is aluminum exposure. Dietary aluminum intake has been studied in relation to neurotoxicity, and there is ongoing scientific debate about whether chronic dietary aluminum exposure contributes to Alzheimer's disease risk. EFSA's 2008 review of dietary aluminum exposure concluded that the tolerable weekly intake (TWI) was being exceeded by some European populations based on total dietary aluminum sources, raising concern. A 2011 EFSA risk assessment noted that certain high-aluminum sources (including baked goods from SALP-containing leavening agents) contributed meaningfully to total dietary aluminum. The WHO has set a PTWI (provisional tolerable weekly intake) of 2 mg/kg body weight/week for total aluminum. However, the causal link between dietary aluminum from food-grade SALP and Alzheimer's disease has not been definitively established in human studies.