Sorbitol vs Modified Food Starch: which is worse?

What is Sorbitol?

Sorbitol is a sugar alcohol (polyol) naturally found in some fruits, including apples, pears, and prunes. Commercially, it is produced by hydrogenation of glucose. It has approximately 60% of the sweetness of sucrose but provides fewer calories (2.6 kcal/g vs 4 kcal/g for sugar) and does not cause a significant immediate insulin response.

What is Modified Food Starch?

Modified food starch is starch (derived from corn, wheat, potato, rice, or tapioca) that has been physically, enzymatically, or chemically treated to alter its properties such as thickening ability, heat stability, or freeze-thaw stability. The term 'modified' refers to chemical modification, not genetic modification. Dozens of specific modifications exist, each designated with E numbers E1400–E1450 in the EU.

Documented risks

Sorbitol: At doses above 20–50 g/day, sorbitol can cause osmotic diarrhea because it is incompletely absorbed in the small intestine and is fermented by colonic bacteria. EU regulations require products containing more than 10% added polyols to carry the label 'excessive consumption may produce laxative effects.' This is well-known and predictable. Sorbitol is not carcinogenic and does not raise blood glucose significantly, making it suitable for diabetics in controlled amounts.

Modified Food Starch: Modified food starches are generally recognized as safe by the FDA and EFSA. Modified starches from wheat must be declared as allergens in the EU. Phosphorylated starch modifications (E1412, E1414) are permitted at specific maximum levels by EFSA, which noted no safety concerns at authorized levels in its 2017 re-evaluation. Concerns have been raised about the use of modified starch in infant foods — EFSA's Scientific Panel set conservative limits for infants. For healthy adults, dietary exposure via processed foods poses no identified risk.