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Dextrose is permitted by the US FDA. Several countries restrict, warning-label, or have reviewed it for safety concerns. The US has more lenient additive rules than the EU, UK, Canada, and Japan, which is why this ingredient remains widely used here.
Dextrose has a GI of 100 (the standard reference), causing rapid blood glucose elevation. Excessive consumption contributes to caloric overload, dental caries, and metabolic syndrome risk. However, as a single ingredient it is no more concerning than other simple sugars. The health risks of dextrose are those of added sugar generally, which the American Heart Association and WHO link to obesity, type 2 diabetes, and cardiovascular disease when consumed in excess.
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