The Sucralose News: Scaremongering Or Serious?

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What’s the news on sucralose?

These past days the press has been abuzz with frightening tales:

How true and/or serious is this?

Firstly, let’s manage expectations. Pineapple juice also breaks down DNA, but is not generally considered a health risk. So let’s keep that in mind, while we look into the science.

Is sucralose as scary as pineapple juice, or is it something actually dangerous?

The new study (that sparked off these headlines)

The much-referenced study is publicly available to read in full—here it is:

Toxicological and pharmacokinetic properties of sucralose-6-acetate and its parent sucralose: in vitro screening assays

You may notice that this doesn’t have quite the snappy punchiness of some of the headlines, but let’s break this down, if you’ll pardon the turn of phrase:

  • Toxicological: pertaining to whether or not it has toxic qualities
  • Pharmacokinetic: the science of asking, of chemicals in bodies, “where did it come from; where did it go; what could it do there; what can we know?”
  • Sucralose-6-acetate: an impurity that can be found in sucralose. For perspective, the study found that the sucralose in Splenda contained “up to” 0.67% sucralose-6-acetate.
  • Sucralose: a modified form of sucrose, that makes it hundreds of times sweeter, and non-caloric because the body cannot break it down so it’s treated as a dietary fiber and just passes through
  • In vitro: things are happening in petri dishes, not in animals (human or otherwise), which would be called “in vivo”
  • Screening assays: “we set up a very closed-parameters chemical test, to see what happens when we add this to this” ⇽ oversimplification, but this is the basic format of a screening assay

Great, now we understand the title, but what about the study?

Researchers looked primarily at the effects of sucralose-6-acetate and sucralose (together and separately) on epithelial cells (these are very simple cells that are easy to study; conveniently, they are also most of what makes up our intestinal walls). For this, they used a fancy way of replicating human intestinal walls, that’s actually quite fascinating but beyond the scope of today’s newsletter. Suffice it to say: it’s quite good, and/but has its limitations too. They also looked at some in vivo rat studies.

What they found was…

Based on samples from the rat feces (somehow this didn’t make it into the headlines), it appears that sucralose may be acetylated in the intestines. What that means is that we, if we are like the rats (definitely not a given, but a reasonable hypothesis), might convert up to 10% of sucralose into sucralose-6-acetate inside us. Iff we do, the next part of the findings become more serious.

Based on the in vitro simulations, both sucralose and sucralose-6-acetate reduced intestinal barrier integrity at least a little, but sucralose-6-acetate was the kicker when it came to most of the effects—at least, so we (reasonably!) suppose.

Basically, there’s a lot of supposition going on here but the suppositions are reasonable. That’s how science works; there’s usually little we can know for sure from a single study; it’s when more studies roll in that we start to get a more complete picture.

What was sucralose-6-acetate found to do? It increased the expression of genes associated with inflammation, oxidative stress, and cancer (granted those three things generally go together). So that’s a “this probably has this end result” supposition.

More concretely, and which most of the headlines latched onto, it was found (in vitro) to induce cytogenic damage, specifically, of the clastogenic variety (produces DNA strand breaks—so this is different than pineapple’s bromelain and DNA-helicase’s relatively harmless unzipping of genes).

The dose makes the poison

So, how much is too much and is that 0.67% something to worry about?

  • Remembering the rat study, it may be more like 10% once our intestines have done their thing. Iff we’re like rats.
  • But, even if it’s only 0.67%, this will still be above the “threshold of toxicological concern for genotoxicity”, of 0.15µg/person/day.
  • On the other hand, the fact that these were in vitro studies is a serious limitation.
  • Sometimes something is very dangerous in vitro, because it’s being put directly onto cells, whereas in vivo we may have mechanisms for dealing with that.

We won’t know for sure until we get in vivo studies in human subjects, and that may not happen any time soon, if ever, depending on the technical limitations and ethical considerations that sometimes preclude doing certain studies in humans.

Bottom line:

  • The headlines are written to be scary, but aren’t wrong; their claims are fundamentally true
  • What that means for us as actual humans may not be the same, however; we don’t know yet
  • For now, it is probably reasonable to avoid sucralose just in case

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  • Fast Burn – by Dr. Ian K. Smith

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    Intermittent fasting seems simple enough: how complicated can “stop eating for a bit” be? Well, there are nuances and tweaks and hacks and “if you do this bit wrong it will sabotage your benefits” things to know about, too.

    Dr. Smith takes us through the basic essentials first, and covers each of the main kinds of intermittent fasting, for example:

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    …and, most notably, what they each do metabolically.

    Then, the real meat of the book is his program. Taking into account the benefits of each form of fasting, he weaves together a 9-week program to first ease us gently into intermittent fasting, and then enjoy the maximum benefits with minimum self-sabotage.

    Which is the biggest stumbling-block for many trying intermittent fasting for the first time, so it’s a huge help that he takes care of this here.

    He also includes meal plans and recipes; readers can use those or not; the fasting plan stands on its own two feet without them too.

    Bottom line: if you’ve been thinking of trying intermittent fasting but have been put off by all the kinds or have had trouble sticking to it, this book may be just what you need.

    Click here to check out Fast Burn on Amazon and see what you can achieve!

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  • Ice Baths: To Dip Or Not To Dip?

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Many Are Cold, But Few Are Frozen

    We asked you for your (health-related) view of ice baths, and got the above-depicted, below-described, set of responses:

    • About 31% said “ice baths are great for the health; we should take them”
    • About 29% said “ice baths’ risks outweigh their few benefits”
    • About 26% said “ice baths’ benefits outweigh their few risks”
    • About 14% said “ice baths are dangerous and can kill you; best avoided”

    So what does the science say?

    Freezing water is very dangerous: True or False?

    True! Water close to freezing point is indeed very dangerous, and can most certainly kill you.

    Fun fact, though: many such people are still saveable with timely medical intervention, in part because the same hypothermia that is killing them also slows down the process* of death

    Source (and science) for both parts of that:

    Cold water immersion: sudden death and prolonged survival

    *and biologically speaking, death is a process, not an event, by the way. But we don’t have room for that today!

    (unless you die in some sudden violent way, such as a powerful explosion that destroys your brain instantly; then it’s an event)

    Ice baths are thus also very dangerous: True or False?

    False! Assuming that they are undertaken responsibly and you have no chronic diseases that make it more dangerous for you.

    What does “undertaken responsibly” mean?

    Firstly, the temperature should not be near freezing. It should be 10–15℃, which for Americans is 50–59℉.

    You can get a bath thermometer to check this, by the way. Here’s an example product on Amazon.

    Secondly, your ice bath should last no more than 10–15 minutes. This is not a place to go to sleep.

    What chronic diseases would make it dangerous?

    Do check with your doctor if you have any doubts, as no list we make can be exhaustive and we don’t know your personal medical history, but the main culprits are:

    • Cardiovascular disease
    • Hypertension
    • Diabetes (any type)

    The first two are for heart attack risk; the latter is because diabetes can affect core temperature regulation.

    Ice baths are good for the heart: True or False?

    True or False depending on how they’re done, and your health before starting.

    For most people, undertaking ice baths responsibly, repeated ice bath use causes the cardiovascular system to adapt to better maintain homeostasis when subjected to thermal shock (i.e. sudden rapid changes in temperature).

    For example: Respiratory and cardiovascular responses to cold stress following repeated cold water immersion

    And because that was a small study, here’s a big research review with a lot of data; just scroll to where it has the heading“Specific thermoregulative adaptations to regular exposure to cold air and/or cold water exposure“ for many examples and much discussion:

    Health effects of voluntary exposure to cold water: a continuing subject of debate

    Ice baths are good against inflammation: True or False?

    True! Here’s one example:

    Winter-swimming as a building-up body resistance factor inducing adaptive changes in the oxidant/antioxidant status

    Uric acid and glutathione levels (important markers of chronic inflammation) are also significantly affected:

    Uric acid and glutathione levels during short-term whole body cold exposure

    Want to know more?

    That’s all we have room for today, but check out our previous “Expert Insights” main feature looking at Wim Hof’s work in cryotherapy:

    A Cold Shower A Day Keeps The Doctor Away?

    Enjoy!

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  • Best morning routine?

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    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Stress is a natural response that evolved over thousands of years to help humans meet challenges by priming the body and mind for action. However, chronic stress is harmful, as it diverts energy away from essential processes like cell maintenance and repair, leading to deterioration of health (physical and mental).

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    How it works: these activities send signals to the brain that the body is safe, initiating biological changes that…

    • protect chromosomes from DNA damage
    • promote cellular repair, and
    • enhance mitochondrial function.

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    Note: the list of activities above is far from exhaustive, but do be aware that this doesn‘t mean any activity you enjoy and do to unwind will trigger NSDR. On the contrary, many activities you enjoy and do to unwind may trigger the opposite, a sympathetic nervous system response—watching television is a common example of this “wrong choice for NSDR”. Sure, it can be absorbing and a distraction from your daily stressors, but it also can be exciting (both cognitively and neurologically and thus also physiologically), which is the opposite of what we want.

    For more on all of this, enjoy:

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    Want to learn more?

    You might also like to read:

    Non-Sleep Deep Rest: A Neurobiologist’s Take

    Take care!

    Don’t Forget…

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  • Pistachios vs Cashews – Which is Healthier?

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Our Verdict

    When comparing pistachios to cashews, we picked the pistachios.

    Why?

    In terms of macros, both are great sources of protein and healthy fats, and considered head-to-head:

    • pistachios have slightly more protein, but it’s close
    • pistachios have slightly more (health) fat, but it’s close
    • cashews have slightly more carbs, but it’s close
    • pistachios have a lot more fiber (more than 3x more!)

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    When it comes to vitamins, pistachios have more of vitamins A, B1, B2, B3, B6, B9, C, & E.

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    Enjoy!

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  • Eyes for Alzheimer’s Diagnosis: New?

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    It’s Q&A Time!

    This is the bit whereby each week, we respond to subscriber questions/requests/etc

    Have something you’d like to ask us, or ask us to look into? Hit reply to any of our emails, or use the feedback widget at the bottom, and a Real Human™ will be glad to read it!

    Q: As I am a retired nurse, I am always interested in new medical technology and new ways of diagnosing. I have recently heard of using the eyes to diagnose Alzheimer’s. When I did some research I didn’t find too much. I am thinking the information may be too new or I wasn’t on the right sites.

    (this is in response to last week’s piece on lutein, eyes, and brain health)

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    Read: Cognitive Function and Its Relationship with Macular Pigment Optical Density and Serum Concentrations of its Constituent Carotenoids

    See also:

    Don’t Forget…

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    Learn to Age Gracefully

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