Xylitol: Is It Bad For You? (plus Health Benefits & Dose)

Updated in July 2023

Xylitol is a type of natural sweetener that is extracted from foods like plums, strawberries and pumpkin. Because it inhibits the bacteria that cause cavities, it is often used to sweeten chewing gum, mouth wash, syrups and dental creams. 

Xylitol is also low in calories and has a low glycemic index, making it a great natural option to help manage glucose levels and promote weight loss. 

Xylitol can be found in granulated form at pharmacies, natural health stores and grocery stores. It can tolerate high temperatures and has a mild, sweet taste similar to sugar, and can therefore be used to sweeten juice, tea, coffee, cakes and pies. 

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Is xylitol bad for you?

Xylitol is a sweetener that is generally considered to be safe for use. It can be used by diabetics, pregnant women and breastfeeding women. 

Nonetheless, some studies [1], [2],[3] show that using sweeteners can alter taste buds and cause intestinal flora abnormalities, increasing the risk for conditions like obesity or diabetes. However, more studies are needed to confirm the relationship between sweeteners and these health conditions. 

Health benefits

Xylitol can be used to achieve the following health benefits:

1. Promoting weight loss

Because it has a low glycemic index (only 8), xylitol can help to regulate blood sugar levels and help to manage hunger throughout the day. It can prevent the formation of fat cells, which can reduce the risk for weight gain. 

One teaspoon of xylitol only has 8 calories, making it a great option to sweeten foods in comparison to higher calorie sweeteners, like honey or sugar. 

2. Preventing cavities

Xylitol can help to prevent cavities, as it inhibits the growth of Streptococcus mutans. This is the main bacteria responsible for causing tooth infections. 

3. Helping to manage diabetes

Because it has a low glycemic index, xylitol can keep blood sugar levels within normal ranges. This can be beneficial for patients with hyperglycemia and diabetes. 

4. Preventing ear infections

Xylitol can help to prevent ear infections by combating other microorganisms that live in the mouth and the ears, like Candida albicans.

However, more studies are need to prove the benefits of xylitol to treat ear conditions. 

Difference between xylitol and stevia

Stevia is a natural sweetener that is extracted from the Stevia Rebaudiana Bertoni plant. It can be found in powder, granulated or liquid form. Stevia can also sweeten food two to three hundred more times than common sugar, and has an additional bitter taste, which can alter the taste of some foods. 

Xylitol is obtained from the fruit and vegetable fibers, and is usually available in granulated form. Xylitol has the same sweetness level as sugar and has a mild taste that does not alter the taste of foods when used. 

How to use

This sweetener's properties remain intact even at high temperatures, which is why xylitol can be used to sweeten juices, teas, coffee, cookies, cakes or pies.

It is important to remember that one teaspoon of xylitol contains the same sweetness as one teaspoon of sugar. 

Recommended dose

There is currently no daily recommended dose of xylitol per day. However, you should not excess 60 g of xylitol per day. 

Possible side effects

Excessive xylitol ingestion can lead to excess gas, abdominal bloating and diarrhea in some people.

Therefore, xylitol should be taken as directed by a doctor or registered dietitian, especially in cases of diabetes, hypertension or pregnancy.

Contraindications for use

People with irritable bowel syndrome should use xylitol because is it poorly absorbed in the gut and leads to excessive fermentation by bacteria. This can lead to symptoms like pain, gas and diarrhea. 

Children should only be introduced to sweeteners after the age of 2, as directed by a pediatrician.