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. 2024 Sep 23;16(9):e70043. doi: 10.7759/cureus.70043

Table 1. Comprehensive guide to ASs: uses, risks, and ADI.

ASs: artificial sweeteners; ADI: acceptable daily intake; PKU: phenylketonuria

ASs More sweetener than sugar Brand names ADI (mg/kg/day) Uses Risk factor Study
Aspartame 200 NutraSweet 50 Extensively utilized in tabletop sweeteners, chewable vitamins, confectionery mixes, chewing gum, and beverages PKU patients' phenylalanine sensitivity, high doses' possible harm to the liver, and concerns about neurotoxicity and cancer risks all surround safety Ali et al. [6]
Acesulfame-K 200 Sweet one 15 Used as a tabletop sweetener and frequently mixed with other sweeteners in soft drinks, baked goods, candies, and chewing gum Worries regarding adverse effects on metabolism, possible cancer risk, and long-term safety Ali et al. [6]
Saccharin 600 Sweet N’ low 5 Frequently present in chewing gum, canned fruit, baked foods, tabletop sweeteners, and diet sodas Early research showed a potentially disrupted gut flora and a risk of bladder cancer, which has since been completely debunked Mahmood and Al-Juboori [7]
Sucralose 300 Splenda 5 Used in tabletop sweeteners, dairy products, baked items, frozen sweets, and beverages Changes in gut flora, potential to affect insulin release, potential to modify glucose metabolism, and weight gain in certain studies Gujral et al. [8]
Neotame 8,000 Neotame 2 Used as a general-purpose sweetener in dairy products, baked goods, and beverages; authorized for usage other than in meat and poultry Possible harm to the liver from overindulgence, weight fluctuations, minor headaches, and appetite loss Gibbons et al. [9]
Cyclamate 30 - 1 Banned in the United States but utilized in other nations; this sweetener is used in beverages, baked products, sweets, and tabletop confections Potentially harmful effect on male fertility and connection to bladder cancer (illegal in several countries) Kramer [10]
Alitame 2,000 - 0-1 Less prevalent because of regulatory obstacles; used in dairy products, baked items, chewing gum, and beverages Relatively less information is available on potential liver damage than other sweeteners Ali et al. [6]
Advantame 37,000 - 5 Advantame 37,000-5 is suitable for high temperatures and low pH, and is used in drinks, gum, yogurt, cakes, and powdered drink mixes Restricted long-term evidence, but recent studies have not found any substantial toxicological consequences; generally regarded as safe Ali et al. [6]