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SCIENCE DECLARES STEVIA A SAFE SWEETENER --by James A. May, Sr. Distributed as an educational tool for medical professionals by Wisdom Natural Brands® The following statements regarding the safety and uses of Stevia as a sweetener are taken directly from the pages of recent scientific research documents published during or concerning the time frame indicated. These studies comprise only a very few examples of the hundreds upon hundreds of published studies, all proclaiming the safety and medical benefits of Stevia in the human diet. Quotes are primarily taken directly from the results of the study, or specific statements, rather than the scientific details of the research. Some of the quotes will be what the scientific world has already established as fact, before the study from which the quote is taken was commenced. I recently reread over 1700 pages of scientific studies containing the prevailing science on the safety of Stevia used as a sweetener. Quotations from a few of these more recent studies, organized according to the time period published, appear below. The use of a bold format to emphasize certain statements in the body of the following scientific studies is mine. Titles and subtitles utilized in the original publications were already in bold. 1951-1990 Safety and Utilization of Stevia Sweetener --by Hideo Fujita and Tomoyoshi Edahiro. [A review of the prevailing science literature at the time]. Although sugar has been occupying a throne of the sweetener market, people gradually have abstained [from] the use of sugar from the view points of health such as obesity, diabetes, tooth decay, etc. In these circumstances, Stevia has been developed as a natural sweetener and thus it received much attention from [the] food industry and accepted by [the] public. …It is suggested that Stevia will become [a] major natural sweetener in the future (p.1). [Following feeding of Stevia extract to rats] The results showed no abnormality on body weight change, feed intake, hematologic test, autopsy, histology tests, etc. They reported no harmful effects of Stevia. … No pregnancy suppression effect of Stevia was reported (p.2). (Stevia) even shows growth suppression toward several oral bacteria. …this fact may prove [the] effectiveness of Stevia sweetener for prevention of dental carries (i.e. cavities p.5). 1 [Stevioside is recommended for use in] Chewing Gum, Frozen Desserts, Low Calorie Foods, Fish Paste Products and Delicate Flavor Foods, Salt Pickles, Bean Paste, and Soy Sauce…Carbonated Drinks, Ice Cream, Orange Juice, Sherbets (p 6-7). List of Food Additives excluding chemical synthetics By Food Chemical Department: The Ministry of Health and Welfare (Japan 1989). (This study includes several pages of scientific data, including Stevia’s sweet homologous compounds derived from their biochemical technology, chemical structure, liquid and gas chromatography, studies pertaining to the relative strength of its sweetness (p.257-260), food and beverage usage information and instructions including photographs of commercial products (p. 261, 267-272). Pages 263-265 then contain a section titled): STEVIA LEAVES: WORLDWIDE PRODUCTION: ANNUAL CONSUMPTION OF STEVIA LEAVES – BY COUNTRIES (Note! This is prior to 1989). JAPAN Produces about 200 tones/year; Imports about 1,800 tons/year; consumes about 2,000 tons/year. (The study reports that at that time there are 11 Stevia factories producing Stevioside). BRAZIL Produces about 750 tons/year; Consumes 50 tons/year of leaves; Exports about 100 tons/year; Consumes about 600 tons/year (produced in one factory). CHINA Produces about 1,700 tons/year; exports about 1,300 tons/year and consumes about 400 tons/year. SOUTH KOREA Produces about 400 tons/year; exports an unknown amount of Stevia extract (crystal) to Japan and Asiatic countries; consumes about 300-400 tons/year. THAILAND Produces about 300tons/year; consumes “in nature” about 30% of its production (i.e. 100 tons) and exports about 200 tons/year. TAIWAN Produces about 180 tons/year; consumes small quantities “in nature”; exports about 150 tons/year to Japan; PARAGUAY Produces about 250 tons/year; consumes “in nature” about 150 tons/year and exports about 100 tons/year. ARGENTINA Produces about 60 tons/year, consuming nearly the entire production except for sporadic exports to the USA, Germany and Brazil. 2 Thus, in 1998 the world consumption was estimated at 4,100 tons/year and “nobody has complained about collateral effect” (p.265). 1991-2007 Note: In past years the common names used world-wide for the purified, white crystalline extract of Stevia leaves have been Stevia, Stevioside and Stevioside/Rebaudioside, with a few other less common names used here and there. Recent studies have suggested that the mixture of Stevia’s naturally occurring sweet constituents are at least one or more steviol glycosides. To unify the scientific terminology used by scientists the Joint Expert Committee on Food Additives (JECFA) of the World Health Organization concluded in 2004 that the most appropriate name for this unique sweet extract, of at least 95% purity be “steviol glycosides”. Therefore, some but not all recent studies utilize this terminology for Stevioside. Use of Stevia rebaudiana sweeteners in Japan Review of science literature), by Kenji Mizutani and Osamu tanaka. Since the latter half of the 1970s, extracts of the leaves of S. rebaudiana have been employed as sweetening agents, taste modifiers, and sugar substitutes in the food industry in Japan (p.178). Use of Stevia sweeteners in the Japanese food industry as estimated by Maruzen Pharmaceuticals Co. Ltd. In 1995: Japanese style pickles, dried sea foods, Soy sauce and soypaste, mashed and steamed fish and meat, seasonings, sea foods boiled down by soy sauce, beverages and yogurt, ice cream and sherbet, confectectioneries and bread, table-top sweeteners, etc. (p.184). Formulation of bread and a carbonated drink containing ‘enzymatically modified stevia’ and ‘rebaudioside A- enriched Stevia extract’: Bread, wheat flour, milk, sucrose, salt, butter, dry yeast, a-G sweet PA, carbonated drink, granulated sugar (sucrose), high fructose corn sweetener, Chrysanta AR-P, citric acid, sodium citrate, cider essence, carbonated water. … In 1998, the Ministry of Health and Welfare of Japan authorized the use of Stevia extract as a[n] ingredient in pharmaceuticals (p.191). Formulation of dietary-supplement health foods containing Stevia sweetener (in Japan). Gingko extract (300mg/tablet), Gingko extract powder, powdered cellulose, ascorbic acid, powdered vitamin E, Chile extract powder, Apple flavor, sweetener (Stevia), B-Carotene, Glycerin and fatty acid ester, …Collagen Pb (2 gm, granule), liquid collagen peptide, Erythritol, dietary fiber, vitamin C, vitamin B6, sour agent, … flavor (p.192). 3 Use of Stevioside and cultivation of Stevia rebaudiana in Korea By Jinwoong Kim, Young Hae Choi and Young-Hee Choi. (Published in Douglas Kinghorn, ed. Stevia: The Genus Stevia, New York: Taylor and Francis, Inc., 2002). Stevia was introduced in Korea in 1973 and its use as an alternative sweetener was first considered officially in 1976, but it was not approved as a food additive until 1984. …the total output of Stevioside per year in Korea is estimated to be 200-250 metric tons per year (Korea Consumer Protection Board 1996). …Most of the Stevioside produced in Korea is used in the food industry (p.196-197). … Presently Stevioside occupies 40% of the sweetener market in Korea and it is being used more broadly in the food industry as a sugar substitute than any other alternative sweetener in products such as ice cream, ice cakes, confectionaries, gum, pickles, sauces, non-caloric diet foods, and beverages (p. 202). REVIEW: The safety of stevioside used as a sweetener by Jan M.C.Geuns; Laboratory of Functional Biology, KULeuven: Proceedings of the first symposium: THE SAFETY OF STEVIOSIDE KULeuven, April 16, 2004; Chapter 9, pages 85-127. ABSTRACT: Stevioside is a natural sweetener extracted from leaves of Stevia rebaudiana (Bertoni) Bertoni. The literature about Stevia, the occurrence of its sweeteners, their biosynthetic pathway and toxicological aspects are discussed. …The metabolism of stevioside is discussed in relation to the possible formation of steviol in both animals and man. Different mutagenicity studies as well as studies of carcinogenicity are discussed. Acute and subacute toxicity studies revealed a very low toxicity of Stevia and stevioside. Fertility and teratogenicity studies are discussed as well as the effects on the bio-availability of other nutrients in the diet. The conclusion is that Stevioside is safe when used as a sweetener. It is suitable for both diabetics, and PKU patients, as well as for obese persons intending to lose weight by avoiding sugar supplements in the diet. No allergic reactions seem to exist (p. 85). Moreover, Stevia and Stevioside are used extensively in countries like Paraguay, Brazil, Japan, USA etc. and no indications have been found of effects on the bioavailability of other nutrients or on other physiological functions of the human body. Stevia and Stevioside have been consumed by hundreds of millions of people during a very long period of time, both by adults and by children without giving the smallest indication of any harmful effects (p. 112). 4 (Following a two year study) There was no influence on the heart rate and there was no significant difference in the incidence of adverse effects between the control and the treated groups. The QOL (i.e. Quality of Life) of the Stevioside group significantly increased as seen by better physical functioning, emotional and physical role limitation, body pain, general health protection, vitality and social functioning. No influence on mental health was observed (p. 114). (Following other experiments in oral hygiene) It was concluded that neither Stevioside nor rebaudioside A is cariogenic (i.e. causes cavities) (p. 116). In 1989 the (known) world production was estimated at 4100 tons/year. No problems have been published in scientific literature concerning nutritional, micro-biological, toxicological and/or allergenicity problems (p. 117). Besides the lack of harmful effects in toxicological studies, there is a safe use of Stevia sweeteners in many countries: in Japan (about 30 years), USA (since 1995), Brazil, Paraguay, South-Korea and some other countries. All the above, together with a well organized follow-up make Stevia sweeteners possibly one of the safest sweeteners on the market (p.120). STEVIOL GLYCOSIDES AS INTENSE SWEETENERS: FOOD STANDARDS Australia New Zealand, DRAFT ASSESSMENT REPORT: APPLICATION A540; 23 May 2007. Japan has used Stevia as its main non-sucrose sweetener for more than 30 years. Other countries which allow the use of steviol glycosides include China, Russia, Korea, Brazil, Paraguay, Argentina, Indonesia and Israel (p. ii and p. 6). This review of supplementary data indicated that Stevioside is metabolized completely to steviol in the gastrointestinal tract, which is absorbed into the blood stream and then exerts a pharmacological effect by lowering blood pressure and blood glucose. While the precise mechanism of pharmacological action remains to be defined, Stevioside is unlikely to produce hypoglycaemia or hypotension in humans in concentrations encountered in the diet. Studies previously reviewed by JECFA (i.e. Joint Expert Committee on Food Additives of the World Health Organization) confirm the low toxicity potential of Stevioside. On this basis, there are unlikely to be any safety issues associated with the use of Stevioside as a sweetener (p. 33). 5 SCIENCE DECLARES THE HEALTH BENEFITS OF STEVIA Blood Pressure A double-blind placebo-controlled study of the effectiveness and tolerability of oral Stevioside in human hypertension. --by Chan P, Tomlinson B, Chen YJ, Liu JC, Hsieh MH, Cheng JT, Division of Cardiovascular Medicine, Taipei Medical College and affiliated with Taipei Wan Fan Hospital, Division of Pharmacology, Chinese University of Hong Kong and Department of Pharmacology, National Cheng—Kung University Medical School at Tainan (Sept. 2000). AIMS: Stevioside is a natural plant glycoside isolated from the plant Stevia rebaudiana which has been commercialized as a sweetener in Japan for more than 20 years. Previous animal studies have shown that Stevioside has an antihypertensive effect. This study was designed to evaluate the effect of Stevioside in human hypertension. …No significant adverse effect was observed and the quality of life assessment showed no deterioration. CONCLUSIONS: This study shows that oral Stevioside is a well tolerated and effective modality that may be considered as an alternative or supplementary therapy for patients with hypertension. Efficacy and tolerability of oral Stevioside in patients with mild essential hypertension: a two-year, randomized, placebo-controlled study. --by Hsieh, MH, Chan P, Sue YM, Liu JC, Liang TH, Huang TY, Tomlinson B, Chow MS, Kao PF, Chen YJ; Department of Medison, Taipei Medical University—Wan Fang Hospital, Taipei City, Taiwan, (Nov. 25, 2003). After 2 years, the Stevioside group had significant decreases in mean (SD) SBP and DBP compared with baseline (SBP, from 150 to 140 mm Hg; DBP, from 95 to 89 mm Hg); and compared with placebo. Based on patient’s records of self-monitored blood pressure, these effects were noted approximately 1 week after the start of the treatment and persisted throughout the study. There were no significant changes in body mass index or blood biochemistry, and the results of laboratory tests were similar in the 2 groups throughout the study. No significant difference in the incidence of adverse effects was noted between groups and QOL (i.e. Quality of Life) scores were significantly improved overall with Stevioside compared with placebo. …CONCLUSION: In this 2-year study in Chinese patients with mild hypertension, oral Stevioside significantly decreased SBP and DBP compared with placebo. QOL was improved, and no significant adverse effects were noted. 6 REVIEW: The safety of stevioside used as a sweetener --by Jan M.C. Geuns; Laboratory of Functional Biology, KULeuven: Proceedings of the first symposium: THE SAFETY OF STEVIOSIDE KULeuven, April 16, 2004; Chapter 9, pages 85-127. Hsieh et al., (2003) investigated the 2-year chronic efficacy and tolerability of stevioside in patients with mild hypertension: 174 patients, aged between 20 and 75 years, were enrolled in the study, of which 168 completed it: 82 (40 women and 42 men) … in the stevioside group, and 86 (44 women and 42 men)…in the placebo group. The systolic blood pressure (SBP) at the onset of the experiment was 140-159 mm HG and the diastolic blood pressure (DBP) 90-99 mm Hg. Thrice daily the patients took capsules containing 500 mg stevioside or placebo for 2 years. Blood pressure was measured at monthly clinic visits and also by the patients at home using an automated device. …After 2 years the stevioside group showed significant decreases in blood pressure. By their own measurements the patients noted that these decreases had already started about one week after the start of the treatment and persisted throughout the study,. … There was no influence on heart rate and there was no significant difference in the incidence of adverse effects between control and treated groups. The QOL of the stevioside group significantly increased as seen by a better physical functioning, emotional and physical role limitation, body pain, general perception, vitality and social functioning. No influence on mental health was observed. (p.114) Blood Sugar and Obesity Antihyperglycemic and blood pressure-reducing effects of Stevioside in the diabetic Goto-Kakizaki rat. --by Jeppesen PB, Gregersen s, Rolfsen SE, Jepsen M, Colombo M, Agger A, Xiao J, Kruhoffer M, Orntoft T, Hermansen K.; Department of Endocrinology and Metabolism, Molecular Diagnostic Laboratory, Aarhus Amtssygehus, Aarhus University Hospital, Aarhus, Denmark (March 2003). Stevioside, a glycoside present in the leaves of the plant, Stevia rebaudiana Bertoni (SrB), has acute insulinotropic effects in vitro. Its potential antihyperglycemic and blood pressure-lowering effects were examined in a long term study in the type 2 diabetic Goto-Kakizaki (GK) rat. …Stevioside had an antihyperglycemic effect…(and) it enhanced the first-phase insulin response…and concomitantly suppressed the glucagons levels. …In addition, stevioside caused a pronounced suppression of both the systolic…and the diastolic blood pressure …. Bolus injections of stevioside did not induce hypoglycemia. Stevioside augmented the insulin content in the beta-cell line, INS-1. Stevioside 7 may increase the insulin secretion, in part, by induction of genes involved in glycolysis. It may also improve the nutrient-sensing mechanisms, increase cytosolic long-chain fatty acyl-coenzyme A (CoA), and downregulate phosphodiesterase 1 (PDE) estimated by the microarray gene chip technology. In conclusion, stevioside enjoys a dual positive effect by acting as an antihyperglycemic and a blood pressurelowering substance; effects that may have therapeutic potential in the treatment of type 2 diabetics and the metabolic syndrome. Stevioside acts directly on pancreatic beta cells to secrete insulin: actions independent of cyclic adenosine monophosphate and adenosine triphosphate-sensitive K+- channel activity. --by Jeppesen PB, Gregersen S, Plulsen CR, Hermansen K; Department of Endocrinology and Metabolism, Aarhus University Hospital, Denmark (Feb. 2000). The natural sweetener stevioside, which is found in the plant Stevia rebaudiana Bertoni, has been used for many years in the treatment of diabetes among the Indians in Paraguay and Brazil. However, the mechanism for the blood glucose-lowering effect remains unknown. To elucidate the impact of stevioside and its aglucon steviol on insulin release from normal mouse islets and the beta-cell line INS-1 were used. …In conclusion, stevioside and steviol stimulate insulin secretion via a direct action of beta cells. The results indicate that the compounds may have a potential role as antihyperglycemic agents in the treatment of type 2 diabetes mellitus. REVIEW: The safety of stevioside used as a sweetener --by Jan M.C Geuns; Laboratory of Functional Biology, KULeuven: Proceedings of the first symposium: THE SAFETY OF STEVIOSIDE KULeuven, April 16, 2004; Chapter 9, pages 85-127. Stevia and stevioside are absolutely safe for diabetics since they are used in minute amounts. Neither large amounts of stevioside are taken up by our body, nor is stevioside metabolized by the digestive enzymes from the gastro-intestinal tract. In experiments, 60 human volunteers received 27.7 mg or 110.8 mg of pure stevioside per day (BoechhHaebisch, 1992). The author concluded that concentrated Stevia extracts in normal doses for sweetening could be used without restriction by normal persons as well as by diabetics. The omission of excessive added sugar in the food is beneficial to diabetics by lowering the blood sugar content (Boecth-Haebisch 1992). Stevia and stevioside are also safe for phenylketonuria (PKU) patients as no aromatic amino acids are involved. Obese persons might lose weight by the fact that excessive sugar in the food is replaced by Stevia or stevioside. Omitting added sucrose in foods increases the relative 8 proportion of polymeric carbohydrates. This has a beneficial effect for a balanced food intake and for human health (Anonymous, 1996). In a clinical study with humans, stevioside (250 mg thrice a day) was administered for 1 year to 60 hypertensive volunteers (Chan et. al., 2000). After 3 months the systolic and diastolic blood pressure significantly decreased and the effect persisted during the whole year of the study. Although blood pressure was decreased, the use of stevioside had no influence of male sexual performance … the authors concluded that stevioside is a well tolerated and effective compound that may be considered as an alternative of supplementary therapy for patients with hypertension (113-114). Jeppesen et al. (1996, 2000, 2002, 2003) have demonstrated that stevioside possesses anti-diabetic efficacy in animals and humans. (The research demonstrated that) At normal glucose levels no insulinotropic actions were observed. This indicates that stevioside possesses a potential as treatment of type 2 diabetes. …In a study in type 2 diabetic subjects, Gregersen et. al. (2004) recently demonstrated that oral intake of steviosides causes a clear-cut reduction in the glycaemic response to a test meal (p.115). Antihyperglycemic Effects of Stevioside in Type 2 Diabetic Subjects –by Soren Gregersen, Per B., Jens J. Hoist, and Kjeld Hermansen (Metabolism, vol 53, No 1, January 2004: pp 73-76. Consequently, Stevioside may have advantages compared to sulphonylureas in the treatment of diabetes. Of great importance is also the recent observation that stevioside possesses blood-pressure lowering-effects in nondiabetic subjects with hypertension. …Stevioside suppresses the postprandial blood glucose level in type 2 diabetic subjects by 18%. …the insulinotropic effect of stevioside in animal experiments faded in the presence of normal to low glucose. …Thus it can be hypothesized that an elevated glucose level, as found in the diabetic state, is needed for stevioside to elicit its beneficial effects. …In conclusion, stevioside reduces postprandial blood glucose levels in type 2 diabetic patients, indicating beneficial effects on the glucose metabolism. Stevioside may be advantageous in the treatment of type 2 diabetes. Safety evaluation of certain food additives; WHO FOOD ADDITIVES SERIES: 54 Prepared by the Sixty-third meeting of the Joint FAO/WHO Expert Committee on Food Additives (JECFA). World Health Organization, Geneva, 2006 9 …At its fifty-first meeting, the committee noted that oral administration of stevioside (purity, 95.6%) at a dietary concentration of 2.5%, equal to 970 and 1100mg/kwbw per day in male and female rates, respectively for two years was not associated with toxicity. Reduced body-weight gain and survival rate were observed with stevioside at a dietary concentration of 5%. In a new study, stevioside was found to inhibit the promotion of skin tumours by TPA in a model of skin carcinogenesis in mice. The committee reviewed the data on genotoxicity that, considered together with data reviewed by the Committee at its fifty-first meeting, allowed a number of conclusions to be drawn. Stevioside and rebaudioside A have not shown evidence of genotoxicity in vitro (i.e. test tubes) or in vivo (i.e. living animals or humans). Steviol and some of its oxidative derivatives show clear evidence of genotoxicity in vitro, particularly in the presence of a metabolic activation system. However, studies of DNA damages and micronucleus formation in rats, mice, and hamsters in vivo indicate that the genotoxicity of steviol is not expressed at doses of up to 8000 mg/kgbw (i.e. 8000 milligrams [8 grams] per kilogram [2.2 pounds] of body weight. [Note! If this determination is accurate, and holds true in humans, a person weighing 125 pounds, which is 56.71 kilograms could ingest 453.68 gm of stevioside (8gm times 56.71 kg). This weight divided by 28gm/oz is 16.2 oz of stevioside per day. Quality stevioside is 300 times sweeter than sugar so this is the equivalent of 4860 oz of sugar. With 16 ounces per pound that results in 303.75 pounds of sugar eaten every day! By this calculation a 150 pound person could eat 363 pounds of sugar per day and a 200 pound person could ingest a whopping 486 pounds of sugar daily without DNA damage]. …Stevioside is being investigated as a potential treatment for hypertension and diabetes. Administration of stevioside at a dose of 750 or 1500 mg per day for 3-24 months resulted in decreased blood pressure in hypertensive patient, with no adverse effects. …A small study in 12 patients with type-2 diabetes showed that a single dose of stevioside reduced postprandial glucose concentrations and had no effect of blood pressure (p. 139). EVALUATION The Committee noted that most of the data requested at its fifty-first, e.g. data on the metabolism of stevioside in humans, and on the activity of steviol in suitable studies of genotoxicity in vivo, had been made available. The Committee concluded that stevioside and rebaudioside A are not genotoxic in vitro or in vivo and that the genotoxicity of steviol and some of its oxidative derivatives in vitro is not expressed in vivo. The no- 10 observed-effect-level (NOEL) for stevioside was 970 mg/kgbw per day in a long-term study evaluated by the Committee at its fifty-first meeting. The Committee noted that stevioside has shown some evidence of pharmacological effects in patients with hypertension or with type-2 diabetes at doses corresponding to about 12.5-25 mg/kgbw per day (equivalent to 5-10 mg/kgbw per day expressed as steviol). What Does It All Mean? Stevioside is Safe! --by Prof. Jan M.C. Geuns, Laboratory Functional Biology, KULeuvens, Leuven, Belgium As the incidence of diabetes type 2 and obesity is sharply increasing, the last one also due to too much fat and salt intake, stevioside is a good substitute for table sugar. The yearly costs of these diseases were estimated to be 30 billion euro in Germany, 5 billion in Belgium and 300 billion in USD [dollars] in the USA. This sum includes the money for drugs, for hospitalization, amputations, eye diseases going to blindness, treatment of heart and blood circulation problems, special diets, dental care, costs of medical staff and so on. Assuming that the European population (± 454,000,000) is in a similar bad condition as the Belgium one, the yearly costs may be estimated at about 227 billion euro! Even this might be an underestimation as it does not include social aspects and human suffering. The advantages of stevioside as a dietary supplement (daily intake estimated to be below 200mg) for human subjects are manifold: it is stable, non-caloric and it maintains good dental health by reducing the intake of sugar and it opens the possibility for use by diabetic and phenylketonuria patients and obese persons. High concentrations of stevioside (250 mg thrice a day up to 500 mg thrice a day) lower blood pressure of hypertensive patients. Blood biochemistry parameters including lipid and glucose showed no significant changes. No significant adverse effect was observed and the quality of life assessment showed no deterioration. No decrease of male potency was observed. Moreover, stevioside showed a potential as treatment of type 2 diabetes. Recently it was demonstrated that oral intake of stevioside causes a clear-cut reduction in the glycemic response to a test meal. In 2004 researchers of the KULeuven (Belgium) organized an internal symposium on “The Safety of stevioside”. Scientists from all over the world concluded that stevioside is safe: --the lethal dose is very high (15-20 g/kg body weight) 11 --only low amounts are needed for sweetening purposes, --stevioside is not carcinogenic. On the contrary, it has been proved that stevioside reduces breast cancer in rats as well as skin cancer in animals models,--the absorption and metabolism have been studied in human volunteers. Stevioside is not absorbed by the guts. Only bacteria of the colon degrade stevioside into steviol. Part of this is absorbed but metabolized into steviol glucuronide and excreted in the urine. No free steviol was detected in the blood. Although steviol showed a weak mutagenic activity in one very sensitive strain of a bacterium, even high concentrations of oral steviol were harmless (up to 2 g/kg body weight)! In this respect it is very interesting that the incidence of cancers in Japan is very low, although stevioside has been used for over 25 years,--stevioside has not had effect on male or female fertility nor on development and state of fetuses. Fertility of Rats: Aqueous Extract of Stevia rebaudiana (Bert.) Bertoni and Stevioside --by Professors Amauri R. Silva, Cloe am Saldanha, Rubens Boelter, Ana M. Chagus. Federal University of Santa Maria, Brazil [It has been claimed that] the native population of Paraguay also used this plant for the purpose of avoiding pregnancy. . The present research project was performed with tests with objective to verify the veracity of such usage. …We concluded that the reduction in pregnancy rate was not significant among the various groups, hence the use of the Stevia rebaudiana and the stevioside to avoid pregnancy is merely folkloric. The following are excerpts from an article written in 2003 regarding the then prevailing opinion of scientists, medical doctors and nutritionist concerning Stevia. While it does not and should not carry the same weight as the preceding studies, it is, nevertheless, informative as it quotes the research and experience of many Medical Doctors and scientists. Stevia: The Diabetic’s Dream: The Fat Cell’s Nightmare --by James A. May Sr. Informed doctors, scientists and nutritionists agree that Stevia is the most health-generating sweetener on earth! It doesn’t require much investigation to understand why. In its natural leaf form Stevia contains more than one hundred presently identified compounds, including numerous vitamins, minerals (including the vital blood glucose control minerals chromium, manganese and magnesium), polyphenols, bioflavinoids, and antioxidants. It even seems to be involved in helping to correct pancreatic function, and there is no evidence that it contributes to 12 insulin resistance. Quality leaves are about 30 times sweeter than sugar but contain 0 calories, and more importantly, have a glycemic index of 0, which means that the sweet Steviosides are not converted into glucose. Therefore, Stevia does not cause fat creation and storage. When the body is deprived of glucose, it must go to its fat cells for energy. Thus, fat is released, broken down and transported to muscle cells to be burned. Stevia also reduces your desire for sweets and fatty foods. This may be because the most common cause of cravings for sweets is a deficiency of the very minerals supplied by Stevia. Thus, when Stevia is eaten daily as a part of the diet, you naturally reduce your ingestion of all forms of sweets. You can still enjoy the taste of something sweet but you will be satisfied with a much smaller portion—or none at all! You simply lose your craving for sweets. While glucose is essential for the function of the brain and bodily cells, nature’s complex carbohydrates and protein, which should be ingested in one’s normal dietary intake, are slowly converted into glucose and made available for such energy requirements. Stevia leaves contain numerous natural nutrients important to regulating blood sugar, including chromium, magnesium, manganese, potassium, selenium, zinc, and vitamin B3 (Niacin), which the body converts into niacinamide and nicotinic acid. Chromium is necessary for insulin production and the transport of glucose into the body’s cells. It improves glucose tolerance in diabetics with impaired glucose tolerance and has been shown to improve the condition referred to as insulin resistance. Magnesium is necessary for every major biological process, including metabolism of glucose and the production of cellular energy. Manganese appears to be involved in lowering blood glucose levels, even in people who are not responsive to insulin. Potassium deficiency increases insulin resistance. Selenium is highly concentrated in the pancreas, and therefore, according to scientists, must have an important, if not yet understood role in pancreatic function. Zinc is the major mineral of glucose metabolism. Without zinc the body will soon stop burning sugars and direct them into fat storage, which are then difficult, if not impossible to lose without zinc supplementation. Scientists believe that zinc is involved with insulin in a few of the steps in glucose metabolism, although the mechanisms are not clearly understood. Research has shown that rats deprived of zinc develop glucose intolerance. Nicotinamide (also called Niacinamide) helps to preserve insulin producing beta-cell function and has been shown to preserve pancreatic function, reversing diabetes in some Type I patients when high doses are administered soon enough. Free-radical damage is believed to be involved in the process that destroys beta-cells in children, who then manifest Type I diabetes. One of the ways nicotinamide intervenes in this beta-cell 13 destruction is by inhibiting free-radical damage. Along with chromium, niacin (vitamin B3) is an important component of glucose tolerance factor. There are several forms of Stevia available, ranging from ground leaves in tea bags and seasoning shaker bottles to highly refined Stevia extract white powder (Steviosides) that is 300 times sweeter than sugar. Whether in leaves or extract form, Stevia is effective in destroying or inhibiting the growth of several harmful bacteria and viruses. These harmful germs love the sweet taste of the Steviosides (the sweet constituents of the leaves) and eat them as long as they are available. Because they cannot metabolize them for nourishment the bacteria and viruses die of starvation. Thus, Stevia is excellent for oral hygiene, helping to reduce dental caries (cavities) and bacterial caused gum problems. Natural fluoride has also been discovered in Stevia leaves. Because of the link between gum disease and inflammation in the blood vessels, leading to heart attacks, Stevia might prove beneficial in this area as well. The most beneficial form of a Stevia extract product is SteviaPlus®, which is the current top selling form of Stevia in America. It is a blend of Stevia extract and Inulin, also called FOS (fructooligosaccharides). Inulin is both an excellent fiber and the preferred food supply of the beneficial flora in the intestinal tract. These bacteria perform numerous healthgenerating functions and are essential to the health and well-being of the human body. They must be fed properly. Diabetics, hypoglycemics and obese persons may use most forms of Stevia without restriction, on foods, in beverages, or in cooking and baking. In its whole-leaf forms Stevia nourishes and improves normal pancreatic function, thus, helping to bring blood sugar levels into proper balance. In its intensely sweet extract (white powder) forms it has no harmful effect upon the pancreas or upon cellular function and maintains a 0 glycemic index. However, when blended with sugars like dextrose, maltodextrin or similar sugar compounds (as are NutraSweet® and Equal®), with a high glycemic index and calorie count, its benefit is negated, and should be avoided. SteviaPlus® (a blend of Stevia Extract and Inulin) is an extraordinarily effective, health generating form of Stevia. Adequate dietary fiber is essential to our wellbeing and most Americans do not eat a sufficient amount in their daily diet. Inulin (occurring in 36,000 plants worldwide, including dietary fruits, vegetables, and Stevia leaves) is a 100% clear and soluble dietary fiber that is also a primary source of nourishment for the good bacteria in our intestines. While inulin is a carbohydrate, it is not digestible by the human body and passes directly through the stomach and 14 intestines to the beneficial flora that reside in the colon. These bacteria are vital to your health and your longevity. They enhance your immune system by increasing the production of immunoglobulin A (IgA) by the lymph tissue associated with the gut. Unless these bacteria are flourishing, you cannot be healthy. Research has shown inulin taken daily selectively results in significant increases (approximately 10 fold) of beneficial bifidobacteria in the colon, with corresponding decreases in bacteria known to be pathogenic and putrefactive, such as Salmonella, shigella, Listeria, Camplyobacter, Bacteroides, Proteus, Staphylococci, Veillonellae, Entercocci, Streptococci spp. and enteropathogenic E. coli, Clostridium perfringens and vibro cholerae. Populations of harmful bacteria in the colon are known to be the result of diets containing high amounts of animal products and little vegetable fiber. Studies have shown that when good bacteria are thriving, they lower the pH of the intestines, thus inhibiting the growth of harmful bacteria and yeasts and promote attack on malignant cells. Friendly microflora normalize blood glucose and serum lipids and improve the derangement of carbohydrate and lipid metabolism in diabetics and improve insulin sensitivity. They also reduce your hepatic and serum cholesterol and triglycerides. They reduce low density lipoproteins (LDL, the “bad” cholesterol), and increase the ratios of the HDL (“good” cholesterol) to the LDL. These beneficial bacteria lessen the possibility of constipation by enhancing stool bulk and weight and accelerate stool transit. They also increase colon mucosal weight and reduce toxic metabolites. Thriving colonies of friendly bacteria produce digestive enzymes and many of the B complex vitamins, including biotin, thiamin, folic acid, nicotinic acid, pyridoxine, B12, and vitamin K (required for forming and maintaining strong bones), which are essential for your health and wellbeing. They strengthen the immune system and help control the formation of destructive free-radicals. They support the health of your liver and its ability to function. The relationship between you and your friendly bacteria is highly synergistic. They can serve you and improve your health and longevity only to the degree that you feed and nourish them. “Regardless of your daily vegetable intake, it is clearly evident that ingesting a product like SteviaPlus® every day can be a significant way to assure that you receive the appropriate amount of inulin, which is an essential prebiotic. In doing so you will nourish the good flora, and at the same time, create within your mouth and entire digestive system an environment that is hostile to harmful bacteria.” SteviaPlus® is literally the sweet taste of health (because it is rich in soluble fiber). 15 The Safety of Stevia is well documented. During the last century well over 1000 scientific articles and patents on Stevia have been published. The first known written account of Stevia is in the book Natural History of Plants of the New Spain, written by Francisco Hernandez, a physician, between 1570 and 1576. It has been published repeatedly in Spanish and Latin between 1605 and 1959. Stevia has been in extensive use in South America for centuries and in Japan and the Orient for nearly 30 years, where it is routinely used in the commercial sweetening of numerous foods and beverages. Four early studies hypothesize that Stevioside could be harmful under certain manipulated conditions that have never been known to occur in the human body, and which many scientists emphasize cannot occur. It is of note that after 30 years of intense use in the Orient and 1500 years of recorded use in South America that, “no evidence of adverse reactions due to the ingestion of S. rebaudiana (Stevia) extracts of stevioside by humans has appeared in the biomedical literature”. More studies attest to the safety of Stevia than any other substance currently ingested by man. Many medical doctors, Ph.D.’s., and nutritionists (Dr. Andrew Weil, Dr. Russell L. Blaylock, Dr. Julian Whitaker, Dr. Dr. Varro E. Tyler, Dr. Robert C. Atkins, Dr. Sherry A. Rogers, Dr. Allan Sosin, Dr. Ray Sahelian, James Duke, Ph.D., Gillian McKeith, Ph. D., Daniel Mowrey, Ph.D., Terry Willard, Ph.D., Mauro Alvarez, Ph.D., Ann Louise Gittleman, M.S., C.N.S. and numerous dietitians, nutritionists and food scientists have suggested to their patients and readers that they switch to Stevia, suggesting that it may well be the safest sweetener currently available in our food supply. This is especially important for anyone with diabetes or hypoglycemia, as well as everyone who is trying to lose fat or maintain current weight. Lose Fat and Control Blood Sugar Informed doctors and nutritionist recommend two vital steps in the process of fat loss and achieving and maintaining a healthy blood sugar level. Most experts agree that the combination of diet and exercise is more effective than either one alone and may be superior to many drugs in preventing and controlling diabetes. First: A healthy diet is essential to both controlling fat storage and blood sugar levels. It is important to eliminate from your diet all harmful artificial sweeteners and processed foods containing them, and to significantly reduce consuming refined sugars--by whatever name they are called. Eat more natural foods and fewer nutrient stripped, processed foods with hidden sugars. Reduce the size of the portion. Eat slowly and chew your food well, allowing your saliva to begin the process of digestion. 16 Fiber dense carbohydrates are especially important for diabetics. A highfiber diet is highly protective against the development of insulin resistance, which leads to and exacerbates diabetes. Some dietitians and doctors teach that carbohydrates should be restricted or eliminated from the diet. However, that counsel ignores the tremendous differences among carbohydrates. What is important is to govern the types of carbohydrates eaten. The primary source of the most beneficial carbohydrates is found in fiber-rich plant foods in which the fiber is the soluble but indigestible component of the cell’s outer membrane wall (beans, oats and fruits). These plant foods also provide the insoluble fiber roughage located in the vegetable skin and the outer coating of grains, fruits, and legumes. When these vital fibers are removed through food processing, much of the food’s value as a nutrient is lost. “In a study involving almost 36,000 women living in Iowa, a high intake of whole grains and dietary fiber had a dramatic effect on the risk of developing diabetes. Women consuming the most fiber had a 22 percent decrease in the incidence of diabetes, compared to women with the lowest intake. A study conducted in Great Britain in 1999 was even more impressive. It showed that men and women who year-round frequently ate salad and raw vegetables had an 80 percent lower risk of type 2 diabetes than people who ate vegetables less often.” It is this dietary fiber that helps maintain control of blood glucose levels. Fiber slows the pace that food passes out of the stomach and into the intestines, thus reducing the rate of absorption of glucose into the bloodstream. This maintains a more even level of blood sugar. Fiber also improves the body’s sensitivity to insulin, combating insulin resistance and helping insulin to do its job of ushering glucose into the cells. A study published in the New England Journal of Medicine in 2000 examined the impact of a high fiber diet on Type II diabetics. Study subjects were divided into a high-fiber group and a low-fiber group, and their fasting blood sugars were periodically tested. The researchers found that the blood sugar levels were reduced by about 10 percent in the diabetics consuming the high-fiber diet—an effect equal to that of oral antidiabetic drugs! It is hard to overstate the significance of these studies. In these diabetic patients, simply adding fiber (and in come cases reducing fat) allowed many of them to discontinue their drugs. This suggests that of the millions of diabetics in the country who are taking some kind of diabetic medication, given the proper diet a significant percentage of them could become drug free. Can there be any doubt that fiber-rich carbohydrates, as in whole unprocessed fruits and vegetables, should be the foundation of our daily 17 diet as is now recommended in the Healthy Eating Pyramid, suggested by researchers at the Harvard School of Public Health? Clearly, fiber-rich SteviaPlus® should be a part of the daily diet for all people who need to control their blood sugar or lose fat. Interestingly, it comes in green packets, suggesting life, health, and vitality. New research has shown that an important indicator of blood sugar control is what is known as the glycemic index. Foods with a high glycemic index are rapidly converted into glucose and passed into the bloodstream, followed by an abrupt rise in insulin. Low glycemic foods are digested more slowly and promote a much more gradual conversion into glucose, with a correspondingly slower release of insulin. This is of foremost significance to diabetics for the improvement and prevention of insulin resistance. Low glycemic foods tend to make you feel full and keep you satisfied longer. They also facilitate the burning of more body fat and less muscle tissue. Stevia, in all of its pure (and unadulterated) forms, including SteviaPlus®, (with inulin fiber) and clear liquid Stevia products have a glycemic index of 0. Second: Exercise is a vital ingredient in achieving and maintaining both physical and mental health. The human body is designed to move and to perform work, which is exercise. Exercise increases the ability of the cells to respond to insulin and to produce energy and avoid fat storage. Besides enhancing the more efficient utilization of glucose in muscle cells, exercise increases the number of GLUT-4 transporters, keeps insulin levels low, releases endorphins, and improves your emotional health. Endorphins are those natural mood elevators in your brain that make you feel good. It is important to remember that aerobic (moving the body rapidly) exercise burns glucose, while slower, longer periods of exercise burn fat, and the way to lose fat is to burn it in the muscles. Exercise builds muscles, and muscles burn glucose and fat at many times the rate of other cells. “When the body is gaining muscle mass in the appropriate manner, the body somehow senses that there must be a coming need for greater sustained mobility—and a more mobile person must be thin, thus the brain orders the burning or wasting of more fat. Eating the wrong type of foods will disrupt this process, as will eating behavior that kicks in the ‘famine is coming’ mode.” … Stevia can be a major ingredient in enhancing the burning of glucose in the cells and therefore, the prevention of fat storage. It also improves the ability of the body to burn fat in the muscles. Diabetics should carry it with them and always use some form of Stevia in preference over all other sweeteners, whether sugar or artificial. When being interviewed, in my presence, by a writer for a national health magazine about Stevia, Dr. Ralph E. Holsworth Jr., was asked, “If you could say one last thing to my 18 readers about Stevia, what would it be?” His emphatic answer was, “I would tell them just what I tell all of my diabetic patients. Stevia is the only sweetener that you should have in your life.” The Go Green Effect: Ecological and Economical Benefits of Stevia Stevia is a plant that thrives in sub-tropical areas of the earth, many of which are desperately in need of economic stimulation. It can also be grown in green houses. Besides Stevia’s incredible benefits to human health and well-being this marvelous plant holds two additional monumental promises to mankind. 1). Stevia can be an economic boon to poor farmers who currently barely scratch out a living from the barren soil of their lands. Stevia can provide a cash crop for both farmers and communities. Besides being a cash crop, a rudimental form of a Stevia product can be used as a fertilizer which ecologically nourishes the soil by stimulating the replacement and growth of essential microflora and earth worms, while restoring vital minerals to the soil, all of which are essential for the growth, development, and the productivity of food producing plants. Further, studies demonstrate that Stevia used in agriculture improves both the quality and taste of fruits and vegetables and retards spoilage. Stevia can help to reduce famine in many parts of the world. 2). Stevia can be a replacement crop for farmers who currently grow drug producing plants. Canadian research has shown that Stevia can also be a replacement crop for tobacco. Wherever tobacco grows Stevia can grow. This small green plant with the delicious tasting, nutrient laden leaves, possesses the potential for relieving and preventing the suffering of millions upon millions of people. In the 1990’s a project was undertaken in Bolivia to determine if Stevia could be used to lessen the farming of these harmful plants and thus reduce the world-wide drug trade. The experiment was successful. However, until the controlling powers in both the United States and Europe allow Stevia to be used as a table-top sweetener and food additive there is insufficient demand for Stevia to fulfill its potential as a safe sweetener and restorer of health and wellbeing. Stevia can help to reduce the drug trade throughout the world. In conclusion, Stevia is one of the basic keys to restoring the soil, generating improved fruits and vegetables, including both nutritional content and taste, and simply being the safest and only improved health generating sweetener known to man. Stevia should be a fundamental principal in the GO GREEN movement. Don’t wait for the FDA to approve Coca Cola's petition (filed May 31, 2007 and expected to be approved in 2009) to declare Stevia safe as a sweetener and food additive for their products, switch to the Green Packet today and help bless the entire world population. Copyright © 2007 James A. May Sr. 19