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Aspartame Fact Sheet P.1 of 8 THE FDA’S POSITION ON ASPARTAME Provided by the Food and Drug Administration Via E-Mail January 27, 1999 The Food and Drug Administration's Center for Food Safety and Applied Nutrition has recently received numerous requests for information and evaluation regarding an article attributed to a Ms. Nancy Markle. In that article Ms. Markle claims that ingestion of the artificial sweetener, aspartame, results in the occurrence of a number of toxicities. The review of the safety of aspartame presented below is being circulated to provide a more accurate and complete assessment of the data/findings, both from animal and clinical studies, that are currently available on aspartame. This review is compiled by the scientists that have worked on questions relating to the safety of aspartame repeatedly since 1978. These scientists are familiar with the scientific studies that have been conducted to support the safety of this food additive. There were well over 100 separate toxicological and clinical studies conducted to establish the safety of aspartame before it was approved for regulatory acceptance. Since its approval in 1981 by the USFDA, there have been many additional studies performed to follow up on some of the more credible reports of aspartame-mediated adverse effects. Below agency scientists have tried to succintly respond to certain of the allegations of toxicity proposed by Nancy Markle. First, reports of the ingestion of aspartame in patients who later have suffered multiple sclerosis or systemic lupus is obviously not scientifically sustainable evidence that aspartame is responsible for the occurrence of either disease. Both of these disorders are subject to spontaneous remissions and exacerbations so it is entirely possible that when patients stopped using aspartame they might have also coincidentally have had remission of their symptoms. Alternatively, the worsening of disease symptoms could be temporally correlated with the start of aspartame use. The most important consideration, however, is that there is no credible evidence that the FDA is aware of that suggests that aspartame elicits multiple sclerosis or systemic lupus. Second, the claim that aspartame ingestion results in the production of methanol, formaldehyde and formate. These claims are factual. In the gastrointestinal tract aspartame is hydrolyzed to one of its component materials, methanol, as well as the two amino acids, phenylalanine and aspartic acid. This methanol is taken up by the cells of the body and metabolized first to formaldhyde and then to formate. The key information that is missing in the description by Ms. Markle is that the levels of ingestion are very modest. In fact, there are other foodstuffs that we ingest that supply as much and sometimes even more methanol; e.g., citrus fruits and juices, and tomatoes or tomato juice. There are even higher quantities of methanol ingested when ethanol is consumed. Thus, in the final analysis this methanol is the same as from other sources of food and in the quantities consumed from aspartame, it is readily and naturally metabolized via the one-carbon biochemical cycle to entirely innocuous and natural body components. Third, the claim that the two amino acids, phenylalanine and aspartic acid have neurotoxic effects. This is true in certain individuals and in high enough doses. The only subpopulation of individuals potentially susceptible to adverse effects from phenylalanine is homozygous phenylketonurics and in this case, food itself with much higher levels of phenylalanine from the protein in the diet contributes much higher toxicity for these unfortunate individuals. For those individual phenylketonurics who want to carefully control their intake levels of phenylalanine, they can do that by simply taking into consideration the amount of phenylalanine supplied by the aspartame product or, even more likely, simply refraining from use of these products. The USFDA requires that the aspartame product be labeled specially for phenylketonuric patients so that they will be aware of its presence in these products. As for the other amino acid in aspartame, the levels of aspartic acid ingested with aspartame use are many fold less than those levels Aspartame Fact Sheet P.2 of 8 responsible for causing adverse effects on the brain of animals and/or man. In fact, it is not clear that the experimentally derived data from animals is relevant to man. In any case, the levels of aspartic acid intake from aspartame are many fold below those needed to mediate neurotoxic effects. Fourth, there have been numerous animal and human studies done to evaluate the possibility that aspartame causes seizures or enhances the susceptibility to seizures. In clinical studies done in adults and children with preexisting seizures, there was no evidence of contributing to the frequency of occurrence or severity of seizures in seizureprone individuals. There were additional studies done on seizure-prone experimental animal models to assess the possible influence of aspartame on their seizuring activity. Again, the result was the same and no influence was demonstrated on the frequency or severity of seizures. Fifth, aspartame was comprehensively evaluated for its potential to mediate adverse reactions on the ability of pilots to fly planes. There were a number of individual complaints registered with the FDA claiming that ingestion of aspartame resulted in an interference with individuals' ability to fly planes. For example, dizziness, impairment of vision and mental acuity were reported. The FDA took these reports seriously and instituted a contract to perform a study to see if these effects could, in deed, be reproduced. FDA contracted with the Federal Aviation Agency who subcontracted studies with psychophysiological testing laboratories to determine whether aspartame could affect mental functioning, and manual dexterity. The overall outcome of the studies was that there was no difference between placebo (control) treatment and exposure to aspartame although a positive control group receiving ethanol did show impairment of manual dexterity and ability to deal with complex information. Sixth, recently Dr. John Olney of Washington University in St. Louis, Missouri claimed that data collected by the National Cancer Institute demonstrated an increase in the incidence of brain tumors in human patients since aspartame was approved for use in the US food supply. A number of scientists both in government and in academic settings have carefully evaluated Dr. Olney's claim and have refuted it. There has been an increase in the number of brain tumors reported during recent years, but the explanation for this increase is most likely to be the technological enhancements of tumor diagnosis (e.g., computerized tomography and magnetic resonance imaging) introduced during this same time that has enabled greater sensitivity and certainty in the diagnosis of tumors. In the more recent data on tumor occurrence in the US, there is a plateauing or even a slight diminution of brain tumor incidence and this in the face of the continued presence and use of aspartame in many food products. Seventh, aspartame was subjected to several specially designed animal tests to assess its potential to adversely influence reproduction and to mediate birth defects. All of the well-designed and conducted tests demonstrated that aspartame was safe and did not produce birth defects or adverse responses on reproductive function. In conclusion, as mentioned earlier, aspartame is one of the most thoroughly tested food additives ever submitted to the FDA. All of the early testing in animals and human subjects conducted to support the safety of aspartame as well as the well-designed and conducted studies subsequently performed to assess whether aspartame might mediate a number of anecdotally reported symptoms have reinforced the appropriateness of FDA's approval and regulation of aspartame as a safe food additive. http://www.caloriecontrol.org/response.html Aspartame Fact Sheet P.3 of 8 ANOTHER VIEWPOINT ON ASPARTAME Reprinted from “Aspartame... the BAD news!” Article courtesy of: Mark Gold, Aspartame Toxicity Information Center via www.dorway.com Aspartame was not approved until 1981, in dry foods. For over eight years the FDA refused to approve it because of the seizures and brain tumors this drug produced in lab animals. The FDA continued to refuse to approve it until President Reagan took office (a friend of Searle) and fired the FDA Commissioner who wouldn't approve it. Dr. Arthur Hull Hayes was appointed as commissioner. Even then there was so much opposition to approval that a Board of Inquiry was set up. The Board said: "Do not approve aspartame". Dr. Hayes OVERRULED his own Board of Inquiry. Shortly after Commissioner Arthur Hull Hayes, Jr., approved the use of aspartame in carbonated beverages, he left for a position with G.D. Searle's Public Relations firm. Long-Term Damage. It appears to cause slow, silent damage in those unfortunate enough to not have immediate reactions and a reason to avoid it. It may take one year, five years, 10 years, or 40 years, but it seems to cause some reversible and some irreversible changes in health over long-term use. How it happens: Methanol, from aspartame, is released in the small intestine when the methyl group of aspartame encounters the enzyme chymotrypsin (Stegink 1984, page 143). Free methanol begins to form in liquid aspartame-containing products at temperatures above 86 degrees F.. also within the human body. The methanol is then converted to formaldehyde. The formaldehyde converts to formic acid, ant sting poison. Toxic formic acid is used as an activator to strip epoxy and urethane coatings. Imagine what it does to your tissues! Phenylalanine and aspartic acid, 90% of aspartame, are amino acids normally used in synthesis of protoplasm when supplied by the foods we eat. But when unaccompanied by other amino acids we use [there are 20], they are neurotoxic. That is why a warning for Phenylketonurics is found on EQUAL and other aspartame products. Phenylketenurics are 2% of the population with extreme sensitivity to this chemical unless it's present in food. It gets you too, causing brain disorders and birth defects! Finally, the phenyalanine breaks down into DKP, a brain tumor agent. In other words: Aspartame converts to dangerous byproducts that have no natural countermeasures. A dieter's empty stomach accelerates these conversions and amplifies the damage. Components of aspartame go straight to the brain, damage that causes headaches, mental confusion, seizures and faulty balance. Lab rats and other test animals died of brain tumors. Given the following points, it is definitely premature for researchers to discount the role of methanol in aspartame side effects: 1. The amount of methanol ingested from aspartame is unprecedented in human history. Methanol from fruit juice ingestion does not even approach the quantity of methanol ingested from aspartame, especially in persons who ingest one to three liters (or more) of diet beverages every day. Unlike methanol from aspartame, methanol from natural products is probably not absorbed or converted to its toxic metabolites in significant amounts as discussed earlier. Aspartame Fact Sheet P.4 of 8 2. Lack of laboratory-detectable changes in plasma formic acid and formaldehyde levels do not preclude damage being caused by these toxic metabolites. Laboratory-detectable changes in formate levels are often not found in short exposures to methanol. 3. Aspartame-containing products often provide little or no nutrients which may protect against chronic methanol poisoning and are often consumed in between meals. Persons who ingest aspartame-containing products are often dieting and more likely to have nutritional deficiencies than persons who take the time to make fresh juices. 4. Persons with certain health conditions or on certain drugs may be much more susceptible to chronic methanol poisoning. 5. Chronic diseases and side effects from slow poisons often build silently over a long period of time. Many chronic diseases which seem to appear suddenly have actually been building in the body over many years. 6. An increasing body of research is showing that many people are highly sensitive to low doses of formaldehyde in the environment. Environmental exposure to formaldehyde and ingestion of methanol (which converts to formaldehyde) from aspartame likely has a cumulative deleterious effect. 7. Formic acid has been shown to slowly accumulate in various parts of the body. Formic acid has been shown to inhibit oxygen metabolism. 8. The are a very large and growing number of persons are experiencing chronic health problems similar to the side effects of chronic methanol poisoning when ingesting aspartame-containing products for a significant length of time. This includes many cases of eye damage similar to the type of eye damage seen in methanol poisoning cases. Aspartame Fact Sheet P.5 of 8 THE LATEST NEWS ON ASPARTAME 10/5/05 SANTA FE (AP) - The New Mexico Environmental Improvement Board plans to hold five days of hearings next July on the artificial sweetener aspartame. The hearings are aimed at determining whether the state should ban the sugar substitute. The board voted in favor of the hearings yesterday in Santa Fe. Santa Fe gallery owner Stephen Fox has been pushing for a statewide ban on aspartame. An Albuquerque attorney representing Fox, Stevan Looney, says state laws give the board responsibility to protect consumers and make rules regarding food protection. An attorney for the Calorie Control Council, T.J. Trujillo, says state laws cannot trump federal laws. The council is an association of diet food and beverage manufacturers. http://www.kobtv.com/index.cfm?viewer=storyviewer&id=22021&cat=4H EALTH 9/7/05 Group Seeks to Ban Sugar Substitute from State By Diana Heil – from The New Mexican Santa Fe gallery owner Stephen Fox is pushing for New Mexico to close its borders to aspartame, a sugar substitute sold under the brand names NutraSweet and Equal. He’s not a doctor or a lawyer — and he’s not sick. But in the fight against what he believes is a poison, he has pulled together people who are. Aspartame is approved for use in all foods and beverages in the United States and the European Union. But a host of doctors, state legislators, activists and patients who say their health was damaged by the sweetener are siding with Fox. They have petitioned New Mexico leaders to outlaw this so-called neurotoxic substance. Citing case studies in the United States and recent research in Italy, they say aspartame is linked to brain tumors, lymphoma, leukemia, seizures, allergic reactions, headaches and dizziness. As a result, the state’s Environmental Improvement Board faces tough questions about this popular, though controversial, ingredient, which Americans have consumed since 1981. Does the state have the legal power to dictate a ban on products that have federal approval? Does the evidence against aspartame hold up under scientific scrutiny? The EIB has the authority to adopt rules that govern food protection. But at a meeting Tuesday, board members spent more than an hour debating whether they have the power to challenge NutraSweet. They scheduled a public hearing in October to sort out the legal issues. Realizing a statewide ban might take a long time, Dr. Grant La Farge, a Santa Fe cardiologist, said in an interview after the meeting, “I’d like to see it removed from schools.” Meanwhile, overwhelmed by the campaign against NutraSweet, state assistant Attorney General Mary H. Smith set her computer to automatically delete any e-mails containing the word “aspartame,” according to a memo she sent Friday to the EIB. Smith said she worried viruses might accompany the “flood” of unsolicited e-mails . Smith, in her memo, also gave a narrow reading on the power of the EIB to ban aspartame. She would not provide legal advice on whether the board should adopt Fox’s proposed rules, nor did she research federal interstate-commerce laws. New Mexico law, however, does grant the board the authority to limit unsafe foods in which poisonous substances are added. Aspartame Fact Sheet P.6 of 8 According to nutritionist Janis Roszler’s column in Diabetes Health magazine: “Aspartame has been the target of many Internet rumors and urban legends linking it to such diseases as multiple sclerosis, Parkinson’s , Alzheimer’s and lupus. These allegations have been examined and are absolutely false. Over 200 scientific studies have confirmed its safety, and regulatory agencies in more than 100 countries have endorsed its use.” The U.S. Food and Drug Administration says most people can ingest aspartame safely, except for those who experience allergic reactions and people who have the rare disease phenylketonuria . The FDA admits NutraSweet and Equal turn into formaldehyde and methanol in your stomach, but the agency emphasizes that other foods, such as citrus fruits and tomatoes, produce as much or more methanol as these sweeteners do. Various health groups also have stuck up for these sugar substitutes: the Multiple Sclerosis Foundation, the American Diabetes Association, the Mayo Clinic, the Calorie Control Council. Aspartame is found in about 6,000 products, including Diet Coke and Pepsi, chewing gum, desserts, jellies, yogurt, vitamins, cough drops and coffee sweeteners. Marsha Gilford, a spokeswoman for Smith’s grocery stores in the Utah office, said the company will keep tabs on Fox’s proposal. “It would be a significant reduction of products in our stores,” she said of the proposed ban. “Like many other sugar replacements, it’s popular.” ON THE WEB David O. Rietz’s DORway to Discovery : http://www.dorway.com FDA rebuttal: www.caloriecontrol.org/response.html 7/14/05 Excerpts from Press Release: Results of study on the carcinogenicity of the artificial sweetener aspartame CRC/ERF (Cancer Research Center of the European Foundation of Oncology and Environmental Sciences) Summary. A long-term study to evaluate the potential carcinogenic effects of aspartame, an artificial sweetener used in more than 6,000 food and pharmaceutical products has recently been completed in the experimental laboratories of its Cancer Research Center of the European Foundation of Oncology and Environmental Sciences Ramazzini in Bologna, Italy …First results demonstrate that aspartame, when administered to rats for the entire life span, induces an increase of lymphomas and leukemias in female rats. … The above results demonstrate for the first time that aspartame is a carcinogenic agent, capable of inducing lymphomas and leukemias in female rats, including when administered at dose levels very close to the acceptable daily intake for humans. In addition, the data demonstrate that the integration of aspartame into the diet did not affect the body weight of treated animals compared with untreated animals. Aspartame Fact Sheet P.7 of 8 Connection between MS and aspartame by neurosurgeon Russell L. Blaylock,M.D. Recently, much controversy has surrounded a claim that aspartame may produce an MS-like syndrome. A current review of recent peer-reviewed scientific studies have disclosed a pathophysiological mechanism to explain this connection. As far back as 1996 it was shown that the lesions produced in the myelin sheath of axons in cases of multiple sclerosis were related to excitatory receptors on the primary cells involved called oligodendroglia. Recent studies have now confirmed what was suspected back then. The loss of myelin sheath on the nerve fibers characteristic of the disease are due to the death of these oligodendroglial cells at the site of the lesions (called plaques). Further, these studies have shown that the death of these important cells is as a result of excessive exposure to excitotoxins at the site of the lesions. Normally, most of these excitotoxins are secreted from microglial immune cells in the central nervous system. This not only destroys these myelin-producing cells it also breaks down the blood-brain barrier (BBB), allowing excitotoxins in the blood stream to enter the site of damage. Aspartame contains the excitotoxin aspartate as 40% of its molecular structure. Numerous studies have shown that consuming aspartame can significantly elevate the excitotoxin level in the blood. There is a common situation during which the excitotoxin exposure is even greater. When aspartate (as aspartame) is combined in the diet with monosodium glutamate (MSG) blood levels are several fold higher than normal. With the BBB damaged, as in MS, these excitotoxins can freely enter the site of injury,greatly magnifying the damage. So, we see that dietary excitotoxins, such as aspartame and MSG, can greatly magnify the damage produced in multiple sclerosis. Likewise, excitotoxins have been shown to breakdown the BBB as well. Of equal concern is observation that we know that about 10% of the population (based on autopsy studies of elderly) have MS lesions without ever developing the full blown disease, a condition called benign MS. A diet high in excitotoxins, such as aspartame, can convert this benign, subclinical condition into full-blown clinical MS. The amount of excitotoxins consumed in the average American diet is considerable, as shown by several studies. In addition, the toxin methanol is also in the aspartame molecule. Methanol is a axon poison. Combined toxicity of the aspartate and the methanol adds up to considerable brain toxicity and can convert benign, subclinical MS into full-blown MS. Once the MS becomes fullblown, further consumption of excitotoxins magnifies the toxicity, increasing disability and death. Recent studies have also shown that even single exposures to these food-based excitotoxins can produce prolonged worsening of neurological lesions. In addition, it has been demonstrated that autoimmune reactions (as occurs with MS) greatly magnifies the toxicity of aspartate and glutamate (the excitotoxins). We also know liquid forms of excitotoxins are significantly more toxic because of rapid absorption and higher blood levels. In the face of this connection between excitotoxicity and the pathophysiology of MS, it would be ludicrous to allow further use of this excitotoxin containing sweetener. References: Aspartame Fact Sheet P.8 of 8 1. Sannchez-Gomez MV, Malute C. AMPA and kainate receptors each mediate excitotoxicity in oligodendroglial cultures. Neurobiology of Disease 6:475-485, 1999 2. Yoshika A, et al. Pathophysiology of oligodendroglial excitotoxicity, J Neuroscience Research 46: 427-437, 1996. 3. Singh P, et al. Prolonged glutamate excitotoxicity: effects on mitochondrial antioxidants and antioxidant enzymes. Molecular Cell Biochemistry 243: 139-145, 2003. 4. Leuchtmann EA, et al. AMPA receptors are the major mediators of excitotoxin death in mature oligodendrocytes. Neurobiology of Disease 14:336-348, 2003. 5. Takahashi JL, et al. Interleukin1 beta promotes oligodendrocyte death through glutamate excitotoxicity. Annal Neurology 53: 588-595, 2003. 6. Pitt D, et al Glutamate uptake by oligodendrocytes: implications for excitotoxicity in multiple sclerosis. neurology 61: 1113-1120, 2003. 7. Soto A, et al. Excitotoxic insults to the optic nerve alter visual evoked potentials. Neuroscience 123: 441-449, 2004. 8. Blaylock RL. Interactions of cytokines, excitotoxins and reactive nitrogen and oxygen species in autism spectrum disorders. Journal of American Nutraceutical Association 6: 21-35, 2003. 9. Blaylock RL. Chronic microglial activation and excitotoxicity secondary to excessive immune stimulation: possible factors in Gulf War Syndrome and autism. Journal American Physicians and Surgeons, Summer, 2004. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Dr. Blaylock is a recently retired board-certified neurosurgeon with more than twenty six years experience. He is a recently retired Clinical Assistant Professor of Neurosurgery at the Medical University of Mississippi. Author of thirty scientific papers on various medical subjects, chapters in three medical textbooks and a booklet on multiple sclerosis, he recently completed a booklet on bioterrorism and is the author of "Excitotoxins: The Taste That Kills", "Health & Nutrition Secrets to Save Your Life", and "Natural Strategies for Cancer Patients".www.russellblaylockmd.com He serves on the editorial staff of The Journal of American Physicians and Surgeons, the Journal of the American Nutraceutical Association, and acts as a medical advisor to the American Nutraceutical Association. His excellent newsletter is available at www.blaylockreport.com He lives in Ridgeland, Mississippi.