WHO aspartame brouhaha
dynomight.net
dynomight.net
Really it comes down to the media not being good at presenting science topics, which is pretty typical unfortunately.
In the end, I consider the WHO as having lost all credibility - it doesn't matter why articles based on WHO statements cannot be trusted (e.g. whether the WHO statements are factually wrong, or intentionally misleading, or being communicated in ways that media are likely to misinterpret without quickly following up when this happens), the result is that any article claiming "WHO says X" is best dismissed as likely misinformation.
I mean, sure, you can distrust WHO if you want because of this, but seems kind of a silly reason.
1. What is success in public health communication for the WHO? An organisation that operates globally, in many languages, at all levels of economic development, and no mechanism of generating its own revenue?
2. If you believe the WHO to have lost all credibility which group of public health experts could you consider credible?
But the whole purpose of a press release is to communicate accurately with the press. The WHO, being a global organization, is also very much supposed to work with the press globally.
Not to mention, the aspartame story was not coming out of some small paper from Trinidad, it was coming out of major publications in the USA. If the WHO can't even manage to communicate properly to them in its press releases, why bother putting out press releases at all?
There are plenty of Americans who were properly able to parse the WHO press release. Our corporate media doesn't hire them because they choose more eyeballs with strong emotional reactions (to sell to advertisers) over a well informed audience.
It's naive to think WHO could have crafted the release in a way that US major networks would have reported on it responsibly.
Journalism's job is to convey complex nuanced topics to the populace at large. If journalists aren't doing that, they're failing to do their job. I appreciate at this point that may be a quaint and archaic expectation though.
I was going to mention the Alcohol argument but then I realized I have better things to do with my life.
And even then I'm only speaking of overall risk. They are additive, not zero sum. If you eat aspartame and drink alcohol your risk is higher than doing either one by itself, no matter what the numbers are.
I seem to recall most xylitol gums also have aspartame, but Mentos is the only one I had handy to check.
It's used in infant tooth paste as well, but I just can't believe that giving 1 year olds a sugar alcohol every day twice a day has no side effects at all.
Every couple of years we find these magical ingredients that solve all our problems and fix our teeth at the same time and then a few years later we find out that they weren't quite as healthy after all.
FDA says aspartame is safe, disagreeing with WHO finding - https://news.ycombinator.com/item?id=36728033 - July 2023 (145 comments)
WHO says soda sweetener aspartame may cause cancer, but it’s safe within limits - https://news.ycombinator.com/item?id=36717961 - July 2023 (10 comments)
Aspartame Is a Possible Cause of Cancer in Humans, a WHO Agency Says - https://news.ycombinator.com/item?id=36717553 - July 2023 (5 comments)
The WHO is about to declare aspartame can cause cancer - https://news.ycombinator.com/item?id=36644185 - July 2023 (26 comments)
Aspartame: Once More Unto the Breach - https://news.ycombinator.com/item?id=36562739 - July 2023 (199 comments)
Aspartame sweetener to be declared possible cancer risk by WHO, say reports - https://news.ycombinator.com/item?id=36519942 - June 2023 (565 comments)
Never looked back.
I heard someone say " drink water, coffee tea and wine. And milk if you are below 5". It was tongue in cheek, but I have taken it to heart.
Their poor communication creates hype and hysteria while discrediting scientists everywhere.
A few years ago they said "Radiofrequency electromagnetic fields are possibly carcinogenic to humans (Group 2B)." https://publications.iarc.fr/126
The reasoning for this is on page 419. They classified radio as possibly carcinogenic because prior studies weren't as well controlled as they wanted, some analyses they wanted weren't done, and because one very small study that saw a minor correlation that isn't at all consistent with the population level data that we have (which says there's no association).
That's it. All of this hype for absolutely nothing.
IARC needs to be fixed.
So they are kind of right when they say that radiofrequency electromagnetic fields are possibly carcinogenic to humans. They are, but to a small degree for the most part.
Because, if not, the question isn't between aspartame or some other interchangeable artificial sweetener, but between aspartame and HFCS or regular sweetener, which I strongly suspect contributes more deleteriously to health via obesity than aspartame does via possible carcinogenic affect.
The thing is, I'm okay with governmental bodies regulating substances (not necessarily the WHO, but that's a different story), but you need to balance different factors including substitution when you make a decision like this.
For example, the EU recently banned topical zinc as ZP in topical formulations (think head and shoulders) due to being a possible topical carcinogen (the evidence suggested it wasn't, but it is a non-topical carcinogen) because interchangeable formulations existed that also worked.
Given that it probably isn't possible to subject a substance to the same scrutiny as aspartame without many years of targeted and expensive effort, we're probably just stuck with this sweetener for the foreseeable future.
According to whom? If people are suspectful of the must studied food substances, why would they trust something that's less studied?
There are more papers on aspartame than on potatoes, but that's not a reason not to avoid the latter, right?
They also still contain calories that you're best off not ingesting.
I also found this study that says sugar alcohols cause blood and liver cancer.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7072169/
Alcohols generally have been abundant in our evolutionary history and are still terrible for us.
Sugar alcohols aren't laxatives. They have a laxative effect in high quantities (the line seemingly person-specific)
Ever hear someone complain after eating the entire bag of sugar-free gummy bears? [0]
0: https://www.amazon.com/review/R2JGNJ5ZPJT4YC
> I also found this study that says sugar alcohols cause blood and liver cancer. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7072169/
That isn't what it says at all. Sugar-alcohols occur naturally in the body, and cancer affected liver metabolism to cause it to produce more than normal.
That is all true, except there is a choice between sweetened drinks and unsweetened drinks.
(It also produces less in the way of disinfection byproducts, which is good if the water contains anything that might react nastily with chlorine. And it’s much more persistent, which is good or bad depending on your perspective. You need to take special measures to remove it if you want to water a fish and potentially if you want to brew beer. As far as I can tell, it has no meaningful effect on an established sourdough starter. I assume that the large population of microbes in established starter is able to neutralize the small amounts of chloramine in tap water.)
I know I’m not alone.
Sparkling water has become my go-to. It does satisfy my cravings, and I’m sure it’s immeasurably better for health than my previous go-to Diet Coke.
Mind if I ask: How so?
I also love Diet Redbull for the taste however it still has a small number of calories and carbs so they make Redbull Zero which I can't stand
Anything carbonated still tastes good but there's a hard limit of one per day.
I still like the usual foods. I also lost 20 pounds!
> It's probably better for your teeth
So is not eating or sleeping or breathing.
Of course people do seem to drink it mass quantities.
But yeah, I’ve been drinking water for years, and this has made it much more enjoyable. (I occasionally “splurge” and drink tea or soda, but it probably amounts to less than 1% of the fluids I consume.)
Citric acid isn’t great for teeth, but 2 packs per gallon should have a negligible impact (could possibly do more, but 2 is perfectly fine).
Not arguably, it factually is.
I've also never understood the concept of being "bored" with water. Not everything in life has to be a sensual experience. Why not drink it because its good for you and save the flavoured beverages as treats?
> It just doesn’t satisfy cravings.
Not to mention they said they do drink water - just of the sparkling variety, which does satisfy their cravings.
some of us are really bad at doing things, even good/healthy things, unless we get a dopamine response. so 99% of my "water intake" is really coffee, tea, or artificially sweetened soda.
Seems to work on some subset of the population.
It's not an academic conversation, nor is it meant to be one.
https://oehha.ca.gov/media/downloads/proposition-65/p65chemi...
Funnily, Aspartame isn't on there but Aloe vera is... O.o
(my fav is wood dust)
There is a simpler reason to avoid wood dust: it causes allergies, asthma, and other non-cancer respiratory issues in a fair number of people.
I'm aware of the stage 3 pipeline for IPF. I would still rather have cancer in most cases.
Asbestos is like that. It's not inherently carcinogenic, but there is some kind of mechanical process associated with asbestos fibers that activates cancer.
OTOH, it is a very economical colorant, so it is in a ton of foods (FDA still has it approved under 1% by weight of the food item), toothpaste, makeup, skin creams, white tattoo ink, and so on.
Also, as a sibling notes, the stuff (chips and dust alike) can contribute to some really memorable conflagratory experiences.
Now all I can find is this partial list: https://www.anorak.co.uk/288298/tabloids/the-daily-mails-lis...
Car exhaust is a KNOWN carcinogen. So don't lecture me on beer until you've given up on fossil fuel.
> I drink diet sodas. I have received many emails/calls/texts from friends and family telling me about the "news" of them being a possible carcinogen. To every such person I say: Alcohol is a KNOWN carcinogen. Drinking alcohol causes cancer. So don't lecture me about drinking diet coke until you have given up on beer
The poster compares the risk of aspartame being a « possible carcinogen » to Alcohol, which is a « KNOWN carcinogen », specifically comparing the different classifications.
One is really clearly signalled as “bad for you”, even if it is extremely common. The other one is basically seen as an inert implementation detail. I can totally see why people put more fear behind the evil they didn’t even know existed vs the evil they choose to ignore.
[0] https://www.fda.gov/food/food-additives-petitions/aspartame-....
I cannot easily express in words how stunningly false this is. Alcohol is signaled over and over and over and over across all forms of information as fun, relaxing, sexy, festive, appealing, exciting, luxurious, and sometimes even healthful in moderation. Any notion of it being bad for you is relegated to small print messages specifically about pregnancy and driving.
Stunningly false is a bit strong.
What I mean is: no one thinks consuming alcohol is good for them. At worst they might think it’s health-neutral in the amount that they drink, but the majority of people know it’s bad for them.
It’s been effectively communicated, by laws and culture around booze, that it’s a thing for adults to choose to do, and accept consequences from. (Hangovers, drunk driving, abuse, and many other societal ills that are pretty cliche and well known) Just because the people making it, leave off the consequences, doesn’t mean everyone is brainwashed.
Notably there's a LOT LESS advertising for cigarettes than for alcohol in the US. Cigarette ads are banned in most media here. But sexy night club intrigue alcohol TV spots still abound.
> it’s a thing for adults to choose to do, and accept consequences from. (Hangovers, drunk driving, abuse, and many other societal ills that are pretty cliche and well known)
This is true, but I think the strongest statement we can make is that everyone believes that the good vastly outweighs the bad, otherwise we'd all stop.
> What I mean is: no one thinks consuming alcohol is good for them.
Even with very specific and reductionist notions of "good for" we have decades of "red wine is good for you" reports. Beyond that, relaxation and fun are good for you. We know this because we also have a lot of media telling us.
> the majority of people know it’s bad for them
Like a billion people out there think that God actually talks to them and tells them what to do on a daily basis, so I bet you're significantly overestimating.
My point in the GP post is that someone isn't going to be convinced to stop drinking because drinking is bad for them, they know it's bad for them. They had to wait till they were old enough to buy it, and maybe they've had a few hang overs, they know what liver cirrhosis is, and have seen a TV show featuring an alcoholic. They ignore those things, because they like drinking. They'll hand wave away why their drinking isn't a problem. Even with bunk click-bait articles like "red wine is good for you". We're on the same page there!
Sugarfree gum, feels pretty inert. There's no laws around the sale or packaging. There's no health warnings. There's no TV shows where someone's life is irreparably destroyed because of their gum habit.
So the root comment's family, I think were just being concerned.
"Inert thing you don't think about gives your family member cancer" is a scary thought! Of course I'm going to talk to ${familyMember}!
"Alcohol gives you cancer, along with a lot of other bad diseases" is a "well I still like a cheeky glass of red winkwinkwink" sort of thought.
You're taking an extremely niche information set and generalizing it broadly to the public. Have you actually met the public? The average person knows approximately nothing and gets along fine because in practice knowing nothing doesn't significantly affect outcomes.
> "Alcohol gives you cancer, along with a lot of other bad diseases" is a
I bet you most people do not know or believe that alcohol causes cancer or any other disease, especially not when consumed in the amounts that they personally consume. At worst they believe that nonspecific "too much" alcohol will damage your liver in ways they don't understand but that not too much alcohol is fine because your liver heals itself and the amount that is "too much" is abstract and far off in the distance.
It just tastes wrong and you're ingesting chemicals you probably don't need.
A relative of mine who drank diet coke daily just had her bladder out due to cancer and she never really drank alcohol and took awesome care of herself. She suspected her diet-coke habit and in light of this news, she might be right. I get it, this is HN, I need numbers, not anecdotes, but it sure is curious.
That’s how I describe water. Unless I’m really thirsty, water is just … nothing. Diet Coke has crisp, light flavor. And the aspartame only tasted weird way way back when I switched from sugar soda.
On just taste alone I prefer Diet Coke to the regular kind and to Coke Zero.
I probably should reduce or eliminate it, but it’s just so good.
I don't know why this is. Seltzer doesn't do it. I assumed it had something to do with sodium, but, then, the lemon works too.
This is not something that exists unless you talking about a marketing term for hair conditioner.
When I'm stuck with tap water, I just "chug" a few large glasses (600ml) every few hours. Makes it easier.
> I get it ... I need numbers, not anecdotes, but it sure is curious.
No, it is not curious. The IARC finding found limited evidence linking aspartame to liver cancer alone[0], no other types. You have a 1/28 (male) or 1/91 (female) chance of developing bladder cancer in your lifetime[1].
Please do not post comments that sound like Tucker Carlson rhetoric.
0: https://www.cancer.org/cancer/risk-prevention/chemicals/aspa... 1: https://www.cancer.org/cancer/types/bladder-cancer/about/key...
Please do not be so fragile. It is curious to me, so what?
There are many, many things we've been told are ok for us and it turned out they weren't the most striking example for me recently has been PFOAs. In our area, firefighters used to spray down kids with "harmless fire retardant foam" and choppers would dump it into the forest by the ton. Now rivers near us are completely forbidden to go near because of the contamination.
I dislike TC as much as anyone else, but he is successful because some of these "conspiracies" can turn out to be true or partially true. Sorry but it is just a fact.
diet coke is highly caffeinated, this comes with pretty obvious physiological effects.
[1]: https://cdn.vox-cdn.com/uploads/chorus_asset/file/3523382/Me...
We need to tweak our process, because this is clearly not working.
And the details are absolutely crucial for the end result. You come in here acting like a religious defender of the scientific method against the evil of rejecting science, but I'm not that guy. I'm not rejecting science, I'm just pointing out the obvious: modern science is producing literally noise, as seen in this chart, because of misaligned incentives and a broken peer review process, among others.
Do you even know what the "replication crisis" is? Hints of it in this very chart. And if you do, it's completely disingenuous to come attacking me for even mentioning we have a problem. And if you don't, you're not informed well enough to speak about the scientific method.
The "scientific method" should be applied to the "scientific method". Meaning when you see evidence that falsifies it, seek the causes and correct them, don't dig in your heels and go religious.
What we need are people with level heads making calm decisions, not bombastic polemics demanding the system get blown up.
Modern researchers have insane incentives to churn out papers based on superficial or questionable data, without isolating variables. The result is predictably noise. Or even worse, noise shaped by cultural bias and prejudice, which has been a long term problem with the scientific method, because in the end, we can talk about facts and evidence and data, but the judge jury and executioner on what is a fact, evidence and data are people, and people are always subjective by definition. The best we can hope is to all be subjective in the same way, hoping our shared subjectivity is more objective taken together. That doesn't always hold up.
In some of those studies, the wine drinkers get more cancer. Red dot to the right. In some they get less. Red dot to the left.
Conversely, if you have a similar study aiming to prove that wine prevents cancer, how do you prove that wine is the reason a person did not get cancer? It seems much more difficult, because now you are saying X did NOT happen because of Y rather than Y caused X. I'm struggling to articulate this. Maybe you're right.
First, a confounding variable doesn't work like that. It's a hidden variable that's linking that independent and dependent variables that you didn't account for. So, for instance, if you look at the correlation between ice cream and sunburns, you might see a strong correlation, and you might naively think that one causes the other if you don't account for the confounding variable of hot summer days.
In the case of population-wide studies on food, there is always the danger of confounding variables: if you are just comparing the wine drinkers vs non, who are these non-wine drinkers? What makes them non-wine drinkers? As a whole, do they tend to be more heath-conscious? Is that why they're less likely to get cancer? Etc etc.
Second, my point is that in both studies that show foods causing cancer vs those protecting against cancer, it's almost always populations studies. So in an ideal experiment, they have two identical populations, one of whom just happens to eat more chocolate. If that group gets more cancer they say they the chocolate is causing cancer. Similarly, if they get less cancer, they say it's protecting them from cancer.
You don't have to prove that individual X would have gotten cancer if it weren't for the chocolate. All you have to show is that the standard, base-line amount of cancer you'd see in any population is reduced in this group.
In my 30s I have cut my alcohol consumption down hugely but for my little rat brain the risk reward vs sweetness is a different balance.
I think one of the most valuable things through my quest to eat right was people challenging my behaviour vs my knowledge. I made a lot about the fact I quit sugary drinks after writing a lit review on their health effects. My friends pointed out that I had deliberately excluded artificial sweeteners from my lit review and my knowledge.
Then I was challenged about my love of dessert.
I think being called a hypocrite and told I was stupid and coming to agree with the underlying criticism has been a big part of my growth as a person.
But if drinking drinks sweetened with aspartame is your only vice then you're doing pretty well.
I drink soft drinks more often than alcohol. I hate artificial sweeteners not just because of the taste, but all my life I've heard the fact that those sweeteners are carcinogenic, especially the cheapest ones (like aspartame).
Honestly, it doesn't help that most studies that say artificial sweeteners are safe were funded by the drinks companies themselves and obviously they will be biased towards what makes them have most profit from it. I think adding the sweeteners to this list of potentially carcinogenic and asking for more neutral, unbiased studies is a step on the right direction.
If a soft drink contains sweeteners, I simply refuse to drink it. Honestly, I'd rather have a beer which tastes worse than a coca-cola, for example, than to have to drink diet cola.
No medical or scientific basis for this. I don’t really drink pop (once/year maybe?) with or without sugar or artificial sweeteners.
It was surprising the amount of concerned friends who were convinced the stuff would kill me. I really looked for any hint of evidence that it might, and aspartame keeps winning.
I'm off it now anyway, but it does seem to just be nicely flavored (slightly acidic) caffeine water.
Soda.
Coke.
Pop. Much nicer.
When I was on a relatively strict ketogenic diet in the past, the recommendation was to test your blood sugar level after consuming a larger-than-average amount over the course of 1-2 hours to see if there were spikes or troughs from a hormonal response.
Unless you have type 2 diabetes, any problem from a sugar-free insulin spike would likely be hunger.
> If I had to guess we are going to get a big breakthrough study on diet pop that is going to link it to diabetes or something like that
The Twin Cycle Hypothesis[0] predicts that many common cases of type 2 diabetes are from fat accumulation in the liver spilling to the pancreas and interfering with beta cell production of insulin. I wouldn't anticipate artificial sweeteners, even triggering an insulin response, to be able to do that without sugars also being consumed in tandem.
> I remain skeptical that there is a free lunch here.
Sugar-free gummy bears have quite the reputation because of how the gut reacts when you have a large quantity of sugar alcohols.
It doesn't _have_ to be a cancer or a chronic illness. It can be more acute.
[0]: https://pubmed.ncbi.nlm.nih.gov/23075228/ (arbitrary first hit)
I try not to eat those. but its hard, its in everything.
I don’t drink alcohol, exercise for about an hour, each day, and try not to be too crazy in my diet.
But I live on Long Island, New York, and I drink a lot of tap water. Even filtered tap water is questionable.
That probably far outweighs any risk from asparatame.
https://www.cancer.org/cancer/risk-prevention/understanding-...
Absolute definitions are hardly ever useful. Even for mundane things. How do you determine if something is ‘wet’?
For whether something is a carcinogen it's like asking if it's "humid", and we have very clear and precise ways to communicate that.
It seems expected for the WHO to have a list of things that experiments might indicate are carcinogens. They never recommended to stop consuming aspartame, or claimed it was definitely dangerous in the current consumed quantities.
[1] https://www.who.int/news/item/15-05-2023-who-advises-not-to-...
Interestingly, they specify their advice is conditional on using it for a specific purpose?
>the use of non-sugar sweeteners to reduce the risk of unhealthy weight gain and diet-related noncommunicable diseases in adults and children.
As in it does not sound like they are writing stay away from it period.
[edit to explain myself: the above was meant to critize the parent for using the same non-logic that the climate denier movement uses: requiring an impossily high standard of evidence)
Drink in moderation is a much harder sell than don't drink at all. We suck at moderating anything without going cold turkey.
I think you just answered your own question.
and there's no reason to believe this potency as a sweetener (how strong it binds to and activates very specific gpcrs on tongue) correlates to carcinogenicity
Even high fructose corn syrup is better than aspartame when it comes to long-term health consequences. So, consider to avoid aspartame like a plague. If you are into soda than you may find stevia-based formulations which have no side effects.
But the real drama occurs when a person finally hits T2DM and starts to develop dementia. Only then they will start to learn, listen and study medicine (maybe), but for the most part it is already too late. See, in this condition, the brain suffers from tissue hypoxia, so the individual has dim chances of properly doing their medical homework, if any work at all. And they won't get a proper help at the usual clinic outside of palliative care, unless they go to a place specializing in neuroendocrinology which is often a cost-prohibiting option not available to everyone.
I know, the link between T2DM and dementia may come as surprise to you as well, so here is a citation [3]. "But it's only affecting older people, I'm fine!" - wrong. It affects anyone but the incidence rate is indeed correlated with age.
But before all that happens, one can enjoy one more cup of a thirst quincher with aspartame, of course! All those mad naysayers suck, you know.
[1] https://pubmed.ncbi.nlm.nih.gov/28571543/#:~:text=Result%3A%....
I suspect the real issue with aspartame is people drinking two 82oz ultra big gulps a day.
And you claim that symptoms will often worsen after a drink, right? That sounds like an aggressive effect that would be super easy to test.
FWIW, there are studies that a low calorie, low carbohydrate diet can reverse type ii diabetes (or rather, put it in remission)[0]. The underlying hypothesis came about I believe to explain why people who had a gastric reduction surgery would also sometimes see a remission in their diabetes.
I use a telemedicine[1] which was involved in one of these studies, and which I believe has started to see some insurance coverage because of the savings related to reduction in insulin used by patients. I'm personally maintaining pre-diabetic levels (but have never used insulin).
0: https://dom-pubs.onlinelibrary.wiley.com/doi/10.1002/doi2.00...
It is absolutely a lie that corn syrup is better for you than aspartame. That is absolutely 100% false.
The fact is that humans are bad at long term impact studies. When long term studies reveal something, it's very hard to take that stuff off market (not that we haven't done so. We have with done that with Talc, Asbestos). It's also possible that something is considered safe today but might be proven to be harmful decades later. We think that organizations like FDA are only thinking about health of people but that's not entirely true, they also need to think about economic impact of their actions. Declaring something carcinogen which is billion $ product, it's going to be very hard for them to do so.
So, my rule is to simply err on the side of caution.
True, but what they said was:
> it's most likely bad for my body while anything natural is most likely good or ok.
...as a guiding principal it is probably right.
Do not eat anything that your great grand aunt would not recognise as food.
The further you go back the more reliance you find on preservative techniques other than refrigeration. That means a lot of salt, or smoking, which is a known carcinogen.
If anything, entirely the opposite is true. Most things in the world are either inedible (in the sense that they're immediately mechanically harmful to eat) or toxic in some way or another, at least without some "artificial" processing.
Regarding artificial vs natural, looking for natural stuff can be a good rule of thumb, but the "appeal to nature" is a logical fallacy for a good reason. Lots of natural things are bad for us, and because we already live in a pretty artificial environment, other things need to be adjusted too, because natural ways sometimes only work in natural environments.
Substitutions, like diet coke, can also be a trap. When the premise is that I can just do away with harmful X, by substituting it with Y, and have basically the same thing, then I'm always watchful. Usually there's no free lunch.