[net.med] More Perils of NutraSweet

mwg@petrus.UUCP (Mark Garrett) (07/17/85)

++
That longish article I mentioned on NutraSweet is in the following:

COMMON CAUSE MAGAZINE, Volume 10, Number 4, July/August 1984, pp 24-43.
(ISSN 0271-9592),
published by Common Cause, 2030 M st., NW, Washington DC 20036,
phone (202) 833-1200.


Here's some excerpts from the subarticle: "Should You Feed It To Babies?":
(There is more elaboration on this in the main article.)

	"The FDA continues to maintain that aspartame [the technical name for
NutraSweet] poses no risks for children or infants.  But documents obtained
by Common Cause Magazine show that as early as 1974 and as late as 1980,
some FDA officials believed it might be advisable to require a warning that
aspartame should not be fed to infants.
	"One FDA document dated October 23, 1974, for example stated that
'on the basis of the evidence that the very young' are 'especially
sensitive...to the potential effects (brain damage) of high levels of
phenylalanine and aspartic acid,' the two major components of aspartame, and
on the basis of arguments made by Turner, 'we would concur that there may be
some merrit (sic) in some form of labelling...
	"...The author of the 1974 document, Kokoski said it's unlikely that
parents would feed aspartame to infants -- 'who would do that?' he asked.
When it was pointed out to him that it's not uncommon to see parents giving
babies Kool-Aid in baby bottles, Kokoski said that, 'even if one were to
give an infant Kool-Aid with aspartame, it isn't going to cause brain
damage.'...
	"...The FDA does require a warning that NutraSweet contains
phenylalanine, an amino acid which a small percentage of the poplulation,
called PKUs, have difficulty metabolizing.  PKUs must watch thier intake of
phenylalanine becuase it can cause mental retardation....
	"...Packets of Equal [a sweet-and-low substitute containing aspartame]
note that the product should not be used in cooking or baking.  That's
becuase aspartame is known to break dwon into chemicals such as DKP and
methyl alchhol when exposed to heat.  Searle [the company that owns the
patent] and the FDA say the warning is there not because of safety concerns
but because heat causes aspartame to lose some of its sweetness...."

-Mark

sdyer@bbnccv.UUCP (Steve Dyer) (07/18/85)

> 	"One FDA document dated October 23, 1974, for example stated that
> 'on the basis of the evidence that the very young' are 'especially
> sensitive...to the potential effects (brain damage) of high levels of
> phenylalanine and aspartic acid,' the two major components of aspartame, and
> on the basis of arguments made by Turner, 'we would concur that there may be
> some merrit (sic) in some form of labelling...

While I agree that it is advisable to avoid feeding babies with any
artificial sweetener, it should be remembered that the increase in
blood levels of phenylalanine and aspartic acid after administration
of a typical soft-drink quantity of aspartame is exceedingly small,
and certainly swamped by the same levels seen after a typical protein-
containing meal (milk formula or strained beef, perhaps?)   All the studies
I have read refer to deleterious effects of extra-physiological amounts
of the two amino acid components many times in excess of those contained
in food, with or without aspartame.  And this in experimental animals,
of course.

This is where the logic breaks down, in my mind (and certainly in the
minds of Searle and its stockholders!)  It is one thing to demonstrate
that a foreign substance can cause a serious side-effect in large doses,
for this would indicate that caution is advisable in using it even in small
doses.  It is quite another thing to indicate that a physiological substance
necessary for health, such as these amino acids or even vitamins, can cause
serious side-effects when given in large, extra-physiological doses, for
it does not necessarily follow at all that ordinary amounts are bad, or to
be avoided.  Think about that when you take your next vitamin pill,
"natural and organic" or not.
-- 
/Steve Dyer
{decvax,linus,ima,ihnp4}!bbncca!sdyer
sdyer@bbnccv.ARPA

mwg@petrus.UUCP (Mark Garrett) (07/19/85)

++
> While I agree that it is advisable to avoid feeding babies with any
> artificial sweetener, it should be remembered that the increase in
> blood levels of phenylalanine and aspartic acid after administration
> of a typical soft-drink quantity of aspartame is exceedingly small,
> and certainly swamped by the same levels seen after a typical protein-
> containing meal (milk formula or strained beef, perhaps?)
> /Steve Dyer

I just read the Atlantic Monthly article on aspartame (NutraSweet, Equal)
last night.  (August 1985 issue, pp 14-20.)  This is an excellent, complete
description of medical conclusions regarding sugar, saccharin, aspartame,
and cyclamates. The author seems very defensive of sugar, but I suspect it
is because she wants to expose all the myths of sugar-evil propagated by
various parties (diet food producers, sugar substitute makers and dentists).

To answer the question of sugar/disease relationship, the article says no
reproducable results have shown a correlation between sugar and any disease
except dental carries.  She backs her statement up thusly:

	Links between sugar and acne, diabetes, heart disease,
	cancer, and general decrepitude have never been substan-
	titated.  The authority who is quoted most often in support
	of such claims is John Yudkin, a doctor and a professor
	emeritus of nutrition at London University.  In his book
	'Sweet and Dangerous', which was published in 1972, Yudkin
	talks about sugar as if it were the universal usurper of
	humankind's vital sap -- a poison.  Yudkin's best-known
	research is a series of "intervention" studies -- involving
	patients on low-sugar diets -- that purport ot show a
	correlation between heart disease and sugar consumption.
	But strenuous efforts by many researchers to duplicate
	Yudkin's results failed, and most scientists have dismissed
	his work on heart diesase.

She goes on about Yudkin's funding from pharmaceutical and dairy industries.
Further:
	At a meeting of the International Dairy Federation in
	1973 he boasted that his research on sugar would soon
	"free butterfat from guilt."

On the subject of aspartame being composed of two amino acids which occur
naturally as constituants of protein, a Seymour Kaufman of the National
Institutes of Mental Health is quoted:

	"There's a bad misconception that aspartame is the same thing as
	protein," he says.  "The trouble is that the taking of aspartame
	is not at all to be equated with the eating of protein.  Phenyl-
	ketonuria is believed to be the result of an imbalance of amino
	acids, and this can be mimicked when we take aspartame.  it cannot
	be mimicked by eating meat."
	...
	Searle estimated that the average consumer would ingest no more
	that ten milligrams a day per kilogram of body weight.  But in
	hearings on the sweetener held by Congress earlier this year an
	attorney or the FDA said that consumption is hovering at around
	30 mg per kilogram -- the maximum that the FDA considers safe.
	"The fact that television commercials encourage people to eat
	aspartame straight really drops the bottom out of the issue,"
	Holtzman says. [Neil Holtzman is the chairman of the Committee
	on Genetics of the American Academy of Pediatrics.]

Reading this article really made me want to send a copy to everyone I know
who drinks NutraSweet.
-Mark


	

sdyer@bbncc5.UUCP (Steve Dyer) (07/21/85)

I thought Mark Garrett's summary of the Atlantic article was very
informative, and I intend to purchase it.  However, one quote
doesn't make any sense to me at all:

> On the subject of aspartame being composed of two amino acids which occur
> naturally as constituants of protein, a Seymour Kaufman of the National
> Institutes of Mental Health is quoted:
> 
> 	"There's a bad misconception that aspartame is the same thing as
> 	protein," he says.  "The trouble is that the taking of aspartame
> 	is not at all to be equated with the eating of protein.  Phenyl-
> 	ketonuria is believed to be the result of an imbalance of amino
> 	acids, and this can be mimicked when we take aspartame.  it cannot
> 	be mimicked by eating meat."
> 	...

Phenylketonuria is due to a deficiency in an enzyme which metabolizes
phenylalanine.  It is most definitely a chronic disease which leads to
mental retardation and neurological deficits if a low phenylalanine regimen
is not started aggressively during infancy.  I have a feeling that Kaufman
is either being misquoted or being misleading.  What I believe to be the
case here is that administration of free phenylalanine is not quite the
same as administration of protein containing similar amounts of
phenylalanine, because of competition by amino acids for transport across
the blood-brain barrier.  Granted.  What is not addressed by Kaufman's
comments is whether doses of aspartame even higher than those recommended
by the FDA produce brain phenylalanine levels comparable to those seen in
phenylketonuria and, indeed, whether the developmental and neurological
deficits seen in PKU are due to phenylalanine levels alone (which
presumably decrease rapidly in an ordinary individual) or to a general
toxic effect of chronic high phenylalanine levels.

Also, when aspartame is consumed with protein-containing foods, one
would expect to see brain phenylalanine levels typical of protein alone.
I'd like to hear from more informed medical and research sources who
might have more facts.

For the record: I still would regard infants and small children off-limits
to aspartame, and I DON'T "think it tastes great straight."  I am inclined
to believe that much of this controversy is academic, given the typical
use of aspartame by adults in the North American diet, but am open to
scientific research which indicates otherwise.
-- 
/Steve Dyer
{decvax,linus,ima,ihnp4}!bbncca!sdyer
sdyer@bbnccv.ARPA

ems@amdahl.UUCP (ems) (07/24/85)

> For the record: I still would regard infants and small children off-limits
> to aspartame, and I DON'T "think it tastes great straight."  I am inclined
> to believe that much of this controversy is academic, given the typical
> use of aspartame by adults in the North American diet, but am open to
> scientific research which indicates otherwise.
> -- 
Perhaps not in the typical diet, but the Nutri Systems(sp?) Diet contains
a great deal of NutraSweet.  It is used as the only sweetner in the diet.

-- 

E. Michael Smith  ...!{hplabs,ihnp4,amd,nsc}!amdahl!ems

This is the obligatory disclaimer of everything. (Including but
not limited to: typos, spelling, diction, logic, and nuclear war)