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this post was submitted on 29 Jun 2023
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I sort of cringe (more of a nose wrinkle really) at OP's "it's known in some circles to be bad" You see beliefs and correlative evidence constantly misrepresented as proof and truth in food and medical science (reporting and discussion).
I get it. The body is a hugely complicated system, it's hard to figure these things out. What does even figuring them out mean with the amount of complicating factors of this affects that which affects this which causes this.
I'm open to the idea that lobbying and such means Aspartame (and other industrial food products) has really been pushed through.
It's also obviously been studied quite a bit and it's hard to believe all the studies saying it's safe at recommended levels are bunk or fraudulent.
This news was on another instance where the discussion included that the IARC carcinogen classifications do not take into account exposure/dosage. A whole bunch of things can be carcinogenic depending on exposure. Haven't we all read how the rats that got cancer from saccharine had epic doses? It was just magnitudes more than a human would consume.
If an observational study won't cut it (I see you, @xthedeerlordx, and appreciate your comment and explanation), how does one prove the causation? Don't you need randomized controlled trials which would be extremely onerous controlling for various factors and basically making the (ideally large number of) participants live in a lab for whatever amount of time the study takes to really prove causation? I'd genuinely like to know. It seems like for a lot of things correlation after correlation after correlation is the best we're going to get.
It's going to be difficult to fund a large enough RCT to find a stat signif effect - it would be very expensive to follow people for 20-40 years and keep them in a study (10 000 people?). Similar to supplement studies - they may be effective, however big pharma won't pay for RCTs for products that are already on the market and with little profit margin.
Unfortuantely, it's not all 100% science - politics has a large hand to play here.
As I wrote elsewhere, there was one review showing potential biochemical and physiological mechanisms. It doesn't prove anything, however due to the amount consumed, it is worth investigating further and keeping an open mind:
https://pubmed.ncbi.nlm.nih.gov/28938797/ https://academic.oup.com/nutritionreviews/article/75/9/718/4101228
CONCLUSION
Current scientific knowledge about the safety of aspartame, as reviewed here, is based mostly on animal studies. These studies suggest that aspartame, even at recommended safe dosages, might not be safe. Several of these studies (in vitro as well as in vivo) that investigated both higher and safe dosages indicate that aspartame or its metabolites cause an oxidant/antioxidant imbalance, induce oxidative stress, and damage membrane integrity (lipid, protein, and nucleic acid), possibly affecting most cells and tissues. Aspartame is directly involved in the development of oxidative stress, which is a hallmark of systemic inflammation (Figure 3). Several animal studies have also reported a deleterious effect of aspartame exposure on body weight, adiposity, and/or glucose tolerance and insulin levels. These are summarized in a 2016 review by Fowler.125 Thus, there is a need for additional detailed human studies and comprehensive characterizations of the physiological processes affected by aspartame. This is of particular importance, as diabetic and other individuals with gut dysbiosis may already be at increased risk of systemic inflammation because of the inflammatory nature of their conditions. Data reviewed in this paper suggest that aspartame use could not only exacerbate existing systemic inflammation but also cause inflammation if healthy individuals ingest it on a regular basis.