High concern

Aspartame

NutraSweet · Equal · E951 · "low-calorie sweetener"

An intensely sweet synthetic compound — about 200 times sweeter than sugar — used in thousands of "diet," "lite," and "sugar-free" products since the early 1980s. In 2023 the World Health Organization formally classified it as possibly carcinogenic to humans.

Why we flag it

In July 2023, the International Agency for Research on Cancer (IARC) classified aspartame as Group 2B — "possibly carcinogenic to humans" — citing limited evidence linking it to liver cancer in observational studies. The companion review by JECFA (the WHO/FAO joint expert committee) maintained that aspartame is safe at the current acceptable daily intake of 40 mg per kg of body weight, but the IARC reclassification was the first formal hazard label from a major global health body.

Beyond cancer, growing observational research has linked daily artificial-sweetener consumption to higher risks of stroke, heart disease, and type 2 diabetes — possibly because they disrupt gut bacteria and the body's natural sweetness-to-calorie signaling. The FDA continues to call aspartame safe, but the regulatory consensus is shifting.

Where you'll find it

Anywhere "diet" or "sugar-free" appears on the label:

What to look for instead

If you want sweetness without sugar, plant-based options have a cleaner track record:

The best label signal: "no artificial sweeteners" plus a short ingredient list. USDA Organic certification prohibits aspartame entirely.