Sugar substitutes are marketed as a way to reduce calories and decrease intake of added sugars. While they seem to be safe, the products in which sugar substitutes are found may contain large amounts of refined carbohydrate and are frequently not the healthiest choices, according to Tufts Health & Nutrition Letter.

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-Look for labels. “Diet,” “sugar-free,” “low-calorie,” or “reduced-calorie” labels typically indicate the presence of sugar substitutes. CHOOSE water. When trying to decrease added sugar intake, water, unsweetened coffee, tea, and seltzer are the best choices. For those who find it hard to give up sugar-sweetened beverages, a switch to beverages sweetened with sugar substitutes will help cut health-damaging added sugars while you work to wean yourself off of sweet drinks.
-Eat fruit. The natural sugars in fruits are not associated with harmful health effects, and the nutrients in these naturally-sweet choices are definitely health-promoting.
-Limit sugar alcohols. In some people, high intake can cause cramping, gas, and diarrhea. The amount that can be tolerated without ill effects varies from person to person. “Sugar Alcohol” should be listed under “Total Carbohydrate” on Nutrition Facts labels.