These have been developed on the premise that sweetness without calories would assist fat loss, but the link appears to be tenuous, at best. Because carbohydrate, including sugar, naturally suppresses appetite, the rationale for artificial sweeteners for fat loss is limited for most people. The biggest users of artificial sweeteners are obese people and research suggests that people who use artificial sweeteners do so to express their fat-loss concerns rather than decrease energy intake (i.e. They may make up for the loss of calories somewhere else). There is some concern that artificial sweeteners increase appetite, but a comprehensive look at all the research on sweeteners by Professor Drewnowski shows there is no evidence that sweetener use per se causes increases in food intake by increasing the appetite. The use of artificial sweeteners in conjunction with other dietary strategies may be useful in limiting energy intake and there is no substantive evidence to suggest any ill-health effects from use of sweeteners, in moderation.

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