Which natural sweetener is best?

If I had a dollar for every time someone asked me “which sweetener should I use?” — well, I’d have enough to buy a very large bag of organic allulose. 😄

So let’s settle this once and for all. Here’s my honest, research-backed breakdown of the three most popular natural sweeteners right now: monk fruit, stevia, and allulose.

The good news first: all three are far better than regular sugar. None of them spike your blood sugar meaningfully, and all have solid safety track records. But they’re not identical — and the differences matter depending on your goals.

🌿 STEVIA

Best for: Budget-friendly, everyday use

Stevia comes from the leaves of the Stevia rebaudiana plant and is 200–400x sweeter than sugar, so a tiny amount goes a long way. It’s zero-calorie, non-glycemic, and has one of the longest safety records of any natural sweetener.

The catch? Many people notice a bitter or slightly metallic aftertaste — especially in beverages like coffee or in frozen desserts. It’s less noticeable in baked goods.

One thing worth knowing: not all stevia is created equal. Look for “Reb M” on the label if you want a cleaner, less bitter taste. “Reb A” is cheaper and more common, but it’s the one most likely to leave that aftertaste.

🍈 MONK FRUIT

Best for: Zero-calorie sweetening with a cleaner taste

Monk fruit gets its sweetness from compounds called mogrosides, which also happen to have antioxidant properties and may support healthy metabolism. It has a pleasantly clean, slightly fruity sweetness — and most people find it tastes better than stevia.

Here’s the thing I always tell my readers: flip the bag over and read the ingredient list. Most “monk fruit sweeteners” on the shelf are actually 99% erythritol with just a trace of monk fruit added. This matters because recent research (2023 and a 2025 follow-up) has raised some questions about erythritol and cardiovascular health. The research is still evolving, but it’s worth being aware of.

If you want pure monk fruit, look for products where it’s the primary or only ingredient — expect to pay more, but a little goes a very long way.

🍬 ALLULOSE

Best for: Baking, cooking, and overall metabolic health

Allulose is the newcomer that’s been quietly winning over nutrition researchers. It’s a rare sugar found naturally in figs and raisins that your body absorbs but doesn’t metabolize for energy — so it provides almost no calories and has virtually no impact on blood sugar. Some studies even suggest it may slightly blunt blood sugar spikes after meals, which is a meaningful benefit.

What makes allulose stand out is that it actually behaves like sugar in the kitchen. It caramelizes, browns, adds moisture, and gives baked goods the right texture. Stevia and monk fruit simply can’t do this.

The downsides: it’s pricier than the others, harder to find (especially outside the US), and not yet approved in Canada or the EU.

⚖️ SO WHICH IS BEST?

Honestly, the answer depends on what you’re using it for:

• For everyday sweetening (coffee, tea, smoothies): Monk fruit (pure extract or blended with allulose) or Reb M stevia

• For baking and cooking: Allulose is the clear winner

• For tight budgets: Stevia (Reb M if possible)

• For blood sugar support: Allulose has the edge

And regardless of which you choose — always check the ingredient list for erythritol as a filler, and watch for additives like maltodextrin, which can actually spike blood sugar despite being in a “zero-sugar” product.

🌱 IS ORGANIC WORTH IT?

For these sweeteners specifically, the organic label matters less than you might think. The bigger wins come from choosing a clean ingredient list (no erythritol fillers, no maltodextrin) over paying a premium for organic certification.

That said, organic stevia and monk fruit can be slightly preferable since they’re plant-derived and may involve fewer chemical inputs during processing. For allulose — made via fermentation — the organic distinction is more marginal.

Bottom line: read the ingredients first. Organic second. If you’d like a nutrition consultation, please email me amahl@vhhealth.com. Enjoy more general information on Instagram from @vh_health.com

Oil Pulling or Tongue Scraping?

I get asked about this one all the time, so I wanted to share a quick breakdown on two popular oral hygiene practices: tongue scraping and oil pulling. Both have roots in ancient Ayurvedic tradition, but the science behind them is quite different.

🪥 TONGUE SCRAPING

This one has the stronger research backing. Studies show that tongue scrapers reduce volatile sulfur compounds (VSCs) — the main culprit behind bad breath — by up to 75%, compared to just 45% with a toothbrush. A 2005 study also found that scraping twice daily for just one week significantly reduced cavity- and odor-causing bacteria in the mouth.

The key is technique: scrape from the back of the tongue forward (that’s where the bad bacteria live), once or twice a day for about 15–30 seconds. The benefits are real but short-lived, so consistency matters. And do not use a copper tongue scraper.  There’s a great stainless steel one available from https://www.amazon.com/dp/B01LAY47D0?ref=nb_sb_ss_w_as-reorder_k0_1_6&=&crid=MZ7786Z4I9HA&sprefix=tongue&th=1

🫙 OIL PULLING

Oil pulling — swishing a tablespoon of organic oil (usually coconut or sesame) for 15–20 minutes — has some promising findings around reducing certain bacteria and supporting gum health. However, the American Dental Association does not currently recommend it, citing a lack of reliable scientific studies. Research so far has been limited by small sample sizes and poor study design.

That said, if you enjoy the ancient practice of  oil pulling and are already brushing and flossing consistently, oil pulling is unlikely to cause harm and may offer some added benefit.

✅ THE BOTTOM LINE

If you’re only going to add one practice to your routine, tongue scraping is the better-supported choice. (For those who want to do both, many practitioners suggest scraping first, then pulling — they work on different things and can complement each other.)

As always, neither replaces brushing twice daily with a quality toothpaste and flossing. Think of these as bonus tools, not substitutes! Do them in this order:  

Mornings: brush first, then tongue scrape.

Evenings:  floss, brush, and then tongue scrape.  Oil pulling could be added in at the very end, after tongue scraping, if you feel you want to add it in.

Lipopolysaccharides: Little Pieces of Sh-t in your Body

I want to write to you today about The Dangers of LPS/Endotoxemia in Your Bloodstream

Did you know that almost every chronic disease or condition can be linked to metabolic endotoxemia? If you’re like most people, you’ve never heard of endotoxemia, let alone the mountains of research pointing towards it as a major cause of disease. Lipopolysaccharide is a gram -negative bacteria that lives inside the gut of every human.  But when LPS leaks from your gut  into your blood stream (where it does not belong), it triggers a strong inflammatory response throughout the entire body. When it stays inside the gut, it causes very little harm.  But when a person has pathogenic intestinal permeability (a.k.a. “leaky gut”)—as most people do these days— LPS becomes harmful when it leaks from the gut into your bloodstream. In the blood ,where it does not belong, LPS triggers a strong inflammatory response in the immune system, potentially leading to serious complications like sepsis and septic shock if reaching high levels. Essentially, the body overreacts to LPS in the blood stream, causing widespread inflammation and tissue damage. One of the MDs I know says that LPS stands for “little pieces of sh-t” because it is so bad for the body when it seeps into the bloodstream!

The key point I want to make: As a  normal  function in bacteria, LPS acts as a structural component of the bacterial cell wall, protecting the bacteria from harmful substances.  It is meant to remain inside of the intestines of every human.  When LPS spills into the bloodstream through a compromised gut lining (“leaky gut”),  immune cells like macrophages recognize it as a foreign invader and trigger a cascade of inflammatory responses throughout  the body. LPS goes everywhere in the body once it spills into your bloodstream.

What are 3 of the biggest potential health risks from LPS when it seeps through your leaky gut into your bloodstream?

1.Sepsis: High levels of LPS in the blood can lead to systemic inflammation, causing a life-threatening condition called sepsis.
2.Chronic inflammation: Low levels of LPS over time can contribute to chronic inflammatory conditions that include all autoimmune diseases, raised cholesterol, shut down of your vagus nerve, disordered eating, and countless metabolic & hormonal disorders.
3.Gut & skin issues: Increased LPS leakage is linked to digestive problems, inflammation in the gut, and skin disorders. 

What is the one test in the world that can show us if your LPS is leaking into your blood stream, that can show us if you have pathogenic intestinal permeability (aka “leaky gut”)?  The Vibrant Laboratories Wheat Zoomer & Intestinal Permeability blood test panel. 

Here are some shorthand research facts and common symptoms associated with leakage of LPS from the gut into your bloodstream:

  • LPS is a  chief cause of chronic, systemic inflammation
  • Causes neuroinflammation
  • Found on the outer shell of gram-negative bacteria in EVERY human body
  • Should always and forever remain inside the intestines
  • With the advent of pathogenic intestinal permeability (aka “leaky gut”) the LPS leaks into the blood stream from the intestine and becomes a potent endotoxin causing a variety of diseases.
  • Induces Diabetes and Insulin Resistance
  • Initiates a cytokine response and systemic inflammation
  • Activates histamine and mast cells
  • Contributes to arthritis
  • Triggers autoimmunity in hundreds of forms
  • Causes gum inflammation 
  • Worsens Alzheimer’s Disease (May increase the deposition of Amyloid plaque). Autopsies show LPS in the brains of dementia patients.
  • Causes damage to the blood-brain barrier
  • Is associated with liver inflammation and dysfunction
  • Can lead to Non-Alcoholic Fatty Liver Disease
  • Is associated with Cardiovascular Disease
  • Plays a role in Polycystic Ovary Syndrome & affects ovaries and menses
  • Worsens Atherosclerosis and the Vascular System
  • Impairs Kidney and Adrenal Function
  • Contributes to Weight Gain
  • Associated with Eczema, Atopic Dermatitis and Psoriasis and various forms of acne
  • Impairs Sleep
  • Causes Anxiety
  • Causes Depression
  • Causes Bone Resorption
  • May be associated with social impairment and autism
  • Negatively impacts vision
  • Associated with Brain Fog
  • Worsens Multiple Sclerosis (MS)
  • Plays a Role in Stroke 
  • May cause Parkinson’s Disease
  • Plays a Role in ALS
  • Worsens chronic immune activation in HIV-infected patients
  • Impairs reproduction
  • Reduces Mitochondria
  • Reduced Antioxidant Status
  • Worsens Pain
  • Affects hormone balance, LPS/leaky gut should be addressed before attempting to balance hormones
  • May play a key role in the development of colorectal and other cancers
  • Why don’t our conventional MDs talk about LPS?  As my gluten and autoimmune mentor Dr. Tom O’Bryan writes, “…the Centers For Disease Control and Prevention (CDC) tells us that LPS reduces blood flow into any tissue, causing between 175,000 and 200,000 deaths annually.  The CDC notes that perhaps a half-million people are affected annually by this mechanism, yet no one talks about it.  That’s because there is no profit in addressing LPS: There’s no drug to fix it.”   (The Autoimmune Fix by Tom O’Bryan: Chapter 2.)

Fortunately, healing and sealing pathogenic intestinal permeability is becoming one of my areas expertise!  In the field of Functional Medicine, pathogenic intestinal permeability has evolved into  a huge topic of quality research and application. LPS/endotoxemia is at the foundation of every chronic disease. Getting rid of LPS in the bloodstream requires a pleotropic (multipronged) approach.   The first step is to do the Vibrant Wheat Zoomer & Intestinal Permeability blood test.  I can guide you through the testing and the healing steps that follow.

Your Options for Testing:

1.DBS*: incudes 1 hour Zoom or phone review with me after I have reviewed your results with Vibrant Labs.  Full PDF of results sent to you via email. Fee: $800

2.Phlebotomy**: with 1 hour Zoom or phone appointment with me after I have reviewed your clinical results with Vibrant Labs.  Full PDF of results sent to you via email. Fee: $800 + phlebotomy fee in your state (you pay phlebotomy directly at the time of blood draw).

3.Either DBS or phlebotomy blood draw, a 1 hour Zoom or phone review with me,  PLUS a written protocol I create just for you to show you how to heal and seal your leaky gut PLUS a second follow up appointment. Fee: $1,200

*DBS= dried blood spot.  Order includes a kit shipped to you from the lab.  The kit shows you how to collect your sample by providing a dried blood spot. Medical shipping via FedEx to and from Vibrant Labs is included in the kit.

**Phlebotomy= anywhere in the USA I can order a medical phlebotomist to come to your home for a blood draw.  Each state charges differently, so after you place your order with me, I will find out the fee in your state for phlebotomy and let you know.  A full blood draw is easy, requiring only fasting overnight. (For example, right now in Los Angeles the AMA-approved phlebotomy service costs $65.)

EMAIL ME @ abvanhalsema@gmail.com  AND WE CAN GET STARTED! I’d be glad to send you a sample copy of this phenomenal blood test.

No one can be well with a leaky gut. No one can be well with LPS running around in the blood stream, potentially affecting every organ and system in the body. Consider getting your LPS levels checked out on your pathway to wellness!

Pilates and Multiple Sclerosis

Pilates is a very popular method of exercise that began in the early 1900s by its founder, Joseph Pilates.  It offers great benefits to individuals with Multiple Sclerosis, since it focuses on controlled breathing, core strengthening,  and smooth flowing movements.
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