Some Important Questions

Can pregnant and nursing women use products with Truvía® stevia leaf extract?

Pregnant and nursing women can safely use Truvía® stevia leaf extract sweeteners. Safety studies published in the peer reviewed scientific journal, Food and Chemical Toxicology, found stevia leaf extract to be safe with no negative effects on general health, reproduction, fertility, growth or development of offspring. The Academy of Nutrition and Dietetics has issued a position that all FDA-approved non-nutritive sweeteners are safe for use during pregnancy (Position of the American Dietetic Association: Nutrition and lifestyle for a healthy pregnancy. J Am Diet Assoc. 2008; 108:553-561).

Can pregnant and nursing women use products with Truvía<sup>®</sup> stevia leaf extract?

Are products with Truvía® stevia leaf extract safe for children?

Published safety studies have demonstrated that stevia leaf extract had no effects on general health, reproduction, fertility, growth, or development. Stevia leaf extract is generally recognized as safe for use in foods and beverages for use as a general purpose sweetener. This regulatory designation means that stevia leaf extract is generally recognized as safe for use in foods that are commonly consumed by children, such as yogurts, cereals, and beverages.

Are products with Truvía<sup>®</sup> stevia leaf extract safe for children?

Are there any known drug interactions with products that use Truvía® stevia leaf extract?

There are no known interactions between Truvía® natural sweetener and any prescription or over the counter medications. There haven't been any targeted safety studies to evaluate the potential for interactions.

Are there any medical conditions that should avoid products with Truvía® stevia leaf extract?

There are no known side effects of Truvía® natural sweetener and is not known to be contraindicated for any medical conditions. Allergies are not common but could occur in sensitive individuals.

What is the acceptable daily intake (ADI) for Truvía® natural sweetener?

The ADI is an estimate of the amount of a food additive that can be safely consumed every day over an entire lifetime without health risk. It typically is calculated from all the available toxicology safety studies. The highest dose in these studies that have been shown to cause no adverse health effects is the starting point. This dose is then divided by at least 100 to determine the ADI. So ADI value does not represent the line between safe and unsafe, but instead includes a very wide added safety factor.

For Truvía® stevia leaf extract, the ADI is equivalent to about 12 mg/kg body weight/ day. Even this value is well above the estimated daily consumption based on clinical studies. In those studies, the average estimated daily intake was 1.3 mg/kg bw/day for adults, 1.4 mg/kg bw/day for diabetics, and 2.1 mg/kg bw/day for children. Even heavy users of Truvía® stevia leaf extract products are unlikely to consume an amount near the ADI which would only be reached with 29 sachets or sweetness equivalent to 58 teaspoons of sugar every day for their entire life.

What is the acceptable daily intake (ADI) for Truvía<sup>®</sup> natural sweetener?

Are Truvía® sweetener products safe for someone on a gluten-free diet?

Yes, neither Truvía® natural sweetener nor Truvía® Baking Blend contain any gluten.