Ingredients7 min readSeptember 3, 2026
    Michael Gardner

    Michael Gardner

    Founder & CEO, Hydrate Heroes

    @michaelgardnernola

    Erythritol & Your Heart: Deconstructing the Cleveland Clinic Study | Hydrate Heroes

    Erythritol & Your Heart: Deconstructing the Cleveland Clinic Study | Hydrate Heroes

    Unpacking the recent Cleveland Clinic study linking erythritol to heart risks. Discover why Hydrate Heroes chooses pure Organic Stevia as The Healthy Alternative®.

    As the founder of Hydrate Heroes, a health-conscious entrepreneur, and someone who's spent years in the trenches as a personal trainer and nutritional consultant, I've witnessed firsthand the confusion and frustration people face trying to make truly healthy choices. My journey, much like yours, has been about cutting through the noise, especially when it comes to ingredients that promise health but deliver hidden risks. That’s why when the Cleveland Clinic study dropped in early 2023, linking erythritol to an increased risk of blood clots and cardiovascular events like heart attack and stroke, it wasn't just a news headline for me – it was a confirmation of what my gut, and years of research, had been screaming.

    For too long, erythritol has been hailed as a 'natural' and 'safe' sugar alternative, a staple in many 'sugar-free' and 'keto-friendly' products. But as we've seen time and again with other artificial and 'natural' sweeteners, what seems too good to be true often is. Let's deconstruct this critical research and understand why Hydrate Heroes made the deliberate choice to steer clear of erythritol risks from day one.

    The Alarming Findings of the Cleveland Clinic Study

    When the paper, published in Nature Medicine in February 2023, hit the scientific community, it sent ripples of concern. Researchers, led by Dr. Stanley Hazen of the Cleveland Clinic Lerner Research Institute, initially stumbled upon high levels of erythritol in the blood of patients who went on to experience major adverse cardiovascular events (MACE) like heart attack and stroke. This wasn't a pre-conceived notion; it was an accidental discovery during a broad metabolomics analysis. Talk about a red flag!

    This observational study, which included over 4,000 individuals in the US and Europe, revealed that people with higher blood erythritol levels had a significantly elevated risk of MACE over a three-year period. To further investigate, the researchers conducted preclinical studies, showing that erythritol enhanced platelet reactivity and clot formation in vitro and in vivo in mice. Finally, a small intervention study with healthy volunteers demonstrated that consuming a common amount of erythritol (similar to what's found in many 'keto' foods or drinks) led to elevated blood erythritol levels for days, exceeding the threshold associated with increased clotting risk. This is precisely why we've focused on creating zero-sugar electrolytes that are genuinely clean.

    As someone who's advised countless clients on their diet, this research is a game-changer. It means that the very ingredient many people consumed thinking they were making a healthier choice could actually be putting their heart health at risk. It's a stark reminder that 'sugar-free' doesn't automatically mean 'healthy,' and underscores the urgent need for consumers to understand potential erythritol side effects.

    Understanding Erythritol: The Sugar Alcohol Deception

    Erythritol is a sugar alcohol, a type of carbohydrate that's naturally found in some fruits and fermented foods. However, the erythritol used in most processed foods and supplements is mass-produced through industrial fermentation. While it's often praised for being nearly calorie-free and having a low glycemic index, its structural similarity to sugar has made it a popular replacement.

    Here’s a quick rundown on why erythritol (and many other sugar alcohols) can be problematic:

    • Gastrointestinal Distress: Many people experience bloating, gas, and diarrhea, especially with higher consumption, because sugar alcohols are not fully absorbed in the small intestine.
    • Potential for Addiction: While not directly addictive like sugar, the hyper-sweetness of many artificial sweeteners can perpetuate a craving for intense sweet flavors, making it harder to appreciate naturally sweet foods.
    • Unforeseen Metabolic Effects: As the Cleveland Clinic study powerfully demonstrates, our understanding of these compounds is still evolving. What appears benign on the surface can have complex, detrimental effects on our physiology.

    My personal journey through the supplement industry – from GNC shelves to the glitzy world of HSN/QVC direct response marketing – has taught me one thing: if an ingredient isn't truly clean and beneficial, it doesn't belong in Hydrate Heroes. This is part of our commitment to the MAHA (Make America Healthy Again) movement, demanding transparency and real health benefits.

    The Hydrate Heroes Difference: Pure Organic Stevia, No Compromises

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    When I set out to create Hydrate Heroes, my vision was clear: to offer The Healthy Alternative® to the sugar-laden and artificially sweetened drinks dominating the market. That meant absolutely ZERO sucralose, erythritol, artificial sweeteners, artificial colors (like Red 40 or Yellow 5, which are banned in many other countries but still allowed by the FDA), maltodextrin, or cane sugar.

    Our sweetener of choice? Pure Organic Stevia. Not a blend with monk fruit or a combination with erythritol, just pure, high-quality organic stevia. Why? Because it aligns perfectly with our clean-label philosophy:

    • Zero Glycemic Index: It doesn't spike blood sugar, making it diabetic-friendly and keto-approved.
    • Plant-Based: Derived from the stevia rebaudiana plant, it's a true gift from nature.
    • Time-Tested: Stevia has been used for centuries, with a much longer history of safe use than many newer, industrial sweeteners.
    • No Known Heart Risks: Unlike the recent findings on erythritol, stevia has not been linked to increased risks of blood clots or cardiovascular events. Its safety profile is robust.

    We also designed Hydrate Heroes for Lifestyle Hydration™, not just extreme sports. That’s why we include just 88mg of sodium per stick, sourced from mineral sea salt that a supplier-published figure states contains 90+ trace minerals. This is in stark contrast to many sports-drink formulas that carry 500–1,000mg or more, which can be overkill for daily hydration. Our approach ensures you get balanced electrolytes without the unnecessary overload or the dangers of erythritol.

    Beyond Sweeteners: A Holistic Approach to Wellness

    Our commitment to clean ingredients extends beyond just sweeteners. Hydrate Heroes is packed with functional mushrooms like lion's mane, cordyceps, reishi, turkey tail, and chaga, known for their adaptogenic and immune-supporting properties. It's plant-based, vegan, gluten-free, Whole30 compatible, and paleo-friendly because I believe optimal hydration should support your entire wellness journey, not compromise it.

    We live in a world where convenience often trumps health, and where many products make bold claims without the clean ingredient deck to back them up. My mission with Hydrate Heroes is to change that narrative, one delicious, mushroom-powered electrolyte stick at a time. The recent studies on sucralose damaging DNA and the gut microbiome (Journal of Toxicology and Environmental Health, Part B, 2023) and aspartame being classified as 'possibly carcinogenic' by WHO/IARC in 2023 only strengthen our resolve. We need more brands willing to say 'no' to cheap, potentially harmful ingredients and 'yes' to true health.

    Key Takeaways on Erythritol and Heart Health

    • The Cleveland Clinic Study (Nature Medicine, 2023): Linked higher blood erythritol levels to an increased risk of heart attack, stroke, and enhanced blood clot formation.
    • Erythritol is a Sugar Alcohol: Often used as a 'natural' sugar replacement, but mass-produced and can have adverse effects.
    • Hydrate Heroes' Solution: We exclusively use pure Organic Stevia, a zero-glycemic, plant-based sweetener with a strong safety profile.
    • Beyond Sweeteners: Hydrate Heroes prioritizes a clean label, functional mushrooms, and balanced electrolytes (just 88mg sodium in every serving) for holistic wellness.

    Don't let misleading labels or hidden ingredients derail your health goals. It's time to demand better. It's time to choose wisely. For me, creating Hydrate Heroes isn't just a business; it's a personal crusade to empower you with truly healthy choices. If you're ready to experience the difference a truly clean, mushroom-powered electrolyte can make, I encourage you to try a sampler for $9.99 today. Your body, and your heart, will thank you.

    Shop Hydrate Heroes and join the movement towards a healthier, more hydrated you.

    Ready to try it? Explore erythritol heart attack with Hydrate Heroes.

    IngredientsClean LabelNo ErythritolArtificial SweetenersHeart HealthMAHA

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