I have been using xylitol as a sugar substitute. I don't use much, I only use it when I occasionally have a cup of English Breakfast tea (the only caffeine I ever have) It comes from plants and is low glycemic index and doesn't spike blood sugar and actually helps strengthen tooth enamel, so it's like the exact opposite of sugar in my opinion. Is this okay to use? Thans!!
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A lot of people would say to just avoid sweeteners altogether due to their ability to bring on more sweet cravings. I've chewed xylitol-sweetened gum off and on for years and every time it comes back I really start craving ice cream. That said, if that doesn't happen to you and/or have amazing self control, go for it. It seems to be good for teeth, and the only side effects (which seem to only come with large doses) are gas and loose stools.
Like most things, moderate amounts seem to be ok.
Xylitol is highly processed and made with acids and metals and ethanol. There's no way it's even remotely Paleo. Doesn't mean you can't use it, just realize it isn't Paleo. Oh, and don't feed it to any dogs.
It may not be paleo but it is very effective at changing the microbiome in the mouth. My OH cleared up horrid halitosis using Xylitol only chewing gum (Spry) 5 x daily over a period of a few months. Nasty niff breath gone, never to return two years later!!