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Many people report upset stomach and diarrhea after consuming normal amounts of erythritol in food or beverages. If consumption is high (50 grams or more per day) then digestive troubles, including gas, cramping, bloating, stomachache and diarrhea, become even more likely. One study specifically showed that the intake of 50 grams of erythritol causes stomach rumbling and nausea.
This quality makes erythritol unique among the sugar alcohols. Still, erythritol has been known to cause side effects such as headache, stomach ache, bloating, digestive upset, and diarrhea. There have been case reports of allergic reactions, erythritol-induced anaphylaxis, and hives (urticaria).