Most commercial monk fruit sweeteners are 99% erythritol or dextrose with trace mogrosides, misleading consumers into believing they are healthy. The 2023 Cleveland Clinic study linked erythritol to a 200% increased risk of blood clotting—a risk that applies to the majority of these products. This combination costs 40% more than the average alternative while delivering no superior health outcomes. Outperforming #9 Brown Rice Syrup in glycemic control, it still fails as a safe alternative due to bulking agents that negate the benefits of pure monk fruit.

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