Carboxymethylcellulose, ubiquitous food/drug additive, is highly inflammatory

haidut

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This study is a great reminder that we are surrounded by toxins, and that food/drugs/supplements are one of the major sources of those toxins. I already posted several studies demonstrating that industrial citric acid and vitamin C - additive present in virtually all commercial sort drinks and foods due to their preservative effects - are potent inflammatory agents despite FDA considering them "generally regarded as safe" (GRAS). The study below adds carboxymethylcellulose to that list. As its name implies, this substance is a simple ester of regular cellulose and is widely used a a thickening agent or emulsifier in pharmaceutical or OTC formulations. On top of that, it is often added to commercially prepared foods as a "dietary fiber" despite lack of evidence that it works as such. The study below demonstrates that even small amounts of this substance can lead to chronic intestinal irritation, and ultimately to inflammatory bowel disease (IBD).

Randomized Controlled-Feeding Study of Dietary Emulsifier Carboxymethylcellulose Reveals Detrimental Impacts on the Gut Microbiota and Metabolome
Human trial finds common food additive alters gut microbiome

"...Titanium dioxide, for example, was used for decades as a white food coloring agent. Long thought to be essentially non-toxic it was only recently that scientists discovered the chemical's profound effect on the gut microbiome, particularly when delivered in the form of nanoparticles. Many countries in the world have now banned the additive from foods. Carboxymethylcellulose (CMC) was originally approved as safe to use in foods in the 1960s. It is commonly used as a thickening agent or emulsifier, and listed under E numbers 466 or 469. It is also sometimes referred to as "cellulose gum" and added to foods as "dietary fiber."

"...Recent lab and animal studies have indicated CMC may perturb the gut microbiome and promote the development of inflammatory disease. But, the effect of CMC on animals doesn’t necessarily mean it is harmful to humans. So this new research set out to systematically test how CMC influences the human gut microbiome. Sixteen subjects were recruited for what is known as a controlled feeding study. For 11 days the participants were admitted as inpatients into a controlled hospital environment and either received a diet supplemented with CMC or a diet free of CMC. At the end of the study notable changes were detected in the gut bacteria populations of the CMC group compared to the control fed the same diet but without CMC. Alongside bacterial changes, alterations to bacterial metabolites, including reductions in short-chain fatty acids and free amino acids, were detected."

"...However, it is noted that all of the changes detected in the short study do correlate with biomarkers previously associated with inflammatory diseases. "It certainly disproves the 'it just passes through' argument used to justify the lack of clinical study on additives," adds Andrew Gewirtz, senior author on the study.

"...Ultimately, the researchers hypothesize CMC could be playing some kind of role in the rise of chronic gut inflammatory disease over the past few decades. Of course, this singular food additive is not suspected to be the sole cause of inflammatory disease, but instead it may contribute to a person’s overall risk of developing gut inflammation."
 

Bart1

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What about Hydroxypropyl methylcellulose, it's used a lot of times in capsules of supplements ?
 
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haidut

haidut

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What about Hydroxypropyl methylcellulose, it's used a lot of times in capsules of supplements ?

Likely the same effects, they are almost the same molecule and considered identical replacements of each other. Somebody asked Ray about supplementing with cellulose powder and he said that only the plain cellulose would work, and that the esters such as hydroxymethyl and carboxymethyl are likely estrogenic and will irritate the GI tract, which the study now confirms.
 
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Bart1

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Like the same effects, they are almost the same molecule and considered identical replacements of each other. Somebody asked Ray about supplementing with cellulose powder and he said that only the plain cellulose would work, and that the esters such as hydroxymethyl and carboxymethyl are likely estrogenic and will irritate the GI tract, which the study now confirms.
Thanks!
 

yerrag

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CMC is a common ingredient in commercial ice cream. More reason to look into the ingredient label when shopping for this Peaty food.

The ease of processing and the consequent lower cost of production in making ice cream compels the industry to use this product. The average consumer favors low cost and smoothness in the ice cream. Practically no one reads the labels:

CMC powder, for example, is used in the manufacture of ice cream. The use of CMCX removes the need for churners and salt ice mixes, which are commonly employed in the production of ice cream. Carboxymethyl Cellulose Market Worth USD 2.23 Billion by 2028 | Carboxymethyl Cellulose Industry Share, Growth, Competitive Landscape and Forecast Report by Fortune Business Insights™

And a few more "convenience" foods:

Furthermore, rising demand for premixes, bread items, instant noodles, meat products, sauces, fast-frozen meals, and other ready-to-cook and ready-to-eat items is driving up demand for carboxymethyl cellulose.

There is a price consumers pay when they forego making a lot of their foods from scratch. The convenience seems like a Godsend, until it debilitates the gut. Since most people are oblivious to CMC's effects, they would continue their food lifestyle of "convenience," and let the doctor take care of come what may.
 
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Lejeboca

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Thanks for the find, @haidut !
Peaked my interest to dig into the paper. The authors have used 15 g (!) of CMC per day, admitting that this does "likely exceeds CMC intake of most individuals but might approximate the total amount of emulsifier consumption by persons whose diets are largely comprised of highly processed foods that contain numerous emulsifiers, many of which appear to detrimentally affect human microbiotas in vitro [8]."

Re: How soon the metabolite continue to decrease and when they go back to normal after stopping CMC
Concomitantly, display of individual values of each metabolite for each subject on day 14 (Supplementary Figure 8), as well as viewing mean values for each group over time via a heat map (Figure 4E), demonstrated that fecal metabolomes of CMC-fed subjects were, on average, depleted in an array of microbiota-related metabolites, including short-chain fatty acids and essential amino acids. Such changes were clearly evident by 3 days after initiating CMC consumption and remained throughout the period of CMC consumption and had resolved when subjects were resampled approximately 1 month later (day 48) (Figure 4E).

Here is a link to free

Full text: Randomized Controlled-Feeding Study of Dietary Emulsifier Carboxymethylcellulose Reveals Detrimental Impacts on the Gut Microbiota and Metabolome


I looked up the reference [8] above, which is written by the same (sub)-group of researchers. It is has a ranking of many modern emulsifiers as to they bad affect on mictobiota.


Results: In accordance with previous studies, both carboxymethylcellulose and polysorbate 80 induced a lasting seemingly detrimental impact on microbiota composition and function. While many of the other 18 additives tested had impacts of similar extent, some, such as lecithin, did not significantly impact microbiota in this model. Particularly stark detrimental impacts were observed in response to various carrageenans and gums, which altered microbiota density, composition, and expression of pro-inflammatory molecules.

1642141452206.png

Some other notable bits from this paper:

* although neither CMC nor P80 significantly impacted bacterial density, both significantly impacted microbiota composition in a non-reversible manner, as assessed by measurement of the Jaccard distance.

* In the case of glyceryl stearate, such reduced diversity resulted in a lasting increase in LPS, suggesting that despite lower amounts of total bacteria, the change in composition made the microbiota more able to activate pro-inflammatory signaling.

* Some of the strongest effects we observed were from maltodextrin, which is not classified as an emulsifier by regulatory agencies but yet have emulsifying properties which impacts food surface characteristics.... However, it should be pointed out that this polysaccharide is thought to be very quickly digested to glucose and absorbed in the small intestine and thus may never have the direct impacts with colon bacteria that we sought to model.

* Locust bean gum, HPMC, guar gum, and kappa carrageenan impacted various parameters in a reversible manner, while xantham gum, sorbitan monostearate, glyceryl stearate, maltodextrin, and P80 impacted various microbiota parameters, both compositionally and/or functionally, in a non-reversible manner.

* While one might presume that any compound with detergent-like chemical properties, i.e., all emulsifiers, would significantly impact a complex microbial community, in fact, we observed that some of the emulsifiers we tested, namely soy lecithin and mono- and diglycerides, did not drive microbiota dysbiosis in the MBRA model. ... [However] pro-inflammatory effect of sunflower lecithin could be due to its content of omega-6 polyunsaturated fatty acids, previously demonstrated to induce inflammation.


CHOOSE YOUR EXCIPIENTS WISELY :dummy:
=======================================================================================
Cross linking with a thread on the same topic: Beware of Carboxymethylcellulose :cool:
 

sunny

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@haidut - you wrote "Somebody asked Ray about supplementing with cellulose powder and he said that only the plain cellulose would work". In looking for a cellulose powder I am finding things like ........... "Dietary Fiber 2 g, Cellulose (as Microcrystalline Cellulose) " ................. is microcrystalline cellulose PLAIN cellulose, of the kind Ray is talking about? Thank you.
 

sunny

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So, microcrystalline cellulose is not what he is talking about. So what is PLAIN CELLULOSE and how to find it. ?

"Its presence in food, like that of the polyester imitation fat, microcrystalline cellulose, and many other polymers used to stabilize emulsions or to increase smoothness, is often justified by the doctrine that these molecules are too large to be absorbed. There are two points that are deliberately ignored by the food-safety regulators, 1) these materials can interact dangerously with intestinal bacteria, and 2) they can be absorbed, in the process called "persorption."" - Ray Peat, PhD

Pathologe 1993 Sep;14(5):247-252 [Persorption of microparticles]. Volkheimer G “Solid, hard microparticles, such as starch granules, pollen, cellulose particles, fibres and crystals, whose diameters are well into the micrometre range, are incorporated regularly and in considerable numbers from the digestive tract. Motor factors play an important part in the paracellular penetration of the epithelial cell layer. From the subepithelial region the microparticles are transported away via lymph and blood vessels. They can be detected in body fluids using simple methods: only a few minutes after oral administration they can be found in the peripheral blood-stream. We observed their passage into urine, bile, cerebrospinal fluid, the alveolar lumen, the peritoneal cavity, breast milk, and transplacentally into the fetal blood-stream. Since persorbed microparticles can embolise small vessels, this touches on microangiological problems, especially in the region of the CNS. The long-term deposit of embolising microparticles which consist of potential allergens or contaminants, or which are carriers of contaminants, is of immunological and environmental-technical importance. Numerous ready-made foodstuffs contain large quantities of microparticles capable of persorption.”
 

Dr. B

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This study is a great reminder that we are surrounded by toxins, and that food/drugs/supplements are one of the major sources of those toxins. I already posted several studies demonstrating that industrial citric acid and vitamin C - additive present in virtually all commercial sort drinks and foods due to their preservative effects - are potent inflammatory agents despite FDA considering them "generally regarded as safe" (GRAS). The study below adds carboxymethylcellulose to that list. As its name implies, this substance is a simple ester of regular cellulose and is widely used a a thickening agent or emulsifier in pharmaceutical or OTC formulations. On top of that, it is often added to commercially prepared foods as a "dietary fiber" despite lack of evidence that it works as such. The study below demonstrates that even small amounts of this substance can lead to chronic intestinal irritation, and ultimately to inflammatory bowel disease (IBD).

Randomized Controlled-Feeding Study of Dietary Emulsifier Carboxymethylcellulose Reveals Detrimental Impacts on the Gut Microbiota and Metabolome
Human trial finds common food additive alters gut microbiome

"...Titanium dioxide, for example, was used for decades as a white food coloring agent. Long thought to be essentially non-toxic it was only recently that scientists discovered the chemical's profound effect on the gut microbiome, particularly when delivered in the form of nanoparticles. Many countries in the world have now banned the additive from foods. Carboxymethylcellulose (CMC) was originally approved as safe to use in foods in the 1960s. It is commonly used as a thickening agent or emulsifier, and listed under E numbers 466 or 469. It is also sometimes referred to as "cellulose gum" and added to foods as "dietary fiber."

"...Recent lab and animal studies have indicated CMC may perturb the gut microbiome and promote the development of inflammatory disease. But, the effect of CMC on animals doesn’t necessarily mean it is harmful to humans. So this new research set out to systematically test how CMC influences the human gut microbiome. Sixteen subjects were recruited for what is known as a controlled feeding study. For 11 days the participants were admitted as inpatients into a controlled hospital environment and either received a diet supplemented with CMC or a diet free of CMC. At the end of the study notable changes were detected in the gut bacteria populations of the CMC group compared to the control fed the same diet but without CMC. Alongside bacterial changes, alterations to bacterial metabolites, including reductions in short-chain fatty acids and free amino acids, were detected."

"...However, it is noted that all of the changes detected in the short study do correlate with biomarkers previously associated with inflammatory diseases. "It certainly disproves the 'it just passes through' argument used to justify the lack of clinical study on additives," adds Andrew Gewirtz, senior author on the study.

"...Ultimately, the researchers hypothesize CMC could be playing some kind of role in the rise of chronic gut inflammatory disease over the past few decades. Of course, this singular food additive is not suspected to be the sole cause of inflammatory disease, but instead it may contribute to a person’s overall risk of developing gut inflammation."

Was curious if this ingredient was confirmed as the same as cellulose gum- and if you looked into the other common “gums” used in food products like guar gum, xanthan gum, locust bean gum etc.

I know you mentioned carrageenan, and that seems to be the worst and most inflammatory.
However back in my whey protein days I think xanthan gum and cellulose gum were actually tolerated better than guar gum and a few other ones. Guar gum would cause insane fatigue, stomach bloating, and even a serious headache.

When i was looking into yogurt and cottage cheese, ricotta cheese brands without gums, people on reddit or maybe one of the health related websites mentioned something about locust bean gum being one of the more tolerable ones.
 

Mufasa

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@haidut What about microcrystalline cellulose?

Ray Peat wrote about it here:
"Its presence in food, like that of the polyester imitation fat, microcrystalline cellulose, and many other polymers used to stabilize emulsions or to increase smoothness, is often justified by the doctrine that these molecules are too large to be absorbed."

I only don't understand with plain cellulose. It is just a bit shorter cellulose, right? It is both not water-soluble. What gives the problems of MCC? And why is it called a "polyester imitation fat" by Ray Peat?
 
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