Benefits
Sugar replacement with minimal calories
Allulose can stand in for table sugar in foods and baking but provides no more than 0.4 calories per gram, because most of it leaves the body unchanged. It is about 70 percent as sweet as sugar and is not counted as Total or Added Sugars on US labels. Swapping it for sugar cuts calories, but a recent pooled analysis of trials found no significant change in body composition.
Supports healthy post-meal blood glucose
A meta-analysis of 12 allulose trials and a second meta-analysis of single-meal trials both found that allulose taken with carbohydrate lowers the glucose rise afterward, about 10 percent in the single-meal analysis, with moderate certainty. It did not change HbA1c or fasting glucose, and one trial in healthy adults found no effect at 5 to 10 g.
Supports post-meal fat burning
In a single-blind crossover study in 13 healthy adults, 5 g of allulose taken 30 minutes before a standard meal increased fat burning and lowered carbohydrate burning over the next 4 hours compared with aspartame. This was a single-meal measurement in a small group, and most of the researchers work for Matsutani Chemical Industry.
Body fat changes in a 12-week trial
In a 12-week placebo-controlled trial in 121 Korean adults with a BMI of 23 or higher, 4 g or 7 g twice daily reduced body fat percentage and fat mass, and CT scans showed less belly fat at the higher dose. The authors called it a preliminary study, and a later meta-analysis found no significant effect of allulose on body composition.
Tooth-friendly sweetness
In its labeling guidance, the FDA concluded that allulose does not lower dental plaque pH to the level linked with enamel loss, and that it does not promote tooth decay. That review considered two clinical studies of plaque pH and laboratory work on a decay-causing mouth bacterium.
Mechanism of action
Absorbed but not used for energy
According to the FDA review, allulose is absorbed within about an hour, cleared from the blood within 24 hours, and about 70 percent of an oral dose leaves the body unchanged in urine and stool within 48 hours. It is also poorly fermented by gut bacteria, which is why it provides so few calories.
Gut fullness hormones
In a crossover study in 18 healthy young adults, 25 g of allulose delivered directly into the stomach released the gut hormones CCK, GLP-1 and PYY compared with water. This was a large dose given by tube, so it does not show what a normal serving in food does.
Proposed effect on liver glucose handling
One proposed explanation for the lower post-meal glucose is that small amounts of allulose help the body store glucose as glycogen. A trial designed to test this idea with 5 g and 10 g in healthy adults did not confirm an effect on the glucose response.
Clinical trials
Randomized, single-blind crossover test of 0, 2.5, 5 or 7.5 g of D-psicose with 75 g maltodextrin, or 7.5 g alone (Iida et al. 2008, J Nutr Sci Vitaminol (Tokyo))
20 healthy adults aged 20 to 39.
Doses of 5 g or more lowered the rise in blood glucose and insulin after the maltodextrin drink, with larger doses doing more. 7.5 g of allulose alone did not change blood glucose or insulin. The lead author works for Matsutani Chemical Industry.
Randomized, double-blind, placebo-controlled crossover test of 5 g of D-psicose in tea with a standard meal, plus a 12-week parallel safety study (Hayashi et al. 2010, Biosci Biotechnol Biochem)
26 adults, including people with borderline high blood sugar, in the meal test; 17 healthy adults in the 12-week study.
Blood glucose was lower 30 and 60 minutes after the meal with allulose, mainly in the borderline group. Taking 5 g three times a day for 12 weeks caused no abnormal findings.
Double-blind, randomized crossover equivalence trial of 0, 5 or 10 g of allulose or fructose added to a 75 g glucose drink (Braunstein et al. 2018, Nutrients)
25 healthy adults with complete data.
Neither dose of allulose changed the glucose response compared with the glucose drink alone. The authors note the trial had low power because glucose responses varied more than expected.
Randomized, single-blind crossover study of 5 g of D-allulose or 10 mg aspartame 30 minutes before a standard meal (Kimura et al. 2017, Nutrition)
13 healthy men and women with normal BMI.
Fat burning over 4 hours was higher and carbohydrate burning lower with allulose, and plasma glucose was lower. Insulin and blood lipids did not change. Most authors work for Matsutani Chemical Industry.
Randomized, double-blind, placebo-controlled trial of 4 g or 7 g of D-allulose twice daily for 12 weeks (Han et al. 2018, Nutrients)
121 Korean adults aged 20 to 40 with a BMI of 23 or higher.
Body fat percentage and fat mass fell compared with placebo, and the higher dose also lowered BMI and CT-measured belly fat. Food intake, blood lipids, liver and kidney markers did not differ. The authors call it a preliminary study, and three authors work for the food company CJ CheilJedang.
Randomized, controlled, double-blind crossover study of 25 g of D-allulose, 50 g erythritol or water given into the stomach by tube (Teysseire et al. 2022, J Nutr)
18 healthy young adults with normal BMI.
Allulose released the gut hormones CCK, GLP-1 and PYY compared with water. Blocking the gut sweet taste receptor did not change this.