Benefits
Sweetness without sugar calories
Mogrosides, mainly mogroside V, give monk fruit extract a sweetness reported at 100 to 250 times that of sugar, depending on mogroside content, so small amounts replace sugar. In a crossover trial, a monk fruit drink matched to 25 g of sucrose was rated a little less sweet and liked a little less than the sugar drink.
Glucose and insulin after a sweetened drink compared with sugar
In crossover trials in healthy adults, monk fruit-sweetened drinks avoided the early glucose and insulin rise of a sugar drink. These are single-drink markers: after a meal, responses were similar or higher, and 3-hour and 24-hour glucose totals did not differ from sugar in two trials, while formulations with added fructooligosaccharides gave lower overall totals.
Food intake at the next meal after a monk fruit drink
In one crossover trial in 30 healthy men, people ate more at lunch after a monk fruit, stevia or aspartame drink than after a sugar drink, and total daily energy intake did not differ. Another trial of monk fruit-based formulations found no difference in appetite or energy intake versus sugar or sucralose.
Throat comfort after a breathing tube in one hospital trial
In 203 women recovering from surgery with a breathing tube, a whole-fruit luo han guo decoction taken three times daily for 48 hours was followed by lower throat soreness scores and less cough and sputum than black tea. This was a single trial of a fruit decoction, not of a concentrated mogroside extract.
Regulatory status as a food sweetener
FDA has had no questions about seven GRAS notices for luo han guo fruit extracts and juice concentrates, and no acceptable daily intake has been specified. In the EU, plain water decoctions of the fruit are not considered novel foods, while EFSA could not conclude on the safety of the extract as a food additive.
Weight control guidance for non-sugar sweeteners
The World Health Organization recommends against using non-sugar sweeteners to control body weight or reduce the risk of noncommunicable diseases. Its guideline covers all naturally occurring non-nutritive sweeteners, which would include monk fruit, though monk fruit is not named. The recommendation is conditional and excludes people with pre-existing diabetes.
Mechanism of action
Intensely sweet glycosides with little digestible sugar
Mogrosides are triterpene glycosides that taste intensely sweet, so the amounts used add almost no sugar or calories. EFSA notes that mogroside V is absorbed to some extent and that gut bacteria break mogrosides down to metabolites, including the aglycone mogrol, whose genotoxic potential the available lab tests could not evaluate.
AMPK signaling in animal studies
In mice made diabetic by diet and a chemical, 5 weeks of a mogroside-rich extract lowered fasting glucose, insulin and blood lipids and activated liver AMPK signaling, most clearly at 300 mg/kg of body weight. This is animal work at doses far above sweetening amounts and has not been tested in people.
Oxidative stress findings in lab work point both ways
Reviews list antioxidant effects of mogrosides from cell and animal studies. In contrast, a study in human intestinal cells found that mogroside V raised reactive oxygen species and weakened the cell barrier through the sweet taste receptor. Neither finding has been measured in people.
Clinical trials
Randomized crossover trial; each participant drank aspartame-, monk fruit-, stevia- and sucrose-sweetened (65 g) beverages on separate days as a mid-morning preload, with an ad libitum lunch 1 hour later and blood sampled for 3 hours. (Tey et al. 2017, Int J Obes (Lond))
30 healthy men
The sucrose drink caused a large glucose and insulin spike in the first hour and the sweetener drinks did not, but responses after lunch were higher with the sweetener drinks, so 3-hour glucose (P=0.960) and insulin (P=0.216) areas under the curve did not differ. Lunch intake was higher after the non-nutritive sweeteners (P=0.010), and total daily energy intake did not differ (P=0.831).
Randomized crossover study with continuous glucose monitoring after aspartame-, monk fruit-, stevia- or sucrose-sweetened (65 g) beverages taken as a mid-morning preload. (Tey et al. 2017, Eur J Clin Nutr)
10 healthy men
Mean 24-hour glucose, glucose iAUC and total AUC, and 24-hour glycemic variability did not differ significantly between the four beverages.
Randomized crossover study of 500 mL water or equisweet flavored waters with 25 g sucrose, sucralose, stevia extract, allulose plus stevia, or monk fruit extract; registered as NCT05575687; funded by Tate & Lyle PLC, which employed one author. (Smeets et al. 2026, Am J Clin Nutr)
30 healthy young adults
The primary outcome, hypothalamus blood flow, did not differ between drinks. In a midbrain reward area, the 30-minute change was lower after sucrose than after water, sucralose or monk fruit. Only sucrose raised glucose and insulin. The monk fruit drink was liked less and rated less sweet than the sucrose drink.
Randomized, double-blind crossover study of three monk fruit-based formulations containing fructooligosaccharides versus sucrose and sucralose, each as a drink followed by a standard meal; registered as TCTR20250512007; two authors are named inventors on a university-held patent for the formulations. (Aisara et al. 2026, Eur J Nutr)
30 healthy adults
For the primary glucose and insulin iAUCs, responses to the monk fruit formulations were lower than sucrose after the drink, similar after the meal and lower overall. Appetite and energy intake did not differ among sweeteners. Adverse events were mild, with diarrhea more frequent on the monk fruit formulations.
Double-blind, multicenter randomized crossover trial of 330 mL drinks with a mogroside V plus stevia rebaudioside M blend, two other sweetener blends, or 26 g sucrose before a carbohydrate-rich breakfast; registered as NCT04483180; one author was a Cargill employee. (Almiron-Roig et al. 2023, Appetite)
60 adults with overweight or obesity
All blends lowered the 2-hour insulin iAUC versus sucrose (p < 0.001), but only the rebaudioside A plus thaumatin and sucralose plus acesulfame K blends lowered the glucose iAUC. Energy intake over 24 hours did not differ, and gastrointestinal symptoms were mostly mild. The mogroside V arm was a blend, not monk fruit alone.
Randomized, double-blind trial of 30 mL of a 30% luo han guo decoction three times daily for 48 hours versus black tea, starting 6 hours after surgery; registered as ChiCTR-INR-17012203; no specific grant funding. (Tan et al. 2019, J Int Med Res)
203 women after tracheal intubation for laparoscopic radical hysterectomy for cervical cancer; 189 analyzed
Throat soreness scores were significantly lower with the decoction at 12, 24 and 48 hours, and cough and sputum were significantly less frequent at 48 hours, compared with black tea.