Benefits
Natural Sugar Substitute
Steviol glycosides are intensely sweet but supply no calories, so they can be used in place of sugar. This is a property of stevia sweeteners in general and has not been tested for Vitosa specifically. Swapping sugar for stevia lowers the sugar in a food; it is not itself a treatment for diabetes or for excess weight.
No Glycemic Impact
In one crossover trial, a stevia preload gave lower post-meal blood sugar and insulin than sugar (PMID 20303371); in another, blood sugar was no higher than with water (PMID 31842388). A pooled analysis of low-calorie sweetened drinks as a class, not stevia alone, found no rise versus water (PMID 36839408). Stevia avoids sugar's rise but did not lower blood sugar. FDA has not questioned GRAS notices for high-purity steviol glycosides.
Taste (Manufacturer Claim, Not a Health Benefit)
The manufacturer says Vitosa is refined to reduce the bitter, licorice-like aftertaste that some people notice with stevia. No published taste comparison of Vitosa against other stevia products was found, and taste is not a health benefit.
Heat-Stable for Cooking and Beverages
Steviol glycosides hold their sweetness when heated, so they can be used in baking and in processed drinks. This is a handling property of the ingredient for manufacturers, not a health effect for you.
Comes From a Plant Rather Than a Lab
Steviol glycosides are extracted from the stevia leaf rather than made synthetically like sucralose, aspartame or saccharin. Coming from a plant does not by itself make a sweetener healthier. The one cited study that compared them head to head (PMID 20303371) looked at food intake, fullness, blood sugar and insulin over one test day; fullness was similar, and insulin after the preload and the lunch that followed was lower with stevia than with aspartame.
Mechanism of action
Steviol Glycoside Sweetness
Stevia leaves contain steviol glycosides, which are naturally intensely sweet, roughly 200 to 400 times sweeter than table sugar. The body does not use them for energy, so they add no calories.
Bitter Receptor Considerations
Some steviol glycosides activate bitter taste receptors on the tongue, which is where stevia's aftertaste comes from. BGG says its purification lowers the bitter-tasting compounds in Vitosa. That is a manufacturer claim; no published measurement or comparison was found.
No Insulin Response
In one cited crossover trial, insulin measured after a stevia preload and the lunch that followed was lower than after a sugar or aspartame preload (PMID 20303371), and a pooled analysis of low-calorie sweetened drinks as a class, stevia among them, found no insulin rise versus water (PMID 36839408). Replacing sugar with stevia is a dietary swap, not a treatment for diabetes; people with diabetes should follow their clinician's advice.
Clinical trials
This entry summarises several separate studies of generic stevia extract and purified steviol glycosides. None of them tested Vitosa. The study linked below is a randomised controlled trial of stevia in people already diagnosed with type 2 diabetes (PMID 32257884).
In two short crossover trials, 19 healthy lean and 12 obese adults given preloads before lunch and dinner (PMID 20303371) and 30 participants with an average BMI of about 23 given a preload before lunch (PMID 31842388); people already diagnosed with type 2 diabetes in PMID 32257884; 174 Chinese adults with mild essential hypertension in PMID 14693305.
Post-meal blood sugar was lower after stevia than sugar in one crossover trial and no higher than after water in another. An eight-week diabetes trial found no change in fasting glucose, HbA1c or insulin with stevia tea versus sucralose. In the two-year hypertension trial, 1,500 mg a day of purified stevioside lowered average blood pressure from about 150/95 to 140/89 mmHg, significantly more than placebo: a drug-style dose in diagnosed patients, not a reason to expect change from sweetening a drink.