So I've rounded up a staggering 50 acid reflux-friendly dessert recipes, which include cookies, bars, pies, scones, cakes, and donuts. Glycemic Index - How is the sweetener affecting my blood sugar levels? Learn more about these certifications and what they mean about your food. This is thebest vegan multivitamin Ive foundin my 14 years of being vegan. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Because of that, its best to consume snacks like cookies and cakes very rarely, especially if your acid reflux symptoms are severe. Learn how a yoga practice can help improve mental health and lead to better sleep. You can purchase saccharin from the sugar aisle in any supermarket and it comes in little 'tablets.'. Cut your veggies into matchsticks and try to get a variety of vegetables onto your snack plate. Snacking and mealtime can be stressful if you suffer from gastroesophageal reflux disease (GERD). Unlike other poorly-absorbed sweeteners, though, it does not draw water into the bowel through osmosis and shouldn't cause diarrhea. Stevia in packet, drops or plant form is a dietitian favorite. This apple crisp recipe from theClean Eating Couple, which calls for oats, nuts, cinnamon, ground ginger, and nutmeg, doesnt contain any common heartburn triggers. Here is a simple 3-step plan to stop these. The almond is a popular tree nut that is loaded with important nutrients. You'll find lots of classic desserts, such as apple pie and gingersnaps, as well as more unique desserts, such as raspberry bars and Greek butter cookies. Healthy people can eat sugar in small amounts without any harm. Erythritol doesnt spike your blood sugar or insulin levels, nor does it affect levels of blood fats like cholesterol or triglycerides (5, 6). Some sweet snacks that can help you prevent any severe acid reflux symptoms include: As you can imagine, the healthiest snacks for acid reflux are fruits. What kind of tea is good for acid reflux. Stevia contains chemicals that are 200-300 times sweeter . Monkfruit extract (luo han go) Aspartame (Equal) Saccharin (Sweet'n . Yacon syrup is very high in fructooligosaccharides, which feed the good bacteria in your intestines. Add the crushed tomatoes and tsp baking soda and stir. Artificial sweeteners like aspartame have received a lot of negative publicity. ", Sucralose is an artificial compound made from sugar, of which only 15 percent is absorbable in our guts; the 85 percent that isn't absorbed is not fermentable by our resident bacteria. Add your chopped fresh basil (optional), stir, and simmer for 5 more minutes. All rights reserved. What Are the Benefits of Drinking Hot Water. We do not endorse non-Cleveland Clinic products or services. Bottom line, when it comes to your waistline, weight and blood sugars, all natural sweeteners behave like sugar. Theyre low in calories, low in fructose, and taste very sweet. Dates are one of the sweetest fruits, and date syrup gives you that natural sweetness in syrup form! The main ones are stevioside and rebaudioside A. . This guide to the best eating plans for people with diabetes can help you decide on a plan. The Complete Idiots Guide to Vegan Cooking states: Although many people think of honey as a terrific pure and natural sweetener, the fact that it comes from bees, who work hard to collect nectar and regurgitate it as food for their colony, makes it a nonvegan product.. Coming in at the number one way to sweeten your food and drinks is by using fresh or frozen fruit. My favorite protein powder is this chocolate flavor of Orgain (thats an Amazon link). Helps reduce cholesterol; contains antioxidants that promote healing; reduces inflammation; promotes healthy digestion. My patients are often surprised when I tell them that white ("refined" or "table") sugar makes this list. You can find a full list of all food additives, including all sweeteners, authorised for use in Great Britain on the . Dont eat too much at a time, though, as it can cause digestive problems. But there are many other snack choices that can help you satisfy your craving for salty snacks. . Remove the pan from the heat source when the sauce is ready. This low-acid root veggie is a great choice for heartburn . Navigating the wide world of eating plans can be a challenge, especially for people who have been diagnosed with diabetes. Apples are a fruit that is often safe for GERD sufferers to eat. Get creative with these snack foods; sprinkle them on peanut butter toast or add them to your oatmeal, too! Dark chocolate, which is indeed the healthiest of all types . Unlike refined sugar, sweet potatoes are naturally sweet, are unprocessed, and make your skin glow plus, they have a multitude of magical benefits over traditional white potatoes. Pour the yeast mixture into the flour and set the electric mixer to medium speed for 5 minutes, stopping to scrape down the sides at least once. Popular berries used to sweeten oatmeal are blueberries, raspberries, blackberries, and strawberries. If you suffer from any digestive system issue, you know how hard it can be to find snacks that wont worsen it. This is a detailed article about almonds and their health benefits. When I cut down on added sugars and sweeteners, I started enjoying the natural sweetness of fresh berries and melon, Taylor says. Just be aware that licorice root is a mild laxative. Its delicious and super healthy, even including inulin for fiber, and its sweetened with stevia and erythritol, which are both healthy, as covered above. Its a sugar alcohol found naturally in certain fruits. Watermelon. Like milk, yogurt acts as a temporary buffer, soothing heartburn symptoms. 4. Sucrose (white sugar, table sugar, cane syrup, maple syrup) Maltose (brown rice syrup) Stevia. Nut and seed butters. In the end, its best to follow a balanced approach to your diet, which involves enjoying your favorite foods on occasion. You're sure to find something that appeals to your . This recipe from the blog Sugar Spun Run helpfully gives detailed instructions to ensure the end product turns out fluffy and satisfying. Finish eating three hours before you go to bed. How do you like to get your sweet on with a little honey in your tea? Agave nectar provides fewer nutrients than raw honey or pure maple syrup. It also calls for cinnamon, which is often a good substitute for chocolate or mint desserts and makes a sweet treat more GERD friendly, Flora says. How to Make Healthy and Delicious Smoothies, Quick Snacks To Help Kick Your Sugar Craving, 6 Sore Throat Remedies That Actually Work. Often, patients respond well to a combination of lifestyle changes and a medication regimen. The content on IAmGoingVegan.com is intended only for informational and educational purposes. GERD trigger foods vary from person to person, but there are certain foods that tend to be more common triggers, says Everyday Health's dietitian,Kelly Kennedy, RD. Let sit for 5 minutes before stirring in extra-virgin olive oil. Carrots, sweet potatoes, cauliflower, broccoli, squash, and Brussels sprouts work well. Most flavored granola bars, yogurts and cereals already contain around 12 grams (1 tablespoon) of added sugar per serving, Taylor says. The sweetener war has been raging for decades, though the battlefront shifts often from debates over sugar versus fructose, refined versus unrefined, natural sweeteners versus artificial, caloric versus non-caloric and more. This no-calorie sweetener can't be digested by either people or bacteria, so it won't cause bloating or gas or aggravate heartburn. Licorice root is one of the best, as it helps to increase the mucus coating in your esophagus, which helps to protect your stomach lining and tone down the effects of stomach acid. 1. The fruit contains mogrosides: compounds that are 200 to 300 times sweeter than table sugar. If you're looking for a zero-calorie, zero-carb sugar alternative, Lakanto's Monkfruit Sweetener is a good choice. Grenache. The ones we like the best are ginger tea, chamomile tea, licorice tea, marshmallow root tea, turmeric tea, fennel tea, and slippery elm tea. an unpleasant sour taste in your mouth, caused by stomach acid. National Library of Medicines list Tomato sauce may bother you, but a fresh tomato may not. Summary. Lower or no calorie sweeteners are substances used instead of sugar to sweeten foods and drinks. This article is based on scientific evidence, written by experts and fact checked by experts. Aside from being generally low acid, it becomes almost impossible to attain a high level of acidity when . What about other natural sugar substitutes like honey? Between coffee and chocolate, chocolate is often times worse for acid reflux. 4. of signs you need emergency medical attention or call 911. Wear loose-fitting clothing. Learn more about this way of eating and how it stacks up against the Mediterranean diet. The publisher of this content does not take responsibility for possible health consequences of any persons applying the information in this educational content. It's an incredibly versatile sweetener regardless of your use case. Contains many nutrients, vitamins, and minerals, such as fiber, protein, potassium, and magnesium; has disease-fighting antioxidants; can improve brain function; aids in bone health and blood-sugar control. While it can be hard to think about forgoing chocolate and peppermint during the holiday season, there are a number of traditional holiday flavors that can fit in perfectly with a GERD-friendly diet, Kennedy says. The best drink for anyone with acid reflux is good old-fashioned water. Its a matter of debate, but the most traditional answer would be no, honey is not vegan. It has vitamin B12, vitamin D, omega-3and nothing else. Muesli-Style Oatmeal. Eat + Run is here to help, with expert advice served up daily. Sugar substitutes. Whole foods, such as fruits and vegetables, usually have the best mix of nutrients for the body. [See: These Healthy Seasonings Are Tasty Substitutes for Sugar and Salt.]. For example, choosing low-fat, low-sugar snacks can help you control your acid reflux symptoms. Insert a stick and freeze. Although excess sugar and sweeteners are typically not recommended in a reflux diet . Also discover some foods that may contain them. She has a public health degree and units in nutrition and dietetics. This article reviews all you need to. The best alcohol for acid reflux are as I mentioned vodka and gin whereas most of the other alcohols like bear, wine etc all tend to be very acidic. Remember, GERD is an individual disease. It is generally believed that wines from warm climates are less acidic. 5. Read myfull review of Future Kinds multivitamin here(with 10% discount). However, unlike the fructose that is found naturally in fruits, agave contains a highly concentrated . Blend low-fat yogurt with cucumber and basil, or saut mushrooms in a little olive . Best Continuing Care Retirement Community (CCRC), Best Medicare Advantage Plan Companies 2023, Best Medicare Part D Prescription Drug Plan Companies 2023, These Healthy Seasonings Are Tasty Substitutes for Sugar and Salt, Center for Science in the Public Interest, What to Eat, Drink and Do to Relieve Constipation, Find Continuing Care Retirement Communites, Sucrose (white sugar, table sugar, cane syrup, maple syrup), Fructose (including high-fructose corn syrup, agave nectar and honey). Its another nice warm alternative to oatmeal that can be sweetened in a lot of the same healthy ways. 6. Instant pudding. ), 20 Common Acidic Foods to Avoid If You Suffer from Acid Reflux, Oatmeal with fruit or other high-fiber cereal, Veggie smoothies (avocado, spinach, etc. This is because it takes your stomach a long time to digest certain foods, so sleeping with a full stomach may cause indigestion and heartburn. Some sweet snacks that can help you prevent any severe acid reflux symptoms include: Non-citrus fruits. Our goal isnt to get added sugar intake down to zero because that isnt realistic, Taylor says. While cheesecake is typically a no-no for people with frequent heartburn, several aspects of this recipe from the Cleveland Clinic make it GERD-friendly. Luckily, you can sweeten oatmeal in many ways using fruits and berries, nut and seed butters, syrups and nectars, some artificial sweeteners, and protein powders. Here are 18 healthy ways to sweeten oatmeal without sugar: Oatmeal is an incredibly popular breakfast food staple, and it is a very healthy one. Improves digestive health; includes complex carbohydrates to help manage diabetes; includes energy-boosting nutrients; aids in bone health; increases circulation. The texture ends up better for some reason, in my opinion. Yet, this same research concluded that theres not enough evidence to determine the safety of monk fruit extract as a food additive (18). angel food cake. 4. Nutrient Quality - How "empty" is my sweetener? In fact, smoothies are an amazing snack as long as you dont put the wrong things into them. Sometimes called sorghum molasses. Not only does it contain zero calories, but stevia-based sweeteners are herbal as opposed to artificial. Our team of licensed nutritionists and dietitians strive to be objective, unbiased, honest and to present both sides of the argument. Food isnt the only place where added sugar hides. For example, if you experience symptoms of acid reflux or GERD, you may find that most common snacks have acid-forming properties, which means they may aggravate your symptoms. Erythritol tastes very much like sugar, although it can have a mild aftertaste. It's a powerful anti-inflammatory that can help relieve gastroesophageal irritation from exposure to acids and soothe the stomach in general. Rizzo says eating a diet full of green vegetables is the best diet for combating acid reflux, especially broccoli. What is the best wine to drink if you have acid reflux? Learn the names of 56 different types of sugar, such as sucrose and agave nectar. What matters more is making sure sweeteners of any kind aren't such a big part of your diet that your overall health suffers. Your food triggers may differ from others, so be sure to avoid any dessert with an ingredient that exacerbates your condition. Its harvested from the yacon plant, which grows natively in the Andes in South America. You may also have: a cough or hiccups that keep coming back. Furthermore, research shows that xylitol can increase levels of several compounds in the digestive tract to help support your gut microbiome (12). Healthfulness considerations aside, though, different sweeteners affect the gastrointestinal tract differently a point that should also be taken into account when figuring out which type is right for you. However, other vegans feel that eating honey is acceptable because bees may not even experience pain in the same way other animals do. But, if you suffer from acid reflux or GERD, these foods may make you feel worse and cause heartburn, among other issues. Reducing your intake of refined sugar can be tough, but given how incredibly harmful sugar can be, its definitely worth the effort (1). Heartburn is caused by acid reflux, a common health problem that causes a burning feeling. Avoiding citrus juices, carbonated beverages, and . Look for foods that arent personal triggers for you and enjoy them in small amounts.. Meanwhile, there is no strong evidence that diet drinks are a cause of cancer in humans. Its also important to follow a well-balanced diet rich in nutrients that help you counteract the acidity in foods. Xylitol is a sugar alcohol with a sweetness similar to that of sugar. Note: Honey should not be given to infants because it may contain botulism bacteria spores, a serious health hazard for babies. Uncomfortable symptoms like heartburn, chest pain, and regurgitation can be brought on by a number of foods, according to the Cleveland Clinic. Theyre all still forms of sugar and are high in calories, so use no more than 1 to 2 teaspoons per day, Taylor says. A lot of people dont realize you can buy protein powder with food stamps online. That last point is especially important, as large, heavy meals can also trigger GERD symptoms, according to the American Academy of Allergy, Asthma, and Immunology. especially artichoke, leafy greens, carrots, squash, sweet potatoes, asparagus, green beans, peas, cucumber and fennel (just be careful of tomatoes . Thats when my sugar cravings started to fade.. Keep in mind that erythritol is much less likely to cause digestive issues than other sugar alcohols such as xylitol (8). Its also a good idea to avoid snacking and eating in general for about two hours before bed or even longer. Chocolate - This treat has a trifecta of acid reflux problems . If youre concerned about added sugar intake, its important to focus on the totality of your diet. The crisp, tangy, juiciness of the apple complements the saltiness of the nut butter extremely well. Carbonated beverages - The bubbles expand in your stomach, creating more pressure and pain. You can also make your own applesauce. Coconut flesh and flakes. Its also important to control how many snacks you consume, even if theyre relatively healthy. Elevating your head and chest higher than your feet as you sleep can help prevent and ease acid reflux and heartburn. Try sweetening oatmeal by mixing in banana or applesauce, adding berries to plain Greek yogurt and sweetening smoothies with frozen fruit. Fig. According to some animal studies, it may also improve bone density, helping prevent osteoporosis (11). Erythritol is a very sweet and low calorie sugar alcohol. You can add more baking soda as you deem fit. The red and green from the cranberry and pistachios also make these cookies some of the most festive treats you can serve this holiday season. Erythritol. Keep in mind that fatty foods and those with large amounts of butter could trigger GERD symptoms. Agave nectar is high in calories, carbohydrates and sugar, with about 21 calories per teaspoon or approximately 60 calories per tablespoon. THE BEST LUMBAR WEDGE PILLOW - IDEAL FOR ACID REFLUX, NECK PAIN, RESPIRATORY PROBLEMS, SNORING, GERD, HEARTBURN, COLD & SINUS AND MORE: The RS6 WEDGE PILLOW is manufactured from the HIGHEST QUALITY MEMORY FOAM from the best memory foam manufacturers IN THE WORLD. This burning sensation in the chest occurs when stomach contents mo. If you dont like the cocoa powder, just the bananas and cinnamon are great by themselves, too. 2. Distilled spirits, such as vodka or whiskey, can help prevent acid reflux. (Can They be Good?? These foods may help keep heartburn at bay. Much of the sugar in the American diet is found in processed and sweetened pre-made food and beverages. So, as you can see, snacking may have very negative effects. Learn more here.As an Amazon Associate, I earn from qualifying purchases. Sugar by itself does not cause acid reflux, despite the fact that it is often contained in trigger foods and beverages. They may still lead to weight gain and increased hunger. Some protein powders that you can use are pea protein, hemp protein, and plant protein powders. Potential benefits: Monk fruit may be a healthy sugar substitute to try if you're looking to restrict calories. How to Bake Brownies in a Convection Oven, Dr. Gourmet: GERD/Acid Reflux Safe Recipes: Desserts, NIDDK: Gastroesophageal Reflux (GER) and Gastroesophageal Reflux Disease (GERD) in Adults, Jackson Siegelbaum Gastroenterology; Gastroesophageal Reflux Disease; Frank W. Jackson, MD. Celery. Drink plain water! Acid reflux is a common health condition that can cause the burning sensation known as heartburn. "They help stabilize blood sugar because they are rich in fiber and are nutrient-dense," says Catalano, who uses them in brownie recipes as a substitute for . Has a low glycemic index value, which makes it a good choice for diabetics; a natural sweetener that is much sweeter than sugar. 2. Helps to manage diabetes; controls cholesterol levels; increases weight loss; improves digestion with prebiotic oligosaccharides; improves liver health. Do Artificial Sweeteners Harm Your Good Gut Bacteria? Many are sweet enough to satisfy a craving, but are less likely to irritate your GERD and make you uncomfortable. Almond butter, cashew butter, and sunflower seed butter are just a few. 1. Acid reflux, often referred to as heartburn, is one of the most common digestive complaints, affecting approximately one in five UK adults. One thing to remember when choosing a protein powder for your oatmeal is that there are many different types of protein powders, and some are not considered vegan. Sugar alcohols are not a weight management silver bullet. Drink flat water instead of sparkling water. Although theres limited research on the effects of monk fruit in humans, its generally considered safe and hasnt been associated with any negative side effects (21). Monster Energy Zero Ultra is unquestionably one of the most popular energy drinks on the market today. Has a low glycemic index; a good source of amino acids, B vitamins, magnesium, potassium, and iron (only some brands). If you have prediabetes or diabetes, artificial sweeteners and stevia are preferable to real sugar. Unrefined Sweeteners - Sweeteners such as maple syrup, honey, fruit jams, and compotes should be used sparingly as a replacement for refined sugars. It also contains compounds with anti-inflammatory properties. Look for reduced-fat or fat-free versions of your favorite cookies. Studies say that its because your body uses most of its energy to digest the food youve consumed, which prevents you from entering the deep sleep stage, which is essential for you to be well-rested. Contains many nutrients like selenium, magnesium, and potassium; provides medium-chain triglycerides (MCTs), which are fats that are rapidly converted to energy and promote fat loss; contains powerful antioxidants considered to be heart-healthy; can promote blood-sugar control. Advertising on our site helps support our mission. It's also gentle on your stomach, decreasing the odds for digestive discomfort from GERD or other problems, per University Hospitals. Non-fat Greek yogurt. Along with stevia, monk fruit is the other . Plus, youll get a bit of protein from this snack, too! The 56 Most Common Names for Sugar (Some Are Tricky), 9 Evidence-Based Health Benefits of Almonds, Glycemic Index: What It Is and How to Use It. Drinks such as ginger tea, certain fruit and vegetable juices, and plant-based milks may benefit people experiencing acid reflux and heartburn. Also, according to The Tasting Group, white wines tend to be higher in acid, so perhaps it is the white wine that is worse . Among the non-caloric sweeteners, there are examples of both natural and artificial sweeteners that pass through the digestive process without stirring up any drama. ), [See: 10 Weird Things That Can Make You Poop.]. How can you break your habit? Whey protein and casein protein are both derived from milk, and egg protein is derived from eggs. . Choosing nutritious, naturally sweet options like fruit and nut butter is a good choice when craving something sweet. You may have felt this burning sensation after eating a particular food. Its entirely possible to enjoy your favorite sweet foods on occasion without harming your overall health, as long as your diet mostly comprises nutrient-dense, whole foods. Ginger is one of the best digestive aids because of its medicinal . As an Amazon Associate I earn from qualifying purchases. Oat milk has a creamy texture and a nutty flavor. The "best sweetener for gut health" is a question . The main symptoms of acid reflux are: heartburn - a burning sensation in the middle of your chest. Sweet snacks, such as chocolate or donuts, are often our first go-to when looking for something to satisfy our sweet tooth. While many health professionals will advise you to stay away from artificial sweeteners, there are actually three artificial sweeteners that are generally considered healthy sugar replacements. This recipe from the Cleveland Clinic is also a smart option for people who get frequent heartburn. For a quick and easy sweet treat, Taylor suggests mixing 1 teaspoon of the sweetener with plain Greek yogurt and peanut butter. Citrus-flavored yogurts may cause your GERD symptoms to flare, so stick to those that don't contain oranges, pineapples, limes or lemons. Its extracted from the leaves of a plant called Stevia rebaudiana. You don't have to skip a sweet treat at the end of a meal, but choosing those that are easier on your GERD will reduce symptoms. 4. To be clear, I'm not suggesting that doing so is necessarily healthy. Stevia is a very popular low calorie sweetener. It is also thought to help the body to cope with . Did you know? First, it uses reduced-fat cream cheese and ricotta instead of their higher-fat counterparts. 1 to 2 bananas (your choice depending on how sweet you like it). Choose plain water or decaf iced tea. You'll find it in many sugar-free or low-carb sweets and in most so-called "healthy ice creams. While at the grocery store, start a habit of reading labels. Sweet Potatoes. It is a dairy- free milk alternative that is made by soaking oats in water and then blending them into a milk-like consistency. Luckily, there are some foods that you can still snack on without worrying about feeling bad afterwards. It's a sugar . Individuals with GERD should be mindful of choosing recipes with low-fat ingredients, says Bailey Flora, RD, a registered dietitian with Cleveland Clinic's Center for Human Nutrition. Adding protein powder to your oatmeal adds protein and extra fiber to your oatmeal. Apples, berries, melon, bananas, peaches and pears are all options that most people can tolerate. Many sugary drinks contain about 40 grams of added sugar per serving.. Where does your favorite sweetener line up? Americans need to work hard to drastically reduce sugar intake to support healthy weights and decrease our risk for chronic conditions like cancer, diabetes and heart disease., Cleveland Clinic is a non-profit academic medical center. However, like other sugar alcohols, it can cause digestive side effects, including abdominal gas and diarrhea, at high doses (13). Traditional salty snacks like chips and French fries arent particularly good for people struggling with acid reflux or GERD. While most people put a spread of butter underneath their jam, you may want to avoid the high-fat spreads. gelatin from allowed food (such as animal bones) These types of food don't contain too much fat, which means that they won't aggravate any symptoms. Nuts and seeds are a great way to give yourself a delicious boost of energy. Video of the Day. If you dont want to forget any of these sweet oatmeal ideas, save the Pin below to your Pinterest healthy breakfast or vegan food board! Monk fruit is free of carbs and calories and may help support better blood sugar management. But if you have acid reflux and are struggling to manage it, then chocolate is definitely something you'll want to cut out of your diet. The numbers in the parentheses (1, 2, 3) are clickable links to peer-reviewed scientific papers. There's a big difference between the stevia sweetener you buy at the grocery store and the raw product. Sugar can also lead to weight gain since eating sugary snacks makes you crave them even more. Sugar Type - Glucose, Fructose, Lactose, Sucrose, Maltose . low-fat cookies. What snacks should you avoid on acid reflux? Stevia is a natural, zero-calorie sweetener that may help lower both your blood pressure and blood sugar levels. For sugar and sweeteners, consider the following factors: 1. ), Are Pastries Acidic? Researchers also took a look at extracts from the fruit, Luo Han Guo, also known as monk fruit. Place the olive oil in a pan over high heat, add the sweet potatoes, and cook until golden brown on all sides. Saccharin is a low FODMAP sweetener which is popular to have for many in their tea. Thats true whether its in soda, sweet tea, fruit drinks, packs of sugar or sugar substitute for coffee or tea, or artificially sweetened flavor packets for water, Taylor says. Keeping your head higher than your stomach helps reduce this pressure. Its a sugar alcohol containing about 2.4 calories per gram and may have some benefits for dental and digestive health. This category contains sweeteners whose digestive tolerability depends heavily on who's doing the consuming. This recipe also avoids citrus fruits or juices that might irritate some reflux symptoms., Nutrition per serving (serves 8; cup per serving): 130 calories, 0.2g total fat (0g saturated fat), 0.9g protein, 32.8g carbohydrates, 3.5g fiber, 24.8g sugar, 2.8mg sodium. Adjust your sleep position. However, enzymes can remove the extracts. Health.com recommends a . In the end, whether you eat honey is a matter of personal choiceits up to you. The "ols" are a family of very low-calorie sweeteners that can be both naturally derived (xylitol comes from wood pulp; sorbitol occurs naturally in many fruits) or synthesized in a lab.