To Agave or Not? The Consensus On This Natural Sweetener

Recently, I’ve been asked frequently about agave – is it the greatest thing ever or as bad as that HFCS stuff?? So,I thought I would share some thoughts to help you make an informed decision.

When it comes to assessing the benefits / potential risks of agave syrup today there are two key issues to explore: 1)quality of product, 2) quantity consumed.

First, quality of product is critical to explore because, as with any manufactured  product, there is the potential for contaminants, and intentionally added ingredients which would jeopardize the quality of the end product thereby potentially creating health risks. For Nature’s Path cereals, I recently reviewed their agave suppliers product, and my review included the stated ingredients, the HAACCP (Hazard analysis and critical control points) review, a review of their glycemic index test, the organic standards labeling laws (their product is organic), and a third party laboratory test for contaminants. Based on this information [specifically noting that the product does not contain anything other than the agave juice, that it is not heated above 115 degrees F, that its Glyemic Index test number is 17 (qualifying as a low GI food), and that the product is approved for use not just in the US as organic but also in Europ and Canada], I concluded that I am extremely comfortable with this product, as opposed to other sweeteners can provide GMO ingredients, pesticides, or be artificial.

Second, the issue of quantity with any food is significant, but it seems to be the key piece with sweeteners and their negative impact on one’s health. The core difference between sugar and agave, is a higher content of fructose (commonly known as “fruit sugar”). A higher fructose content helps lower the glycemic index of agave nectar versus table sugar. A lower GI is good right? Well, yes and no; and here we return to the issue of quantity. High amounts of fructose have been shown to increase triglycerides (a part of blood cholesterol) in individuals with insulin resistance, and it may also be implicated in non-alcohol fatty liver disease. High amounts of glucose are implicated in insulin resistance, obesity, heart disease and challenging the immune system. From where I stand, neither one of these then sounds all that great, right? And yet, their is no evidence that small amounts of glucose or small amounts of fructose present these risks. One other food development issue may tip the balance in favor of agave and that is that it is sweeter than sugar so we are able to achieve a higher sweetness profile using less. So that net’s us out at small amounts of agave syrup which is lower GI than table sugar is not a health risk, and indeed may be better for many.

To conclude, I want to share my advice to clients seeking nutrition for optimal health. First, do your research on any ingredient that sounds to good to be true to identify best quality ingredients (I can help you with these types of investigations as that is what the AKA seal signifies a product or ingredient has undergone). Second, balance your sweet eats and drinks with sour, savory, and bitter as nature intended and that way you will keep your intake of sugars appropriate. And to that end, third, keep your intake of sugars appropriate by eating a diet of mostly foods as they are found in nature; when you eat a food product look for one with low amounts of added sugar, and abstain from adding your own. I often tell clients if you have to order a vanilla latte with agave or sugar or an artificial sweetener to enjoy the taste – guess what? you don’t really like the taste of coffee! Skip it, move on and have a vanilla tea and a piece of dark chocolate instead or another of nature’s treats and you will improve your health while still being satisfied.

About Ashley Koff R.D.

Ashley Koff is a registered dietitian (R.D.) who strives to make better nutrition a way of life for all. Koff has the proven ability to demystify the science of nutrition and communicate the importance of a healthy lifestyle to clients in a way that instills loyalty and trust. Never preachy, Koff’s clients truly admire her gentle and patient way of finding the correct and effective nutritional program to suit their individual needs. Her passionate style is effective, resulting in Koff being named by Citysearch as LA’s “Best Nutritionist” three years running.    Celebrity client Emily Deschanel attests: “Ashley is the most knowledgeable nutritionist that I have ever worked with. She really cares about her clients and wants them to have optimum health. Ashley helped me find a way to have lots of energy while working very long days. She's able to work around food intolerances and address different personal nutritional needs. It seems like there is nothing she doesn't know about nutrition.”  Koff launched AKA (ashleykoffapproved.com) in 2008 as a way to house all aspects of her private practice, nutritional endorsement opportunities, as well as her corporate consulting company (formerly the healthXchange). With AKA, consumers of all demographics can readily identify products that meet Koff’s standards for nutrition resulting in optimal health. Under the AKA umbrella, Koff also offers business-to-business consulting.  Koff is regularly sought after by the most trusted names in nutrition and medicine. She counsels patients on referral from Dr. Andrew Weil (Program in Integrative Medicine) and has served as guest faculty for PIM's fellowships. She is also the exclusive R.D. to patients of integrative medicine guru Dr. Soram Khalsa and receives referrals from the world-renowned Tao of Wellness. “Ashley is an instrumental player in the field of nutrition. I trust she will no doubt transform the industry; she sets the bar for what it means to be an influential and responsible leader in health and wellness,” says Dr. Andrew Weil.  Ashley Koff has authored her own book; Recipes for IBS (Fair Winds Press 2007), a cookbook and treatment plan for digestive wellness. Several pharmaceutical companies purchased the book as a resource for gastroenterologists worldwide. Koff was also hired by many of the same pharmaceutical companies for television and radio media tours on digestive wellness topics based on the content of her book.  Koff is in demand as a consultant to many authors debuting books next year:  Collaborating with celebrity trainer and fitness icon Kathy Kaehler, their highly anticipated 2009 book on “mom energy” will feature real life makeovers for moms of all ages.  The G-Free Diet:  A Gluten-Free Survival Guide (May 2009), written by The View’s Elisabeth Hasselbeck. Hasselbeck called upon Koff to be her R.D. expert on nutritional information because “her advice is so sensible and realistic, and that's what I want to offer my readers.”   Integrative Gastroenterology (fall 2009), Koff lends her knowledge to Dr. Andrew Weil's textbook look at dietary goals for IBS patients.  Food Cures, the 2008 Reader’s Digest publication that examines food-based remedies for the entire range of diseases and symptoms from A to Z. Koff was a consultant.  AKA’s client list includes entertainment studios, where Koff works to improve the quality of food selections on production sets and locations. In addition, Koff consults with The An Family Restaurants - home to Crustacean Beverly Hills – as they will soon launch new cafes nationwide. The An Family brought in Koff to identify menu items that support optimal immune function. Another client, Cedars-Sinai Medical Center in Los Angeles, brought Koff on staff as a dietitian from 2004 to 2007.  Koff’s R.D. expertise and extensive client base have led to her collaboration with numerous media outlets including The New York Times, Reader's Digest, CNN, Shape, InStyle, Yoga Journal, Teen Vogue, Women's Health, Natural Health, Allure, Entertainment Tonight, and Food & Wine. She also sits on the prestigious advisory board at Fitness magazine.  The daughter of a surgeon, Koff was privy to an insiders look at the art of medicine at a very young age. An intense curiosity, coupled with her interest in preventive healthcare, lead to Koff’s desire to personalize and improve her own health regime. Immediately, she was hooked on a path of dietetic education and independent study efforts to explore the healing practices of the world.   Educated at both Duke and New York Universities, Koff trained at LA+USC and Columbus Children's hospitals. Koff also completed integrative medicine coursework for certification as a certified clinical nutritionist (CCN).   Koff loves to travel and connect with people, learning from different cultures about alternative food and wellness practices. She enjoys comedy and satire, believing that using humor is one of the most effective learning methods – especially when it comes to nutrition. Koff's clients are drawn to her approachability and capacity to personalize implementation plans through a unique method of ongoing evaluation and feedback. They also value her joy of life, sense of humor, and her deep caring for their well-being.

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