Is Maltodextrin Bad for Your Liver? What You Need to Know


If you’re wondering, “Is maltodextrin bad for your liver?” you’re not alone. It’s normal to be worried about food chemicals and how they might affect your health, especially when it comes to an organ as vital as your liver. Maltodextrin is often found in processed foods like sauces and snacks. Its impact on blood sugar, gut health, and even liver function is a topic of discussion. People who already have health problems like diabetes or fatty liver disease often find it hard to deal with these fears.
We understand how important it is to make informed choices for your well-being. This post will discuss the science behind maltodextrin, talk about possible harm it does to the liver, and give you useful tips. Backed by research and expert insights, we’re here to support you every step of the way.
Key Insights
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There are no direct studies on humans that show maltodextrin harms the liver
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Its high glycemic index and metabolic effects may indirectly play a role
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Resistant maltodextrin, a fiber form, often improves liver lipid profiles in animal studies
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Human safety trials show no adverse effects on liver enzymes or function at typical doses
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Blood sugar spikes and changes in the gut microbiome may stress metabolic health in a roundabout way, but the liver effects have not been studied yet
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People who have insulin resistance or NAFLD are more likely to develop metabolic syndrome, and should limit their intake of high-glycemic maltodextrin
What is Maltodextrin, and How Does it Affect Metabolism?
Maltodextrin is a common food additive, but how does it work in your body? It’s a white powder made from starch like:
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Corn
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Rice
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Potato
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Wheat
It’s often used as a thickener, filler, or preservative in many processed foods. It quickly releases glucose into your system because it’s easily digestible. This can dramatically change your blood sugar levels for the worse.
What Are Digestible vs Resistant Maltodextrin?
Maltodextrin comes in two primary forms: digestible and resistant. Like sugar, digestible maltodextrin is quickly broken down and digested. Resistant maltodextrin, on the other hand, acts more like a dietary fiber.
Digestible Maltodextrin
This form is produced through hydrolysis, a process that breaks down starch into smaller glucose chains. Its dextrose equivalent (DE) value indicates the extent of this breakdown; a higher DE signifies more simple sugars. Due to its quick absorption, digestible maltodextrin is frequently used in sports drinks and energy gels. Because of this, it can provide a rapid energy boost.
Resistant Maltodextrin
On the other hand, resistant maltodextrin is a soluble fiber that is hard for the small intestine to break down. It works as a prebiotic, feeding good bacteria in the gut and encouraging a better gut microbiome. This form is often added to fiber supplements and certain processed foods to enhance their fiber content.
Both forms are generally recognized as safe.
What is The Glycemic Impact and Insulin Response?
When you consume digestible maltodextrin, your blood sugar levels can rise quickly. This is because it has a high glycemic index (GI) of about 105-110, which is even higher than table sugar. This rapid rise in blood sugar triggers a strong insulin response from your pancreas.
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High glycemic index
The high GI means that glucose from maltodextrin enters your bloodstream very fast. This can be a concern for individuals managing blood sugar, such as those with diabetes or pre-diabetes. But it’s also why athletes use it for quick energy during intense workouts.
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Insulin response
The body releases insulin to move glucose from the blood into cells for energy or storage. Insulin resistance can happen over time if your body reacts strongly and often to insulin, especially when you eat foods that are high in GI. Insulin resistance is a key factor in the development of type 2 diabetes and non-alcoholic fatty liver disease (NAFLD). This is why understanding the glycemic impact is essential for overall metabolic health.
Can Maltodextrin Directly Harm Liver Cells or Function?
No direct human evidence shows that maltodextrin directly harms liver cells or their function. But the concern comes from its indirect effects on metabolism, which can impact liver health over time.
What Do Animal Or Observational Studies Show?
Animal studies offer some insights, but they don’t always translate directly to humans. In rat studies, digestible maltodextrin didn’t cause significant changes in liver weight. But resistant maltodextrin showed promising results, reducing liver triglycerides. This suggests a potential protective effect of the resistant form on liver fat accumulation.
Digestible Maltodextrin
According to studies, rats fed with digestible maltodextrin did not have liver weight gain, indicating that fat is building up. It means that digestible maltodextrin might not directly harm the liver in animal models when used alone.
Resistant Maltodextrin
In contrast, resistant maltodextrin has been shown to reduce liver triglycerides in animal models. This is important because high liver triglycerides are a hallmark of NAFLD. AMP-activated protein kinase (AMPK) is often involved in this protective action because it controls how cells use energy and burn fat. This is why resistant maltodextrin could be a beneficial dietary component for liver health.
Are There Case Reports or Liver Enzyme Elevations in Humans?
No written case reports of people who consume maltodextrin and then have their liver enzymes rise or their liver get damaged. There have been some concerns about how it might affect the gut bacteria. But these worries have not been directly linked to cases of liver enzyme problems.
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Lack of Direct Evidence
Maltodextrin has not been linked to any written case reports, so if it were a direct liver toxin, it would show up in the clinical settings. But this does not mean it’s entirely without risk, especially for specific populations.
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Gut microbiome connection
It has been noted that issues about maltodextrin’s potential effects are on the gut microbiome. The gut bacteria can become imbalanced, leading to systemic inflammation and metabolic dysfunction. It can have an indirect effect on liver health. But it’s important to note that these are indirect links. More research is needed to fully understand the complex interplay between maltodextrin, the gut, and the liver.
How Does Resistant Maltodextrin Impact Liver Fat and Enzymes?
One way that resistant maltodextrin might help improve liver health is by lowering fat in the liver and raising enzyme levels. The mechanisms involved suggest that this might be helpful for humans. But it has mostly been seen in studies with animals.
How Did Resistant Maltodextrin Affect ALT and AST in Studies?
Liver enzymes like Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) levels drop when resistant maltodextrin is mixed with food. These enzymes are markers of liver damage, so their reduction indicates improved liver health. It also led to improvements in liver fat accumulation.
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Enzyme reduction
Research on animals, especially those whose diets made their livers fat, has shown that resistant maltodextrin can lower high amounts of ALT and AST. This suggests a protective effect against liver cell injury. Because these enzymes are released into the blood when liver cells are damaged, their decrease is a positive sign.
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Liver fat improvement
Beyond enzyme levels, resistant maltodextrin also helps reduce liver fat. This is a critical finding, as excessive fat accumulation in the liver is the defining characteristic of NAFLD. Due to its ability to lower liver fat, resistant maltodextrin is being studied as a possible dietary intervention for controlling NAFLD.
What Mechanisms Are involved (e.g., AMPK Activation, Lipid Oxidation)?
Multiple chemical pathways are connected to the liver’s health benefits from resistant maltodextrin. These include the activation of AMP-activated protein kinase (AMPK) and the promotion of lipid oxidation.
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AMPK Activation–AMPK is a cellular energy sensor that plays a central role in metabolism. When activated, AMPK helps regulate glucose and lipid metabolism. Resistant maltodextrin can turn on AMPK, which helps the liver break down fat more quickly and stop fat from being made. This is a key mechanism for preventing and reversing fat accumulation.
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FAS inhibition–Fatty Acid Synthase (FAS) is an enzyme involved in the synthesis of fatty acids. AMPK activation, triggered by resistant maltodextrin, can inhibit FAS. This means less new fat is made in the liver.
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CPT-1α Upregulation–Fatty acids are burned for energy in the mitochondria, which is helped by an enzyme called CPT-1α. Resistant maltodextrin can increase the activity of CPT-1α, leading to more fat burned and less stored in the liver. Through these combined effects, resistant maltodextrin makes it easier for the liver to handle fats.
What Is The Evidence From Human Safety Studies and Clinical Trials?
Human safety studies and clinical trials have examined maltodextrin intake. Generally, they show that doses up to 70 grams per day are safe for 70 kg adults. These studies have not reported any adverse effects on liver enzymes or function.
What Were The Doses Used in Safety Trials?
Safety trials have used various doses of maltodextrin, with some studies administering up to 70 grams per day for a 70-kg adult within 12 weeks. Often, these studies included certain people, like those with non-insulin dependent diabetes mellitus (NIDDM) or high cholesterol.
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Dose range
The consistent findings across studies is that even at relatively high doses, maltodextrin did not cause harm to the liver. This is important because it provides a benchmark for what is considered a safe intake level in a controlled setting.
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Study population
By including individuals with pre-existing conditions like NIDDM and hyperlipidemia, researchers could assess the safety of maltodextrin in populations that might be more susceptible to metabolic changes. The lack of adverse findings in these groups supports the general safety of the product.
Were ALT and AST Monitored and Stable?
Yes, in many of these safety trials, liver enzymes like ALT and AST were carefully monitored. Research consistently revealed that these enzyme levels stayed the same, with no negative changes noted at any point in time.
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Enzyme stability
If ALT and AST levels remain stable, it is a good sign that maltodextrin does not hurt liver cells or cause inflammation at the doses that were tested. This directly addresses one of the primary concerns regarding its impact on liver health.
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Long-Term Monitoring
Multiple measurements of these enzymes over a period of weeks give a more complete picture than a single measurement. The sustained stability reinforces the safety profile of maltodextrin concerning liver function.
Any Adverse Events Reported?
Maltodextrin is generally recognized as safe. But several adverse effects have been reported, especially when taken in high amounts or by people with pre-existing conditions. Notable potential adverse effects include:
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Blood sugar spikes
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Gastrointestinal symptoms
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Altered gut microbiota and intestinal health
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Weight gain and metabolic risk
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Gluten concerns
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Low-grade inflammation
Nonetheless, no substantial evidence of acute toxicity, organ failure, or severe adverse events in otherwise healthy people consuming moderate amounts. However, those with diabetes, gut disorders, or at risk for metabolic problems should minimize intake and be aware of these possible adverse effects.
No routine monitoring is required in healthy individuals, but if gut or metabolic symptoms develop during high intake, clinical evaluation is advised.
When Should You Limit Maltodextrin Intake For Liver Health?
For most people, moderate consumption of maltodextrin is not a concern. But suppose you have certain health conditions, especially those related to metabolic health. In that case, it’s wise to minimize your intake of high-glycemic maltodextrin. This is because its rapid impact on blood sugar and insulin can worsen existing metabolic issues.
What Populations Should Avoid It?
Certain groups of people should be particularly mindful of their maltodextrin intake. People who have diabetes, pre-diabetes, NAFLD, or metabolic syndrome are included in this group. In these cases, keeping their blood sugar and insulin sensitivity in check is key to staying healthy and preventing the disease from worsening.
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Diabetes and Pre-Diabetes
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NAFLD patients
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Metabolic Syndrome
Recommended Intake Limits?
Maltodextrin doesn’t have a set daily limit, but it’s best to stay within moderate intake, especially for digestible types. A good approach is to keep the servings small, generally less than 10 grams per serving, and to favor resistant forms when possible. Spreading out the carbs you eat throughout the day can also help you control how your blood sugar reacts.
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Moderation is key
Since digestible maltodextrin is quickly absorbed, eating a lot of it at once can cause big changes in blood sugar. A smaller portion can help mitigate this effect.
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Favor resistant forms
Resistant maltodextrin, acting as a fiber, has a much different impact on the body. It doesn’t cause the same rapid blood sugar spike and can even offer benefits for the gut and liver health. If you care about your metabolic health, it’s best to choose goods with resistant maltodextrin over digestible forms.
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Distribute Intake
Avoid eating a lot of carbs all at once. Instead, eat them spread out over several meals. This will help your body better handle glucose. It also prevents sharp peaks in blood sugar and insulin.
Alternatives and Healthier Substitutes?
There are many healthy ingredients you can use instead of digestible maltodextrin if you want to cut down on how much you eat. Focusing on whole, unprocessed foods is always the best approach. But for specific uses, consider these options:
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Fiber sources (e.g., psyllium husk, pectin, guar gum)
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Natural starches (e.g., arrowroot powder, tapioca starch)
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Whole foods (unprocessed foods like fruits, veggies, whole grains, and lean proteins)
Quick Summary Box
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Maltodextrin is a common food additive, but its impact on liver health is mainly indirect through its metabolic effects
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Digestible maltodextrin has a high glycemic index, causing rapid blood sugar spikes and insulin responses
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Resistant maltodextrin acts as a fiber, potentially improving liver fat and enzyme levels in animal studies
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Human safety trials show maltodextrin is safe at typical doses, with no direct adverse effects on liver enzymes
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Individuals with diabetes, pre-diabetes, NAFLD, or metabolic syndrome should limit high-glycemic maltodextrin intake
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Healthier alternatives include natural fibers and starches, and prioritizing whole, unprocessed foods
Related Resources
Is Melatonin Bad for Your Liver? Its Safety in Liver Function
Kratom and Your Liver: Unpacking the Hidden Risks
Accurate at-home liver test for comprehensive health monitoring
References
Almutairi, R., Basson, A. R., Wearsh, P., Cominelli, F., & Rodriguez-Palacios, A. (2022). Validity of food additive maltodextrin as placebo and effects on human gut physiology: systematic review of placebo-controlled clinical trials. European Journal of Nutrition, 61(6). https://doi.org/10.1007/s00394-022-02802-5
Arnold, A. R., & Chassaing, B. (2019). Maltodextrin, Modern Stressor of the Intestinal Environment. Cellular and Molecular Gastroenterology and Hepatology, 7(2), 475–476. https://doi.org/10.1016/j.jcmgh.2018.09.014
Astina, J., & Sapwarobol, S. (2018). Resistant Maltodextrin and Metabolic Syndrome: A Review. Journal of the American College of Nutrition, 38(4), 380–385. https://doi.org/10.1080/07315724.2018.1523028
Hofman, D. L., van Buul, V. J., & Brouns, F. J. P. H. (2015). Nutrition, Health, and Regulatory Aspects of Digestible Maltodextrins. Critical Reviews in Food Science and Nutrition, 56(12), 2091–2100. https://doi.org/10.1080/10408398.2014.940415
Jensen-Urstad, A. P. L., & Semenkovich, C. F. (2012). Fatty acid synthase and liver triglyceride metabolism: Housekeeper or messenger? Biochimica et Biophysica Acta (BBA) - Molecular and Cell Biology of Lipids, 1821(5), 747–753. https://doi.org/10.1016/j.bbalip.2011.09.017
Kim, J., Yang, G., Kim, Y., Kim, J., & Ha, J. (2016). AMPK activators: mechanisms of action and physiological activities. Experimental & Molecular Medicine, 48(4), e224–e224. https://doi.org/10.1038/emm.2016.16
Kishimoto, Y., Kanahori, S., Sakano, K., & Ebihara, S. (2013). The maximum single dose of resistant maltodextrin that does not cause diarrhea in humans. Journal of Nutritional Science and Vitaminology, 59(4), 352–357. https://doi.org/10.3177/jnsv.59.352
Kishimoto, Y., Yoshikawa, Y., Shoko Miyazato, Oga, H., Yamada, T., Tagami, H., Hashizume, C., & Yamamoto, K. (2009). Effect of Resistant Maltodextrin on Digestion and Absorption of Lipids. Journal of Health Science, 55(5), 838–844. https://doi.org/10.1248/jhs.55.838
Liang, K. (2023). Mitochondrial CPT1A: Insights into structure, function, and basis for drug development. Frontiers in Pharmacology, 14. https://doi.org/10.3389/fphar.2023.1160440
Liu, S.-H., Chiu, C.-Y., Huang, L.-H., & Chiang, M.-T. (2019). Resistant Maltodextrin Ameliorates Altered Hepatic Lipid Homeostasis via Activation of AMP-Activated Protein Kinase in a High-Fat Diet-Fed Rat Model. Nutrients, 11(2), 291–291. https://doi.org/10.3390/nu11020291
Naimi, S., Viennois, E., Gewirtz, A. T., & Chassaing, B. (2021). Direct impact of commonly used dietary emulsifiers on human gut microbiota. Microbiome, 9(1). https://doi.org/10.1186/s40168-020-00996-6
Tiefenbacher, K. F. (2017, January 1). Chapter Two - Technology of Main Ingredients—Water and Flours (K. F. Tiefenbacher, Ed.). ScienceDirect; Academic Press. https://www.sciencedirect.com/science/article/pii/B9780128094389000028

Jaclyn P. Leyson-Azuela, RMT, MD, MPH, is a licensed General Practitioner and Public Health Expert. She currently serves as a physician in private practice, combining clinical care with her passion for preventive health and community wellness.