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Dear Editor,
An important article with a treasure of references and good suggestions for additional reading.
I gather from the article, the references and suggested additional reading that:
* The sweeteners are added to tempt the buyer,
* Artificially sweetened food change intestinal microbiom,
* Artificially sweetened food and so called jink food causes problems including
- adverse effects on fertility,
- metabolic syndrome including obesity, diabetes mellitus, hypertension, coronary artery disease,
- such type of food may also increase generalized atherosclerosis,
- such food may increase incidence of cerebrovascular disease,
- such food may increase risk of malignancies.
There may be many other problems that I have not mentioned.
There are certain things that can be easily done, such as labeling of food and beverages which prominently list hazardous ingredients, enforcing advertising standards so that consumers are not lured(similar to what is done in case of tobacco products).
More difficult is the task of educating parents and future parents about harms of unhealthy foods and beverages. Sadly this needs to be undertaken with sincerity zeal and zest.
It is really sad to see parents and grandparents pampering children with packaged eatables and beverages of dubious health effects.

Arvind Joshi, MBBS MD FCGP FAMS FICP.