Too much has a laxative effect
The small intestine does not absorb all of it. The rest reaches the large bowel, where it draws in water and gut bacteria ferment it, making gas. Above roughly 50g a day it reliably causes bloating, cramps, loose stools and diarrhoea. UK law requires a warning on any food where added polyols make up more than 10%.
25g of sorbitol a day, in two doses, caused no laxative effect in 86 people, while more than 50g a day caused diarrhoea.
1983ObservationalHyams JS, Journal of Pediatrics (widely cited clinical threshold figure)
UK and EU law require any food with more than 10% added polyols, sorbitol included, to say "Excessive consumption may have laxative effects".
LawAssimilated EU Regulation 1333/2008 (UK retained law); UK FSA approved-additives list
People with IBS react to much less
People with irritable bowel syndrome are often sensitive to a group of poorly absorbed carbohydrates known as FODMAPs, and sorbitol is one of them. Dietitians routinely cut it out for people on a low-FODMAP diet, and people with IBS can react at far less than the 50g that affects most people.
In randomised trials, cutting FODMAPs, including polyols such as sorbitol, clearly reduced IBS symptom scores compared with a control diet.
2010Randomised trial in peopleGibson PR & Shepherd SJ, Journal of Gastroenterology and Hepatology
Sorbitol is listed as a high-FODMAP food to restrict in low-FODMAP diet guidance for IBS.
Clinical guidanceMonash University FODMAP Diet guidelines; BDA (British Dietetic Association) IBS guidance