⚠️ Safety Verdict: Generally Safe (But Limit Intake)
E621 (MSG) is approved and generally safe for most people. Large scientific reviews found no serious health risks at normal consumption levels. However, some people report sensitivity symptoms (headaches, flushing). High intake may affect appetite regulation and weight gain.
💡 "Chinese Restaurant Syndrome" is Largely a Myth
The term "Chinese Restaurant Syndrome" originated from a 1968 letter (not a study!) claiming MSG caused symptoms after Chinese food.
Modern science verdict: Double-blind studies found no consistent link between MSG and these symptoms. When people don't know they're eating MSG, symptoms disappear. The "syndrome" appears to be largely psychological (nocebo effect) combined with other factors (high-fat meals, alcohol).
What is E621 (MSG)?
E621 is Monosodium Glutamate (MSG), the sodium salt of glutamic acid – an amino acid naturally found in many foods.
How it works:
- Enhances "umami" flavour – the savoury, meaty taste
- Activates glutamate receptors on the tongue
- Makes food taste richer and more satisfying
Why it's used:
- Intensifies savoury flavours in processed foods
- Reduces need for salt (30-40% less sodium possible)
- Cheap and effective flavour enhancer
- Masks off-flavours in low-quality ingredients
Where is MSG Found?
Processed Foods (Very Common):
- Crisps and flavoured snacks
- Instant noodles and ramen
- Stock cubes and gravy granules
- Packet soups and sauces
- Ready meals
- Processed meats (sausages, ham)
Restaurant Food:
- Chinese, Japanese, Korean cuisine (not always – depends on restaurant)
- Fast food (burgers, fried chicken)
- Pizza
Natural Sources (Glutamate):
Glutamate occurs naturally in many foods:
- Tomatoes (especially concentrated tomato paste)
- Parmesan cheese (very high glutamate)
- Soy sauce
- Mushrooms
- Seaweed (kombu – used to make MSG originally)
- Aged cheeses
- Cured meats
Is MSG Safe? What Does Science Say?
✅ Major Scientific Reviews:
- FDA (US): "Generally Recognized As Safe" (GRAS)
- EFSA (EU): Approved with ADI of 30mg per kg body weight
- WHO/FAO: No ADI needed – safe at normal levels
- Multiple large studies: Found no serious health risks at typical consumption
The "Chinese Restaurant Syndrome" Debunked:
In 1968, a doctor wrote a letter (not a peer-reviewed study) to the New England Journal of Medicine claiming symptoms after eating Chinese food. This sparked decades of MSG fear.
What science found:
- Double-blind studies: When people don't know they're eating MSG, symptoms disappear
- Placebo effect: People who think they're sensitive get symptoms from placebo MSG
- No consistent evidence: Symptoms don't reliably occur with MSG consumption
- Racist origins: The term unfairly stigmatized Chinese cuisine
Verdict: "Chinese Restaurant Syndrome" is not a real medical condition. Symptoms after Chinese food more likely due to large portions, high fat, alcohol, or other ingredients.
Real (But Rare) MSG Sensitivity:
A small percentage of people may genuinely experience mild symptoms from large doses of MSG on an empty stomach:
- Headache
- Facial flushing
- Sweating
- Chest tightness (rare)
Important: These symptoms are temporary and not dangerous. They typically occur only with very high doses (3+ grams on empty stomach).
Health Concerns (What to Actually Worry About)
1. Appetite Stimulation & Weight Gain
MSG may affect appetite regulation:
- Makes food taste better – you may eat more
- Some studies link high MSG intake to increased obesity risk
- May interfere with leptin signaling (fullness hormone)
Concern: Not toxic, but may contribute to overeating and weight gain.
2. Excitotoxicity (Overblown Concern)
Some claim MSG causes "excitotoxicity" – overstimulation of brain neurons:
- Theory: Excess glutamate damages brain cells
- Reality: Your brain has a blood-brain barrier that blocks dietary glutamate from entering the brain
- Verdict: No evidence MSG from food harms the brain in humans
3. Sodium Content
MSG contains sodium (about 12% by weight):
- Less than table salt (39% sodium)
- Can reduce overall sodium if used to replace salt
- Still adds sodium – consider if on low-sodium diet
Regulatory Status
UK/EU: Approved with ADI of 30mg per kg body weight
US: FDA "Generally Recognized As Safe" (GRAS)
Australia/New Zealand: Approved (Code 621)
Label requirement: Must be listed as "monosodium glutamate" or "E621" – can't be hidden
Who Should Limit MSG?
⚠️ Consider Limiting:
- People who report sensitivity – trust your body (even if it's placebo, avoid if it bothers you)
- Those watching weight – may increase appetite and food intake
- People on low-sodium diets – MSG adds sodium
✅ No Need to Avoid:
- Most people can consume MSG without issues
- Natural glutamate in tomatoes, cheese, etc. is chemically identical
MSG vs Natural Glutamate
Key fact: MSG is chemically identical to the glutamate naturally found in tomatoes, cheese, and mushrooms.
- Your body can't tell the difference between synthetic MSG and natural glutamate
- Both are metabolized the same way
- If MSG were truly harmful, so would Parmesan cheese and tomatoes
The Bottom Line
- ✅ Generally safe – approved by all major food safety agencies
- ✅ "Chinese Restaurant Syndrome" is a myth – debunked by science
- ⚠️ Small percentage report sensitivity – mild, temporary symptoms
- ⚠️ May increase appetite – concern for weight management
- ✅ Chemically identical to natural glutamate in cheese, tomatoes
- ✅ Can reduce sodium intake when used to replace salt
- ⚠️ Used to mask poor ingredients in ultra-processed foods
Our recommendation: MSG is safe for most people. The bigger concern is the ultra-processed foods that contain it. Focus on whole foods, and don't worry about the occasional packet of crisps with MSG. If you notice symptoms, limit intake – but know the science suggests it's likely other factors.
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Last updated: February 2026