A combined dietary chronic toxicity and two-year carcinogenicity study of (2R,4R)-monatin salt in Sprague-Dawley rats
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R,R-Monatin was tested in a combined one-year chronic toxicity and two-year carcinogenicity study in Sprague–Dawley rats.

R,R-Monatin was offered ad libitum in the diet of Sprague–Dawley rats at 0, 5000, 20,000, or 40,000 ppm.

Long-term ingestion of R,R-monatin (up to two years) resulted in significant effects predominantly on the urinary system.

No evidence of carcinogenicity was detected in rats fed R,R-monatin in the diet for up to two years.

The NOAEL was considered 20,000 ppm for the chronic toxicity phase and 5000 ppm for the carcinogenicity phase.

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