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Xylitol is a sugar alternative that looks and tastes like real sugar but contains less than 40% of the calories. Xylitol is a natural carbohydrate that is found in fibrous fruits and vegetables and approved for use as a sugar substitute in over 35 countries. Xylitol has been shown in studies to reduce plaque and cavities up to 80%. It is also known to boost the immune system, and in children, Xylitol has been found to reduce the incidence of middle ear infections by 40%. In addition, Xylitol has been shown to improve breath odor, retard loss of tooth enamel, reduce infections in the mouth and nasopharynx, and relieve dry mouth