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Is Polyethylene Glycol (PEG) Toxic? A Look at Its Known and Emerging Side Effects

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  3. Is Polyethylene Glycol (PEG) Toxic?…
Polyethylene Glycol

Take a peek in your make-up bag, at the lotion in your bathroom cupboard, or the bottle of shampoo in your shower. Chances are, if you scroll through the list of ingredients, you’ll likely find the abbreviation “PEG” somewhere on that list.

PEG stands for polyethylene glycol and is a compound you can find lurking in more places than you might think. But just how safe is polyethylene glycol?

Today we’re going to explore not only some of the known and well-documented side effects of this compound – but we’re also going to look at some of the emerging and speculated side effects that may have a significant impact on its future use. Let’s dive in.

What Is Polyethylene Glycol?

Polyethylene glycol, or PEG for short, is a type of compound that’s derived from the by-products produced during the refinement of petroleum, natural gas, or coal.1 Polyethylene glycol is not a single chemical entity in and of itself. Rather it’s a category of compounds in which polyethylene and glycol have been bonded together. 

Different forms of polyethylene glycol are usually delineated by placing a number after the abbreviation “PEG,” such as PEG-100, PEG-3350, and so on. This number represents the molecular weight of that specific compound. 

Polyethylene glycol compounds are what’s known as hydrophilic – meaning they dissolve in water and tend to attract water.2 Because of its hydrophilic properties, polyethylene glycol has been utilized in many day-to-day products. Let’s explore some of the common uses for polyethylene glycol.

Polyethylene Glycol Uses 

So what exactly is polyethylene glycol used for? Polyethylene glycol can be highly useful and is found in a wide range of products such as:

Osmotic Laxatives: 

One of the most widespread uses of PEG is in a class of medications known as osmotic laxatives, which are used to treat constipation. Because of PEG’s hydrophilic nature, it can draw fluid into the intestines and help hydrate stool. This allows for easier passage during bowel movements. 

When used as a laxative, polyethylene glycol is typically taken in powder form mixed with water or juice and can be found under various names including:3

  • ClearLax
  • GaviLAX 
  • Gialax
  • GlycoLax
  • HealthyLax
  • MiraLax
  • PEG3350
  • Sunmark ClearLax

But polyethylene glycol can also be found in more inconspicuous places. 

Personal Care Products:

Because of their affinity for dissolving in and attracting water, PEGs are regularly utilized in cosmetics as:4,5

  • Emollients: Which help lubricate and soften skin or hair
  • Emulsifiers: Which act as an agent to help water-based and oil-based ingredients combine properly
  • Depth enhancers: Serving as a vehicle to help other ingredients penetrate into deeper levels of the skin or hair

Polyethylene glycol’s hydrophilic properties make it a highly practical compound in countless cosmetic and personal care products – from make-up to hair shampoo, and from anti-aging creams to baby wipes.

In topical application, I do not believe there is a concern about use of PEG. In fact I use my own clean beauty products, like the Dr. Jill Biopeptide Beauty cream that contains trace PEG daily.

Pharmaceuticals:

PEG is also widely used in the production of pharmaceutical products, including:6

  • As bases for ointments and creams
  • As vehicles within drug capsules
  • Binders in tablets and pills 
  • Suppositories
  • Suspension aids in liquid prescriptions
  • As cell-penetrating enhancers in vaccines

While found extensively in personal use products like prescriptions, cosmetics, and soaps, PEG can also be found in other places.

Industrial Uses:

PEG can be found in a variety of industrial processes and products, such as:7

  • Wood preservation
  • Printing
  • Chemical mixtures
  • Textiles
  • Leather processing
  • Plastics
  • Resins
  • Paper
  • Ceramics
  • Glass
  • Rubber

There’s no denying that polyethylene glycol is incredibly useful, but it has also been stirring up some controversy – having been linked to some undesirable effects with frequent ingestion or from contamination… read more below.

So, Is Polyethylene Glycol Toxic to Humans?

The answer to this question is – it’s complicated. You see, polyethylene glycol derivatives in and of themselves are not necessarily toxic or dangerous. The real concern surrounding polyethylene glycol is three-fold:

  1. Pollution: The process to produce polyethylene glycol requires a chemical reaction known as ethoxylation and the use of compounds known as ethylene oxide and 1,4-dioxane – two chemicals that have well-documented toxic effects on humans.
  2. Contamination: PEGs are widely utilized for their ability to enhance penetration and absorption. But this also means that prolonged use or high doses of PEG can significantly enhance your body’s absorption of other toxins and harmful compounds that are found alongside PEGs or within the environment. 
  3. Lack of studies: Because polyethylene glycol has numerous derivatives and molecular weights, extensive studies have only been conducted on a handful of different PEG compounds. There is limited information on the real impact of PEGs as a whole and more PEG toxicity research is needed to truly understand this compound’s effects on the human body.

Despite a lack of studies or a clear picture of the exact impact PEG compounds have on our bodies, we do know that this compound can have some negative side effects.

Polyethylene Glycol Side Effects

Some of the confirmed and documented side effects of polyethylene glycol include:8,9

  • Polyethylene glycol allergy: Although not commonly seen, there have been documented cases of an allergy to PEG. Some cases have even resulted in anaphylaxis – a severe and potentially life-threatening allergic reaction. Due to the risk of exposure to polyethylene glycol, the FDA has issued a warning to anyone with a known or suspected PEG allergy to communicate clearly with healthcare professionals as PEGs can be found lurking in medications, vaccines, contrast agents, and more.
  • Digestive issues: If taken orally, polyethylene glycol can cause stomach upset such as diarrhea, flatulence, abdominal pain, nausea, vomiting, etc.
  • Electrolyte imbalances: Because of its ability to disrupt the flow of water, PEG can also cause electrolyte imbalances. This may involve a decrease or increase in crucial electrolytes like calcium, sodium, potassium, and phosphate. It has also been linked to an increased risk of metabolic acidosis, which is a build-up of acid and toxins in the body.

While these side effects are well-documented, there are growing concerns about other possible polyethylene glycol toxicity symptoms.

Polyethylene Glycol Toxicity Symptoms

While it’s well-known among the medical community that PEG can trigger an allergy, cause digestive upset, or lead to electrolyte imbalances, there have been more and more reports of neurological symptoms associated with polyethylene glycol. Because of this reported increase in neuropsychiatric side effects, parents and pediatric practitioners are becoming increasingly wary of administering polyethylene glycol to adolescents.

A recent study found that a large percentage of parents, caregivers, and practitioners described an explosion of neurological side effects seemingly correlated to polyethylene glycol administration. Those side effects include:10 

  • Abnormal behavior
  • Anger
  • Anxiety 
  • Mood swings
  • Seizures
  • Sensory disturbances

Exactly how and why polyethylene glycol is triggering these neurological symptoms is still not entirely clear. And whether or not these side effects also extend to adults and geriatric patients will require further studies as well.

So, How Worried Should I Be About Polyethylene Glycol (PEG)?

Exactly how dangerous PEG truly is, is yet to be determined. But I’m a firm believer in being proactive and protective when it comes to your health. It’s not only impossible but also unnecessary to attempt to avoid PEG altogether. However, there are some simple yet powerful steps you can take to protect yourself against polyethylene glycol and other harmful toxins. 

Here’s what I suggest:

  • Prioritize clean supplements: You can find top quality professional supplements at Dr. Jill Health. I also recommend checking out my “products we love” page to browse through my tried-and-true non-toxic recommendations of some of my favorite things!
  • Keep your gut happy and healthy: If you’re struggling with constipation, it’s likely a sign that your tummy could use some love. Instead of taking an over-the-counter laxative, I suggest addressing underlying issues and showing your gut some love. Click here to learn exactly how you can best heal and support your gut. 
  • Enhance your detox pathways: Coming into contact with PEGs and other toxins is inevitable. But minimizing your toxic burden and enhancing your body’s natural detoxification capabilities goes a long way in preventing a build-up of toxins. Some of my favorite ways to boost detoxification include PEMF therapy, infrared saunas, and coffee enemas.

While there’s certainly no need to be alarmed when it comes to exposure to polyethylene glycol, being mindful and proactive can go a long way in protecting yourself and your loved ones from its potentially toxic effects.

When It Comes to Your Health, You’re in the Driver’s Seat

The truth is, we live in an increasingly toxic world. But when it comes to protecting and optimizing your health, you are in the driver’s seat. The choices you make on a day-to-day basis are the foundation of your well-being.

That’s why I’m dedicated to bringing you easy-to-understand and easy-to-implement tips – to take the confusion out of healthy living. So if you enjoyed this article and are looking for even more ways to take control of your and your family’s health, I encourage you to head over and browse through my blog. It’s chock-full of hundreds of articles to help you make your health a priority – without the overwhelm.

And if you want to learn even more and be the first to get updates and exclusive resources, you can sign up for my weekly newsletter by entering your name and email address in the form below.

Now it’s time to hear from you. Were you surprised to learn about all the places polyethylene glycol is used? Have you or anyone you’ve known experienced any negative side effects linked to PEG? Leave your questions and thoughts in the comments below!

References:

  1. #ChemicalCallout: Polyethylene Glycol Compounds (PEGs) (madesafe.org)
  2. Polyethylene Glycol – StatPearls – NCBI Bookshelf (nih.gov)
  3. Polyethylene glycol 3350 Uses, Side Effects & Warnings – Drugs.com
  4. Polyethylene Glycol – StatPearls – NCBI Bookshelf (nih.gov)
  5. The Dirty Dozen: PEG Compounds and their contaminants – David Suzuki Foundation
  6. Safety Evaluation of Polyethylene Glycol (PEG) Compounds for Cosmetic Use (nih.gov)
  7. Safety Evaluation of Polyethylene Glycol (PEG) Compounds for Cosmetic Use (nih.gov)
  8. Polyethylene Glycol-Induced Systemic Allergic Reactions (Anaphylaxis) – PubMed (nih.gov)
  9. Common and Rare Side Effects for polyethylene glycol 3350 oral (webmd.com)
  10. Probable neuropsychiatric toxicity of polyethylene glycol: roles of media, internet and the caregivers – Hussain – 2019 – GastroHep – Wiley Online Library

* These statements have not been evaluated by the Food and Drug Administration. The product mentioned in this article are not intended to diagnose, treat, cure, or prevent any disease.   The information in this article is not intended to replace any recommendations or relationship with your physician.  Please review references sited at end of article for scientific support of any claims made.

Category: Environmental ToxicityBy Dr. Jill C. Carnahan, MD, ABIHM, IFMCPMarch 3, 20229 Comments
Tags: environmental toxicitypeg toxicityPolyethylene Glycoltoxictoxic chemicalstoxicitytoxins
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Author: Dr. Jill C. Carnahan, MD, ABIHM, IFMCP

https://www.jillcarnahan.com/

Dr. Jill is Your Functional Medicine Expert! She uses functional medicine to help you find answers to the cause of your illness and addresses the biochemical imbalances that may be making you feel ill. She'll help you search for underlying triggers contributing to your illness through cutting edge lab testing and tailor the intervention to your specific needs as an individual. She may use diet, supplements, lifestyle changes or medication to treat your illness but will seek the most gentle way to help your body restore balance along with the least invasive treatment possible. Dr. Jill is a functional medicine expert consultant and treats environmental and mold-related illness as well

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9 Comments

  1. Sheryl says:
    March 5, 2022 at 9:59 am

    Thank you for this important article, Dr. Jill. I think there are enough reports of neurological effects in children for doctors to be more cautious about prescribing it. On a related note, I believe Sodium Benzoate is another ingredient that we need to be cautious about. It is a preservative, and “generally recognized as safe”. However, in certain circumstances, it can be transformed to benzene. I think it is likely that in the deodorants that were recently recalled because they were found to contain benzene, it was due to the sodium benzoate they contained. Benzene, as I am sure you know, is a dangerous carcinogen.

    Reply
  2. Laurie says:
    March 5, 2022 at 1:34 pm

    What a great article. Thank you so much, I was recently diagnosed with Parkinson’s and I’m trying to reduce my toxic load and I was just looking into PEG as it’s in my favorite shampoo and conditioner! Now I know it’s got to go!

    Reply
  3. Sabine says:
    March 5, 2022 at 3:11 pm

    The Wiley 2019 study referenced attributes this association (PEG + neuropsychiatric symptoms) to media hype? Are there any actual studies that explore the neuropsychiatric effects of PEG? Since PEG is used routinely for colonoscopies, it shouldn’t be too difficult to study?

    Reply
  4. Angela says:
    March 5, 2022 at 6:01 pm

    Hi Dr. Jill, what do you recommend for colonoscopy prep? Thanks for the article and info. Angela

    Reply
    • Tom says:
      March 25, 2022 at 7:51 pm

      Hello Angela,
      My doctor said to use Miralax for colonoscopy prep. The procedure showed no GI problems, but ever since I have had headaches, bloating, and brain fog of an unknown origin. I will never use Miralax again.

      Reply
  5. MJ says:
    March 7, 2022 at 8:18 am

    Hello – I’ve been working with a functional medicine doctor since 2012 to “heal my gut” and have done everything under the sun to do so. The best thing I’ve found is the Carnivore Diet and removing almost all fiber. When I go back to eating more fiber, I cannot live without Miralax… otherwise I’d be doing an enema every other day. (Yep, I’ve been there too.) I agree about the chemicals and toxicity… but when I’ve tried everything else and have spent thousands of dollars on Stool analysis testing, along with every probiotic, and prebiotic and gut supplements galore… I truly don’t know what else to do. I try to stay low fiber so that I don’t have to use Miralax every day. But for some of us, (note, I have Celiac along with 2 decades of chronic antibiotic use and several abdominal surgeries that have likely caused some intestinal adhesions)… my gut has taken a toll. I either have to be super strict and Carnivore or stay on Miralax when I’m not, in order to have healthy bowel movements. It’s miserable when pooping (or lack of pooping) takes over your life. It’s also not good to leave things in there and be constipated… as we reabsorb medications and hormones too, and those become toxic to our bodies as well. Sometimes, I have to choose, do I want the Miralax or do I want the toxicity of what’s recycled and poisons being released from being constipated for days and days. So far… I have less toxicity with the Miralax, than being constipated all of the time. The constipation REALLY messed up my health and hormones.

    Reply
    • Dr. Jill C. Carnahan, MD, ABIHM, IFMCP says:
      March 8, 2022 at 8:25 pm

      You might try SUPREP instead

      Reply
  6. Deedee says:
    March 7, 2022 at 9:19 am

    Several years ago I was given a GI prep containing PEG and had an anaphylactic reaction. A few months later I broke out in hives from skin care products containing PEG. I’m very aware of PEG reactions. That is part of the reason I haven’t had the mRNA vaccine.

    Reply
  7. Susan says:
    March 7, 2022 at 8:33 pm

    Hello Dr. Jill,
    THANK YOU for your articles !!
    We do not know if we or someone we know has been affected. But, we are on a mission to find and use clean products, more and more.

    Please let us know…
    We found “Propylene Glycol” in a hydrating hair oil mist.
    Is “Propylene Glycol” the same (or just as toxic) as “Polyethylene Glycol” ??
    And, if so, what ALTERNATIVE substance(s) might we look for instead.

    Thank you much,
    Susan
    (We’re also interested in the answer to Angela’s question above, re colonoscopy prep !!)

    Reply

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