To Add:
I agree that the best we can do is critically analyze the studies in terms of strength & weakness, then look at the weight of the evidence as a whole.
What bugs me about artificial sweetener use is the fundamental hypocrisy of using them for the intention of achieving optimal health by avoiding sugar. That's like cutting off your fingers to reduce your chances of poking your eyes. There's pro's & con's to both, and as you mentioned the defining threshold thereof is a matter of dose. It's all relative. I have a personal preference to fit real sugar into my diet if/when I want to sweeten something, because the amount I need is inconsequential, and can easily be fit into my targets while continually improving my bodycomp. On the other hand, the guy who needs to pour a cup of brown sugar into his oatmeal in order to get it down might consider other alternatives.
The metabolic fate of carbohydrate given various demand states is well known. Contrast this with the absence of pre-existing metabolic pathways to utilize aspartame for either growth/maintenance of tissues or energy production.
Of course there are other non-caloric sweeteners in nature that serve no known purpose within the human body (the range of sugar alcohols, stevia, etc), but the problem with aspartame is that it comes with a few red flags; a smoke smell & writing on the wall, if you will. Whether you choose to heed the writing or smell the smoke is almost a philosophical choice.
As per my post of the funding source comparison, that was quite the eye opener for me when I read it years ago.
Here's another little tidbit for those interested in reading writing on the walls & whiffing proverbial smoke:
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Environ Health Perspect. 2006 Mar;114(3):379-85.
First experimental demonstration of the multipotential carcinogenic effects of aspartame administered in the feed to Sprague-Dawley rats.
The Cesare Maltoni Cancer Research Center of the European Ramazzini Foundation has conducted a long-term bioassay on aspartame (APM), a widely used artificial sweetener. APM was administered with feed to 8-week-old Sprague-Dawley rats (100-150/sex/group), at concentrations of 100,000, 50,000, 10,000, 2,000, 400, 80, or 0 ppm. The treatment lasted until natural death, at which time all deceased animals underwent complete necropsy. Histopathologic evaluation of all pathologic lesions and of all organs and tissues collected was routinely performed on each animal of all experimental groups. The results of the study show for the first time that APM, in our experimental conditions, causes a) an increased incidence of malignant-tumor-bearing animals with a positive significant trend in males (p < or = 0.05) and in females (p < or = 0.01), in particular those females treated at 50,000 ppm (p < or = 0.01); b) an increase in lymphomas and leukemias with a positive significant trend in both males (p < or = 0.05) and females (p < or = 0.01), in particular in females treated at doses of 100,000 (p < or = 0.01), 50,000 (p < or = 0.01), 10,000 (p < or = 0.05), 2,000 (p < or = 0.05), or 400 ppm (p < or = 0.01); c) a statistically significant increased incidence, with a positive significant trend (p < or = 0.01), of transitional cell carcinomas of the renal pelvis and ureter and their precursors (dysplasias) in females treated at 100,000 (p < or = 0.01), 50,000 (p < or = 0.01), 10,000 (p < or = 0.01), 2,000 (p < or = 0.05), or 400 ppm (p < or = 0.05); and d) an increased incidence of malignant schwannomas of peripheral nerves with a positive trend (p < or = 0.05) in males. The results of this mega-experiment indicate that APM is a multipotential carcinogenic agent, even at a daily dose of 20 mg/kg body weight, much less than the current acceptable daily intake. On the basis of these results, a reevaluation of the present guidelines on the use and consumption of APM is urgent and cannot be delayed.
MY COMMENT: Sure, that was an abstract of an animal study. But conducting a life-long trial on humans would be economically prohibitive, and would also violate ethics standards. Again, I prefer to sweeten things with small amounts of sugar. Call me a rebel.