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Well, while it is a type of sugar that makes fruits sweet, it in fact does get processed differently in your body. Fructose, among other things, can't be stored in muscles. Your body also doesn't need to provide Insulin to process it.
When comparing something sweetened with Fructose and something sweetened with Saccharose, the sweet from Fructose has less negative health impacts.
Unless I misunderstood what you mean with "count against you" (I am not a native English speaker).
I wouldn't call fatty liver not a negative health impact. In particular Type II diabetes is reversible, a sufficiently fucked-up liver is not.
That's why I did not wrote "a fat liver is not a negative health impact".
I wrote Fructose has less negative health impacts. This means when you count health impacts there are less (= a smaller number) for Fructose.
Are you seriously suggesting "health impact" is a thing measured by "quantity of diagnoses that apply". I have 1000 ingrown hairs, another person has one fatty liver. Which of us is more fucked?
Health impacts.
I feel like you try to derail the conversation and move goal posts to "be right".
Fruits and vegetables contain Fructose, Fructose has a smaller number of negative health impacts than Saccharose and Fructose is metabolized differently in our body than other sugars.
The intravenous administration or other consumption of very high doses of Fructose, often in obese and/or diabetic patients in studies, has been identified as a potential risk factor for fatty liver.
That doesn't mean eating fruits and vegetables increases the risks for a fatty liver. It also doesn't mean Fructose and Saccharose are the same.
Saccharose is half fructose, half glucose. Eat enough of it and the impact on the liver is just as bad as that of fructose which is definitely worse than overeating on more or less pure glucose in the form of, among other things, starch. The body overall is way better at dealing with glucose as pretty much everything that needs energy can use it directly, while fructose first needs to be processed in the liver, which has a much more limited capacity. Ingesting fructose (also in the form of saccarose) makes sure that the liver's glycogen stores are stock-full, which means that weight loss is impossible as that storage gets used up before adipose tissue gets involved.
Dietary consumption of high-fructose corn syrup alone is a risk factor for fatty liver, get out of here with "intravenous" and "very high dose" and "in obese patients". Non-alcoholic fatty liver is a fucking epidemic.