A tropical cherry with 50–100 times the vitamin C of an orange. It's a whole-food way to get vitamin C with almost no sugar.
Mechanisms, studies and evidence grades for each claim above.
Acerola (Barbados cherry) is a small, sour Caribbean and Brazilian fruit whose vitamin C content is among the highest of any food: about 1,000–4,500 mg per 100 g of fresh fruit, depending on ripeness, since unripe green fruit has the most. Orange has about 50 mg/100 g. Freeze-drying removes ~90% of the weight as water, so pure freeze-dried acerola powder is roughly 10–25% vitamin C by weight — 100–250 mg per gram. A quarter teaspoon already covers the adult RDA (75–90 mg), several times over. Acerola also contains anthocyanins, quercetin and other flavonols, and carotenoids. (Strong — food composition; vitamin C biology is covered on the Vitamin C page)
Compared with orange juice: a glass of OJ gives ~100 mg vitamin C with ~20 g of sugar, while a gram of acerola gives about the same vitamin C with essentially no sugar. That makes acerola a clean choice when vitamin C is the goal. OJ still brings things acerola doesn't (hesperidin, potassium, folate), which is why it's on this list for different reasons.
↑ back to summaryIn healthy young Japanese men, diluted acerola juice with 50 mg vitamin C gave a plasma area-under-curve that tended to be higher than 50 mg of plain ascorbic acid, and significantly less vitamin C was excreted in the urine at 1, 2 and 5 hours.1 The authors credit something else in the fruit, probably the flavonoids, with slowing clearance. (Early — one small pharmacokinetic study)
Two caveats. First, the study came from Nichirei Foods' R&D division, the largest acerola processor in Japan. Second, a review of the whole literature by Carr and Vissers found that while animal studies often show food-derived vitamin C doing better, every human steady-state study found no difference between synthetic and food-derived vitamin C.2 The honest summary is that acerola is at least as good as a pill, and possibly slightly better retained in the short term. The case for it rests on the sugar-free whole-food package, not on superior absorption.
↑ back to summaryA crude acerola polyphenol fraction inhibited α-glucosidase (especially maltase) and glucose uptake into Caco-2 intestinal cells, and blunted blood-glucose spikes after glucose or maltose in mice. The effect appears to involve both slower starch/sugar digestion and reduced intestinal glucose transport.3 (Animal–in-vitro; also a Nichirei study) No human glucose trial exists, and the doses used in mice would need several grams of powder per meal.
↑ back to summaryThe four references were checked against PubMed in this session (Thomas 2013 is a research letter; its cohort size and roughly twofold risk come from the published letter, not an abstract). The vitamin C content ranges for fresh and freeze-dried acerola are typical literature and label values, not a single cited source. Real products vary widely, so go by the label.