Dangerous dietary supplements: Garcinia cambogia-associated hepatic failure requiring transplantation.

Commercial dietary supplements are marketed as a panacea for the morbidly obese seeking sustainable weight-loss. Unfortunately, many claims cited by supplements are unsupported and inadequately regulated. Most concerning, however, are the associated harmful side effects, often unrecognized by consumers. Garcinia cambogia extract and Garcinia cambogia containing products are some of the most popular dietary supplements currently marketed for weight loss. Here, we report the first known case of fulminant hepatic failure associated with this dietary supplement. One active ingredient in this supplement is hydroxycitric acid, an active ingredient also found in weight-loss supplements banned by the Food and Drug Administration in 2009 for hepatotoxicity. Heightened awareness of the dangers of dietary supplements such as Garcinia cambogia is imperative to prevent hepatoxicity and potential fulminant hepatic failure in additional patients

Analisis Isi Lambung Ikan Lais Janggut (Kryptopterus Limpok, Bleeker 1852) di Sungai Tapung Hilir Propinsi Riau

Research on the analysis of stomach content of Lais janggut fish (Kryptopterus limpok, Bleeker 1852) from Tapung River was conducted from December 2012 to February 2013. Fish samples had been taken from the Tapung Hilir river which was divided into three stations: Salembakan Palas, Flamboyan, and Kota Garo. The purposes of this study were to determine the types of food of Lais janggut fish covering the main food, food supplements and additional food at the three stations. The analysis used was the index of preponderance. The index of preponderance was used to analyze the stomach content. It was indicated that the main food and food supplements of Lais janggut fish in Salembakan Palas station consist of Puntius sp (89.3%) and litter (1.1%), arthropods (1.2%), animal debris (8.2%). The Lais janggut fish from Flamboyan station has main food of Puntius sp (84.1%), food supplements in the form of litter (4.5%) and animal debris (8.2%) and additional food such as arthropods (3.2%). Furthermore Lais janggut fish from Kota Garo station has main food debris in the form of animals (45%) and Puntius sp (43.9%), supplementary food such as fish Puntius sp (37%) and food supplements in the form of litter (6.0%) and Arthropods (4.7%). The main food, food supplements, and additional food of Janggut lais fis in Tapung Hilir river were Puntius sp, litter, animal debris, and arthropods respectively

Supplementing food for health: Practices amongst French adults aged 60 to 75 years

The use of food supplements continues to grow in France, even though it is being discouraged by the main health and medical authorities. The ambiguous definitions surrounding these products make it difficult to measure their consumption. Using a qualitative survey based on interviews (n = 31) of consumers aged 60 to 75 years, this paper explores the ways in which this consumption is increasing. It traces the adoption of food supplementation in this age group back to life-course events, relating to health in particular. Using the practice theory, three forms of supplementation are identified according to the norms, products, sources of medical prescription and purposes at play. The first form is dependent on orthodox medical prescription having been taken; the supplements are prescribed by a doctor and considered by the consumer to be almost like medicinal products. The second form is linked to heterodox 'natural' therapies; products are most often based on plants and considered to be traditional remedies. The third form is related to a heterodox micronutritional approach, claiming to be scientifically advanced; products are identified as food supplements, and their consumption reflected a strategy of prevention, or even health optimisation in ageing. The affinities between these supplementation forms and the individuals' social characteristics are discussed. Results suggest that common consumer categories should be better integrated in the measurement of food supplement consumption

Scientific Opinion on the evaluation of the safety in use of Yohimbe (Pausinystalia yohimbe (K. Schum.) Pierre ex Beille)

The Panel on Food Additives and Nutrient Sources added to Food provides a scientific opinion evaluating the safety in use of yohimbe bark and its preparations originating from Yohimbe (Pausinystalia yohimbe (K. Schum.) Pierre ex Beille when used in food, e.g. in food supplements. The bark of the plant contains a number of indole alkaloids of biological relevance and preparations of yohimbe bark have been traditionally used as general tonic, performance enhancer and as an aphrodisiac. Food supplements containing yohimbe bark preparations are available nowadays, especially via internet retail. Yohimbine, the major alkaloid of yohimbe bark and raubasine, another alkaloid occurring in lower concentrations in the bark, are used as active ingredients in a number of medicinal products for which adverse effects are described. The Panel reviewed the available scientific data on a possible association between the intake of yohimbe bark and its preparations and potential harmful effects on health. When those data were not available, priority was given to yohimbine, as the only alkaloid for which occurrence had been shown and quantified in food supplements containing yohimbe bark. The Panel concluded that the chemical and toxicological characterisation of yohimbe bark and its preparations for use in food are not adequate to conclude on their safety as ingredients of food, e.g. in food supplements. Thus the Panel could not provide advice on a daily intake of yohimbe bark and its preparations that do not give rise to concerns about harmful effects to health. An estimation of exposure to yohimbine from food supplements was performed showing that theoretical maximum daily intake may exceed the maximum approved daily dose of yohimbine from use as a medicinal product

Seasonal Variation in 25(OH)D at Aberdeen (57°N) and Bone Health Indicators- Could Holidays in the Sun and Cod Liver Oil Supplements Alleviate Deficiency?

Vitamin D has been linked with many health outcomes. The aim of this longitudinal study, was to assess predictors of seasonal variation of 25-hydroxy-vitamin D (25(OH)D) (including use of supplements and holidays in sunny destinations) at a northerly latitude in the UK (57°N) in relation to bone health indicators. 365 healthy postmenopausal women (mean age 62.0 y (SD 1.4)) had 25(OH)D measurements by immunoassay, serum C-telopeptide (CTX), estimates of sunlight exposure (badges of polysulphone film), information regarding holidays in sunny destinations, and diet (from food diaries, including use of supplements such as cod liver oil (CLO)) at fixed 3-monthly intervals over 15 months (subject retention 88%) with an additional 25(OH)D assessment in spring 2008. Bone mineral density (BMD) at the lumbar spine (LS) and dual hip was measured in autumn 2006 and spring 2007 (Lunar I-DXA). Deficiency prevalence (25(OH)

Prenatal early food and multiple micronutrient supplementation trial reduced infant mortality in Bangladesh, but did not influence morbidity.

AIM: A previous maternal and infant nutrition intervention in rural Matlab, Bangladesh, showed that prenatal nutrient supplements improved child survival, but had no effect on size at birth. This secondary analysis examined whether prenatal multiple micronutrient supplements (MMS), on their own or combined with an early invitation to receive prenatal food supplements, affected child morbidity. METHODS: This randomised trial enrolled 4436 pregnant women from November 2001 to October 2003 and allocated them to early or standard invitations to food supplements, in the ninth and 20th weeks of pregnancy, respectively, and supplements of either the standard 60 mg iron with 400 μg folic acid, 30 mg iron with 400 μg folic acid or MMS. Quasi-Poisson regression was used to analyse morbidity. RESULTS: There were 3560 single live births and 3516 had morbidity data. The incidence rates of fever, diarrhoea and acute lower respiratory tract infection were 15.3, 3.6 and 2.3 episodes per person-year, respectively. The separate or combined interventions had no effect on morbidity up to 24 months. CONCLUSION: Early invitations to prenatal food supplements or prenatal MMS had no effect on common infections in rural Bangladesh, suggesting that earlier findings on improved child survival were not mediated by an effect on child morbidity

Adulteration of Dietary Supplements by the Illegal Addition of Synthetic Drugs: a review

In the last few years, the consumption of dietary supplements, especially those having plants as ingredients, has been increasing due to the common idea that they are natural products posing no risks to human health. In the European Union and the United States, dietary supplements are legally considered as foods/special category of foods, thus are not being submitted to any safety assessment prior to their commercialization. Among the issues that can affect safety, adulteration by the illegal addition of pharmaceutical substances or their analogs is of major concern since unscrupulous producers can falsify these products to provide for quick effects and to increase sales. This review discusses the various classes of synthetic drugs most frequently described as being illegally added to dietary supplements marketed for weight loss, muscle building/sport performance and sexual performance enhancement. Information regarding regulation and consumption is also presented. Finally, several conventional and advanced analytical techniques used to detect and identify different adulterants in dietary supplements and therefore also in foods, with particular emphasis on plant food supplements, are critically described. This review demonstrates that dietary supplement adulteration is an emerging food safety problem and that an effective control by food regulatory authorities is needed to safeguard consumers.This work was supported by European Union (FEDER funds through COMPETE) and Natl. Funds (FCT, Fundação para a Ciência e Tecnologia) through projects EXPL/DTP-SAP/1438/2013 (Safety of plant food supplements: searching for adulterant pharmaceutical drugs and plants) and LAQV UID/QUI/50006/2013.info:eu-repo/semantics/publishedVersio

Analysis of food supplement with unusual raspberry ketone content

In recent years food supplement market increased constantly, including slimming products and against obesity. The case of rasberry ketone (RK) is here reported. HPTLC and HPLC-DAD analyses on a marketed product containing raspberry juice evidenced an abnormal quantity of RK, not in accordance with the juice natural content. The reported data confirm the need of adequate controls on marketed food supplements and the necessity of a complete adherence between labelling and real constitution of the product. Practical Applications: Determining the natural origin and assuring the consumers' safety for raspberry-based food supplement

Hypericum species identification to assess the authenticity of plant food supplements

In the last years, medicinal plants and derived products have become increasingly available in the EU market as ingredients of formulations sold as food supplements. This type of products is legally considered as food under the Directive 2002/46/EC [l], thus with legal responsibility of its safety relying on business operators as they are not under the control of the European Medicines Agency (EMA).This work has been supported by FCT through grant PEst-C/EQB/LA0006/2013 and project EXPL/DTP-SAP/1438/2013 (Safety of PIant Food Supplements: searching for adulterant pharmaceutlcal drugs and plants)info:eu-repo/semantics/publishedVersio

Carotenoids - Effective Radical Scavengers for Healthy and Beautiful Skin

Free radicals are involved in various diseases and skin aging. To reduce and prevent this risk, our body produces antioxidants that can neutralize free radicals. However, some antioxidants need to be taken up with food, so a balanced and varied diet is essential for human health and beauty, along with sufficient exercise. Vegetables, especially curly kale, show very good antioxidative capacity due to the presence of carotenoids. As the recommended daily intake of vegetables is usually not consumed, dietary supplements are a good possibility to ingest carotenoids in a controlled and natural way. The positive effect of carotenoid-based dietary supplements on the skin has already been shown in several studies on healthy volunteers. Innovative non-invasive measuring methods have shown that oil extracts from vegetables significantly reduce not only free radicals in the skin but also the age-related breakdown of collagen and have a positive effect on skin parameters such as wrinkle volume. Thus, a balanced mixture of different natural carotenoids contributes to maintaining health and beauty