Friday 30 November 2012

HERBALIFE SHAKES SIDE EFFECTS

Beware of These Ingredients in the Shakes

Soy Protein: The problem with soy is that it can cause harmful effect on your endocrine system and also most soy is now genetically modified which can have a wide range of negative effects including DNA damage.

Fructose: The second ingredient in this product is fructose which means that the shake is mostly sugar. Fructose is worse than sucrose (table sugar) because it does not make you feel full like table sugar so you end up consuming more, and it causes increased risk of weight gain and bad cholesterol.

Ferrous fumarate: This is iron and should not be taken by men or post-menopausal women as it can result in above normal levels and have a toxic effect.

Vegetable oil preparation: Sunflower oil tends to be highly processed which can caused it to go rancid easily unless special care is taken in the processing and it is kept in the dark and refrigerated. It is also high in omega-6 fatty acids which most people get far too much of.

Sucralose (Splenda) and Acesufame-k: I wrote an entire book on the dangers of artificial sweeteners called Sweet Deception. The biggest scam with artificial sweeteners is that they actually cause you to be hungrier and cause weight gain instead of weight loss. Splenda has been shown to have harmful effects in lab animals and in humans from spontaneous abortions, rashes, pain, to digestive disturbances. Avoid at all costs. Ace-k is a cousin of Aspartame (Nutrasweet), a notorious neurotoxin.

On the other hand, many of the other Herbalife products we looked at did not contain any ingredients that appeared to be harmful although we cannot comment on their efficacy.

Health Evangelist Dies of Alcohol Abuse

Unfortunately in 2000, Mark Hughes died at the tender age of 44. Herbalife reported Hughes had an “accidental death from mixing anti-depressants with an alcohol overdose.”

But the autopsy report showed that Hughes died after a 4-day drinking binge combined with an anti-depressant and possible a narcotic overdose. In addition to alcohol abuse, Hughes smoked 6-8 cigars a day.

My Comments on the Company History:

My intention in including this history is not to gossip. But I do have concerns about the mistruths that have been told about Herbalife’s history, research, testing, and credentials. If someone owns a health company, s/he better be a health expert or have a team of health experts from the beginning. S/he also needs to walk his talk and set an example of being healthy which includes living a healthy lifestyle and being addiction free.

As far as Herbalife’s trouble for making health claims, it seems Herbalife in the early years was out of line with many of their claims (curing cancer and dissolving tumors are big FDA no-nos). However, I also think it’s a crime that the FDA has a gag order in effect and that no supplements are allowed to make health claims—only pharmaceutical drugs can make health claims. In my opinion, any natural product should be able to make a claim as long as there is double blind research that can prove the claim and if the company offers a money back guarantee to mitigate consumer risk.

About the Herbalife Diet Program

The diet program involves asking you to drink two protein drinks and to eat only one actual meal per day. The shakes are only 180 calories and a typical meal is 400-600 calories so we feel that the program is too low in calories to be considered healthy. The World Health Organization considers any caloric intake below 2,200 calories to be starvation. Low calorie diets usually result in rebound and binge eating as your body tries to compensate for the starvation. Low calorie diets will also slow down your metabolism—the rate at which you burn calories and fat.

There is quite a strong emphasis on exercise within some of the written materials. The exercise emphasis has increased since the arrival of CEO Michael O. Johnson in 2003. He came from a 17-year career at Disney, and is a triathlete.

Its company spreadsheet reports nearly zero dollars in research and development, meaning that there is little done to affirm that the items in the supplements actually do what they’re supposed to do. Almost all of its manufacturing is outsourced, including to a factory in China. Its advisory board consists of paid physicians and no nutritionists (allopathic physicians receive very little nutrition training in medical school, as they are too busy memorizing drugs).

The dietary recommendations are to eat one balanced meal per day with lots of phytonutrient-rich vegetables and fruits. You can also customize your protein intake to suit your individual needs. The rest of your meals are protein drinks. Dieters must take “activator” capsules and a multivitamin with each meal.





Praise For The Herbalife Weight Loss Program

There are hundreds of thousands of zealous distributors who rave about Herbalife products and who can attest to how Herbalife has helped them lose weight or get healthier. Furthermore, Herbalife provides a potentially lucrative business opportunity to those who want a home based business in the trillion dollar health industry. As with any MLM, only a small fraction of the distributors develop the know-how and diligence to become successful. For the pros and cons of being a distributor click here http://answers.google.com/answers/threadview?id=302284
 Criticism of the Herbalife Weight Loss Program

This diet does nothing to mimic what real life is like and relies heavily on the use of supplements and protein powders at a cost of up to five dollars a day. Once you achieve your ideal weight, Herbalife recommends maintenance, which consists of one shake a day. This just isn’t realistic, and you will likely gain the weight right back again as soon as you stop the diet.

The diet is very expensive and is much too low in fat and carbohydrates unless you load up on the fat and carbs during your one meal per day. Two scoops (or 25 grams) of the protein shake contain only 1 gram of fat and 13 grams of carbohydrates. If you need to snack, the program will be happy to sell you their own version of a protein bar, which is also very expensive.

Other Herbalife Supplements

The other part of the program includes supplements such as Total Control which contains green tea and cacao, both of which “stimulate your metabolism” basically through a high caffeine intake. You can get the same thing out of a cup of tea or coffee for a lot less. Total Control costs $27 for 90 capsules.

The Cell Activator supplement claims to contain antioxidants and lists ingredients including inositol, chorella, Shitake mushrooms, L-glutamine, Cayenne pepper, Dried Rhodiola root, dried Reishi mushroom extract, and dried pine bark extract. It also contains many of the acids found in the Krebs cycle—an energy cycle found in every cell. Inositol is a B vitamin, while Chorella is a blue-green algae. It is supposed to “support” your cells as you lose weight. Cell Activator costs around $34 for 90 capsules.

While many of these ingredients are high in antioxidants and may be helpful from an overall health perspective, antioxidants have not been shown to have a strong impact on weight loss. If you are going to spend money on a supplement, we suggest investing in an antioxidant-rich multi-vitamin, as vitamin and mineral deficiencies can lead to food cravings and overeating.

There are also other supplements you can add to the regimen, including Cell-U-Loss, which is supposed to reduce the appearance of dimpled skin and help with water weight gain. Cell-U-Loss contains couch grass, hydrangea, short bushu extract, dried corn silk and dried uva ursi extracts. The company does not guarantee that the products have been manufactured without animal testing.

Conclusion Herbalife is one of the most successful multi-level marketing companies of all time. Its weight loss program does not emphasize natural lifestyle changes but sells protein
shakes and supplements as a solution for weight loss. There are ingredients in the protein shakes that are unhealthy and should be avoided. Does the program work? Millions of distributors and customers claim it does. There is something to be said for this. Unfortunately, when people go off the Herbalife program, it seems inevitable that weight gain will follow when they resume their old ways of eating. 

 Herbalife Diet While Pregnant
Nov 8, 2011 | By Theresa Rosenthal


During pregnancy, the average woman should consume about 2,500 calories a day instead of the approximately 2,100 calories necessary before pregnancy. Consumption of any health or supplement product during pregnancy should contribute to these caloric needs, rather than restrict them. Diet
shakes in general may safely be consumed during pregnancy when taken as a snack and not a meal-replacement. Herbalife products have some health and financial concerns that should be taken into consideration, especially during your pregnancy. Please consult with your physician about what supplements are appropriate for your pregnancy diet.

Dieting While Pregnant

Herbalife produces many different products for various needs, though many people use the protein
shakes for weight management or fitness goals. The most important thing to remember during your pregnancy is that dieting is not recommended. Extra calories are needed each day for your body and your developing baby. Restricting these calories could cause problems for you and your baby’s growth due to malnutrition. Diet products, such as Herbalife weight management supplements and protein shakes, are not prohibited during pregnancy unless you’re using them to diet, or relying on them every day for your nutritional needs. Please consult your physician before adding supplements to your pregnancy diet.
 

Herbalife While Pregnant


Herbalife offers an entire line of products to support weight management, digestive health, personal care, energy, fitness, immune system and heart health. Each product solution offers a variety of herbal formulas, beverages, shampoos and skin care. While you may opt for the protein
shakes under the fitness category or a nutritional shake from the weight management product line, make sure you are using them only in addition to healthy meals, not as a replacement. Since there are several Herbalife products, each one should be considered separately for their respective ingredients. Remember to consult your physician before making supplemental changes to your pregnancy diet.

Why is Herbalife Not Recommended for Children?
 

Herbalife is an adult diet that combines low-calorie shakes with herbs and other supplements to help you lose weight. You consume two shakes a day and then eat one meal, typically dinner, and take supplements designed to speed up metabolism, reduce hunger and provide nutrients. The Herbalife adult diet is not recommended for children.

    About
           The Herbalife company was founded in February 1980 and has been considered a popular diet option for adults.
    Safety
     According to the company website, Herbalife tests its products with clinical studies at major universities to determine safety and effectiveness. The company also established its own Nutritional Advisory Board to train salespeople.
    Children

      The Herbalife diet program is not recommended for children due to its restrictive caloric intake and lack of well-rounded nutritional offerings.
    Supplements 

                 Children should never take supplements, herbal or otherwise, that are meant for adults only. Consult a doctor with any questions.

    Herbalife Kids
        Herbalife makes Kids
shakes that claim to offer protein, fiber and important nutrients for children. Only use these shakes to compliment a normal, healthy diet and never as a replacement for meals.



 Risks of Herbalife 
By Therese Pope, eHow Contributor Herbalife is a natural diet pill supplement. Herbalife sells supplements and shakes that increase energy and raises metabolism. It has been associated with controversy over the years because it used to contain the drug ephedra. Ephedra was taken off the market by the FDA because it was associated with causing heart problems. The following health risks are associated with Herbalife products.


  1. Anxiety and Restlessness

    • Herbalife supplements contain caffeine. Caffeine helps increase metabolism (which helps with weight loss), but caffeine can also cause anxiety and restlessness.

    Increased Blood Pressure

    • Because Herbalife contains caffeine, it can increase blood pressure. When blood pressure (hypertension) increases over an extended period of time, cardiovascular problems such as heart disease and stroke can occur.

    Counteraction with Prescription Medication

    • Because Herbalife contains a wide variety of herbs, it can counteract with prescription medication. People with medical issues who take prescribed medication should consult with their doctor before taking Herbalife.

    Headaches

    • Herbalife's herbal formula helps boost metabolism to lose weight. However, the caffeine (yerba mate extract) can cause headaches.

    Warning

    • Herbalife is not a herbal supplement approved by the Federal Drug Administration (FDA). Herbalife has also been accused of using too much lead in their products, and has recently been involved in a court case because their supplements exceed the normal lead limit. More information about the risks of Herbalife are available at the Resources below. Risks of Herbalife



Thursday 29 November 2012

BACTERIA IN HERBALIFE DAMAGES LIVER

‘Bacteria in Herbalife damages liver’

Two years ago liver doctors sounded the alarm about cases of liver damage in users of Herbalife products. They were unable to say which component in Herbalife products was causing the liver damage, but researchers at the University of Bern made an attempt to do so in an article published this year in the Journal of Hepatology. They found the bacteria Bacillus subtilis in Herbalife products.


In the article the doctors discuss two cases of people who became ill after using Herbalife products: a man aged 78 and a woman aged 50. The man's urine had turned dark brown, he had hepatitis and had been feeling unwell for a couple of weeks. He had been using the Herbalife F1 Shake [Strawberry and Cappuccino flavours] for three years on his daughter’s advice [she was a Herbalife salesperson], as well as various other medicines. According to the analyses, the man had a liver complaint. When the doctors took him off the shake his blood values recovered, but they deteriorated again later. The doctors gave the man corticosteroids and ursodeoxycholic acid, after which he recovered completely. You can see the fluctuations in the man’s blood values in the graph below.





The woman sold Herbalife supplements. She took half a dozen different Herbalife supplements, including the Personalized Protein Powder Mix Formula 3. She had stomach pain and hepatitis and the doctors found signs of liver damage in her blood. They got the woman to stop taking the supplements and the graph below shows how the liver values in her blood improved.





The researchers examined samples from the livers of the man and the woman and found signs of damage in both. The doctors turned the supplements that the men and women had used inside out, but found no contaminants: no heavy metals, no pesticides, no antibiotics, nothing. But when they examined the Herbalife products for micro-organisms, they did come across something. The meal substitutes the man and woman had been using contained the bacteria
Bacillus subtilis. [see photo.] This was the cause of the liver complaints, according to the researchers.
Hmm.

Honestly speaking, we’re not sure what to make of this. As far as we know, B. Subtilis is found in pretty much everything, and it’s not particularly dangerous. [Wikipedia] Some studies even regard it as a probiotic. It would seem pretty unlikely then that B. subtilis is the cause of such serious liver damage.

Source: J Hepatol. 2009 Jan;50(1):111-7.

 
Bodybuilder drugs his liver to oblivion – twice

A medical case study that will give you goose bumps, this report from doctors at the US Massachusetts General Hospital. The article tells the story of a 27-year-old competitive bodybuilder and part-time policeman who turned up at the Emergency Department.

The man’s been using anabolics for five years, but now he's got stomach pains and is nauseous. The doctors do blood tests and discover that the man’s liver is no longer functioning properly. For a start, the concentration of the enzyme ALT is 2457 units per litre: 35 is the healthy maximum. The bodybuilder’s blood is syrupy and his haematocrit level is fifty percent. The bodybuilder says he injects nandrolone and takes androstenedione.


The scan the doctors make of his liver shows a real mess, shown in Picture A below. The light patches are swellings, the biggest of which measures 10 x 10 cm.


The doctors operate and discover that the liver is in an even worse state than they had feared. The organ contains swellings that are filled with blood. Peliosis hepatis is the doctors’ diagnosis, the same complaint as killed Andreas Muenzer.

The doctors also found a swelling with a diameter of 23 cm. This kind of swelling doesn’t usually get bigger than 3 cm. The doctors decide to amputate part of the liver.

After the operation the bodybuilder recovers and is allowed home. When the doctors make another scan three months later they see that the swellings in the remaining part of the liver have shrunk by 40 percent, Picture B above. The bodybuilder thinks it's time to start doping again, and says he’s going to start again with androstenedione.

After three years the bodybuilder returns to the doctors. Six weeks previously he had treated himself to injections of a nandrolone derivative. And bingo, he’s got stomach pains again.

Three days after admission to the hospital, the bodybuilder’s heart rate starts to increase. When the doctors make another scan – the picture above on the right – they see that his liver is in a bad way again. The swellings have started to grow again, and the liver has a protuberance that has started to bleed.

The doctors discuss briefly whether they should give the guy a new liver, but reject the idea. It would be a waste: he would only destroy it again with pills and injections. Alcoholics are not given a new liver either. So they just stop the bleeding and send the bodybuilder home again.

Thinking about it, we find it difficult to believe that the bodybuilder was only using deca and androstenedione. True, a number of cases have been published of bodybuilders who, as the result of a mild course of deca, developed a blood clot the size of a brick in their stomach, or became psychotic after one single deca injection. But to be honest, we don’t believe those studies.

Moreover, neither androstenedione nor nandrolone is harmful to the liver. Laboratory research on liver cells has shown this. And, by the time the doctors were seeing their patient, George Bush had already outlawed androstenedione. Although androstenedione is still on the market, bodybuilders hardly ever use it. Why would they? In countries like the US there are much more effective legal anabolic steroids available. But among these, there are a number of substances that are notoriously bad for the liver.

The most dangerous is Superdrol, an anabolic that was developed at the end of the fifties by Syntex. Doctors have recorded damaged livers and destroyed kidneys in users of Superdrol more than once.

This is what makes us suspect that the bodybuilder in this case study used stronger stuff than androstenedione and deca. Bodybuilders are often not entirely honest about what they have been using when they visit a doctor about medical problems. Even when being honest could have saved their life.

Sources:
World J Gastroenterol. 2008 Jul 28;14(28):4573-5.


Bodybuilder gets jaundice from creatine and protein supplements

A healthy man of 27, a fanatical bodybuilder, developed liver damage and jaundice after using sports supplements containing creatine and whey protein. Liver specialists at The Mount Sinai Medical Center in New York describe the case in Seminars in Liver Disease.

The man in the case study had no pain and did not feel unwell, but because he showed signs of jaundice he went to hospital. There the doctors discovered that his blood contained high levels of bilirubin, a substance that should have been removed by the liver. The man’s blood also contained high amounts of the enzyme alkaline phosphatase and creatinine. The first substance can be an indication of liver malfunction. The second is a waste product of creatine.

In people with jaundice, the skin and whites of the eyes turn yellow [see pic below], but this is not necessarily cause for alarm. Bilirubin is not a dangerous substance, and may even be an endogenous antioxidant. But jaundice is a sign that something is wrong with the liver, and it therefore needs to be taken seriously.



When the doctors examined the bodybuilder’s liver they saw that the organ was no longer removing bile. The ducts that should have been doing so were blocked. The scientific term for this is cholestasis.

The bodybuilder had been taking creatine for nine months and whey protein for one month. The doctors thought that this might be responsible for his condition. When the man stopped taking the supplements, his liver returned to normal and the jaundice disappeared. If doctors come across healthy athletes with an abnormal liver, the researchers write, then they should ask whether the athletes are using potentially 'dangerous' supplements like whey protein and creatine.




We put ‘dangerous’ in quotes advisedly. We don’t actually believe that healthy people can get jaundice from creatine and proteins. We agree with the opinion of a blogger – who by the way also works at Gaspari Nutrition – at bodybuilding.com who suspects that the bodybuilder in question was also using steroids, and developed jaundice as a result of these. [bodybuilding.com 2008/05/23]

It wouldn’t be the first time that bodybuilders have run into trouble for using hardcore doping materials, go to a doctor and then don’t tell the whole truth about what they are using. In the past we have written about a bodybuilder who had taken an overdose of DNP, got sick and went to hospital – where he died because he didn’t dare to say what he had been using. In another article a bodybuilder almost lost a testicle because at first he didn’t tell the doctors that he had been using Pregnyl.

There are plenty of reports in the medical literature of the side-effects supplements or low doses of doping drugs, which should be enough to make the readers’ hair stand on end. But these reports are probably the result of silent use of forbidden substances – and in high quantities. For example, there was the bodybuilder who said he had developed gyno from using Tribulus terrestris supplements. [Breast. 2004 Oct;13(5):428-30.] Other bodybuilders have said that they got liver damage from androstenedione and a blood clot the size of a brick from taking deca and proviron. [N Engl J Med. 1999 Apr 8;340(14):1123-4.]

Sources:
Semin Liver Dis. 2008 May;28(2):226-31.



Supplement protects steroids users’ livers

A preparation made by Natterman, which supposedly protects the liver and which chemical athletes are using more and more often: Greek researchers refer to it in their study as compound N. The researchers, at Thessaly University, set up an experiment to determine whether compound N really works.

After a bit of surfing we worked out that Compound N is Essentiale forte. [Google]

A packet contains a couple of dozen capsules, each of which contains 300 mg of polyene phosphatidylcholine. This is choline-phosphoric acid with two unsaturated fatty acids attached, usually linoleic acid. It probably resembles the phosphatidylcholine found in soya.

In addition, each capsule contains 6 mg of vitamin B1, 6 mg of vitamin B2, 6 mg of vitamin B6, 6 mcg of vitamin B12, 30 mg of nicotinamide and 6 mg of vitamin E.

The Greeks, who by the way have also done research on the psychological effects of anabolic steroids, did an experiment with three hundred and twenty athletes. Half of them, one hundred and sixty athletes, used steroids. Of these chemical athletes, the researchers gave forty Essentiale forte: two capsules a day taken with food.

All of the chemical athletes took steroids and the researchers monitored them for eight weeks. The list below gives you an idea of what the Greek bodybuilders were using.






Yes, the list puzzled us too. Quinbolone? [An enol-ether of boldenone – Ed.] Oxabolone? [Nandrolone with a hydroxyl group on C4 – Ed.] Are these products still on the market? And where are the 'new' designer steroids? Surely athletes in Greece use products like 1-Test and Madol too?

Still.

During the eight-week period the researchers measured the athletes’ concentrations of the following enzymes: aspartate aminotransferase (AST/SGOT), alanine aminotransferase (ALT/SGPT), lactate dehydrogenase (LDH), alkaline phosphatase (ALP), gamma-glutamyltranspeptidase (gamma-GT) and creatine kinase (CK).

The more enzymes in the blood, the harder a time the liver is having.

The figure below shows what happened to the liver enzyme concentrations. Group A = chemical athletes who took Essentiale forte as well. Group B = chemical athletes who did not take a liver-protection supplement. Group C = ‘natural’ athletes.





The researchers are not sure how phosphatidylcholine and vitamins protect steroids users’ livers. They suspect that the mixture strengthens the membranes of the liver cells. The livers of steroids users have to work hard to break down all the extra substances they are subjected to. And as a result the liver cells ‘cut down’ on metabolising fats. The liver gets fattier because the liver cells are no longer burning fat well [beta-oxidation – Ed.] and maintenance of the cell membranes made up of fatty acid chains gets neglected. The supplement helps the liver cells to perform these functions.

Sounds attractive, but to be honest we find it difficult to believe that simply taking vitamin B pills and lecithin capsules can protect steroids users’ livers. And we’re probably not the only ones who are sceptical. Reading between the lines you can also see that the Greeks had trouble getting their study published.

That’s why they use long-winded sentences like: "the results from our cohort of similarly exercising individuals suggest that polyunsaturated phospholipids in combination with vitamins of the B complex protect hepatic cells from AAS-induced damage." According to the Greeks Compound N is not a supplement but "a controlled pharmaceutical agent".

But still. It’s not totally impossible that the Greeks have discovered something that will enable thousands of steroids users to juice more safely.



More damaged livers from superdrol and madol

Liver specialists at the Henry Ford Hospital in Detroit have reported another three cases of bodybuilders who developed liver damage as a result of using designer supplements. The men used Anabolic Xtreme’s Superdrol or BMF Hardcore’s M-Test 2, a product containing the steroid madol.

The Superdrol user was 21. He was nauseous, had stopped eating, had jaundice and itched all over. He’d been using
Superdrol for a couple of months and his liver was not functioning properly. His data is shown in the table below, under the heading Patient 1.
When the symptoms had got worse after two weeks, the doctors gave him prednisone. The anti-inflammatory worked and after another six weeks, he'd made a pretty good recovery.

Superdrol is a steroid whose structure and synthesis resemble those of oxymetholone. It was also developed and tested in the late fifties by the makers of oxymetholone, the American pharmaceutical company Syntex. Although superdrol [see structural formula below] looked like a promising anabolic steroid in animal tests, in subsequent tests potential side effects showed up.
Superdrol
Syntex decided not to put Superdrol on the market. But that didn’t stop designer supplement makers from marketing the forgotten steroid years later.
The effects of this move are clearly seen in the medical journals. In 2006 doctors in Phoenix, Arizona published an article on the case of bodybuilder who became fatally ill after using superdrol. [Am J Gastroenterol. 2006 Nov;101(11):2659-62.] A few months later doctors at Johns Hopkins University published another case and a case in which another designer steroid – Halodrol – had caused liver damage. [Clin Gastroenterol Hepatol. 2007 Jul;5(7):809-12.] And another few months after that, doctors from Burlington wrote about five more bodybuilders who had developed liver problems as a result of superdrol. [Clin Gastroenterol Hepatol. 2008 Feb;6(2):255-8.]

What patient 2 used was not clear, but it contained at least DHEA. Of the three men referred to in the study, number 2 got off the most lightly. He recovered spontaneously a couple of weeks after he had stopped using the supplement.






Patient 3 used M-Test 2, a designer supplement containing the steroid madol. [Structural formula shown below.] Madol was rediscovered by Patrick Arnold, who produced it as an invisible steroid for Balco, but it was picked up later by designer supplement manufacturers. Madol was also developed by Syntex, a manufacturer that carried out promising animal tests on it in the sixties.

Madol
Not much is known about the side-effects of madol. It is not carcinogenic, say German researchers. But they did discover that it enlarged the heart muscle in animal tests. The enlargement itself was not dangerous, but the researchers were not entirely convinced. In the bodybuilding circuit however there are few stories around of users who have developed liver problems as a result of using madol.

The sick madol user had to be given prednisone in the end, after which he recovered.

The doctors did not test the preparation the patient had used. And we wonder quite honestly if it only contained madol. According to the study, the bodybuilder became ill after he had taken 57 capsules over a period of a few weeks. That would be impossible with
just madol. Methyl-1-testosterone and superdrol are a different kettle of fish, but with madol we can hardly imagine this kind of thing happening.
BMF Hardcore, the maker of M-Test, has heavier oral designer supplements among its products. The Canadian government has issued warnings about these. Maybe something went wrong during the production of M-Test 2. Or perhaps the doctors got it wrong that Patient 3 used the BMF product.

The doctors also read a couple of articles written by colleagues and summarized the information they found. This resulted in the table you see here below.





Liver specialists should get extra training on designer supplements that contain oral anabolic steroids, the article concludes. "The rapid reporting of several cases of AAS-induced liver injury from dietary supplements emphasizes the growing emergence and importance of this condition and the need for clinicians to become aware of the sequelae of jaundice and renal failure, especially among young men who are unknowingly consuming hepatotoxic agents."

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