IGNORE_Tainted Weight Loss Supplements

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  Sibutramine is known to substantially increase BP and pulse rate which may present a significant risk in patients with a history of coronary artery disease, CHF, arrhythmias, or stroke.

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  Phenolphthalein was an ingredient in OTC laxatives until 1999; it is now considered genotoxic.

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  Some products may contain banned ephedrine alkaloids which may raise BP and stress the circulatory system.

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  Cetilistat is an experimental obesity drug; there is no safety or efficacy profile for this drug.

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  Fenoproporex is a stimulant not approved in the U.S; it is an amphetamine derivative.

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  Fluoxetine is the active ingredient in Prozac, a prescription antidepressant.

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  Rimonabant is the active ingredient in Zimulti which is not approved in the U.S.; in Europe the drug is known as Acomplia.

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  Healthcare professionals should warn patients that weight loss products promoted as “all natural” may contain potentially harmful hidden ingredients.