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Chemical Analysis of Weight Loss Herbal Supplement Safe Lean™ Associated With Acute Liver Injury - A Concern for Spurious Drug, Misbranding and Adulteration.与急性肝损伤相关的减肥草药补充剂Safe Lean™的化学分析——对假药、标签错误和掺假的关注。
J Clin Exp Hepatol. 2018 Dec;8(4):471-473. doi: 10.1016/j.jceh.2018.05.001. Epub 2018 May 17.
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Clin Toxicol (Phila). 2011 Jan;49(1):34-9. doi: 10.3109/15563650.2010.537662. Epub 2010 Nov 29.
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Herbal and dietary supplement induced liver injury: Highlights from the recent literature.草药和膳食补充剂引起的肝损伤:近期文献综述要点
World J Hepatol. 2021 Sep 27;13(9):1019-1041. doi: 10.4254/wjh.v13.i9.1019.

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1
Liver toxicity related to herbs and dietary supplements: Online table of case reports. Part 2 of 5 series.与草药和膳食补充剂相关的肝毒性:病例报告在线表格。5 系列文章的第 2 部分。
Food Chem Toxicol. 2017 Sep;107(Pt A):472-501. doi: 10.1016/j.fct.2016.07.001. Epub 2016 Jul 8.
2
Hepatotoxicity by Dietary Supplements: A Tabular Listing and Clinical Characteristics.膳食补充剂所致肝毒性:列表及临床特征
Int J Mol Sci. 2016 Apr 9;17(4):537. doi: 10.3390/ijms17040537.
3
Acute liver failure associated with Garcinia cambogia use.与藤黄果使用相关的急性肝衰竭。
Ann Hepatol. 2016 Jan-Feb;15(1):123-6. doi: 10.5604/16652681.1184287.
4
Acute hepatitis induced by pure Garcinia cambogia.纯藤黄果引起的急性肝炎。
J Clin Gastroenterol. 2015 May-Jun;49(5):449-50. doi: 10.1097/MCG.0000000000000303.
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Hydroxycut-induced Liver Toxicity.Hydroxycut引起的肝毒性。
Ann Med Health Sci Res. 2014 Jan;4(1):143-5. doi: 10.4103/2141-9248.126627.
6
Cadmium exposure and liver disease among US adults.镉暴露与美国成年人的肝病。
J Gastrointest Surg. 2013 Jul;17(7):1265-73. doi: 10.1007/s11605-013-2210-9. Epub 2013 May 1.
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Fatal barium chloride poisoning: four cases report and literature review.致命性氯化钡中毒:4例报告及文献复习
Am J Forensic Med Pathol. 2013 Jun;34(2):115-8. doi: 10.1097/PAF.0b013e31828a2626.
8
Toxicity of vanadium on isolated rat liver mitochondria: a new mechanistic approach.钒对离体大鼠肝线粒体的毒性:一种新的机制研究方法。
Metallomics. 2013 Feb;5(2):152-66. doi: 10.1039/c2mt20198d.
9
The Use of Garcinia Extract (Hydroxycitric Acid) as a Weight loss Supplement: A Systematic Review and Meta-Analysis of Randomised Clinical Trials.藤黄提取物(羟基柠檬酸)作为减肥补充剂的应用:随机临床试验的系统评价和荟萃分析
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Thallium toxicity in humans.铊中毒。
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与急性肝损伤相关的减肥草药补充剂Safe Lean™的化学分析——对假药、标签错误和掺假的关注。

Chemical Analysis of Weight Loss Herbal Supplement Safe Lean™ Associated With Acute Liver Injury - A Concern for Spurious Drug, Misbranding and Adulteration.

作者信息

Philips Cyriac A, Augustine Philip

机构信息

The Liver Unit, Cochin Gastroenterology Group, Ernakulam Medical Centre, Kochi 682028, Kerala, India.

出版信息

J Clin Exp Hepatol. 2018 Dec;8(4):471-473. doi: 10.1016/j.jceh.2018.05.001. Epub 2018 May 17.

DOI:10.1016/j.jceh.2018.05.001
PMID:30564005
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6286438/
Abstract

Liver injury due to herbal and dietary supplements are well described in literature and its incidence has been on the rise in the past decade. Labelling an herbal product as non-medicinal and as a supplement precludes protocols needed for testing, trials and marketing criteria. This has led to rampant use of clinically unproven multi-herb-based drugs use for a myriad of lifestyle diseases. In this report, we discuss a new dietary weight loss supplement, Safe Lean™ that was found to be the cause of liver injury in a young obese woman, that resolved after discontinuation, and discuss current literature on component, toxicology and chemical analysis of the offending drug.

摘要

草药和膳食补充剂导致的肝损伤在文献中已有充分描述,且在过去十年中其发病率一直在上升。将草药产品标记为非药用和补充剂,排除了测试、试验和营销标准所需的方案。这导致了临床上未经证实的多种草药药物被大量用于治疗各种生活方式疾病。在本报告中,我们讨论了一种新的膳食减肥补充剂Safe Lean™,它被发现是一名年轻肥胖女性肝损伤的原因,停药后肝损伤得到缓解,并讨论了关于该有害药物的成分、毒理学和化学分析的现有文献。