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Woman, 23, suffers liver failure after taking a $50 herbal supplement

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iPoop
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Joined : Aug 2012
Posts : 16211
Posted 1/4/2020 8:47 AM (GMT -6)
Careful with those supplements!

A 23-year-old woman needed a liver transplant on Christmas Day after hers stopped working because of a herbal supplement, according to her doctor.

Emily Goss, from Amarillo in Texas, had been taking four pills per day of a $50-per-bottle (£38) supplement sold by American company Alani Nu.

Dr Weinstein claimed that between three and four out of 10 cases of acute liver failure – in which the organ fails without liver disease – are caused by supplements.

https://www.dailymail.co.uk/health/article-7849155/amp/woman-23-suffers-life-threatening-liver-failure-herbal-supplement-taking.html
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IamCurious
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Joined : Jan 2010
Posts : 3568
Posted 1/4/2020 1:25 PM (GMT -6)
I wonder what was in that supplement that caused her liver failure. I remember 30 years ago there was a problem with supplemented tryptophan. It turned out that it wasn't the tryptophan itself, (tryptophan is the amino acid that explains why we become sleepy after eating turkey), but the manufacturing process that produced contaminated capsules. Anyway it was banned for about 15 years before it could be sold OTC again.

the article said...
Her doctor believes the supplement she was taking was the cause of the critical illness...
Acute liver failure is loss of liver function that occurs rapidly — in days or weeks — usually in a person who has no pre-existing liver disease...
Figures suggest it affects one in 100,000 people.


Before anyone else gets sick they really need to find out whether the problem is caused by an active ingredient in the supplement, or like tryptophan, if the capsules were contaminated. Or even if ingesting that supplement was responsible for her liver failure in the first place. I would think this should be a priority to find out ASAP.

iPoop said...
Careful with those supplements!


Careful with those Big Gun Meds too! The rate of failure can be higher than one in 100,000 people:

www.healingwell.com/community/default.aspx?f=17&m=2612147
I had to stop taking Humira because it caused me to develop Drug- Induced Lupus

https://www.healingwell.com/community/default.aspx?f=38&m=3753241
I started Remicade which got me under control. Now I have recently been diagnosed with lymphoma

www.healingwell.com/community/default.aspx?f=17&m=2970342
the pain lessened as the drug got out of my system

https://www.healingwell.com/community/default.aspx?f=38&m=4113724
My daughter is still dealing with lupus like syndrome , probably from the remicade

Post Edited (IamCurious) : 1/4/2020 12:29:26 PM (GMT-7)

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VanJordan
Regular Member
Joined : Dec 2019
Posts : 149
Posted 1/6/2020 3:19 PM (GMT -6)
This looks like a fake article. They don't mention which supplement she took or any important details. Reads like big pharma propaganda.

No matter what you take, you should be careful. Rx meds can kill you, they are one of the top causes of death in the developed world. Herbal supplements might not be good for you especially if they are adulterated.
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deltaforce
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Posts : 2373
Posted 1/6/2020 4:01 PM (GMT -6)
@IamCurious,
You hit the nail. A perfect comment

I know people think that 'natural supplements' are harmful because there is no oversight. We know all too well that prescription drugs are not safer by any standard but we take them blindly (or out of desperation) until we have a reaction. So one should avoid such sensationalistic news articles.

My mom has Pancolitis, not a single drug has worked for her for a longer-term. She gave up on the meds after getting frustrated. She is on some herbal supplements for a while and doing well without meds. But those supplements did not help me at all. So YMMV. I personally would not discourage anyone to try. You never know what may help you, but with caution (even with the meds, and that's why I am not on any biologic, yet).
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iPoop
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Joined : Aug 2012
Posts : 16211
Posted 1/7/2020 9:32 AM (GMT -6)
Nothing fake or propaganda about it lol.

There's risk in supplements and there's risk in meds. The difference is that the meds have been studied in great depth, so we do know the risks and they're spelled out quite clearly. Whereas supplements aren't regulated or studied, so these risks are totally unknown and cannot easily be quantified. If I had a dollar for every time someone posted or implied that taking supplements is the much safer way, as they all come from the earth and natural plants, therefore cannot harm you then I'd be a millionaire lol. Not bashing supplements in the slightest, rather just spelling out that there is in fact risk to both. And do tell your doctor about all supplements you are currently taking, just as you do with meds.

I think the one point missed was this "Dr Weinstein claimed that between 3 and 4 out of 10 cases of acute liver failure – in which the organ fails without liver disease – are caused by supplements." So, we're not talking one supplement that was laced, some freak thing with this woman's DNA or something. Rather it is much more wide spread.
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straydog
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Joined : Feb 2003
Posts : 18365
Posted 1/7/2020 9:42 AM (GMT -6)
I saw this dr's interview on our local news. I seriously doubt Methodist Hospital would allow a dr to give an interview that was a hoax, lol. I hope that in time we will get more information which supplement was the culprit.
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ks1905
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Joined : Sep 2005
Posts : 5857
Posted 1/7/2020 11:06 AM (GMT -6)

Sara14 said...
Actually, most people seem to think supplements are harmless since they're "natural." .

My mother has borderline high cholesterol and didn’t want to take a medication to treat it so she read online that Red Rice Extract helps to lower cholesterol so she bought some and her liver enzymes started going through the roof. Her doctor yelled at her.

So earlier today my mother was telling me that I should give my dog coconut oil because she read online that it is good for dogs. Ugh.
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IamCurious
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Joined : Jan 2010
Posts : 3568
Posted 1/7/2020 5:15 PM (GMT -6)

iPoop said...
Whereas supplements aren't regulated or studied, so these risks are totally unknown and cannot easily be quantified.


Supplements may not be regulated but any company that markets a problematic supplement will not remain in business for long. I myself check out purity and potency of the supplements I take thru ConsumerLab.com

It isn't fair to say that supplements aren't studied. There are dozens of studies published in PubMed.gov proving the efficacy of supplements. Even Big Pharma admits that the meds available today cannot cure IBD, they can only manage symptoms and help dampen inflammation.

But as long as I can maintain remission thru diet and supplements with little or no side effects, then why should I look for expensive meds that may have toxic side effects?
A very small sample of effective supplements:

http://www.ncbi.nlm.nih.gov/pubmed/25830661
The most important clinical trials conducted so far refer to the use of mastic gum, tormentil extracts, wormwood herb, aloe vera, triticum aestivum, germinated barley foodstuff, and boswellia serrata.
In ulcerative colitis, aloe vera gel, triticum aestivum, andrographis paniculata extract and topical Xilei-san were superior to placebo in inducing remission or clinical response,

and curcumin was superior to placebo in maintaining remission; boswellia serrata gum resin and plantago ovata seeds were as effective as mesalazine.

In Crohn's disease, mastic gum, Artemisia absinthium, and Tripterygium wilfordii were superior to placebo in inducing remission and preventing clinical postoperative recurrence, respectively. Herbal therapies exert their therapeutic benefit by different mechanisms including immune regulation, antioxidant activity, inhibition of leukotriene B4 and nuclear factor-kappa B, and antiplatelet activity.


http://www.ncbi.nlm.nih.gov/pubmed/1312317
CONCLUSIONS: Four months of diet supplementation with fish oil in patients with inflammatory bowel disease resulted in reductions in rectal dialysate leukotriene B4 levels, improvements in histologic findings, and weight gain

https://www.ncbi.nlm.nih.gov/pubmed/25724700
Conclusions: Addition of curcumin to mesalamine therapy was superior to the combination of placebo and mesalamine in inducing clinical and endoscopic remission in patients with mild-to-moderate active UC, producing no apparent adverse effects.

/www.ncbi.nlm.nih.gov/pubmed/4018707
Zinc deficiency is common in patients with Crohn's disease (CD), especially in those with skin lesions and growth retardation... Zinc deficiency may play a role in the formation and clinical course of fistulas.

/www.ncbi.nlm.nih.gov/pmc/articles/PMC1856764/
Zinc carnosine, a health food supplement that stabilises small bowel integrity and stimulates gut repair processes
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IamCurious
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Joined : Jan 2010
Posts : 3568
Posted 1/7/2020 5:19 PM (GMT -6)

iPoop said...
I think the one point missed was this "Dr Weinstein claimed that between 3 and 4 out of 10 cases of acute liver failure – in which the organ fails without liver disease – are caused by supplements."


Where is Dr. Weinstein's evidence for this? As mentioned earlier tryptophan was banned for 15 years when contaminated capsules caused an outbreak. And we routinely see the entire country put on alert whenever there is a salmonella outbreak from contaminated lettuce, etc.

But here we are supposed to believe that people can be dying from liver failure and nothing is being done except to warn us about taking supplements. DUH! Weinstein should either put up or shut up because this sounds like Big Pharma propaganda to me.

iPoop said...
The difference is that the meds have been studied in great depth, so we do know the risks and they're spelled out quite clearly.


I don't think so. Drug trials may not be as reliable as most people assume.
According to Forbes Magazine:
“about 85% of clinical trials are now funded by the drug industry. They own that data. The docs don’t understand that they are getting a selected, filtered version of what the information is.”

https://jamanetwork.com/journals/jama/fullarticle/196846
Most clinical trials are funded by pharmaceutical companies with enormous financial stakes in the products being evaluated. Furthermore, the scientists who design, conduct, analyze, and report clinical trials often receive monetary compensation from drug companies, in the form of either salaries or consulting fees.

Industry also provides individual physicians or entire academic departments with unrestricted funds that can be applied toward personal or institutional research initiatives. These forms of compensation may undermine investigators' objectivity by rewarding those who produce results most favorable to the sponsor's interests.


Industry-funded clinical trials and cost-effectiveness analyses, for instance, yield positive results far more often than studies that are funded or conducted by other entities.

https://www.ncbi.nlm.nih.gov/pmc/articles/pmc156458/
An increasing number of clinical trials at all stages in a product’s life cycle are funded by the pharmaceutical industry,

Results that are unfavourable to the sponsor—thatis, trials that find a drug is less clinically effective or costeffective or less safe than other drugs used to treat thesame condition—can pose considerable financial risk sto companies. Pressure to show that the drug causes a favourable outcome may result in biases in design, out-come, and reporting of industry sponsored research
Conclusion: Systematic bias favours products which are made by the company funding the research.


https://www.ncbi.nlm.nih.gov/pmc/articles/pmc2872821/
In recent years, a number of studies have shown that clinical drug trials financed by pharmaceutical companies yield favorable results for company products more often than independent trials do.
Conclusion:
Financial support from a pharmaceutical company influences multiple aspects of the performance of drug trials and often leads to a favorable result for the corporate sponsor of the trial.


https://blogs.scientificamerican.com/guest-blog/can-the-source-of-funding-for-medical-research-affect-the-results/
One such study was conducted by Paul Ridker and Jose Torres and published in 2006 in JAMA (Journal of the American Medical Association). Ridker and Torres analyzed randomized cardiovascular trials published in leading, peer-reviewed medical journals (JAMA, The Lancet, and the New England Journal of Medicine) during the five year period of 2000-2005 in which one treatment strategy was directly compared to a competing treatment.

They found that 67.2% of studies funded exclusively by for-profit organizations favored the newer treatment, whereas only 49.0% of studies funded by non-profit organizations (such as non-profit foundations and state or federal government agencies) showed results in favor of the newer treatment.

This contrast was even more pronounced for pharmaceutical drugs, where 65.5% of the industry sponsored studies showed benefits of the newer treatment, while only 39.5% of non-profit funded studies favored the new treatment.


https://www.newscientist.com/article/dn3781-research-funded-by-drug-companies-is-biased/
Studies backed by the pharmaceutical industry are four times more likely to show favourable results than other studies, reveals a new analysis.
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ambling
Veteran Member
Joined : Feb 2011
Posts : 1046
Posted 1/7/2020 6:50 PM (GMT -6)
So many words, so little said!

Fish oil, curcumin and zinc ..... wow, news flash. Yes, some things get tested quite thoroughly. However, most do not.
And even fish oil has a very dubious reputation, with some studies showing no benefit at all.

Take the supplement used by the liver failure patient in the article: "Alani nu Balance".
Here are some of the outrageous claims made by the advertiser: "...designed to support hormonal balance, weight management, complexion, and fertility. Enjoy restorative sleep, improved energy levels, and more...."

This sort of nonsense is just the tip of the iceberg when it comes to claims made in most supplement advertising.

It is well known that private companies tend to exaggerate the success of their new drugs. But it is nothing compared to the ludicrous claims made my supplement companies!

IAC, you are in remission and have been most of the time. If antibiotics hadn't worked for you (got you into remission) you would be singing a different tune - knowing full well that supplements and diet mods did not work when your illness really flared - by your own words.
It seems very misleading for you to completely ignore the fact that it wasn't diet or supplements that got you into remission, though they may help you maintain low levels of symptoms.
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IamCurious
Veteran Member
Joined : Jan 2010
Posts : 3568
Posted 1/7/2020 7:55 PM (GMT -6)
And even fish oil has a very dubious reputation, with some studies showing no benefit at all.
But it works for me and that is all I care about. Meds don't work for everyone either.

As I have said over and over, I haven't taken any meds since my last flare three years ago. Diet and supplements are quite adequate for me to remain in remission.

And once in a while when I stray from my diet I begin to see symptoms bubble up. That's when I would immediately avoid the offending food and take supplements, (in my experience probiotics with psyllium seed works best), to calm things down again.

My last flare was three years ago when I was in denial that chocolate could be causing symptoms. I continued to eat it until I experienced a horrendous flare that was just as bad or worse than most symptoms I have read about in this forum.

That's when a three week course of Flagyl once again helped me to escape that flare. I don't deny it but it would be foolish for me to depend on antibiotics to maintain remission. Meds only work until they stop working. I don't understand the logic of eating something that I know will inflame my gut, and then trying stronger and stronger meds to put the fires out.

You are right, antibiotics got me into remission more than once but it is diet and supplements that keep me in remission, without any toxic side effects.
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ambling
Veteran Member
Joined : Feb 2011
Posts : 1046
Posted 1/7/2020 8:45 PM (GMT -6)
You're lucky! Antibiotics work for around twenty percent. The rest are not lucky. They mostly have to try meds.
Nothing works for me, so I have no foot in any camp. But I dislike seeing misleading rhetoric.
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iPoop
Forum Moderator
Joined : Aug 2012
Posts : 16211
Posted 1/8/2020 8:58 AM (GMT -6)
Oh I know there is some limited scientific studies on some supplements. However, the open-labeled, small scale studies that are not peer-verified are encouraging but very prone to placebo effect, and inaccurate. It does not pass the level of scrutiny necessary to really and thoroughly vet the effectiveness and side effects possible (as a double-blind, peer-verified, large scale series of studies would).
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Coffeemate
Regular Member
Joined : Mar 2012
Posts : 236
Posted 1/9/2020 5:44 PM (GMT -6)

IPoop said...
It does not pass the level of scrutiny necessary to really and thoroughly vet the effectiveness and side effects possible (as a double-blind, peer-verified, large scale series of studies would). 


Didn’t you read the thread before responding? Meds don’t really pass scrutiny either.

Iamcurious said...

I don't think so. Drug trials may not be as reliable as most people assume.
According to Forbes Magazine:
“about 85% of clinical trials are now funded by the drug industry. They own that data. The docs don’t understand that they are getting a selected, filtered version of what the information is.”

https://jamanetwork.com/journals/jama/fullarticle/196846
Most clinical trials are funded by pharmaceutical companies with enormous financial stakes in the products being evaluated. Furthermore, the scientists who design, conduct, analyze, and report clinical trials often receive monetary compensation from drug companies, in the form of either salaries or consulting fees.

Industry also provides individual physicians or entire academic departments with unrestricted funds that can be applied toward personal or institutional research initiatives. These forms of compensation may undermine investigators' objectivity by rewarding those who produce results most favorable to the sponsor's interests.

Industry-funded clinical trials and cost-effectiveness analyses, for instance, yield positive results far more often than studies that are funded or conducted by other entities.

https://www.ncbi.nlm.nih.gov/pmc/articles/pmc156458/
An increasing number of clinical trials at all stages in a product’s life cycle are funded by the pharmaceutical industry,

Results that are unfavourable to the sponsor—thatis, trials that find a drug is less clinically effective or costeffective or less safe than other drugs used to treat thesame condition—can pose considerable financial risk sto companies. Pressure to show that the drug causes a favourable outcome may result in biases in design, out-come, and reporting of industry sponsored research
Conclusion: Systematic bias favours products which are made by the company funding the research.

https://www.ncbi.nlm.nih.gov/pmc/articles/pmc2872821/
In recent years, a number of studies have shown that clinical drug trials financed by pharmaceutical companies yield favorable results for company products more often than independent trials do.
Conclusion:
Financial support from a pharmaceutical company influences multiple aspects of the performance of drug trials and often leads to a favorable result for the corporate sponsor of the trial.

https://blogs.scientificamerican.com/guest-blog/can-the-source-of-funding-for-medical-research-affect-the-results/
One such study was conducted by Paul Ridker and Jose Torres and published in 2006 in JAMA (Journal of the American Medical Association). Ridker and Torres analyzed randomized cardiovascular trials published in leading, peer-reviewed medical journals (JAMA, The Lancet, and the New England Journal of Medicine) during the five year period of 2000-2005 in which one treatment strategy was directly compared to a competing treatment.

This contrast was even more pronounced for pharmaceutical drugs, where 65.5% of the industry sponsored studies showed benefits of the newer treatment, while only 39.5% of non-profit funded studies favored the new treatment.

https://www.newscientist.com/article/dn3781-research-funded-by-drug-companies-is-biased/
Studies backed by the pharmaceutical industry are four times more likely to show favourable results than other studies, reveals a new analysis.

Post Edited (Coffeemate) : 1/9/2020 5:04:15 PM (GMT-7)

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ks1905
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Posts : 5857
Posted 1/13/2020 9:54 AM (GMT -6)

Sara14 said...

Lol! I hate the coconut oil fanatics. They seem to be everywhere. (Not trying to disrespect your mother).

I feel the same way about antivaxxers. Actually my mother is a pretty rational person but she didn't grow up in the information age and is not as skeptical as she should be with things she sees on the Internet.
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ks1905
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Joined : Sep 2005
Posts : 5857
Posted 1/13/2020 11:20 AM (GMT -6)

Sara14 said...
Yeah, I can understand that with older people for sure. I feel the same about anti-vaxxers, too.


But the original article was about a 23 year old so age isn't always a factor is decision making when it comes to healthcare/supplements in the internet age.

My mother is 70 and doesn't need any medication; she's trying to avoid it if at all possible. She modified her diet so her cholesterol is better, she exercises every day and goes for all of her health screenings. She really likes the fact that she doesn't need any medication at her age and trying to keep it that way but it does make her a little vulnerable to supplements health benefit claims.
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Sara14
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Joined : Mar 2007
Posts : 6235
Posted 1/13/2020 1:08 PM (GMT -6)
Oh definitely. Age doesn't really matter much. Most the people I hear talking about coconut oil being so great for you are around my age. I guess maybe I'm more forgiving of older people though.

That's great she doesn't need any medication. I'm jealous!
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iPoop
Forum Moderator
Joined : Aug 2012
Posts : 16211
Posted 1/13/2020 1:23 PM (GMT -6)
You might have UC if... you take more pills than your grandma
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Sara14
Veteran Member
Joined : Mar 2007
Posts : 6235
Posted 1/13/2020 1:39 PM (GMT -6)
Hahahaha! Yes!
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VanJordan
Regular Member
Joined : Dec 2019
Posts : 149
Posted 1/15/2020 9:32 AM (GMT -6)
Sad to see that this forum supports threads that trash wholesale on alternative medicine.

I would be dead without the different supplements out there.

Think about how many people die every year from taking prescription drugs. Hundreds of thousands of people. We don't bat an eyelash at that. We just call them side effects.

One young woman has a bad reaction to a herbal supplement and everyone is up in arms.

The world is a screwed up place.
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quincy
Elite Member
Joined : May 2003
Posts : 32633
Posted 1/15/2020 11:07 AM (GMT -6)
VJ....seems you've been here before? It would be nice if you didn't respond with your continued trashing.
q
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VanJordan
Regular Member
Joined : Dec 2019
Posts : 149
Posted 1/16/2020 11:45 AM (GMT -6)
What do you mean I've been here before?

I'm not trashing. I'm replying to other people's trashing.
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notsosicklygirl
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Joined : Dec 2008
Posts : 17773
Posted 1/16/2020 1:26 PM (GMT -6)

VanJordan said...
Sad to see that this forum supports threads that trash wholesale on alternative medicine.
I would be dead without the different supplements out there.

I don't think anyone trashes alternative medicine. In fact, we include a post in the UC FAQs area that goes through a lot of the alternatives people have tried. I am perfectly open to alternatives, I do however question the lack of oversight in the supplement industry in general. There is no way to confirm the accuracy of the claims made by these products, companies or the claims of the users of these products, and furthermore, there is really no way to know they contain the ingredients listed.

How do you know you would be dead without them?

Perhaps you should start a new thread that is more positive, with a positive title, and talk about the good side of supplements and alternatives. This one is about something negative so it may have tilted that way because of that. We have had posts about aloe, nopal, clay, sunflower seeds... all sorts of stuff. Many people are skeptical but many were open-minded.
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