Green tea extract is a concentrated form of the popular tea and is favoured for its purported weight loss properties and anti-oxidant effects. But in some susceptible individuals, doctors say it can cause liver failure even in moderate doses, and has been reportedly linked to dozens of cases of liver failure around the world. Mr Whitby was so close to death after taking a protein powder and supplement containing the extract that he had to accept a donated liver with Hepatitis B.
The young father will have to take a raft of medications for the rest of his life and has spoken out to warn others. Products which make a therapeutic claim, like the garcinia cambogia supplement are regulated by the Therapeutic Goods Administration TGA. But in products such as protein powder, they are usually regulated through Food Standards Australia and New Zealand with enforcement by state health authorities.
The TGA said it was investigating the case as a part of a wider review, "the results of which will be made public if there is sufficient evidence of a safety issue to warrant further action". Mr Whitby's doctors have said the green tea extract is the most likely culprit for his liver failure, but said as there are many ingredients in supplements and powders, it was hard to make a definitive call. The case has been documented in the Medical Journal of Australia.
Experts said it was still safe for consumers to drink green tea in moderate amounts, with problems more likely in the tea's concentrated form. Mr Whitby's doctors at Sir Charles Gairdner Hospital in Perth said they were not surprised by what happened to the healthy year-old. Liver specialist Professor Gary Jeffrey works in the liver transplant centre of Western Australia and said doctors were seeing what they believe is more liver damage from herbal remedies and herbal extracts.
Most of the other cases we've seen have resolved spontaneously. While the question of warnings was up to regulators, Professor Jeffreys said he personally would like to see a product insert which listed the benefits and risks of the supplement. There is nothing illegal about supplying products containing green tea extract and it is an ingredient approved for sale in Australia. Experts think the liver failure related to green tea extract can occur because of catechins, the same element that makes it potentially beneficial, specifically a sub-group of catechins called EGCG.
Clinical pharmacologist Professor Ric Day from St Vincent's Hospital said cases like Mr Whitby's were known as "idiosyncratic" reactions and could happen with virtually any medication. In a statement the company said it was not aware of the case and the TGA had not notified them of the adverse event. Based on 14 years of well tolerated use of our product range, we will not be reconsidering our use of green tea extract.
The garcinia cambogia supplement Mr Whitby took was from a site with an Australian office address in its contact details. Garcinia cambogia is based on a tropical fruit and gained worldwide popularity after being controversially endorsed by celebrity television doctor Dr Oz. It has been implicated in some cases of liver damage around the world, and two liver-based adverse reactions in Australia but experts said there was less evidence of its potential risk. Steve Scarff, the Australian Self-Medication Industry Regulatory and Scientific Affairs Director, said consumer safety was "paramount" and the industry took adverse event reports seriously.
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A spokeswoman for the TGA said the protein powder was not on its register of Therapeutic Goods and some sports supplements were regulated as foods, rather than therapeutic goods. Topics: diet-and-nutrition , exercise-and-fitness , perth , australia. First posted February 14, Qu'il est conceivable qu'ils leur soient utiles ou non. Non Keto Pure Bruleur n'est pas un truc, c'est le meilleur article qui se met en forme. Sections are listed along the left side of the window show me. Each section can have multiple pages inside of it.
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