Hepatotoxicity associated with dietary energy supplements: use and abuse by young athletes

Journal Title: Annals of Hepatology - Year 2012, Vol 11, Issue 4

Abstract

In recent years there has been a significant increase in the consumption of dietary energy supplements (DES) associated with the parallel advertising against obesity and favoring high physical performance. We present the case and outcome of a young patient who developed acute mixed liver injury (hepatocellularand cholestatic) after ingestion of various “over the counter” products to increase muscle mass and physical performance (NO Xplode®, creatine, L-carnitine, and Growth Factor ATN®). The diagnosis was based on the exclusion of other diseases and liver biopsy findings. The dietary supplement and herbal multivitamins industry is one with the highest growth rates in the market, with annual revenues amounting to billions and constantly lacking scientific or reproducible evidence about the efficacy and/or safety of the offered products. Furthermore, and contrary to popular belief, different forms of injury associated with these natural substances have been documented particularly in the liver, supporting the need of a more strict regulation.

Authors and Affiliations

Giovanni Avelar-Escobar, Jorge Méndez-Navarro, Nayeli Ortiz-Olvera, Guillermo Castellanos, Roberto Ramos, Víctor Gallardo-Cabrera, José de Jesús Vargas-Alemán, Óscar Díaz de León, Elda Rodríguez, Margarita Dehesa-Violante

Keywords

Related Articles

Treatment with Metadoxine and its impact on early mortality in patients with severe alcoholic hepatitis

Background & Aim. Despite treatment with glucocorticoids, mortality remains high in patients with severe alcoholic hepatitis. Oxidative stress and depletion of mitochondrial glutathione are implicated factors...

Prevalence of insulin resistance in chronic hepatitis C genotype 1 and 3 patients

Background and rationale. Chronic infection with the hepatitis C virus (HCV) is associated with a higher prevalence of insulin resistance compared to the general population. This finding is associated with hepatic steato...

DNA methylation markers and serum α-fetoprotein level are prognostic factors in hepatocellular carcinoma

Introduction. Hypermethylation of relevant genes may affect the prognosis of patients with cancer. Thepurpose of this study was to analyze whether methylation of the promoter regions of cell cycle regulatorsas well as el...

Download PDF file
  • EP ID EP78178
  • DOI -
  • Views 149
  • Downloads 0

How To Cite

Giovanni Avelar-Escobar, Jorge Méndez-Navarro, Nayeli Ortiz-Olvera, Guillermo Castellanos, Roberto Ramos, Víctor Gallardo-Cabrera, José de Jesús Vargas-Alemán, Óscar Díaz de León, Elda Rodríguez, Margarita Dehesa-Violante (2012). Hepatotoxicity associated with dietary energy supplements: use and abuse by young athletes. Annals of Hepatology, 11(4), 564-569. https://europub.co.uk/articles/-A-78178