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Dehghan A, van Hoek M, Sijbrands EJ, Hofman A, Witteman JC

An analysis of 800 over-the-counter dietary supplements sold between 2007 and 2016 found more than one pharmaceutical ingredient in 20 percent of the products, ranging from antidepressants to anabolic steroidsand the FDA doesn't have the authority to recall these kinds of tainted supplements

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Important safety considerations include: Pancreatitis : Seek urgent medical attention for severe, persistent abdominal pain (which may radiate to the back), with or without vomiting Gallbladder disease : Report right upper quadrant pain, fever, or yellowing of the skin/eyes Diabetic retinopathy complications : Be aware that rapid improvement in blood glucose can temporarily worsen retinopathy