Open AccessThe Contents of Herbal and Dietary Supplements Implicated in Liver Injury in the United States Are Frequently Mislabeled
Author(s) -
Navarro Victor,
Avula Bharathi,
Khan Ikhlas,
Verma Manisha,
Seeff Leonard,
Serrano Jose,
Stolz Andrew,
Fontana Robert,
Ahmad Jawad
Publication year - 2019
Publication title -
hepatology communications
Language(s) - English
Resource type - Journals
ISSN - 2471-254X
DOI - 10.1002/hep4.1346
Subject(s) - traditional medicine , liver injury , medicine , herbal supplement , pharmacology , alternative medicine , pathology
The U.S. Drug Induced Liver Injury Network assayed the contents of herbal and dietary supplements collected from patients enrolled into its prospective study. The aim was to determine the accuracy of product labels, and to identify known hepatotoxins. Using high‐performance liquid chromatography coupled with mass spectrometry to assay 272 product, 51% were found to be mislabeled; that is, to have chemical contents that did not match the label. Appearance enhancement, sexual performance, and weight loss products were most commonly mislabeled. Whether the mislabeling contributed to liver injury is under study; however, the high mislabeling rate underscores the need for more stringent regulation of supplements.