Herbalife Nutrition is a global nutrition company whose purpose is to make the world healthier and happier. We also present unsettling data of comprehensive chemical analysis, toxicology and microbial contamination studies of similar Herbalife products retrieved from the patient’s original place of purchase (a nutritional club at Kottakal in Kerala) and those purchased online from different regions in India. We report the first case of Herbalife associated fatal acute liver failure from the Asia–Pacific region in a young woman who consumed three products over a period of 2 months. Recently, India has become the largest growing market for Herbalife products and is expected to surpass United States in sales revenue in the coming years. Herbalife!- associated liver injury was initially reported from Israel, fol lowed by Spain, Switzerland, Iceland, Argentina and the United States. Herbalife is a global nutrition, weight man- agement and direct selling company that develops, mar-kets and sells nutritional and weight loss supplements, sports nutrition and personal care products. Well-described large studies have shown that various HDSs are associated with severe liver injury. The marketing of HDSs as food supplements surpass required preclinical and clinical testing in many countries. Unlike standard prescription drugs, the safety and efficacy of HDSs are not well studied. They can be procured without prescription and are generally consumed without specific medical advice and monitoring. Herbal and dietary supplements (HDSs) are increas ingly used among the general population and remain a growing market globally. The growth of Herbalife in India and expansion of its nutrition clubs in major cities that promise fake health benefits portend a serious public health concern. We also present unsettling data that showcase heavy metal contamination, toxic compounds, psychotropic substances, and pathogenic bacterial contamination in similar Herbalife products in India. We report the first case of a fatal acute liver failure from the Asia-Pacific region, in a young woman who consumed Herbalife products over 2 months. India is fast becoming the largest growing market for Herbalife products, expected to surpass the United States in sales revenue. Herbalife associated liver injury was reported from multiple countries in the West. Herbalife is a global nutrition and weight management company selling and marketing nutritional and weight loss supplements. Slimming to the Death: Herbalife-Associated Fatal Acute Liver Failure-Heavy Metals, Toxic Compounds, Bacterial Contaminants and Psychotropic Agents in Products Sold in India
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