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Perspective
Published at www.nejm.org October 7, 2009 (10.1056/NEJMp0904768)

American Roulette — Contaminated Dietary Supplements
Pieter A. Cohen, M.D.

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In one of the most dangerous cities in the United States, one portly police sergeant has more to worry about than crime. His doctor had been encouraging him for years to lose weight, and like millions of other Americans, he decided to try a weight-loss supplement to help him shed his extra pounds. But instead of losing weight, he lost his job. According to the label, his diet pills, which were imported from Brazil and sold in the United States, contained vitamin E, centella, senna, and cascara, among other "natural" ingredients. Not included on the label was the amphetamine detected . . . [Full Text of this Article]


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From the Cambridge Health Alliance, Somerville, MA; and Harvard Medical School, Boston.

This article (10.1056/NEJMp0904768) was published on October 7, 2009, at NEJM.org.




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