Evidence map›Paper›PMID 29802521›Full record

ReviewInternal and emergency medicine2018

Acute liver injury following Garcinia cambogia weight-loss supplementation: case series and literature review.

Giada Crescioli, Niccolò Lombardi, Alessandra Bettiol, Ettore Marconi, Filippo Risaliti, Michele Bertoni, Francesca Menniti Ippolito, Valentina Maggini, Eugenia Gallo, Fabio Firenzuoli and 1 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Internal and emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Synergistic Anti-Obesity Effect ofFood science & nutrition · 2026
    Article
  3. Article
  4. Therapeutic Antitoxoplasmosis Potential ofJournal of tropical medicine · 2026
    Article
  5. Review
  6. International journal of molecular sciences · 2023
    Article
  7. Article
  8. Interaction ofAntioxidants (Basel, Switzerland) · 2023
    Article
  9. Review
  10. Weight Loss Supplements.Molecules (Basel, Switzerland) · 2023
    Review
  11. Article
  12. Recent Advances inACS omega · 2022
    Review
  13. Article
  14. Garcinia cambogia, Either Alone or in Combination With Green Tea, Causes Moderate to Severe Liver Injury.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Article
  15. Pharmacological Activity ofPharmaceuticals (Basel, Switzerland) · 2021
    Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Medicinal Potential ofMolecules (Basel, Switzerland) · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Giada CrescioliDepartment of Neurosciences, Psychology, Drug Research and Child Health, Section of Pharmacology and Toxicology, University of Florence, Viale G. Pieraccini, 6, 50139, Florence, Italy. giada.crescioli@unifi.it.
Niccolò LombardiDepartment of Neurosciences, Psychology, Drug Research and Child Health, Section of Pharmacology and Toxicology, University of Florence, Viale G. Pieraccini, 6, 50139, Florence, Italy.
Alessandra BettiolDepartment of Neurosciences, Psychology, Drug Research and Child Health, Section of Pharmacology and Toxicology, University of Florence, Viale G. Pieraccini, 6, 50139, Florence, Italy.
Ettore MarconiDepartment of Neurosciences, Psychology, Drug Research and Child Health, Section of Pharmacology and Toxicology, University of Florence, Viale G. Pieraccini, 6, 50139, Florence, Italy.
Filippo RisalitiDivision of General Medicine 2, New Hospital "Santo Stefano", Prato, Italy.
Michele BertoniDivision of General Medicine 2, New Hospital "Santo Stefano", Prato, Italy.
Francesca Menniti IppolitoNational Centre for Drug Research and Evaluation, National Institute of Health, Rome, Italy.
Valentina MagginiDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Eugenia GalloDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Fabio FirenzuoliReferring Center for Phytotherapy, Tuscany Region Careggi, University Hospital, Florence, Italy.
Alfredo VannacciDepartment of Neurosciences, Psychology, Drug Research and Child Health, Section of Pharmacology and Toxicology, University of Florence, Viale G. Pieraccini, 6, 50139, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Herbal weight-loss supplements are sold as self-medication products, and are often used under the misconception that their natural origin guarantees their safety. Food supplements are not required to provide any benefit/risk profile evaluation before marketing; however, possible risks associated with use of herbal extracts in food supplements are becoming more and more documented in the literature. Some herbs are listed as the leading cause of herb-induced liver injury, with a severe or potentially lethal clinical course, and unpredictable herb-drug interactions. Garcinia cambogia (GC) extract and GC-containing products are some of the most popular dietary supplements currently marketed for weight loss. Here, we present four cases of acute liver failure in women taking GC extract for weight loss, and a literature review of clinical evidences about hepatic toxicity in patients taking dietary supplements containing GC extract.

Indexed as

AdultCase-Control StudiesChemical and Drug Induced Liver InjuryDietary SupplementsFemaleGarcinia cambogiaHumansLiver Failure, AcuteLiver Function TestsMiddle AgedWeight LossAdverse eventsDietary supplementsGarcinia cambogiaHerb-induced liver injuryHydroxycitric acidLiver transplantationWeight-loss supplements

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.