Acute Hepatitis due to Garcinia Cambogia Extract, an Herbal Weight Loss Supplement

Table 2

Calculation of CIOMS score in our patient gave a score of 11.

Time from drug intake until reaction onset	5 to 90 days [+2]
Time from drug withdrawal until reaction onset	≤15 days [+1]
Alcohol risk factor	Absent
Age risk factor	≥55 years [+1]
Course of the reaction	>50% improvement 8 days [+3]
Concomitant therapy	Time to onset compatible and known reaction [-2]
Exclusion of non-drug-related causes	Rule out [+2]
Previous information on hepatotoxicity	Reaction published but unlabeled [+1]
Response to re-administration	Positive [+3]