Case Report

A Case of Supplement-Induced Hepatotoxicity

Table 1

Reported supplements in this case.

Mixture of ingredients without dosage listed

(1) Living Multi
 Optimal Men's Formula
 Vitamin A, vitamin C, vitamin D, vitamin E, thiamine, riboflavin, niacin, vitamin B6, folic acid, vitamin B12,
 biotin, pantothenic acid, calcium, iodine, iron, magnesium, zinc, selenium, copper, manganese, chromium,
 molybdenum, potassium, boron, vanadium, choline, lycopene, lutein
 (Natural Antioxidant Fruit and Veggie Blend, Poten-Zyme Sea Veggie Blend, Men’s Blend, Poten-Zyme Tonic
 Mushroom Blend, Poten-Zyme Veggie Blend, Antioxidant Beverage and Spice Blend)
http://www.gardenoflifeusa.com/ProductsforLife/SUPPLEMENTS/LivingNutrients/LivingMultiMens/tabid/668/Default.aspx
 4 per day in morning with breakfast

(2) Living Calcium Advanced
Bone Density Support Formula
 Vitamin D, riboflavin, vitamin B6, folic acid, vitamin B12, calcium, iron, magnesium, zinc, copper, manganese,
 boron, vitamin K, betaine
 (Bone Support Blend, Vital Mineral Matrix, Homocysteine Balance Complex)
http://www.gardenoflifeusa.com/ProductsforLife/SUPPLEMENTS/LivingNutrients/LivingCalciumAdvanced/tabid/666/Default.aspx
 3 per day in morning for broken elbow

(3) Perfect Food
Super Green Formula Caplets
 Vitamin A, vitamin C, calcium, iron
 (Poten-Zyme Whole Food Matrix, Perfect Green Juice Blend, Perfect Protein Mineral Blend, Acerola Cherry
 Extract, Perfect Veggie Juice Blend, Probiotic Blend)
http://www.gardenoflifeusa.com/ProductsforLife/SUPPLEMENTS/FoundationalNutrition/PerfectFood/tabid/654/Default.aspx
 2 per day in morning

(4) FYI ULTRA
Ultimate Joint & Cartilage Formula
 Selenium, glucosamine HCL
 (Protective Tissue Response Blend, Antioxidant Cartilage Health Complex)
http://www.gardenoflifeusa.com/ProductsforLife/SUPPLEMENTS/ImmunitySupport/FYIULTRA/tabid/658/Default.aspx
 3 per day in morning

(5) fücoThin
Concentrated fucoxanthin
 (Xanthigen Proprietary Blend)
http://www.fucothin.com/FAQs/tabid/1160/Default.aspx
 1 in morning and 1 in evening with meal “dietary supplement”

(6) Bone Strength Take Care
 Vitamin D, calcium, magnesium, vanadium, vitamin K, strontium, silica, betaine
http://www.newchapter.com/products/bone-strength-take-care
 2 per day in evening for broken elbow

(7) 4Total Nutrition
 Individual ingredients not listed
http://www.genesistoday.com/genesis_today_products/4total_nutrition.html
 1 tablespoon mixed with juice in evening (stopped taking after 2 weeks, bad taste)

(8) POWER4
 Individual ingredients not listed
http://www.genesistoday.com/genesis_today_products/power_4.html
 1 tablespoon mixed with juice in morning “use this to drink down my vitamins”

(9) Ab-Solution Plus
 Individual ingredients not listed
http://www.vyotech.com/products/absolutionplus/
 Rub on stomach area once in the morning and in the evening