Published online Aug 21, 2013. doi: 10.3748/wjg.v19.i31.5174
Revised: May 29, 2013
Accepted: June 1, 2013
Published online: August 21, 2013
Core tip: Green tea extract is one of the most common herbal supplements ingested worldwide and is manufactured into more than 100 different over-the-counter products. Although traditionally considered safe, it has been linked to hepatotoxicity and led to acute impending liver failure in our adolescent patient. Eliminating multiple etiologies and with tissue evidence, a weight-loss supplement containing green tea extract was likely to blame. Recovery was over a two-month course. The lack of regulation and provider guidance in the use of this product and dietary supplements in general is significant. We highlight the importance of monitoring patient use of dietary supplements.