Severe liver injury due to herbal and dietary supplements and the role of liver transplantation

doi:10.3748/wjg.v25.i46.6704

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Dec 14, 2019 (publication date) through Apr 25, 2024

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Dec 14, 2019; 25(46): 6704-6712
Published online Dec 14, 2019. doi: 10.3748/wjg.v25.i46.6704

Table 1 Use of herbal and dietary supplements in the United States and Europe (data from references 3-5)

Country	Estimated percentage of population using HDS
United States	64-69
United Kingdom	19.1
Italy	22.7
Finland	9.6
Germany	16.9
Romania	17.6
Spain	18.0

HDS: Herbal and dietary supplements.

Table 2 Main herbal and dietary supplements used and their pattern of liver injury across the world

Country	HDS agent	Pattern of liver injury
Spain	Herbalife products	Hepatocellular
Spain	GreenTea extract	Hepatocellular
Iceland	Herbalife products	Hepatocellular
Iceland	GreenTea extract	Hepatocellular
South Korea	Herbal medications	Hepatocellular
South Korea	Folk remedies	Hepatocellular
Japan	Dietary supplements	Hepatocellular
Japan	Chinese herbal medications	Hepatocellular
India	Ayurvedic medications	Hepatocellular
India	HDS contaminated with arsenic and lead	Hepatocellular
China	Common three-wing-nut root	Hepatocellular
	Polygonum multiflorum
	Radix trichosanthis
United States	Fat burners	Hepatocellular
	Slimquick
	OxyProlite pro

HDS: Herbal and dietary supplements.

Citation: Grewal P, Ahmad J. Severe liver injury due to herbal and dietary supplements and the role of liver transplantation. World J Gastroenterol 2019; 25(46): 6704-6712
URL: https://www.wjgnet.com/1007-9327/full/v25/i46/6704.htm
DOI: https://dx.doi.org/10.3748/wjg.v25.i46.6704