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Diet pills from Brazil pose health risks: report

Reuters Health

Wednesday, January 7, 2009

NEW YORK (Reuters Health) - A new report highlights the potentially serious health risks of using imported Brazilian-made prescription diet pills that combine amphetamines and other prescription medicines, such as anti-anxiety agents and antidepressants.

Banned amphetamine-based weight loss pills are easily available via the Internet and are being illicitly imported into the United States, warns the report's author, Massachusetts-based internist Dr. Pieter A. Cohen from Cambridge Health Alliance, Cambridge and Harvard Medical School, Boston.

Cohen became concerned about the pills' use when he noticed that many patients were experiencing unexplained chest pain and other symptoms, a statement from Cambridge Alliance explains. Eventually, some of these patients admitted that they were using the imported diet pills.

In the Journal of General Internal Medicine, Cohen describes one patient -- a 26-year-old woman -- who made several trips to her doctor complaining of chest pain, palpitations, headaches, insomnia, nausea and fatigue.

Her symptoms started soon after she began taking Brazilian-made diet pills in an effort to lose weight after her daughter was born. Amphetamines (stimulants) and benzodiazepines (anti-anxiety drugs) were detected in her urine and the specific stimulant fenproporex, which is banned in the US, and the anti-anxiety drug chlordiazepoxide, were identified in her diet pills.

After the woman lost 30 pounds, she stopped taking the pills and her symptoms disappeared, although she said she had cravings for the diet pills. When the woman started to regain the lost weight, she restarted the diet pills at which point her symptoms returned.

Another patient, a 38-year-old municipal truck driver who admitted to using imported diet pills, was suspended from work after testing positive for amphetamine on a routine occupational drug screen. Fenproporex and the antidepressant fluoxetine (Prozac) were identified in his pills. While taking the pills he experienced insomnia and palpitations. He reported losing 12 pounds in 2 weeks.

In both cases, according to Cohen, the pills were acquired from an acquaintance and written on the pill vials were another patient's name, a physician's name and a pharmacist's name, as well as a regional council of pharmacists' license number.

"Since the pills are prescribed by physicians, some people assume they must be safe," Cohen said in a statement. "In fact, since the labels are misleading, people have no idea what dangerous cocktail of medications they are actually using."

In Brazil, prescriptions for these "compounded" diet pills are usually obtained from doctors in private practices who often market themselves as obesity experts, Cohen also notes. However, "none of the medications included in these diet pills are indicated for the treatment of obesity according to commonly accepted practice guidelines."

SOURCE: Journal of General Internal Medicine, December 2008.

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Beachbody Changed My Life

Beachbody has asked the coaches to email a paragraph to them on how Beachbody has changed our lives. Here is my response:

"Coaching has not only been a blessing for me, but it has blessed my family. My younger brother had to undergo brain surgery in June last year for a brain tumor. He suffered an operative brainstem stroke and had to relearn how to do basic things again like walk & eat. His insurance did not cover inpatient rehab, which he needed. My husband and I decided to private pay for the services. I am using my Beachbody profits solely to pay off those medical bills. I've been able to pay off several thousand dollars so far and know that I'll have it paid in full by the end of 2009. I'm forever grateful for my Beachbody business. My brother can now walk and is considering becoming a coach himself!"

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Squish the Girls

I turned 40 this year and am now at that wonderful threshold of yearly mammograms. I know that some women despise them, but I'm not one of them. I also don't mind paps, so perhaps I'm a freak. I mean, I don't consider it equivalent to a fun day at the zoo, but I do what I need to do to stay healthy.

I'm not menopausal...yet, but I have started to think about whether or not I will take hormones. Well, I just read an article this am about a new study that is a tad scary. I am leaning towards not taking them when the time comes.

I'm not here to tell you one way or another what to do. You need to do your own research and weigh all the pros and cons. I am going to tell you, however, that despite whatever you decide, get your girls squished. Have a baseline mammogram done at age 35 and then yearly starting at 40. Of course if you or your family has a family history of breast cancer, discuss the best plan for you with your doctor.

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Self, I mean, scale-hatred

I HATE scales. I LOATHE scales. They are nothing but a source of frustration and lies.

I can't begin to tell you how many people I have had to talk down from the ledge because of what that little piece of #&$* has said to them.

So many factors can affect that little number that drives us to sweat bullets. What we are wearing, what we had to drink, what we had to eat, what our health status is, etc.

The scale doesn't tell us the most important part...what our muscle to fat ratio is. I know people who are 140 lbs but wear a size 2 because they are muscle and compact. I also know people who are 140 lbs but wear a size 10 because they are more fat than muscle. Fat takes up more space.

Here is a picture to illustrate:


This is one pound of muscle and one pound of fat. Both weigh the same, but you can see that the muscle takes up less space. Be less concerned about what your scale says and more concerned about your body fat percentage. Get yourself a pair of body fat calipers. If you need more info about how to find out your body fat, go to my website and click contact. I'll be happy to guide you.

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