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Ephedra


Introduction

Ephedra sinica is a shrub native to China and Mongolia. The Chinese name for it is Ma huang. The plant contains certain alkaloids. These chemicals stimulate a part of your nervous system called the sympathetic nervous system. This causes an increase in heart rate, blood pressure, and energy expenditure. It can also suppress appetite.

Diet pills like Adipex and Meridia also stimulate the sympathetic nervous system. Ma huang is often combined with caffeine or plants that contain caffeine like guarana or yerba maté.

Some studies showed that Ma huang supplements helped people lose about 2 extra pounds per month. However, there are no studies that looked past six months of use.

Side Effects

There are serious side effects from ephedra. These include high blood pressure, abnormal heart beats, heart attacks, strokes, tremors, insomnia, nausea, and seizures. Some cases of death have also been associated with its use. Most cases were in healthy people taking the recommended doses.

Because of these bad side effects and deaths, the FDA banned the sale of this weight loss supplement, which used to be a major herbal weight loss product. Metabolife 356 contained ephedra and was the number one selling diet supplement in 2001.


 


It is important you discuss any weight loss or exercise plan with your doctor. Only you and your physician can decide what is best for you. Some people have certain conditions that prevent them from doing all exercises, and goal body weights may be different for different people. You need to discuss all these things with your physician before starting any weight loss or exercise program.


This article was written by John Vickery, MD.


References
Am Fam Physician. 2004 Nov 1;70(9):1731-8.
Prim Care Clin Office Pract. 2002 Jun;29(2)279-95.