Garcinia cambogia

Common name

Garcinia, Hydroxycitric acid

ID

HD0029

Scientific name of the plant

Garcinia gummi-gutta (L.) Roxb.

Anatomical part for use

fruit

Human use

Weight Control

Summary

Garcinia gummi-gutta is a tropical species of Garcinia native to Indonesia. Common names include Garcinia cambogia (a former scientific name), as well as brindleberry, Malabar tamarind, Goraka (ගොරකා), and kudam puli (pot tamarind). The fruit looks like a small pumpkin and is green to pale yellow in color. Although it has received considerable media attention purporting its effects on weight loss, there are 6 reports of liver toxicity associated with the Hydroxycut commercial preparation containing the fruit extract, with clinical evidence indicating it has no significant effect on weight loss. (Source: Wiki)

Evidence Level

Level 2 (Independent reports from multiple medical centers)

Hepatotoxicity reports in literature

  • Acute hepatitis induced by pure Garcinia cambogia : (Source)
  • Acute liver failure associated with Garcinia cambogia use : (Source)

Hepatotoxicity Description

There have been at least a dozen reports of Garcinia induced liver injury in individuals taking multiingredient dietary supplements (MIDS) that contain Garcinia cambogia. In some instances, other known or suspected hepatotoxins were present in the MIDS products (such as with Exilis, Herbalife and Hydroxycut products). More recently, cases of acute liver injury have been identified in persons taking a product labelled as having Garcinia cambogia alone. The frequency of hepatic adverse reactions to Garcinia cambogia is not known but is likely uncommon and in less than 1:10,000 persons. Patients typically present with fatigue, nausea, elevations in serum aminotransferase levels, and jaundice 1 to 4 weeks after starting the product, although the latency to onset has been longer (3 to 12 months) in some cases. The pattern of enzyme elevations is hepatocellular, and immune features are not common. Some cases have been severe, resulting in acute liver failure and either death or need for urgent liver transplantation. Recurrence upon reexposure has not been clearly shown. (Source: LiverTox)

Relevant Public Information

Wiki
NIH ODS
NIH LiverTox
Nature Medicines