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By law, labels on dietary supplements must list and indicate the total quantity of all dietary ingredients. But ephedra, the natural source of the chemical ephedrine, is often listed under other names, such as epitonin, ma huang, sida cordifolia, and sinica. They are thus often sold and labelled as "natural" ingredients. Fat phentramine burners also frequently contain caffeine. Combining this substance with ephedrine was banned in the United States in the early 1980s phentramine because of its potential health risks. Today, the combination is still circulating, phentramine with the caffeine component of such pills disguised under names such as guarana, kola nut, maté, paullinia cupana, and tea extracts. Caffeine content alone often totals 900 milligrams per recommended daily intake dose -- the equivalent of six strong cups of coffee. Other side effects include heart palpitations, tremor, dizziness, shortness of breath, insomnia, anxiety, irritability, depression, high blood pressure, heart rhythm changes and stroke.
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