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Fadogia Toxicity - An Overview

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Fadogia toxicity occurs when there is excessive consumption of the shrub, usually as a supplement. This results in potential toxicity to the liver and kidney.

Written by

Dr. Varshini

Medically reviewed by

Dr. Kaushal Bhavsar

Published At December 21, 2023
Reviewed AtDecember 21, 2023

Introduction:

In recent years, Fadogia agrestis, a plant native to Africa, has gained attention in the world of fitness and health supplements. Proponents claim that extracts from this plant can boost testosterone levels and enhance athletic performance. However, alongside the rising popularity of Fadogia, concerns about its potential toxicity have emerged.

What Is Fadogia?

Fadogia agrestis is a shrub native to West Africa, particularly Nigeria. It belongs to the Rubiaceae family and has been traditionally used in various local communities for medicinal purposes.

Uses of Fadogia:

  • In traditional African medicine, Fadogia has been used as an aphrodisiac, believed to enhance sexual function and libido in both men and women. It has also been utilized as a general health tonic, with some traditional practitioners recommending it for overall well-being.

  • One of the primary reasons for the recent surge in interest in Fadogia is its potential to boost testosterone levels. Testosterone is a hormone critical for muscle development, energy levels, and various aspects of male reproductive health. Fitness enthusiasts and athletes are often on the lookout for natural supplements that can enhance their physical performance. Fadogia, marketed as a natural testosterone booster, seemed to fit the bill. The plant's extracts have found their way into numerous supplements, claiming to offer an edge in muscle building, endurance, strength, and overall fitness.

  • Some research has suggested that Fadogia may possess anti-inflammatory properties and hence can be beneficial in treating fever and other inflammatory conditions of the body.

What Is Fadogia Toxicity?

Fadogia toxicity refers to concerns regarding potential adverse effects associated with the use of Fadogia agrestis. While traditional applications suggest aphrodisiac and general tonic properties, the lack of comprehensive scientific studies has raised questions about its safety. Users have reported anecdotal instances of liver and kidney issues, prompting speculation about potential hepatotoxicity and nephrotoxicity. The controversy is further fueled by variations in product quality and dosage within the supplement market.

What Are the Symptoms of Fadogia Toxicity?

Hepatotoxicity (Damage Incurred to the Liver): The liver holds a pivotal function in purifying the body through the process of detoxification and metabolizing drugs and other substances. Herbal supplements, including Fadogia, are often processed in the liver, and concerns about potential hepatotoxicity have been raised. Some herbal compounds can lead to liver inflammation or damage, posing a risk to overall health. This can cause symptoms like the following.

  • Itching.

  • Yellowish eyes, skin, and mucous membrane.

  • Clay-like stools.

  • Abdominal pain on the right side.

  • Appetite loss.

  • Nausea.

  • Vomiting.

  • Regurgitation on consuming fatty and processed foods.

Nephrotoxicity (Damage to the Kidney): Similar to the liver, the kidneys are vital for filtering and excreting waste products from the bloodstream. Certain compounds present in herbal supplements may exert stress on the kidneys, leading to impaired function over time. This can result in the causation of symptoms like the following.

  • Dark urine.

  • Changes in frequency of urination.

  • Swelling in the hands and feet (extremities).

  • High blood pressure.

  • Dehydration.

  • Fatigue.

  • Shortness of breath or breathlessness.

  • Urine with blood (hematuria).

Other than the damage to the liver and kidney, it is said to cause hormonal imbalances in men and women.

How to Diagnose Fadogia Toxicity?

Diagnosing Fadogia toxicity presents a notable challenge due to the limited scientific research available on this herb and its potential adverse effects. Given the lack of a standardized understanding of Fadogia toxicity, the diagnostic process involves a comprehensive evaluation of symptoms, medical history, and, if possible, a careful examination of the individual's supplement regimen.

A complete history of the symptoms experienced by the patient can help in diagnosing the condition promptly. Adverse effects associated with potential toxicity may manifest in various ways, including liver or kidney-related symptoms. These can range from jaundice, abdominal pain, and changes in urine color or frequency to more generalized symptoms such as fatigue and nausea.

Liver function tests that gauge the concentrations of alanine transaminase, aspartate transaminase, total bilirubin, prothrombin time, international normalized ratio (INR), total albumin, alkaline phosphatase, gamma-glutamyltransferase are essential to identify any damage suffered by the liver. This can indicate hepatotoxicity caused by Fadogia.

Renal or kidney function tests estimate the levels of glomerular filtration rate, blood urea nitrogen (BUN), and serum creatinine. This can provide insight into kidney health and indicate cases of kidney toxicity (nephrotoxicity). Other tests that may be necessary to diagnose and monitor Fadogia toxicity include complete hematological investigations and urine analysis to assess the extent of toxicity in the liver and kidney. In cases where a significant amount of physical damage has occurred to the liver and kidneys, ultrasonography and CT (computed tomography) may be helpful to image and detect the level of damage.

How to Manage Fadogia Toxicity?

  • The first and foremost step in managing suspected Fadogia toxicity is to discontinue the use of Fadogia supplements immediately. This allows the body to begin the process of clearing any potentially harmful substances and minimizes further exposure.

  • Depending on the severity of symptoms and organ involvement, supportive care may be necessary. This could include measures to address dehydration, nutritional support, and management of specific symptoms such as nausea or abdominal pain.

  • Upon identification of liver or kidney dysfunction through laboratory assessments, interventions tailored to the individual's health requirements will be initiated. These interventions encompass the administration of medications, adjustments to dietary patterns, and modifications in lifestyle. These measures are strategically designed to address and manage the specific complications associated with organ dysfunction.

  • Maintaining proper hydration is crucial in supporting kidney function and preventing complications associated with dehydration. Intravenous fluids may be administered, if necessary, especially in cases of kidney impairment.

  • In some cases of toxicity, activated charcoal may be administered under medical supervision to help absorb the substance and prevent further absorption in the digestive tract.

  • After the acute phase of management, regular follow-up appointments with specialists are essential. These follow-ups help assess the progress of recovery, monitor organ function, and address any lingering health concerns.

How to Prevent Fadogia Toxicity?

Given the current state of knowledge surrounding Fadogia, it is vital for consumers to approach its use with caution. Responsible supplementation is essential. The onus is also on the supplement industry to uphold rigorous standards in the production and marketing of Fadogia-containing products. Standardized dosages, quality control measures, and clear labeling can assist users in making knowledgeable choices about their supplement choices.

Conclusion:

In conclusion, the landscape surrounding Fadogia toxicity remains complex and inadequately defined due to a scarcity of comprehensive scientific studies. While Fadogia agrestis has been traditionally used for various medicinal purposes and some studies suggest potential benefits, concerns about its safety, particularly regarding liver and kidney toxicity, underscore the need for cautious exploration.

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Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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