Herbal and dietary supplements now account for 20% of all reported hepatotoxicity cases in the United States. This is up from 7% in 2004-2005. Anabolic steroids included in dietary supplements marketed for bodybuilding accounted for over 30% of these liver damage cases. Among the non-anabolic steroid products most commonly associated with liver damage were herbal products (16%), such as green tea, kratom, and black cohosh; traditional botanical mixtures (8%), such as ayurvedic medications; vitamins and minerals (7%), such as niacin and multivitamins; and other multi-ingredient nutritional supplements (68%).
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