title: An herbal supplement containing Ma Huang-Guarana for weight loss: a randomized, double-blind trial.
abstract: OBJECTIVE
  To examine in overweight humans the short-term safety and efficacy for weight loss of an herbal supplement containing Ma Huang, Guarana and other ingredients.
  
  
  METHODS
  An 8 week randomized, double-blind placebo controlled study of a herbal dietary supplement (72 mg/day ephedrine alkaloids and 240 mg/day caffeine).
  
  
  METHODS
  Overweight men and women (body mass index, > or =29 and < or =35 kg/m2).
  
  
  METHODS
  The primary outcome variable was body weight change. Secondary variables included anthropometric, metabolic and cardiovascular changes.
  
  
  RESULTS
  Sixty-seven subjects were randomized to either placebo (n=32) or active Ma Huang/Guarana (n=35). Twenty-four subjects in each group completed the study. Active treatment produced significantly (P<0.006) greater loss of weight (X+/-s.d.,-4.0+/-3.4 kg) and fat (-2.1+/-3.0% fat) over the 8-week treatment period than did placebo (-0.8+/-2.4 kg and 0.2+/-2.3% fat). Active treatment also produced greater reductions in hip circumference and serum triglyceride levels. Eight of the 35 actively treated subjects (23%) and none of the 32 placebo-treated control subjects withdrew from the protocol because of potential treatment-related effects. Dry mouth, insomnia and headache were the adverse symptoms reported most frequently by the herbal vs placebo group at the final evaluation visit.
  
  
  CONCLUSIONS
  This herbal mixture of Ma Huang and Guarana effectively promoted short-term weight and fat loss. Safety with long-term use requires further investigation.
authors.affiliation: Obesity Research Center, St Luke's-Roosevelt Hospital Center and Department of Medicine, Columbia University College of Physicians and Surgeons, New York 10025, USA. cnb7@columbia.edu
authors.forename: C N
authors.initials: CN
authors.lastname: Boozer
authors.forename: J A
authors.initials: JA
authors.lastname: Nasser
authors.forename: S B
authors.initials: SB
authors.lastname: Heymsfield
authors.forename: V
authors.initials: V
authors.lastname: Wang
authors.forename: G
authors.initials: G
authors.lastname: Chen
authors.forename: J L
authors.initials: JL
authors.lastname: Solomon
mesh_terms: D000328:Adult; D000886:Anthropometry; D001794:Blood Pressure; D002110:Caffeine / Q000008:administration & dosage*; D019587:Dietary Supplements; D004311:Double-Blind Method; D004338:Drug Combinations; D004365:Drugs, Chinese Herbal / Q000008:administration & dosage*; D005260:Female; D006339:Heart Rate; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000517:prevention & control*; D013805:Theobromine / Q000008:administration & dosage*; D013806:Theophylline / Q000008:administration & dosage*; D014280:Triglycerides / Q000097:blood; D015431:Weight Loss
chemical_list: D004338:Drug Combinations; D004365:Drugs, Chinese Herbal; D014280:Triglycerides; C092099:guarana powder; D002110:Caffeine; D013806:Theophylline; D013805:Theobromine