title: Potential liver damage associated with over-the-counter vitamin supplements.
abstract: The growing popularity and availability of over-the-counter (OTC) health products, including vitamins, raises serious concern about vitamin toxicity. We report a case of cirrhosis in a patient with habitual daily ingestion of an OTC dietary supplement that contained 13,000 microg vitamin A and was associated with marked clinical improvement after discontinuation. This case highlights the potential for liver damage that may be associated with long-term intake of OTC vitamin supplements, and indicates the need for medical supervision of such products.
authors.affiliation: Department of Gastroenterology, and R. Khurana is clinical fellow, Department of Rheumatology, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
authors.forename: Ankur
authors.initials: A
authors.lastname: Sheth
authors.forename: Ritu
authors.initials: R
authors.lastname: Khurana
authors.forename: Vikas
authors.initials: V
authors.lastname: Khurana