*edit* well it seems like i’m the only one with common sense here then aren’t i? take that sh*t and hope you don’t die. good luck

EDIT:
Ingredients are…
Trimspa no longer individually lists the ingredients. There is no way of knowing how much of each ingredient is in a single Trimspa capsule. Trimspa used to list each ingredient separately, but now the label merely indicates that there is 75 micrograms of chromium and 667.5 milligrams of an "x32 proprietary blend" containing glucomannan, cocoa extract, green tea extract, hoodia gordonii, sodium carboxymethylcellulose, glucosamine HCL, citrus naringin, and vanadium. Companies do this to protect their formula, but it makes it impossible to properly evaluate it.
concerns are…
# Trimspa side effects may include anxiety and insomnia. Most people’s cravings occur in the late afternoon and evening, however taking Trimspa in the late afternoon and evening may be too stimulating for some people and may lead to insomnia, anxiety, palpitations, and restlessness.

Although Trimspa no longer lists ingredients and their amounts individually, previously, each pill contained 125 mg of green tea extract. The total daily intake of four pills a day would provide 500 milligrams of green tea extract and 200 mg of caffeine, which is roughly equivalent to two 8-ounce cups of coffee. The cocoa extract can also be stimulating.

# Trimspa contains Hoodia gordonii. Hoodia is a plant native to South Africa. Hoodia has a long history of use as an appetite suppressant by the San indigenous peoples of South Africa. Although it is a tremendously popular diet pill ingredient, there are some concerns about liver toxicity and whether it’s even possible to obtain pure versus fake hoodia in commercial products.

* Read my review of Hoodia Gordonii
* What are Hoodia’s Side Efeects?
* Q & A: How Do I Know if it’s Pure Hoodia or a Fake?

# The arthritis supplement glucosamine in Trimspa. Trimspa says that glucosamine prolongs the amount of time glucose stays within the bloodstream after eating. So let me get this straight – glucosamine may increase blood glucose, potentially worsening glucose tolerance and this is good for weight loss? I don’t think so. Read my article on glucosamine and insulin.

# Trimspa may trigger migraines. The cocoa extract in Trimspa contains tyramine, which may trigger migraines in susceptible people, especially if taken in large amounts.

# Trimspa shouldn’t be taken with Monoamine Oxidase Inhibitor (MAOI) antidepressant drugs. MAOI drugs include phenelzine (Nardil), tranylcypromine (Parnate), selegiline (Eldepryl), and isocarboxazid (Marplan). These drugs react with foods containing tyramine, such as cocoa, and may lead to a dangerous rise in blood pressure, as well as headache, nausea, vomiting, rapid heartbeat, possible confusion, psychotic symptoms, seizures, stroke and coma when combined with MAOI antidepressants.

# Trimspa contains naringin, the compound in grapefruit that can interfere with the metabolism of many common prescription drugs. Naringin can increase blood levels of drugs that are metabolized by the intestinal cytochrome P450 3A4 system, raising the risk of toxicity. The label on the Trimspa bottle doesn’t properly caution about potential drug interactions. Some of the drugs that interact with naringin include:

* Antiarrhythmics – Amiodarone (Cordarone), disopyramide (Norpace), quinidine

* Anticoagulants, e.g. Warfarin (Coumadin)

* Calcium channel blockers – Felodipine (Plendil), nicardipine (Cardene), nifedipine (Procardia), nimodipine (Nimotop), nisoldipine (Sular)

* Statins – Atorvastatin (Lipitor), lovastatin (Mevacor), simvastatin (Zocor)

* Immunosuppressants – Cyclosporine (Sandimmune, Neoral), tacrolimus (Prograf)

* Protease inhibitors – Saquinavir (Fortovase)

# Trimspa shouldn’t be taken by people with shellfish allergies. Trimspa contains glucosamine. The glucosamine in supplements is derived from shellfish shells.

# Trimspa contains food dyes and additives. Trimspa contains the food dyes FD&C Red #40, and Aluminum lake (blue dye) and other additives. This isn’t specific to Trimpsa – food dyes and additives are found in many prescription drugs and foods.

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