Garcinia cambogia


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obesity, garcinia, ayurvedic treatment, garcinia cambogia, antiobesity, drugs, brindle berry, brindall berry, malabar tamarind, gambooge, gorikapuliuppagi, garcinia kola, mangosteen oil tree.

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Garcinia cambogia

  1. 1. 2012 Garcinia CambogiaLatin Name: Garcinia cambogiaCommon Names: citrin, gambooge, Brindal Berry, Gorikapuli, HCA, Hydroxycitric acid, MalabarTamarindSynonyms: Gutta gamba. Gummigutta. Tom Rong. Gambodia. Garcinia Morella.Saskrit name: Vrikshamla, KankustaOther Common Names of Garcinia Cambogia: Brindle berry, brindall berry, garcinia, malabartamarind,gambooge, gorikapuli, uppagi, garcinia kola, mangosteen oil | +91 841 888 5555
  2. 2. 2012Introduction : Garcinia cambogia is a small, sweet, exotic fruit native to South India andSoutheast Asia. Garcinia has garnered a lot of attention of late as a popular natural weight lossaid. The reason is that the rind of this pumpkin like fruit is rich in a substance calledhydroxycitric acid / HCA, a principle extract of Garcinia cambogia. Garcinia is a source for arevolutionary natural diet ingredient which is currently a rage in America, Japan, Europe, andother western countries.It flowers during the hot season and fruits ripen during the rainy season..The fruit is harvested,dried and ground into a powder.Garcinia cambogia extract is the calcium salt of hydroxyl citric acid (Both 50% and 60% hydroxycitric acids are available), which is obtained from water extract of Garcinia cambogia fruit .It is non-toxic, tasteless, odorless powder and found to be very effective herbal medicine forcontrolling obesity and cholesterol by inhibiting lipogenesis in our body. It is a well establishedfat burning agent all over the world.Chemical Constituents: The plant contains various chemical constituents such as Xanthones,Benzophenones,Garcinol and plant acids like (-) Hydroxy Citric Acid, Maleic acid, Citric | +91 841 888 5555
  3. 3. 2012HCA is naturally occurring fruit acid found in the outer layer covering of the fruits of Garciniacambogia.HCA is highly unstable and therefore extracted as a salt of preferably as calcium or potassium.Therapeutic Uses:The active constituent in this herb is called Hydroxycitric acid or HCA and is gaining a reputationfor assisting weight loss through appetite suppression and by reducing the body’s ability toform adipose(fatty) tissue during times of overeating.* Garcinia has also been historically used to treat gastric ulcers. A 2002 study indicates this herbworks primarily through the action of one of these plant’s constituents, garcinol. Garcinol isknown to lower acidity in the stomach and protects the gastric mucosa.* The rind of garcinia cambogia is also astringent, which is why it was also historically used inthe treatment of diarrhoea and dysentry as well as having the added benefit in the treatment ofgastric and duodenal ulcers.* The ability for Garcinia’s component, HCA, to reduce blood lipid levels and lower bloodcholesterol is another feature of this amazing natural medicine.* More recently, it has been proposed that Garcinia cambogia has a hepato protective abilityagainst external toxins, such as alcohol. A recent study showed that Garcinia prevented livercells from becoming fibrotic and stopped cell damage caused by high blood lipid levels.*Garcinia cambogia, an exotic fruit grown in South India, has been used to impart a distinctivesour flavour to Indian cooking. It is the source for a revolutionary natural diet ingredient whichis currently a rage in America, Japan, Europe and other western | +91 841 888 5555
  4. 4. 2012Plant Description : Garcinia cambogia is a moderate-sized, evergreen tree and the flowers areunisexual, sessile and axillary. The leaves are dark green, shining, elliptic to obovate. It bearssweet-sour mixed fruits native to SE Asia and India. The fruit may resemble a small yellow orreddish pumpkin, or it may have a unique purple color. The fruit of Garcinia cambogia has beentraditionally used in food preparation and cooking, having a distinctive taste. Garcinia hasgarnered a lot of attention of late as a popular natural weight loss aid. The reason is that therind of this pumpkin like fruit is rich in a substance called hydroxycitric acid / HCA.History : In Ayurveda, it is said that the sour flavors, such as those from Garcinia, activatedigestion. Garcinia has also been considered to make foods more filling and satisfying, and hasbeen used routinely for many centuries with no known toxicity. This herb has been usedhistorically in India to support the treatment of various health conditions.Garcinia the cambodge tree is a good-sized glabrous and evergreen tree belonging to thefamily Clusiaceae and presently known under the scientific name, Garcinia Cambogia (L.). It iscommonly seen in the western ghats of Kerala, Karnataka, and in Sri Lanka. In Kerala the tree isseen in plenty in mid-Travencore tract and in Karnataka in Konkan tract. Garcinia shows widevariability in yield, growth habit, and fruit qualities. Both male and hermaphrodite trees are metwith in the | +91 841 888 5555
  5. 5. 2012The tree is very much adapted to both hilltops and plain lands alike. But, its performance is bestin riverbanks and valleys. It grows well in dry or occasionally water logged or flooded soils.Usually seedling takes 10-12 years to start bearing. The percentage of male trees in populationvaries from 50-60 per cent and this also creates much difficulty in the cultivation of the crop.Problems such as lack of high yielder, planting grafts prepared from elite mother trees can solvevariability in population and occurrence of male trees.The economic part of the plant is its mature fruit which are highly acidic. The rinds of the ripefruit are processed and used as a condiment in fish and prawn preparations to impart flavourand taste and to improve the keeping quality. The extracts obtained from the mature fruit rind,Hydroxy Citric Acid, attracts foreign markets - thanks to its use in medicines controlling obesity.It is also one of the ingredients in many ayurvedic | +91 841 888 5555
  6. 6. 2012VarietiesEven though garcinia is one of the oldest tree spices of the State, only recently that it hasattained international importance. Hence research work in the field of crop improvement andcrop husbandry is very meagre. Most of the trees in the field are of seedling origin and hencethey exhibit wide variability. Recently Kerala Agricultural University has identified a fewpromising types which are being multiplied for cultivation.Planting MaterialsUse grafts prepared through Soft grafting/ side grafting or the healthy seedlings raised in thenursery, for cultivation. If seedlings are planted, 50-60 percent will be male, and hence plantingof grafts are advocated as they ensure maternal characters and early bearing | +91 841 888 5555
  7. 7. 2012Propagation by seedlingsSelection of mother trees: Mother trees which give steady annual yield, having a mean fruitweight of 200-275g, high acid content and low tannin content are located, Seeds are collectedfrom freshly harvested and fully ripened fruits and washed in running water and spread in athin layer under roof. By twentieth day, seeds will be ready for sowing. Seeds at the rate twoper bag are sown in poly bags during the month of August-September. It takes five to sevenmonths for the seed to start germination. Usually seeds start sprouting in the month ofDecember and they come above the soil surface by February. In order to avoid delayedgermination, simple seed treatment methods are employed.Method 1: Processed seeds (after drying under shade) are given a mechanical treatment. Seedcoat of such seeds are removed using a sharp knife without injuring the ivory colouredcotyledon. These ivory coloured cotyledons are sown afresh in poly bags at a depth of 2 inchesand they start germinating in 20-25 days after sowing.Method 2: Seeds, after removing the seed coat, are treated with gibberelic acid @ 250 ppm forsix hours, and later they are soaked in Dithane M-45 @ 4g/I for two hours. They are sown innursery bags and irrigated daily. Seeds germinate in 16-20 days time.Method 3: After removing the seed coat, seeds treated with gibberelic acid @ 250 ppm for sixhours, and later they are soaked in Dithane M-45 @ 4g/I for two hours. These seeds are | +91 841 888 5555
  8. 8. 2012transferred to a white poly propylene cover of the size 20 cm x 25 cm along with 30-50 ml offiltered water. The poly bag along with the air inside is tied tightly using a rubber band. Suchseeds germinate in 10-12 days after sowing. In a poly bag, about 500-750 seeds can beincubated at a time. Sprouted seeds are picked up and sown in the nursery bags kept undershade.Raising seedlings: Seedlings can be kept under open condition or under shade. They are to bewatered regularly on alternate days during summer months. Those seedlings, which are keptunder shade, after 3-4 months, are placed under direct sun light to trigger growth. At this age,apply FYM @ 50g per bag. In six to seven months time, seedlings will be ready for planting.Propagation by graftingSeedling usually takes 10-12 years for bearing. Fifty percent of the population will be male andunproductive. There will be variation in the inheritance of maternal characters in the progenies.For these reasons, grafts are preferred to seedlings. Grafts start bearing in three-four yearstime, true to type progenies are obtained, height of the tree can be controlled and morenumber of trees can be planted in a unit area. Two types of grafting methods are employed:soft-wood grafting and approach grafting.Soft wood graftingScions are selected only from specific elite trees showing regular bearing tendency, yieldinglarge sized and quality fruits.Collection of scions: Straight growing, healthy young shoots emerging from the primarybranches with whorled leaf arrangement are selected. They are cut at a length of 6-10 cmlength and stored in poly bags under humid condition. Leaves are partly removed and the cutend is shaped to a wedge of three-four cm long by giving slanting cuts on the two oppositesides.Preparation of root stock: Stock plants having 3-4 mm stem thickness is ideal for grafting.Selected plants will be deheaded at two nodes below the terminal bud and all the leaves arepartly removed. Grafting is done using scion and root stock of same thickness.Grafting: The wedge of the scion is inserted into the cleft of the root stock and the graft joint issecured firmly by black polythene tape of 1.5-2 cm wide and 30 cm long.Care In the nursery: Immediately after grafting they are kept either in mist house or coveredwith transparent poly-propylene cover and kept under shade. By the thirtieth day the | +91 841 888 5555
  9. 9. 2012would have established and new leaves start emerging. The grafts are then removed from themist house or the polythene cover and kept under shade. Grafts are to be watered daily usingrose can or microsprinkler. Care should be taken to remove sprouts emerging from root stockat frequent intervals. Three months after grafting the plants will be ready for planting in themain field. just before planting in the main field the grafts are left under open condition forhardening.Approach grafting: Here also stock plants having three-four mm thickness are preferred andthey are brought to the place where the mother tree is located. Grafting is done as in othercrops and they are kept intact for 45 days by which time union occurs. Graft is detached fromthe mother tree in three steps. The main disadvantage is that only a limited number of graftscan be produced in this method. Forty five days after grafting, they will be ready fortransferring to the main nursery for hardening. Grafts are to be watered daily using rose can ormicro-sprinkler. Care should be taken to remove sprouts emerging from rootstock at frequentintervals. Leaf folder pests are very common in the nursery. Spray Ekalux @ 2ml/L of water atmonthly intervals.Planting and Management of PlantationsThe crop can be raised as a pure or as a perennial intercrop of coconut, arecanut etc. Pits of thesize 75x75x75 cm in hard and laterite soils, 50x50x50 cm in sandy and alluvial soils, at a spacingof 4m x 4m for grafting and 7m x 7m for seedlings, are prepared. In hill slopes of 15% or more,for planting grafts rows are spaced at 5 to 5.5 m and 3.5m between trees in a row. For plantingseedlings, rows are spread at 8 to 12 m apart and at 6 to 8 m for trees in row. Planting isgenerally done during July-October months. Under existing coconut plantations of 25 years andabove, spacing shall be so adjusted that it should alternate with the palms in the rows. | +91 841 888 5555
  10. 10. 2012Kuttanad conditions, where bunds and channels alternate, planting can be done in betweentwo palms. Planting pits are filled with top soil and two kg of compost or well decomposedcattle manure and Iog of sevin or lindane dust, to avoid white ants attack, before planting. Thegraft union shall remain just above the ground level. Plants are to be supported with bamboosplit of 2.5 long. One month after planting the polythene tape around the graft union is gentlyremoved.ManuringApply 10 kg of cattle manure or compost per seedling/graft during the first year. Increase thequantity gradually till a well grown tree of 15 years and above receives 50 kg of organic manureper year. Apply NPK mixture at the rate of 20:18:50 g/plant during the first year. This is doubledin the second year and gradually increased to 500:250: 1000 g/plant/year so as to obtain fulldose at 15th year onwards.PurningGrafts will grow fast from second year onwards. Strong support of casuarina poles are to begiven at this stage. By fifth year the tree will have 3 to 4m height. From third year onwardssome of the fast growing branches are to be pruned so as to balance the weight. In the fifthyear the height of the plant may be maintained at 3.5 to 4m and by seventh year at 4 to 4.5m.Pests and DiseasesHard scales and beetles are the common pests infesting the crop. The hard scales desap theleaves and tender shoots. Both the beetles and grubs defoliate the crop inflicting heavy loss onyield. These can be controlled by spraying Rogor or Nuvacron @ 1.5 ml/l. Sooty mould is seenassociated with the hard scales. Seedling blight in the nursery stage is very common and thiscan be controlled by spraying I% Bordeaux mixture or Dithane M 45 @ 4 g/l. Leaf folders arevery common in the nursery. Spray Ekalux @ 2ml/lit at monthly intervals to control the pest.HarvestingSeed-grown plants start bearing generally at the age of 10-12 years. Grafts start bearing fromthe third year onwards and will attain the stage of full bearing at the age of 12 to 15 years.Flowering occurs in January-March and fruits mature in July. There are reports of off seasonbearers, which bear two times a year, ie., during january-july and September-February. Maturefruits which are orange yellow in colour, either drop from the tree or are harvested manually.The fruit rind is separated for processing immediately after | +91 841 888 5555
  11. 11. 2012ProcessingSeparated fruit rind is first sun dried and then either smoked or oven dried. In order to increasethe storage life and impart softness, the dried rind is mixed with common salt @ 150 g andcoconut oil @ 50 ml per kg of dried rind.Method for collection of the Resin : In order to obtain the gum-resin incisions are made intothe tree, or a large slice is pared from the bark, from which the juice flows thick, viscid, andbright-yellow, which is scraped off and dried in the sun. If left on the tree, it speedily concretesinto dry tears or irregular masses.1.Ceylon gamboge:- It is generally collected, by making incisions into the bark, into whichbamboo joints are inserted to catch the oozing fluid, which subsequently solidifies. It | +91 841 888 5555
  12. 12. 2012removed from the bamboo by slowly rotating them over a fire until the water has dried outsufficiently to allow the receptacle to be detached from the hardened gamboge.2.Pipe gamboge:- The best kinds are the pipe gamboge, consisting of cylindrical pieces, oftencohering together, forming irregular masses weighing several pounds.Phytochemistry : The plant contains acids tartaric, citric and phosporic. The latex of Garciniacambogia contains two polyisoprenylated benzophenone derivatives, camboginol (I) andcambogin (II).Chemistry : The major phytoconstituent in Garcinia cambogia is Hydroxycitric acid. Thisprincipal acid has been found to suppress the fatty acid synthesis, lipogenesis, food intake, andpromotes glycogenesis, gluconeogenesis and induced weight loss.How it works : Garcinia Cambogia fills the glycogen stores in the liver and other tissues, therebyreducing appetite while increasing energy levels. Garcinia Cambogia lowers the production oftriglycerides and cholesterol and may also increase thermogenesis, the burning of calories.Unlike chemical stimulants commonly used in weight loss products, Garcinia Cambogia does notact on the central nervous system. This means that Garcinia Cambogia will not cause insomnia,nervousness, changes in blood pressure or heart rate and its effectiveness will not diminishwith time.Who can take Garcinia? Because herbal medicines are relatively mild and gentle on the humanbody, Garcinia can be taken by practically everyone, regardless of age and gender. Garcinia canbe taken for the following | +91 841 888 5555
  13. 13. 2012  Helps reduce body’s ability to store fat.  Lowers body weight through appetite control.  Lowers serum triglycerides.  Creates a process in the body called thermogenesis.  Helps with catarrhal conditions of the throat, urinary system, and uterus.Benefits & Uses :  Garcinia has also been considered to make foods more filling and satisfying.  Garcinia cambogia was able to decrease the acidity and to increase the mucosal defence in the gastric areas, thereby justifying its use as an antiulcerogenic agent.  Garcinia does not contain any addictive components and can be taken without fear of addiction for extended periods of time.  Garcinia also contains significant amounts of Vitamin C and has been used as a heart tonic.  Garcinia, when taken over a period of time, has the ability to slow production of fat and help the body metabolize it more | +91 841 888 5555
  14. 14. 2012ABSTRACTObesity is a major problem in the effluent societies of developing and developed world and theHealth Risks associated with the obesity are Diabetes mellitus, Heart disease, High b.p.,etc.WHO report –Globally with more than 1 billion adults overweight- at least 300 million of them clinically obese.Main cause of obesity is a person consumes more calories from food than he or she burns.Now a days herbal drug are used because of its lesser side effects as compared to syntheticdrugs.This review provides complete information about the herbal drug Garcinia cambogia and itsaction in controlling weight.The Garcinia fruit is a rich source of hydroxycitric acid (HCA), the active agent that aids inweight loss by inhibiting fat production and suppressing appetite.Garcinia cambogia extract is quickly becoming a popular ingredient in many weight losssupplements.GARCINIA- THE ANTI-OBESITY | +91 841 888 5555
  15. 15. 2012The Garcinia fruit is a rich source of hydroxycitric acid (HCA), the active agent that aids inweight loss by inhibiting fat production and suppressing appetite.Garcinia contains citrine, an extract that is 50-60% HCA, which inhibits an enzyme that helps thebody synthesize fat for storage in adipose tissue. HCA promotes energy, inhibits lipogenesis,lowers the production of cholesterol and fatty acids, increases the production of glycogen in theliver, suppresses appetite, and increases the bodys production of heat by activating the processof thermogenesis.Garcinia cambogia extract is quickly becoming a popular ingredient in many weight losssupplements. Many studies have been pointing to strong possibilities that it will help somepeople to lose weight. But like similar studies, the evidence is not conclusive. Inspite of this it isbeen cited in many weight loss supplements as been an active ingredient for losing weight.Garcinia cambogia belongs to the citrus family like oranges and lemons. It is a small tropicalfruit that is too sour to eat but the rind is used as a spice in Indian cooking. It is indigenous toIndia and Africa. The active ingredient usually accredited for weight loss in this fruit is itsextract, hydroxycitric acid.Hydroxycitric acid (HCA) unlike caffeine is not a stimulant. Neither is it an appetite suppressant,both of which work directly on the nerve centers of the brain.Both stimulants and appetite suppressants can have undesired side effects, including causingfood binges any time you stop taking | +91 841 888 5555
  16. 16. 2012Instead, HCA satisfies the bodys need for energy and improves the signaling system that thebody uses to tell the brain when it has eaten enough. In overweight people this response isoften delayed, causing them to continue to eat more than they need.HCA seems to work best for people who overeat when they are anxious or stressed, as it willgive the same calming effect that they get from food. Generally you do not need to eat anyspecial foods when you are taking HCA, and there are no forbidden foods. Choose healthyfoods and you should find that you lose weight and fat slowly but steadily without really trying.You can take slightly smaller portions if you wish and choose fruit instead of sugary snacks butyou should not need to go hungry. This is a very natural way to lose weight.Garcinia cambogia extract (HCA) in weight loss supplements is usually combined withchromium.Chromium is a mineral that is often lacking in our diets as we get older and a chromium deficitcan contribute to weight gain and possibly diabetes. HCA and chromium seem to work in apositive synergy to regulate the bodys blood sugar levels. However if you have diabetesalready, you should see your doctor before taking any products containing chromium.Though HCA shows possibilities it is best to be cautious just like with all other weight losssupplements. For example do not take HCA if you are pregnant or breast feeding. Consult adoctor before giving it to children.You may also want to avoid HCA if you suffer from migraine or arthritis which can be worsenedby citrus fruits.HCA has some significant advantages over many other weight loss supplements ingredientsbecause it has been extensively tested in research laboratories on both human and animalsubjects and no side effects have been found. Consequently it is considered a natural weightloss supplement.COMPARISON BETWEEN HERBAL AND SYNTHETIC DRUGS:Synthetic | +91 841 888 5555
  17. 17. 2012Sibutramine:Sibutramine (usually in the form of the hydrochloride monohydrate salt) is an oral anorexiant.Sibutramine is a neurotransmitter reuptake inhibitor that reduces the reuptake of serotonin (by53%),norepinephrine (by 54%), and dopamine (by 16%), serotonergic action, in particular, isthought to influence appetite.thereby increasing the levels of these substances in synapticclefts and helping enhance satiety.Side effectsA higher number of cardiovascular events have been observed in people taking sibutramineversus control (11.4% vs. 10.0%).In 2010 the FDA noted the concerns that sibutramine increases the risk of heart attacks andstrokes in patients with a history of cardiovascular disease.Frequently encountered side effects are: dry mouth, paradoxically increased appetite, nausea,strange taste in the mouth, upset stomach, constipation, trouble sleeping, dizziness,drowsiness, menstrual cramps/pain, headache, flushing, or joint/muscle pain.Sibutramine can substantially increase blood pressure and pulse in some patients. Thereforeregular monitoring needs to be performed.The following side effects are infrequent but serious and require immediate medical attention:cardiac arrhythmias, paresthesia, mental/mood changes (e.g., excitement, restlessness,confusion, depression, rare thoughts of suicide).Symptoms that require urgent medical attention are seizures, problems urinating, abnormalbruising or bleeding, melena, hematemesis, jaundice, fever and rigors, chest pain, hemiplegia,abnormal vision,dyspnea and edema.OrlistatOrlistat is used for the treatment of obesity. The amount of weight loss achieved with orlistatvaries. In one year clinical trials, between 35.5% and 54.8% of subjects achieved a 5% orgreater decrease in body mass, although not all of this mass was necessarily fat.Its primary function is preventing the absorption of fats from the human diet, thereby reducingcaloric intake.Mechanism of | +91 841 888 5555
  18. 18. 2012Orlistat works by inhibiting gastric and pancreatic lipases, the enzymes that break downtriglycerides in the intestine. When lipase activity is blocked, triglycerides from the diet are nothydrolyzed into absorbable free fatty acids, and are excreted undigested instead.Side Effects:The primary side effects of the drug are gastrointestinal related, and include steatorrhea (oily,loose stools with excessive flatus due to unabsorbed fats reaching the large intestine), fecalincontinence and frequent or urgent bowel movements.An analysis of over 900 orlistat users in Ontario showed that their rate of acute kidney injurywas more than triple that of non-users.The putative mechanism for this effect is postulated to be excessive oxalate absorption fromthe gut and its subsequent deposition in the kidney, with excessive oxalate absorption being aknown consequence of fat malabsorption.A 2006 animal study linked orlistat with aberrant crypt foci (ACF), lesions found in the colonwhich is believed to be one of the earliest precursors of colon cancer.Phentermine:Phentermine, a contraction of "phenyl-tertiarybutylamine", is an appetite suppressant of thephenethylamine class.It is an amphetamine like stimulant.It is approved as an appetite suppressant to help reduce weight in obese patients when usedshort-term and combined with exercise, diet, and behavioral modification.It is typically prescribed for individuals who are at increased medical risk because of theirweight and works by helping to release certain chemicals in the brain that control appetite.Mechanism of Action:Phentermine works on the hypothalamus portion of the brain to stimulate the adrenal glandsto release norepinephrine, a neurotransmitter or chemical messenger that signals a fight-or-flight response, reducing | +91 841 888 5555
  19. 19. 2012Phentermine works outside the brain as well to release epinephrine or adrenaline causing fatcells to break down stored fat, but the principal basis of efficacy is hunger-reduction.At clinically relevant doses, phentermine also releases serotonin and dopamine, but to a muchlesser extent than that of norepinephrine.Adverse Effects:Generally, phentermine appears to be relatively well tolerated.It can produce side effectsconsistent with its catecholamine-releasing properties, e.g., tachycardia (increased heart rate)and elevated blood pressure, but the incidence and magnitude of these appear to be less thanwith the amphetamines.Because phentermine acts through sympathomimetic pathways, the drug may increase bloodpressure and heart rate. It may also cause palpitations, restlessness, and insomnia.Additionally, phentermine has the potential to cause psychological dependence. After shortterm use, tolerance begins and can be followed by rebound weight gain.More common side effects:Cardiovascular: Primary pulmonary hypertension and/or regurgitant cardiac valvular disease,palpitation, tachycardia, elevation of blood pressure.Central Nervous System: Overstimulation, restlessness, dizziness,insomnia, euphoria,dysphoria, tremor, headache.Gastrointestinal: Dryness of the mouth,unpleasant taste, diarrhea, constipation, othergastrointestinal disturbances.Allergic: Urticaria, endocrine Impotence, changes in libido.Herbal Drugs:Herbal Drugs is a traditional medicinal or folk medicine practice based on the use of plants andplant extracts.Potential Side Effects of Garcinia | +91 841 888 5555
  20. 20. 2012There are no known side effects for using this herb, however, it is not recommended fordiabetics or people suffering any dementia syndrome, including Alzheimer’s; and in pregnantand lactating women.Garcinia cambogia does have contraindications with certain medications, and it is important todiscuss this with your health care | +91 841 888 5555