XXXX in a soldier taking N.O.-Xplode.

@entity1 @entity8 @entity4295 @entity812 @entity177 @entity1011
INTRODUCTION: Dietary supplements are widely used but are unregulated by the US Food and Drug Administration. Presented here is a case of severe @entity177 possibly associated with a dietary supplement, which demonstrates the need for improved @entity1 -physician communication regarding the possible risks and lack of regulation of dietary supplements. METHODS: A 26-year-old @entity1 presented with 3 days of @entity812 . The @entity1 had been taking a dietary supplement called N.O.-Xplode for 3 months. Initial laboratory tests revealed a @entity1011 value of 9.45 mg/dL. Extensive laboratory analysis and imaging revealed no underlying cause of his @entity8 . Renal biopsy showed @entity4295 with normal glomeruli. After discontinuing N.O.-Xplode, renal function returned to normal within 1 week. CONCLUSIONS: This case demonstrates the need for improved @entity1 -physician communication about dietary supplements. The @entity1 had not consulted a physician before initiating use; the amount of each ingredient contained in the dietary supplement is unavailable; and there are no available data regarding safety or efficacy. It is critical that physicians are able and open to counseling @entity1 on the inherent risks associated with dietary supplements, including their lack of regulation by the Food and Drug Administration, unknown efficacy, and possible serious adverse outcomes.
