Diet Pills Can Be a Clue to Other Issues

Stressed patient

In today’s society, there is a lot of pressure on everyone. How we look, at, work performance, people want more from us whether it is an employer, spouse, friends, or even our children.

The added pressure often leads to us having to cut some daily chore out of our routine. The obvious choices would be to eliminate and replace those tasks with a quicker solution.

For instance, food. Everyone loves a home-cooked meal. But many people do not have the time each and every day to spend an hour in the kitchen. They do not make it a priority. Especially when food can be purchased on the go and consumed on the way to the next stop in their busy schedule.

We all know that fast food isn’t good for us, and it can lead to health issues and weight gain. This only adds to the society’s pressure of how we look.

While doing research for this article I came across this website Like many of us their children are in all kinds of activities, and this has them running around after work late into the evening. Fast food is on the menu many nights a week. The parents started using the fatburner, Phen 375. Phen 375 is a popular diet pill, and it does have good reviews. But before you go and buy Phen 375, please have a checkup with your doctor.

Diet pills have quite a few side-effects, including but not limited to increasing  blood pressure, anxiety, diarrhea, feeling like you always have to go to the bathroom, they add to sleep disorders, mood swings, anger, and they even can lead to self-harm.

So as a CNA it is important to watch a patient that complains about the pressures of life or their busy schedules. And they seem moody or anxious and have high blood pressure readings to ask about diet pills.

The patient might not think about mentioning them or might want to hide the fact that they take them. Bring this to light might save someone’s life. Diet pills are not that physically harmful, but they can change the mental mood of the patient.  This can be the most damaging side-effect, either to someone else with due to anger or the possibility of them hurting themselves or even suicide.

Nurses and doctors always tend to be aware of the physical issues of the patients and not notice as much how the patient is behaving mentally. As a CNA, you are in a position to stand back and observe.

If someone mentions they are under a lot of life pressures you can ask them about their diet, and if fast food or eating disorders are mentioned always ask about diet pill use. Again, they might not be forthcoming but persistent questions indirectly aimed at over the counter drug use might get them to acknowledge diet pill use.

Sucralose Allergies

Man holding and drinking the post workout chocolate whey protein shake, isolated on white


For some reason, sugar has gotten a bad rap. It could be that an average American consumes over 160 pounds a year.

People are trying to cut down on their sugar consumption.

For that reason, companies that are producing diet products add chemicals other than sugar to the food product to make it seem sweeter.

The marketing sell is that product labels can say the product contains no or low sugar.


One of the more common artificial sweeteners is Sucralose.

This is especially true on meal replacement shakes such as Shakelogy and Ideal Shape shakes.

Most people don’t even realize they are consuming Sucralose or that people can be allergic to it.

Some reviews of these products do mention artificial sweeteners as issues, such as Ideal Shape Reviews.

But most product reviews are written to sell the product, so they do not include such information.

Since protein powders and meal replacement shakes are mainstream right now, we have seen quite a few people have symptoms that could be from Sucralose allergies.

These symptoms are similar to many other common issues that we see in emergency rooms.

It will not hurt to ask the patient if they consume protein powders or meal replacement shakes on a regular basis.

Common Complaints

Common complaints are:

  • Gastrointestinal problems
  • Migraines
  • Seizures
  • Dizziness
  • Blurred vision
  • Rashes
  • Blood sugar increases
  • Weight gain

The most common allergic symptom that people have is rashes or hives on their skin. But lung issues are pretty common too, especially the tightness in the chest.

Ask the patient if they have a short little cough after drinking a shake. This is also very common as their air pathways tend to close up if they are allergic to sucralose.


The most common symptoms are listed from top down.

  • Skin — Redness, itching, swelling, rash, or hives (itchy bumps or welts).
  • Lungs — Wheezing, tightness, cough, or shortness of breath.
  • Head — Swelling of the face, eyelids, lips, tongue, or throat; headaches and migraines.
  • Nose — Stuffy nose, runny nose (clear, thin discharge), sneezing.
  • Eyes — Red (bloodshot), itchy, swollen, or watery.
  • Stomach — Bloating, gas, pain, nausea, vomiting, diarrhea, or bloody diarrhea.
  • Heart — Palpitations or fluttering.
  • Joints — Joint pains or aches.
  • Neurological — Anxiety, dizziness, spaced-out sensation, depression.

Patients will have no problems telling you if they consume these products. Since Sucralose is in over 4,000 products patients may consume other products that contain the artificial sweetener.

However, protein powders and meal replacement shakes seem to bring out the allergies. It could be that is because no other food is consumed when people drink these shakes.

So if your patient has the above-listed symptoms, it wouldn’t hurt to ask them if they drink meal replacement shakes, or if they notice the symptoms after they consume them.

Although Sucralose allergies are not all that common, asking a simple question to a patient will never hurt. In the end, it may save the patient a lot of time and testing in the future.

Symptoms – Side-effects of HGH



Athletes and bodybuilders are more frequently turning to human growth hormone with hopes that it will make them perform better and heal quicker.

Naturally this hormone is produced by pituitary gland stimulates growth in adolescents and children. It helps to regulate body fluids, body composition, sugar and fat metabolism, heart function and muscle and bone growth.

The most common HGH compound is somatropin. It is a powerful hormone that affects every organ. This substance is almost identical to the body’s natural hormone which is referred to as somatotropin.

Uses of HGH

This hormone was developed in the year 1985 and approved by the FDA for particular uses in adults and children. But before long others found use for it.

Actors also found somatropin and use it to maintain their youthful look and get in shape for movies.

Body builders use it in conjunction with anabolic steroids.

Athletes use this substance because of its capability to build muscle, increase stamina, and heal injuries.

HGH is normally used for those trying to retain their youth, build large masses of muscle, combat stunted growth and improve their appearance.

Symptoms and side-effects of HGH use.

If the human growth hormone is administered to adults who have normal production of natural HGH, it may lead to serious unwanted side effects because the levels in the body become too high.

Some symptoms include:

  • Development of diabetes
  • Abnormal growth of bones and internal organs such as kidney and heart
  • Hardening of the arteries (arteriosclerosis)
  • Hypertension
  • Breast enlargement
  • Increased growth of birth marks
  • Carpel tunnel syndrome
  • Skeletal & joint pain


The side-effects of HGH depend on the dosage and show up gradually.

The side-effects of HGH are:

  • Elevated heart rate
  • Deep sleep patterns
  • Increased sex urge
  • Pain in the joints and nerves
  • Stinging skin and numbness
  • High cholesterol levels
  • Chills
  • Difficulty in breathing
  • Back pain
  • Dizziness
  • Congestion of the ear
  • Husky voice
  • Cough that produces mucus
  • Changes in vision
  • Depression of the skin at place of injection
  • Headaches

Somatropin injection is permitted by the FDA for both children and adult patients with a medical doctors consent and prescription.

However, you will see somatropin for sale online by black market sellers who sneak it into the US to local suppliers. Generally bodybuilders who mark up the price to make money on the side.

Those that buy somatropin risk possession of a controlled substance, which is a felony. It will be hard to convince patients to tell you they are taking HGH.

They may realize you can tell they are supplementing and tell you they are taking Somatropinne.

You will have to rely on your instincts with these patients.

If you have any question you can reach us here.

Supplement Overuse in Teens

Young Male Patient Talking To Female Nurse In Emergency Room

We have seen a large increase in cases, especially high school and college-aged men, of side-effects from using “bodybuilding” supplements. These supplements are not steroids but are sold under the premise that they are “natural steroids” by such companies as

Symptoms can range from dehydration to arrhythmia. Care must be taken when confronting people about supplement usage. Often times it is just the case of dehydration due to lack of hydration.

Late August you might see quite a few cases of dehydration and muscle cramping in high school athletes as they generally have two practices per day in hot weather with low water consumption.

If you notice other possible symptoms like acne, enlarged breasts, or patients with larger than normal muscle build it would not hurt to ask if they are taking supplements.

Some patients will not want to talk about it because they are taking them without their parents consent so care must be taken during questioning.

What are Legal Steroids?

Generally supplements that are touted as legal steroids contain ingredients such as creatine, Beta Anhydrous, DHEA, L-arginine, L-Glycine, L-Methionine, and natural herbs. These are also labeled steroid precursors and claimed to be the compounds that human body turns into natural steroids. Others contain large doses of caffeine and other adenosine receptors type drugs.

Review the Side Effects of Supplements

Other complications or side effects to look for if you suspect over supplementation are:

  • dehydration
  • muscle cramping
  • high blood pressure
  • elevated heart rate
  • sleeping issues
  • acne flares
  • enlarged breasts

Stacking Dietary Supplements

Other unknown issues are the stacking (mixing) of dietary and bodybuilding supplements. Recent research has alerted medical practitioners to the possibility of liver damage.

Often athletes but more commonly bodybuilders mix dietary supplements into the mix to cut weight and reduce fat called. These are referred to as a cutting stack by companies such as Crazy Bulk and Crazy Mass.

If you read some of the sales copy, such as in they claim these products to be legal steroids. There isn’t such a thing, but it does make people think they are ok to take.

So also check patients that you think may be using supplements for common dietary supplement side effects such as:

  • Skin and eyes that appear yellowish (jaundice)
  • Abdominal pain and swelling.
  • Swelling in the legs and ankles.
  • Itchy skin.
  • Dark urine color.
  • Pale stool color, or bloody or tar-colored stool.
  • Chronic fatigue.
  • Nausea or vomiting.
  • Tendency to bruise easily
  • Other more extreme symptoms are panic attacks and seizures.

Remember, patients most likely will not be forth-coming with supplement use. You will have to compliment them on their physique or some other attribute to gain their trust.

Ask shallow leading questions to see if your assumption may be right.

We hope this information is helpful.


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