BellyFlush Ingredients: All Eleven in Listed Order

01

03

• 01stimulant laxativeCascara Sagrada barkreclassified by FDA to Category II in 2002no amount is declared for this ingredient, or for any otherResearch view ↻

  what the sources say

  FDA's final rule of 9 May 2002, Status of Certain Additional Over-the-Counter Drug Category II and III Active Ingredients, reclassified cascara sagrada for OTC laxative use to category II (nonmonograph), meaning it should be deemed not generally recognized as safe and effective for OTC use. The reason was the lack of data and information and the failure of interested persons to submit any new data from carcinogenicity studies. The rule took effect on 5 November 2002.

  U.S. Food and Drug Administration / Federal Register, 9 May 2002 →

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• 02stimulant laxativeCape Aloe leafreclassified by FDA to Category II in 2002no amount is declared for this ingredient, or for any otherResearch view ↻

  what the sources say

  The same 2002 rule reclassified aloe (including aloe extract and aloe flower extract) for OTC laxative use to category II on the same grounds. NCCIH records that FDA required manufacturers to remove aloe latex from over-the-counter laxative products because of a lack of safety data, that oral use of aloe latex can cause abdominal pain, cramps, and diarrhea, that oral aloe leaf extract has been related to cases of acute hepatitis, and that overuse of aloe latex may increase the risk of adverse effects from cardiac glycosides, such as digoxin. It also records that the International Agency for Research on Cancer has classified whole leaf extract of aloe vera as a possible carcinogen in humans.

  NIH National Center for Complementary and Integrative Health →

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• 03stimulant laxativeSenna leaf extractOTC labels say not longer than 1 weekno amount is declared for this ingredient, or for any otherResearch view ↻

  what the sources say

  Senna is the one of the three that remains an approved OTC laxative, and the terms are explicit. A US OTC senna label declares Sennosides 8.6 mg per tablet with the purpose Laxative, and warns: do not use laxative products for longer than 1 week, unless directed by a doctor. It also says to stop use and ask a doctor for rectal bleeding or failure to have a bowel movement after use of a laxative because these may indicate a serious condition. This product declares no sennoside content and no duration limit at all.

  DailyMed, U.S. National Library of Medicine →

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• 04named in the packTriphala fruitno dose published by the sources openedno amount is declared for this ingredient, or for any otherResearch view ↻

  what the sources say

  None of the government health sources this site opened publishes a human dose or a safety review for triphala, so none is printed here.

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• 05named in the packFennel seedno dose published by the sources openedno amount is declared for this ingredient, or for any otherResearch view ↻

  what the sources say

  A culinary seed. None of the sources this site opened publishes a supplement dose for it.

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• 06named in the packBentonite clayno dose published by the sources openedno amount is declared for this ingredient, or for any otherResearch view ↻

  what the sources say

  A mineral clay rather than a botanical. It has no Daily Value and no established intake. None of the sources this site opened publishes a dose for it, so none is printed here, and no claim is made about what it does in a capsule.

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• 07named in the packMarshmallow rootno dose published by the sources openedno amount is declared for this ingredient, or for any otherResearch view ↻

  what the sources say

  None of the sources this site opened publishes a human dose for marshmallow root.

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• 08named in the packLicorice root extractglycyrrhizin is the part that mattersno amount is declared for this ingredient, or for any otherResearch view ↻

  what the sources say

  NCCIH: licorice contains a component called glycyrrhizin, or glycyrrhizic acid, that can cause serious adverse effects, and even small amounts of glycyrrhizin from licorice root products have been linked to severe adverse effects — particularly in people with hypertension and in people with heart or kidney conditions, and especially when consumed in large amounts or in the long term. Licorice without glycyrrhizin might be safe for up to 4 months. Nothing supplied with this product says which kind is in it.

  NIH National Center for Complementary and Integrative Health →

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• 09named in the packSlippery Elm barkno dose published by the sources openedno amount is declared for this ingredient, or for any otherResearch view ↻

  what the sources say

  None of the sources this site opened publishes a human dose for slippery elm bark.

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• 10named in the packCayenne pepper fruitno dose published by the sources openedno amount is declared for this ingredient, or for any otherResearch view ↻

  what the sources say

  None of the sources this site opened publishes a human dose for cayenne in this context.

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• 11named in the packMilk Thistle seedwell tolerated; the evidence is thinno amount is declared for this ingredient, or for any otherResearch view ↻

  what the sources say

  NCCIH: there isn't enough high-quality evidence to allow definite conclusions to be reached, and two NCCIH-funded trials did not show benefits from supplementation with the milk thistle extract silymarin. Oral use appears to be well tolerated. NCCIH also notes that concerns have been raised about poor chemical and microbiological quality of milk thistle dietary supplements.

  NIH National Center for Complementary and Integrative Health →

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The first three cards are the stimulant laxatives. Not one of the eleven carries an amount, so every figure on the research side of a card is something somebody else measured — never a statement about this capsule.

05

It is worth separating the three stimulant laxatives from the other eight, because they are the ones with a regulatory history and the ones that produce the effect the product is bought for.

• Cascara sagrada bark — reclassified by FDA to Category II for OTC laxative use in 2002, for want of carcinogenicity data.
• Cape aloe leaf — aloe was reclassified in the same rule and on the same grounds. NCCIH records acute hepatitis cases linked to oral aloe leaf extract, and a digoxin interaction.
• Senna leaf extract — still an approved OTC laxative, with a label that declares sennosides in milligrams and warns against use for longer than one week.