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Because Ephedra pills was used as a dietary supplement and not a drug or food, the manufacturers of products containing Ephedra pills didn’t have to get FDA (Food and Drug Administration) approval before marketing their products, but the FDA had the power to remove Ephedra pills from the market if Ephedra pills was proven to be dangerous.

Ten cases resulted in death and 13 in permanent disability. These results were published in the New England Journal of Medicine on December 21, 2000.

Similar to the diet formulas, it is often combined with ingredients such as kola nut or guarana which contain caffeine. Concerns over the potency of this herb and its isolated alkaloids have prompted increased regulatory scrutiny and industry label warnings.

The House committee has felt even more pressure to make changes regarding Ephedra pills-containing supplements following the death of MLB pitcher Steve Bechler which caused the press to raise additional information on Ephedra pills and to question the dangers it is posing.