No Such Thing as a Magic Pill

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Ephedra is generally no longer available legally, but it was also a potentially lethal diet pill ingredient. These days, there are at least three dangerous ingredients to avoid: guarana, bitter orange and country mallow, also known as heartleaf. Guarana and bitter orange have ephedra-like effects on blood pressure and heart rate, but bitter orange also counteracts with many prescription medications, including antidepressants. Country mallow, also called heartleaf, contains ephedra, although it isn't outlawed. It's always a good idea to consult your doctor before taking any diet aid supplement. And most of these pills and potions only work in conjunction with a balanced diet and exercise, which will produce the same effects even without the pills.