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The U.S. Food and Drug Administration is warning consumers in 15 states about the link between a dietary supplement and adverse side effects including “significant hair loss.”

The distributor of “Total Body Formula” and “Total Body Mega Formula” has voluntarily recalled the dietary supplement products after 23 individuals suffered “serious reactions” within seven to 10 days of ingesting the liquid supplements, the FDA said in a news release.

The FDA is advising consumers not to purchase or consume Total Body Formula in the flavors of Tropical Orange and Peach Nectar, or Total Body Mega Formula in the Orange/Tangerine flavor. The liquid dietary supplement may cause severe adverse reactions, including significant hair loss, muscle cramps, diarrhea, joint pain and fatigue, the FDA said.

Total Body Formula products are sold in eight-ounce and 32-ounce plastic bottles, while the Total Body Mega Formula is sold only in 32-ounce plastic bottles. Both products are distributed by Total Body Essential Nutrition of Atlanta, according to the FDA.

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