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As a supplement, the ODS identifies sources of added caffeine as guarana, kola nut, yerba maté, and other herbs . Discussion of individual clinical trial evidence is included when more recent studies were available and/or no authoritative sources were found. Specifically, the form of delivery (supplement vs. food) and intake level (e.g., testing in the range of a typical product) are important to consider when translating science for decision-making . Other evidence, such as observational studies, can help define questions for further investigation, but because these studies are not randomized and often confounded, they may not be considered conclusive . The quality of the research studies included in these reviews is an important factor as well, and randomized clinical trials are the preferred evidence for establishing cause-and-effect relationships [13,14]. Over the past several decades, much work has been directed on basing health and nutrition policy and recommendations on scientific evidence over expert opinions. Advertising revenue supports our not-for-profit mission. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. If you are a Mayo Clinic patient, we will only use your protected health information as outlined in our Notice of Privacy Practices. Sign up for free and stay up to date on research advancements, health tips, current health topics, and expertise on managing health. Keep in mind that the key to losing weight is a whole lifestyle approach that involves eating well and moving more. Other safety issues may include having an allergy to something in the supplement and interactions with other medicines you take. 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While the media and fans were captivated by Selena’s slimmer appearance, those closest to her know that this weight loss is symbolic of something much deeper . Gomez, who has always been candid about her health struggles, especially her battle with lupus, has experienced some serious ups and downs in her journey. For many years, Selena has had to balance her health with public scrutiny, as her weight has fluctuated due to her lupus treatment. She adopted a balanced diet rich in whole foods, including lean proteins, vegetables, and healthy fats. Despite the comments from fans and media about her weight, Selena was quick to take the opportunity to share her perspective on self-love and health. No, Selena has been open about her struggles with lupus medications, which can cause weight fluctuations, but she has denied using weight loss drugs. Her transformation, both physical and emotional, serves as an inspiration to anyone who has struggled with body image or health issues. 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