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Question about Metabolic Synergy. Metabolic Synergy was one of the supplements that we talked about in terms of, well, we talked really about the HPA axis and specifically talking a little bit more about blood sugar dysregulation. So when blood sugar is either high or low, you can use Metabolic Synergy and GlucoSupreme.I recently started a patient on Metabolic Synergy to help manage her blood sugar while we’re working on additional dietary tweaks. She has a history of obesity, hypertension, and hyperglycemia but has made a lot of diet and lifestyle changes and lost 70 pounds. Shortly after starting the Metabolic Synergy, she had an isolated episode of dizziness and heart palpitations. She was concerned she reacted to the green tea extract in the formula, although she also mentioned being dehydrated on this particular day. I’m wondering if you use this formula with caution in patients with hypertension that isn’t completely controlled and/or sensitivity to coffee. Would you recommend restarting it at a lower dose or switching to something without green tea extract?

Question about Metabolic Synergy. Metabolic Synergy was one of the supplements that we talked about in terms of, well, we talked really about the HPA axis and specifically talking a little bit more about blood sugar dysregulation. So when blood sugar is either high or low, you can use Metabolic Synergy and GlucoSupreme.I recently started a patient on Metabolic Synergy to help manage her blood sugar while we’re working on additional dietary tweaks. She has a history of obesity, hypertension, and hyperglycemia but has made a lot of diet and lifestyle changes and lost 70 pounds. Shortly after starting the Metabolic Synergy, she had an isolated episode of dizziness and heart palpitations. She was concerned she reacted to the green tea extract in the formula, although she also mentioned being dehydrated on this particular day. I’m wondering if you use this formula with caution in patients with hypertension that isn’t completely controlled and/or sensitivity to coffee. Would you recommend restarting it at a lower dose or switching to something without green tea extract?

Dr. Amy Nett: So the green tea extract in Metabolic Synergy is actually decaffeinated. So there shouldn’t be any really measurable amount of caffeine from that green tea extract. If for another reason she just happens to be sensitive to green tea extract, then you can certainly try removing it. But again, if you’re saying she had dehydration, there was only one day when this actually occurred, then I would be reluctant to give up on the supplemental already. So you could certainly just start it at a lower dose, but I would have her try again. So give it another try. I don’t think it’s the caffeine, but again she could just be having a reaction to that.

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