Candlenut

She'd been taking a product that she purchased online.

It was labeled Nuez de la India, but unfortunately, it turned out to contain this toxic yellow oleander.

And that's really why it's important for us to talk about what, how that toxicity presents and what it looks like in clinical practice.

Right.

So it's a combination of direct toxicity and kind of downstream cardiac events.

But either way, these kind of findings, especially when we start to couple them with the cardiac symptoms, should be red flags and would warrant immediate attention in any ED setting.

The second part of that, I think, Kelly, is that it's really important for clinicians and patients who aren't gonna have all of that information, that they don't know what their heart rhythm is or their potassium level is, but we need them to be aware that these weight loss supplements have been contaminated in some cases with this tiacote, the nuez de la India, or Brazil seeds or names that-- of products that have been contaminated.

So if patients are using them and having unusual symptoms, that's the red flag.