Appetite Reducer Fem Ingredients & Drug Interactions
by Body Attack
What is this page for?
First and foremost: checking Appetite Reducer Fem against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Appetite Reducer Fem is a dietary supplement by Body Attack with 3 active ingredients. Its ingredients are commonly taken for bone health and osteoporosis prevention, dietary calcium deficiency, heartburn relief (calcium carbonate antacids).Based on those ingredients, 2,037 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Glucomannan, Calcium, Vitamin B12. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
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HelloPharmacist Scorecard of Appetite Reducer Fem by Body Attack
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
Appetite Reducer Fem contains three active ingredients. Calcium supports bone health and plays roles in nerve and muscle function.
Vitamin B12 is essential for nerve health and energy metabolism. Glucomannan is a soluble fiber derived from the konjac plant, meant to absorb water in your digestive tract and promote fullness.
The product also contains several inactive ingredients—konjac glucomannan, hydroxypropylmethylcellulose, calcium carbonate, and cyanocobalamin—which are fillers and capsule materials that help deliver the actives.
Does it work?
Moderate evidence
Calcium is rated effective for kidney failure, heartburn (dyspepsia), low calcium levels (hypocalcemia), high potassium (hyperkalemia), and likely effective for osteoporosis. Vitamin B12 is rated effective for a rare genetic condition affecting B12 absorption (Imerslund-Grasbeck disease), B12 deficiency itself, and likely effective for cyanide poisoning; it's rated possibly effective for canker sores and nerve pain after shingles (postherpetic neuralgia).
Glucomannan is rated possibly effective for constipation, type 2 diabetes, and high cholesterol (hyperlipidemia), but evidence is insufficient to rate it for high blood pressure.
How safe is it?
Well-documented data
Calcium is generally well tolerated at recommended doses, though high amounts can cause problems. Common side effects are belching, constipation, diarrhea, bloating, and stomach upset.
Rarely, very high doses raise concerns about kidney stones and a serious calcium-skin condition called calciphylaxis. Some research suggests high daily calcium intake (over 1500 mg) may link to advanced prostate cancer risk, though findings are mixed.
There's also concern about a possible link between high calcium intake and heart disease, though this remains debated. Vitamin B12 is very well tolerated and has no established upper limit; excess is cleared by your kidneys.
Rarely, it can cause allergic reactions like rash or hives, especially in people with a cobalt allergy. Extremely rare cases of severe low potassium (hypokalemia) have been reported when correcting a B12-related anemia.
Glucomannan is generally well tolerated with plenty of water, but common side effects include bloating, constipation, diarrhea, nausea, and gas. Serious but rare risks are choking and intestinal blockage, especially if taken dry or as a tablet without enough fluid.
Meds to double-check
Major interaction found
Before you take this, double-check with your pharmacist if you're on HIV medications (dolutegravir, elvitegravir, raltegravir), the antibiotic ceftriaxone, blood pressure or heart drugs (diltiazem, sotalol), thyroid hormone (levothyroxine), diabetes medication (metformin or glyburide), the psoriasis cream calcipotriene, or any other oral medications. Calcium's Major interactions with HIV drugs and ceftriaxone, plus Moderate effects on several others, mean timing and spacing matter.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Major medication interactions have been identified, and safety information is well characterized.
This product is meant to help with appetite and digestion through fiber and B12 support. If you take HIV medications, thyroid hormone, heart or blood pressure drugs, diabetes medication, or the antibiotic ceftriaxone, talk with your pharmacist before starting—calcium and other ingredients here may reduce how well those drugs work or create unsafe combinations.
Drink plenty of water with this product to avoid blockage. If you're pregnant or breastfeeding, check with your provider first, especially about glucomannan.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Apr 24, 2025.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Appetite Reducer Fem, straight from the product label.
| Brand | Body Attack |
|---|---|
| Barcode (UPC) | 4250350546567 |
| Net contents | 60 Vegan Cap(s); 43 Gram(s) |
| Market status | On market |
| Date entered into DSLD | Apr 24, 2025 |
| DSLD ID | 329527 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Women (not pregnant or lactating), Adult Female (18 - 50 Years) |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Appetite Reducer Fem by Body Attack, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calcium | 163 mg | 20% |
| Vitamin B12 | 7.5 mcg | 300% |
| Fiber | 3 Gram(s) | -- |
| Glucomannan | 3 Gram(s) | -- |
Other ingredients: Konjac Glucomannan, Hydroxypropylmethylcellulose, Calcium Carbonate, Cyanocobalamin
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Formula
Appetite Reducer FEM from Body Attack contains glucomannane, a water-soluble dietary fibre derived from the root of the konjac plant. Taken daily, 3 g glucomannane may help reduce body weight when dieting.
Nutrients: 3000 mg glucomannane per serving plus vitamin B12
Nutritional supplement with dietary fibre from konjac root (glucomannane), calcium and vitamin B12.
Suggested/Recommended/Usage/Directions
Taken daily, 3 g glucomannane may help reduce body weight when dieting. Recommended dosage: To benefit from it, take 3 x 2 capsules with plenty of water (300 mL) approximately 30 minutes before main meals.
Note: The capsules should be taken with plenty of water so that the glucomannane safely reaches the stomach.
Precautions
Do not exceed the recommended daily dosage.
Individuals with dysphagia should pay particular attention to an ample water supply.
Not suitable for pregnant, nursing women and children.
Not suitable for pregnant, nursing women and children.
Food supplements should not be used as a substitute for a varied and balanced diet and a healthy lifestyle.
Keep out of reach of small children.
Formulation
Suitable for overweight individuals.
For natural & healthy weight loss For weight reduction relates to the daily intake of at least 3 g of glucomannane in conjunction with a low-calorie diet
Storage
If kept unopened in a cool, dry place, best before end of/Lot no.: see bottom. Once opened, use up quickly. Keep away from direct heat and light.
General Statements
NRV NRV = % of Nutrient Reference Values
60 capsules (714 mg each)
Seals/Symbols
Made in Germany
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Appetite Reducer Fem by Body Attack label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in Appetite Reducer Fem by Body Attack
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size3 Capsule(s) Dosage formCapsule Servings per container10 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Calcium
Interacts with168 drugs
Calcium is an essential mineral your body needs for strong bones, nerve signaling, and muscle function, and supplements can help fill gaps when diet f...
Calcium monograph & interactionsVitamin B12
Interacts with20 drugs
Vitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very h...
Vitamin B12 monograph & interactionsFiber
Other (inactive) ingredients: Konjac Glucomannan, Hydroxypropylmethylcellulose, Calcium Carbonate, Cyanocobalamin. These complete the product’s ingredient list but are not active constituents.
Appetite Reducer Fem by Body Attack Drug Interactions
HelloPharmacist Interaction Report
Appetite Reducer Fem by Body Attack contains three active ingredients, and two of them have documented interactions with medications.
Read the full breakdown — every affected drug type, severity by severity
Calcium is the ingredient with the most significant interactions. It can reduce blood levels of two HIV medications—dolutegravir (Tivicay) and elvitegravir (Vitekta)—by a major degree.
It also poses a serious risk with the antibiotic ceftriaxone (Rocephin) when given intravenously: calcium can cause a dangerous precipitate to form in your lungs and kidneys. You'd need to space doses carefully or avoid combining them entirely.
Calcium also has moderate interactions with the blood pressure drug diltiazem (Cardizem), the heart rhythm medication sotalol (Betapace), the thyroid hormone levothyroxine (Synthroid), the HIV drug raltegravir (Isentress), and the psoriasis medication calcipotriene (Dovonex).
Vitamin B12 has one minor interaction: metformin (Glucophage), a common diabetes medication, can lower your B12 levels over time. Glucomannan, a fiber ingredient, may reduce how well your body absorbs oral medications in general—a moderate concern that depends on how close together you take them.
We could not check interaction data for the fiber blend itself. Altogether, these interactions span 2,018 individual medications.
Run your exact prescriptions through the tool on this page before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Appetite Reducer Fem?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Appetite Reducer Fem interact with 2,037 drugs. Click any drug to see the details.
3 of the 3 ingredients in Appetite Reducer Fem interact with drugs. Each result below shows which ingredient is responsible. Glucomannan Calcium Vitamin B12
CeftriaxoneRocephin
How Ceftriaxone interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
CalciumCeftriaxone (rocephin) Major
Interaction Summary
Co-administration of intravenous calcium and ceftriaxone can result in precipitation of a ceftriaxone-calcium salt in the lungs and kidneys.
Read the full Calcium + Ceftriaxone interactionCobicistat, Elvitegravir, Emtricitabine, Tenofovir Alafenamide FumarateGenvoya
How Cobicistat, Elvitegravir, Emtricitabine, Tenofovir Alafenamide Fumarate interacts with Appetite Reducer Fem — through 2 ingredients. Tap an ingredient for the detail:
CalciumElvitegravir (vitekta), Bictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Major
Interaction Summary
Calcium seems to reduce levels of elvitegravir.
Read the full Calcium + Cobicistat, Elvitegravir, Emtricitabine, Tenofovir Alafenamide Fumarate interactionGlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Cobicistat, Elvitegravir, Emtricitabine, Tenofovir Alafenamide Fumarate interactionDolutegravirTivicay
How Dolutegravir interacts with Appetite Reducer Fem — through 2 ingredients. Tap an ingredient for the detail:
CalciumDolutegravir (tivicay) Major
Interaction Summary
Calcium seems to reduce levels of dolutegravir.
Read the full Calcium + Dolutegravir interactionGlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Dolutegravir interactionDolutegravir, Emtricitabine, Tenofovir AlafenamideDolutegravir, Emtricitabine, Tenofovir Alafenamide
How Dolutegravir, Emtricitabine, Tenofovir Alafenamide interacts with Appetite Reducer Fem — through 2 ingredients. Tap an ingredient for the detail:
CalciumDolutegravir (tivicay), Bictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Major
Interaction Summary
Calcium seems to reduce levels of dolutegravir.
Read the full Calcium + Dolutegravir, Emtricitabine, Tenofovir Alafenamide interactionGlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Dolutegravir, Emtricitabine, Tenofovir Alafenamide interactionDolutegravir, RilpivirineJuluca
How Dolutegravir, Rilpivirine interacts with Appetite Reducer Fem — through 2 ingredients. Tap an ingredient for the detail:
CalciumDolutegravir (tivicay) Major
Interaction Summary
Calcium seems to reduce levels of dolutegravir.
Read the full Calcium + Dolutegravir, Rilpivirine interactionGlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Dolutegravir, Rilpivirine interactionElvitegravirVitekta
How Elvitegravir interacts with Appetite Reducer Fem — through 2 ingredients. Tap an ingredient for the detail:
CalciumElvitegravir (vitekta) Major
Interaction Summary
Calcium seems to reduce levels of elvitegravir.
Read the full Calcium + Elvitegravir interactionGlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Elvitegravir interactionElvitegravir, Cobicistat, Emtricitabine, Tenofovir Disoproxil FumarateStribild
How Elvitegravir, Cobicistat, Emtricitabine, Tenofovir Disoproxil Fumarate interacts with Appetite Reducer Fem — through 2 ingredients. Tap an ingredient for the detail:
CalciumElvitegravir (vitekta), Bictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Major
Interaction Summary
Calcium seems to reduce levels of elvitegravir.
Read the full Calcium + Elvitegravir, Cobicistat, Emtricitabine, Tenofovir Disoproxil Fumarate interactionGlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Elvitegravir, Cobicistat, Emtricitabine, Tenofovir Disoproxil Fumarate interaction"phentolamineOraVerse, Rogitine, Ryzumvi
How "phentolamine interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + "phentolamine interaction6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + 6-mercaptopurine interactionAbacavirZiagen
How Abacavir interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Abacavir interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Abacavir, Lamivudine interactionAbciximabReoPro
How Abciximab interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Acalabrutinib interactionAcamprosateCampral
How Acamprosate interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Acamprosate interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Acepromazine interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Appetite Reducer Fem — through 1 ingredient. Tap an ingredient for the detail:
GlucomannanOral Drugs Moderate
Interaction Summary
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Acetaminophen, Butalbital, Caffeine, Codeine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Appetite Reducer Fem with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
Glucomannan
Oral Drugs
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Due to its viscosity and bulking effects, there is concern that glucomannan can decrease the absorption of oral drugs. A small clinical study in healthy volunteers shows that taking glyburide 2.5 mg plus glucomannan 3.9 grams with breakfast reduces plasma levels of glyburide when compared with breakfast and glyburide alone. In addition, animal research demonstrates this effect on amoxicillin, but shows increased absorption of metronidazole. This mouse model also demonstrates that metronidazole elimination is prolonged, but amoxicillin elimination is enhanced by 38%; glucomannan may also affect the distribution of some drugs. To avoid changes in absorption, take glucomannan 30-60 minutes after taking oral drugs.
Calcium
Ceftriaxone (Rocephin)
Co-administration of intravenous calcium and ceftriaxone can result in precipitation of a ceftriaxone-calcium salt in the lungs and kidneys.
Avoid administering intravenous calcium in any form, such as parenteral nutrition or Lactated Ringers, within 48 hours of intravenous ceftriaxone. Case reports in neonates show that administering intravenous ceftriaxone and calcium can result in precipitation of a ceftriaxone-calcium salt in the lungs and kidneys. In several cases, neonates have died as a result of this interaction. So far there are no reports in adults; however, there is still concern that this interaction might occur in adults.
Dolutegravir (Tivicay)
Calcium seems to reduce levels of dolutegravir.
Advise patients to take dolutegravir either 2 hours before or 6 hours after taking calcium supplements. Pharmacokinetic research suggests that taking calcium carbonate 1200 mg concomitantly with dolutegravir 50 mg reduces plasma levels of dolutegravir by almost 40%. Calcium appears to decrease levels of dolutegravir through chelation.
Elvitegravir (Vitekta)
Calcium seems to reduce levels of elvitegravir.
Advise patients to take elvitegravir either 2 hours before or 2 hours after taking calcium supplements. Pharmacokinetic research suggests that taking calcium along with elvitegravir can reduce blood levels of elvitegravir through chelation.
Aluminum
Calcium citrate might increase aluminum absorption and toxicity. Other types of calcium do not increase aluminum absorption.
Calcium citrate can increase the absorption of aluminum when taken with aluminum hydroxide. The increase in aluminum levels may become toxic, particularly in individuals with kidney disease. However, the effect of calcium citrate on aluminum absorption is due to the citrate anion rather than calcium cation. Calcium acetate does not appear to increase aluminum absorption.
Bictegravir/Emtricitabine/Tenofovir Alafenamide (Biktarvy)
Calcium might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption when taken in a fasting state.
Advise patients that bictegravir/emtricitabine/tenofovir alafenamide and calcium can be taken together if taken with food. However, if taken on an empty stomach, bictegravir/emtricitabine/tenofovir alafenamide should not be taken with, or 2 hours after, calcium containing products.
Bisphosphonates
Calcium reduces the absorption of bisphosphonates.
Advise patients to take bisphosphonates at least 30 minutes before calcium, but preferably at a different time of day. Calcium supplements decrease absorption of bisphosphonates.
Calcipotriene (Dovonex)
Taking calcipotriene with calcium might increase the risk for hypercalcemia.
Calcipotriene is a vitamin D analog used topically for psoriasis. It can be absorbed in sufficient amounts to cause systemic effects, including hypercalcemia. Theoretically, combining calcipotriene with calcium supplements might increase the risk of hypercalcemia.
Digoxin (Lanoxin)
Using intravenous calcium with digoxin might increase the risk of fatal cardiac arrhythmias.
Hypercalcemia increases the risk of fatal cardiac arrhythmias with digoxin. However, one retrospective analysis of clinical data suggests that intravenous calcium does not increase the risk of dysrhythmias or mortality in patients receiving digoxin.
Diltiazem (Cardizem, Others)
Theoretically, calcium may reduce the therapeutic effects of diltiazem.
Hypercalcemia can reduce the effectiveness of verapamil in atrial fibrillation. Theoretically, calcium might increase this risk of hypercalcemia and reduce the effectiveness of diltiazem.
Levothyroxine (Synthroid, Others)
Calcium seems to reduce the absorption and effectiveness of levothyroxine.
Advise patients to take levothyroxine and calcium supplements at least 4 hours apart. Calcium reduces levothyroxine absorption, probably by forming insoluble complexes. Calcium carbonate supplements reduce effectiveness of levothyroxine in patients with hypothyroidism.
Lithium
Theoretically, concomitant use of calcium and lithium may increase this risk of hypercalcemia.
Clinical research suggests that long-term use of lithium may cause hypercalcemia in 10% to 60% of patients. Theoretically, concomitant use of lithium and calcium supplements may further increase this risk.
Quinolone Antibiotics
Calcium seems to reduce the absorption of quinolone antibiotics.
Advise patients to take oral quinolones at least 2 hours before or 4-6 hours after calcium supplements or calcium-fortified foods. Taking calcium at the same time as oral quinolones can reduce quinolone absorption. Calcium binds to quinolones in the gut.
Raltegravir (Isentress)
Calcium may reduce levels of raltegravir.
Pharmacokinetic research shows that taking a single dose of calcium carbonate 3000 mg along with raltegravir 400 mg twice daily modestly decreases the mean area under the curve of raltegravir, but the decrease does not necessitate a dose adjustment of raltegravir. However, a case of elevated HIV-1 RNA levels and documented resistance to raltegravir has been reported for a patient taking calcium carbonate 1 gram three times daily plus vitamin D3 (cholecalciferol) 400 IU three times daily in combination with raltegravir 400 mg twice daily for 11 months. It is thought that calcium reduced raltegravir levels by chelation, leading to treatment failure.
Sotalol (Betapace)
Calcium seems to reduce the absorption of sotalol.
Advise patients to separate doses by at least 2 hours before or 4-6 hours after calcium. Calcium appears to reduce the absorption of sotalol, probably by forming insoluble complexes.
Tetracycline Antibiotics
Calcium seems to reduce the absorption of tetracycline antibiotics.
Advise patients to take oral tetracyclines at least 2 hours before, or 4-6 hours after calcium supplements. Taking calcium at the same time as oral tetracyclines can reduce tetracycline absorption. Calcium binds to tetracyclines in the gut.
Thiazide Diuretics
Taking calcium along with thiazides might increase the risk of hypercalcemia and renal failure.
Thiazides reduce calcium excretion by the kidneys. Using thiazides along with moderately large amounts of calcium carbonate increases the risk of milk-alkali syndrome (hypercalcemia, metabolic alkalosis, renal failure). Patients may need to have their serum calcium levels and/or parathyroid function monitored regularly.
Verapamil (Calan, Others)
Theoretically, calcium may reduce the therapeutic effects of verapamil.
Hypercalcemia can reduce the effectiveness of verapamil in atrial fibrillation. Theoretically, use of calcium supplements may increase this risk of hypercalcemia and reduce the effectiveness of verapamil.
Calcium Channel Blockers
Intravenous calcium may decrease the effects of calcium channel blockers; oral calcium is unlikely to have this effect.
Intravenous calcium is used to decrease the effects of calcium channel blockers in the management of overdose. Intravenous calcium gluconate has been used before intravenous verapamil (Isoptin) to prevent or reduce the hypotensive effects without affecting the antiarrhythmic effects. But there is no evidence that dietary or supplemental calcium when taken orally interacts with calcium channel blockers.
Vitamin B12
Metformin (Glucophage)
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals. Prolonged use of metformin can interfere with the absorption of B12 in the digestive system, potentially leading to a deficiency in this essential vitamin.
Brand information
Manufacturer and brand details for Appetite Reducer Fem, from the product label.
Body Attack
See all Body Attack products- Name
- Body Attack Sports Nutrition GmbH & Co. KG
- Street Address
- Schnackenburgalle 217-223
- City
- Hamburg
- ZipCode
- 22525
- Web Address
- www.body-attack.com
Appetite Reducer Fem by Body Attack: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Appetite Reducer Fem’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Calcium
Interacts with 168 drugsCalcium is an essential mineral your body needs for strong bones, nerve signaling, and muscle function, and supplements can help fill gaps when diet falls short. Most people do best getting...
Read the full Calcium monograph → Herb & supplement monographVitamin B12
Interacts with 20 drugsVitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very helpful for people who are deficient — su...
Read the full Vitamin B12 monograph → Herb & supplement monographGlucomannan
Interacts with 2,022 drugsGlucomannan is a soluble fiber from the konjac root that swells into a gel in your stomach, which may help with mild weight loss, constipation, and modestly lowering cholesterol. It is gener...
Read the full Glucomannan monograph →Sources & How We Checked
Appetite Reducer Fem's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 107 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Calcium 62 references
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- Maton PN, Burton ME. Antacids revisited: a review of their clinical pharmacology and recommended therapeutic use. Drugs 1999;57:855-70.
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- Dietary reference intakes for calcium and vitamin D. Institute of Medicine, November 30, 2010. Available at: http://www.iom.edu/~/media/Files/Report%20Files/2010/Dietary-Reference-Intakes-for-Calcium-and-Vitamin-D/Vitamin%20D%20and%20Calcium%202010%20Repo
- Coburn JW, Mischel MG, Goodman WG, et al. Calcium citrate markedly enhances aluminum absorption from aluminum hydroxide. Am J Kidney Dis. 1991;17(6):708-11. PubMed
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- Dickinson, H. O., Nicolson, D. J., Cook, J. V., Campbell, F., Beyer, F. R., Ford, G. A., and Mason, J. Calcium supplementation for the management of primary hypertension in adults. Cochrane.Database.Syst.Rev. 2006;(2):CD004639. PubMed
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- Levine, M., Nikkanen, H., and Pallin, D. J. The effects of intravenous calcium in patients with digoxin toxicity. J Emerg.Med. 2011;40(1):41-46. PubMed
- Castelo-Branco, C., Ciria-Recasens, M., Cancelo-Hidalgo, M. J., Palacios, S., Haya-Palazuelos, J., Carbonell-Abello, J., Blanch-Rubio, J., Martinez-Zapata, M. J., Manasanch, J., and Perez-Edo, L. Efficacy of ossein-hydroxyapatite complex compared with ca
- Li K, Kaaks R, Linseisen J, Rohrmann S. Associations of dietary calcium intake and calcium supplementation with myocardial infarction and stroke risk and overall cardiovascular mortality in the Heidelberg cohort of the European Prospective Investigation i
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- Lappe J, Watson P, Travers-Gustafson D, Recker R, Garland C, Gorham E, Baggerly K, McDonnell SL. Effect of Vitamin D and Calcium Supplementation on Cancer Incidence in Older Women: A Randomized Clinical Trial. JAMA. 2017 Mar 28;317(12):1234-1243. PubMed
- Grove ML, Cook D. Calcium and heart attacks. Doesn't apply to most calcium prescriptions. BMJ. 2010;341:c5003. PubMed
- Insentress [package insert]. Whitehouse Station, NJ: Merck Sharp & Dohme Corp.; 2014.
- Roberts JL, Kiser JJ, Hindman JT, Meditz AL. Virologic failure with a raltegravir-containing antiretroviral regimen and concomitant calcium administration. Pharmacotherapy 2011;31(10):298e-302e. DOI
- Vitekta [package insert]. Foster City, CA: Gilead Sciences, Inc.; 2014.
- Storan ER, O'Gorman SM, Murphy A, Laing M. Case Report of Calciphylaxis Secondary to Calcium and Vitamin D<sub>3</sub> Supplementation. J Cutan Med Surg. 2017;21(2):162-163. DOI
- Jenkins DJA, Spence JD, Giovannucci EL, et al. Supplemental vitamins and minerals for CVD prevention and treatment. J Am Coll Cardiol 2018;71(22):2570-84. PubMed
- Borkenhagen JF, Connor EL, Stafstrom CE. Neonatal hypocalcemic seizures due to excessive maternal calcium ingestion. Pediatr Neurol 2013;48(6):469-71. PubMed
- WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization; 2016 (http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/ anc-positive-pregnancy-experience/en/).
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- Lan T, Park Y, Colditz GA, et al. Adolescent dairy product and calcium intake in relation to later prostate cancer risk and mortality in the NIH-AARP Diet and Health Study. Cancer Causes Control. 2020;31(10):891-904. PubMed
- Zhang Y, Li Y, Liu J, et al. Association of Vitamin D or Calcium Supplementation with Cardiovascular Outcomes and Mortality: A Meta-Analysis with Trial Sequential Analysis. J Nutr Health Aging 2021;25(2):263-270. PubMed
- Myung SK, Kim HB, Lee YJ, Choi YJ, Oh SW. Calcium Supplements and Risk of Cardiovascular Disease: A Meta-Analysis of Clinical Trials. Nutrients 2021;13(2):368. PubMed
- Hetaimish B. Neonatal Calcinosis Cutis After Treatment of Hypocalcemia with Calcium Gluconate: A Report of 2 Cases. Am J Case Rep 2024;25:e943397. PubMed
- US Food and Drug Administration (FDA). Biktarvy Prescribing Information. October 2024. Available at: https://www.accessdata.fda.gov/drugsatfda_docs/label/2024/210251Orig1s020lbl.pdf. Accessed July 16, 2025.
Vitamin B12 30 references
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline (2000). Washington, DC: National Academy Press, 2000. Available at: http://b
- Hartman TJ, Woodson K, Stolzenberg-Solomon R, et al. Association of the B-vitamins pyridoxal 5'-phosphate (B6), B12, and folate with lung cancer risk in older men. Am J Epidemiol 2001;153:688-94.. DOI
- Jansen T, Romiti R, Kreuter A, Altmeyer P. Rosacea fulminans triggered by high-dose vitamins B6 and B12. J Eur Acad Dermatol Venereol 2001;15:484-5..
- Lange H, Suryapranata H, De Luca G, et al. Folate therapy and in-stent restenosis after coronary stenting. N Engl J Med 2004;350:2673-81. PubMed
- Collin, S. M., Metcalfe, C., Refsum, H., Lewis, S. J., Zuccolo, L., Smith, G. D., Chen, L., Harris, R., Davis, M., Marsden, G., Johnston, C., Lane, J. A., Ebbing, M., Bonaa, K. H., Nygard, O., Ueland, P. M., Grau, M. V., Baron, J. A., Donovan, J. L., Nea
- Geissbuhler, P., Mermillod, B., and Rapin, C. H. Elevated serum vitamin B12 levels associated with CRP as a predictive factor of mortality in palliative care cancer patients: a prospective study over five years. J.Pain Symptom.Manage. 2000;20(2):93-103. PubMed
- Salles, N., Herrmann, F., Sakbani, K., Rapin, C. H., and Sieber, C. High vitamin B12 level: a strong predictor of mortality in elderly inpatients. J Am Geriatr.Soc 2005;53(5):917-918.
- Looker, H. C., Fagot-Campagna, A., Gunter, E. W., Pfeiffer, C. M., Sievers, M. L., Bennett, P. H., Nelson, R. G., Hanson, R. L., and Knowler, W. C. Homocysteine and vitamin B(12) concentrations and mortality rates in type 2 diabetes. Diabetes Metab Res R
- Uhl, W., Nolting, A., Golor, G., Rost, K. L., and Kovar, A. Safety of hydroxocobalamin in healthy volunteers in a randomized, placebo-controlled study. Clin Toxicol (Phila) 2006;44 Suppl 1:17-28. PubMed
- Borron, S. W., Baud, F. J., Barriot, P., Imbert, M., and Bismuth, C. Prospective study of hydroxocobalamin for acute cyanide poisoning in smoke inhalation. Ann Emerg.Med 2007;49(6):794-801, 801. PubMed
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- Aalfs As, Scholvinck LH, Horvath B. Acneiform eruption in a 5-year old due to vitamin B12 supplementation. Eur J Dermatol 2013;23(5):726-7. PubMed
- Balta I, Ozuguz P. Vitamin B12-induced acneiform eruption. Cutan Ocul Toxicol 2014;33(2):94-5. PubMed
- Carman KB, Belgemen T, Yis U. Involuntary movements misdiagnosed as seizure during vitamin B12 treatment. Pediatr Emerg Care 2013;29(11):1223-4. PubMed
- Djuric V, Bogic M, Popadic AP, et al. Anaphylactic reaction to hydroxycobalamin with tolerance to cyanocobalamin. Ann Allergy Asthma Immunol 2012;108(3):207-8. PubMed
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Glucomannan 15 references
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- Villaverde, A. F., Benlloch, S., Berenguer, M., Miguel, Rayon J., Pina, R., and Berenguer, J. Acute hepatitis of cholestatic type possibly associated with the use of glucomannan (amorphophalus konjac). J Hepatol. 2004;41(6):1061-1062. PubMed
- Yoshida, M., Vanstone, C. A., Parsons, W. D., Zawistowski, J., and Jones, P. J. Effect of plant sterols and glucomannan on lipids in individuals with and without type II diabetes. Eur.J Clin Nutr. 2006;60(4):529-537. PubMed
- Wood, R. J., Fernandez, M. L., Sharman, M. J., Silvestre, R., Greene, C. M., Zern, T. L., Shrestha, S., Judelson, D. A., Gomez, A. L., Kraemer, W. J., and Volek, J. S. Effects of a carbohydrate-restricted diet with and without supplemental soluble fiber
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- Health Canada Safety Alert. Health Canada Advises Canadians that natural health products containing glucomannan may cause serious choking if used with insufficient fluid. January 29, 2010. Alert # RA-110003825. https://healthycanadians.gc.ca/recall-alert-
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Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC