True Shred Ingredients & Drug Interactions
What is this page for?
First and foremost: checking True Shred 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
True Shred is a dietary supplement by Hard Rock Supplements with 7 active ingredients. Its ingredients are commonly taken for weight loss and fat burning, boosting metabolism, supporting muscle mass.Based on those ingredients, 920 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Bulbine natalensis, Androsta-3, 5-Diene-7, 17-Dione. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against True Shred by Hard Rock Supplements
Ask about any prescription or over-the-counter medication and we check it for interactions with True Shred by Hard Rock Supplements — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
Ask the Pharmacist
A licensed pharmacist will answer your question by email — free, usually within 24 hours.
Got it — thank you!
A licensed pharmacist will answer within 24 hours. Keep an eye on your email (worth checking spam, just in case).
HelloPharmacist Scorecard of True Shred by Hard Rock Supplements
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
True Shred contains 7 active ingredients — a mix of compounds marketed for athletic performance and body composition. They include L-Norvaline (a form of an amino acid), 7-Keto DHEA and Androsta-3,5-diene-7,17-dione (both hormone-related), 5-Alpha-Hydroxy-Laxogenin (a plant steroid), Bulbine natalensis stem extract (an herb), colostrum powder (a milk byproduct), and S-3,5-Diiodo-L-Thyronine (a thyroid-active compound).
The product is filled out with inactive ingredients: cellulose, rice flour, and gelatin.
Does it work?
Not established
The evidence for True Shred's ingredients isn't established. Every condition listed in our data — from athletic performance and muscle strength to obesity and erectile dysfunction — carries an "insufficient reliable evidence" rating.
That means the studies we hold don't support or rule out whether these ingredients work for those purposes. You're not buying a product with proven benefits; you're essentially trying something experimental.
How safe is it?
Well-documented data
Short-term use of 7-Keto DHEA appears generally tolerated in small studies, but long-term safety isn't well established. Bulbine natalensis has limited human safety data; animal research suggests possible liver and kidney toxicity at higher doses, and street-market samples have shown concerning levels of aluminum and iron that could cause stomach problems or neurological effects.
S-3,5-Diiodo-L-Thyronine is a thyroid-active compound with limited human data and possible effects on your heart and thyroid. A few people in trials reported nausea or vertigo with 7-Keto DHEA, and one case report described changes in blood cell levels.
Both Androsta-3,5-diene-7,17-dione and Bulbine natalensis carry warnings against pregnancy and breastfeeding due to hormone effects or lack of safety data.
Meds to double-check
Moderate interaction found
Before taking True Shred, check whether you take aromatase inhibitors (Moderate interaction with Androsta-3,5-diene-7,17-dione), anticoagulants or blood thinners (Moderate with Bulbine natalensis), heart medications like digoxin (Moderate with Bulbine natalensis), testosterone replacement therapy (Moderate with Bulbine natalensis), or any drugs broken down by the liver enzymes CYP1A2, CYP2C9, or CYP3A4 (Moderate with Bulbine natalensis — a wide category covering many painkillers, statins, and psychiatric medications). We could not check L-Norvaline, 5-Alpha-Hydroxy-Laxogenin, or colostrum powder for interactions.
The bottom line
Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
True Shred is a multi-ingredient performance supplement with no proven effectiveness in our data and several documented interactions with common medications. If you take any prescription drugs — especially aromatase inhibitors, blood thinners, heart medications, or drugs affected by the liver enzyme CYP3A4 — check with your pharmacist before starting.
Pregnant people and anyone breastfeeding should avoid it.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 4 of 7 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Dec 22, 2019.
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 True Shred, straight from the product label.
| Brand | Hard Rock Supplements |
|---|---|
| Net contents | 120 Capsule(s) |
| Market status | Off market |
| Date entered into DSLD | Dec 22, 2019 |
| DSLD ID | 209914 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | Structure/Function |
| Intended target group(s) | Adult (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 True Shred by Hard Rock Supplements, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| L-Norvaline | 300 mg | -- |
| 7-Keto DHEA | 200 mg | -- |
| Androsta-3, 5-Diene-7, 17-Dione | 75 mg | -- |
| 5-Alpha-Hydroxy-Laxogenin | 100 mg | -- |
| Bulbine natalensis | 700 mg | -- |
| Colostrum powder | 500 mg | -- |
| S 3,5-Diiodo-L-Thyronine | 300 mcg | -- |
Other ingredients: Cellulose, Rice Flour, Gelatin FD&C
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.
General Statements
Lean mass
Formula
200 mg 7-Keto DHEA 100 mg Laxogenin 75 mg Androst 3,5
Formulation
Natural anabolic Metabolism amplifier True muscle hardness
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
True Shred by Hard Rock Supplements 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 True Shred by Hard Rock Supplements
These are the 7 active ingredients this product is made of. Select any to open its full monograph.
Serving size4 Capsule(s) Dosage formCapsule Servings per container30 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.
L-Norvaline
7-Keto DHEA
No knowninteractions
7-keto-DHEA is a lab-made metabolite of the hormone DHEA that is marketed mainly for weight loss and a faster metabolism. Unlike DHEA, it is not thoug...
7-Keto DHEA monograph & interactionsAndrosta-3, 5-Diene-7, 17-Dione
Interacts with4 drugs
Arimistane (sometimes sold as Estrovade) is a synthetic aromatase inhibitor marketed as a dietary supplement to lower estrogen and raise testosterone,...
Androsta-3, 5-Diene-7, 17-Dione monograph & interactions5-Alpha-Hydroxy-Laxogenin
Bulbine natalensis
Interacts with919 drugs
Bulbine natalensis is a South African plant marketed mainly as a testosterone-boosting and libido supplement, but the human evidence is essentially ab...
Bulbine natalensis monograph & interactionsColostrum powder
S 3,5-Diiodo-L-Thyronine
No knowninteractions
Diiodothyronine (T2) is a thyroid hormone metabolite sold as a fat-loss and metabolism supplement, mostly in the bodybuilding world. Human evidence fo...
S 3,5-Diiodo-L-Thyronine monograph & interactionsOther (inactive) ingredients: Cellulose, Rice Flour, Gelatin FD&C. These complete the product’s ingredient list but are not active constituents.
True Shred by Hard Rock Supplements Drug Interactions
HelloPharmacist Interaction Report
True Shred by Hard Rock Supplements contains several ingredients that interact with medications.
The most serious concern is Androsta-3,5-diene-7,17-dione (Arimistane), which has a Moderate interaction with aromatase inhibitors — drugs used to lower estrogen in hormone-sensitive conditions. Using them together could raise the risk of side effects from low estrogen or additive liver toxicity.
Read the full breakdown — every affected drug type, severity by severity
Bulbine natalensis poses Moderate interactions with several drug types. It may speed up how your body breaks down CYP1A2, CYP2C9, and CYP3A4 substrates (a large group including many common medications), potentially making them less effective.
It also theoretically increases the effects of p-glycoprotein substrates, raises the risk of bleeding with anticoagulants or blood thinners, and could increase digoxin (a heart medication) toxicity and testosterone-related side effects.
We could not check L-Norvaline, 5-Alpha-Hydroxy-Laxogenin, and colostrum powder — no interaction data are on file for them. S-3,5-Diiodo-L-Thyronine (a thyroid-active compound) and 7-Keto DHEA have no known interactions documented in our data, though that's not a guarantee none exist.
Altogether, these interactions span 907 individual medications. Before you start True Shred, run your exact medications through the search tool on this page.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against True Shred?
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 True Shred interact with 920 drugs. Click any drug to see the details.
2 of the 7 ingredients in True Shred interact with drugs. Each result below shows which ingredient is responsible. Bulbine natalensis Androsta-3, 5-Diene-7, 17-Dione
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP3A4 substrates.
Read the full Bulbine Natalensis + Ado-trastuzumab Emtansine interactionAbciximabReoPro
How Abciximab interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, combining Bulbine natalensis leaf with drugs that have anticoagulant or antiplatelet activity might increase the risk of bruising and bleeding.
Read the full Bulbine Natalensis + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP3A4 substrates.
Read the full Bulbine Natalensis + Abemaciclib interactionAbiraterone
How Abiraterone interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP3A4 substrates.
Read the full Bulbine Natalensis + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP3A4 substrates.
Read the full Bulbine Natalensis + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 2c9 (cyp2c9) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP2C9 substrates.
Read the full Bulbine Natalensis + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 3a4 (cyp3a4) Substrates, P-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP3A4 substrates.
Read the full Bulbine Natalensis + Acalabrutinib interactionAcenocoumarolSintrom
How Acenocoumarol interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, combining Bulbine natalensis leaf with drugs that have anticoagulant or antiplatelet activity might increase the risk of bruising and bleeding.
Read the full Bulbine Natalensis + Acenocoumarol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Bulbine Natalensis + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisAnticoagulant/antiplatelet Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, combining Bulbine natalensis leaf with drugs that have anticoagulant or antiplatelet activity might increase the risk of bruising and bleeding.
Read the full Bulbine Natalensis + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP3A4 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP3A4 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP3A4 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP3A4 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP3A4 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP3A4 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with True Shred — through 1 ingredient. Tap an ingredient for the detail:
Bulbine NatalensisCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in True Shred 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.
Bulbine natalensis
Anticoagulant/Antiplatelet Drugs
Theoretically, combining Bulbine natalensis leaf with drugs that have anticoagulant or antiplatelet activity might increase the risk of bruising and bleeding.
In vitro research shows that Bulbine natalensis ground leaf extract inhibits platelet aggregation.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
In vitro research shows that Bulbine natalensis stem extract slightly induces CYP1A2 mRNA expression and enzyme activity. Theoretically, this may increase the metabolism of CYP1A2 substrates; however, this has not been studied in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP2C9 substrates.
In vitro research shows that Bulbine natalensis stem extract induces CYP2C9 mRNA expression and enzyme activity. Theoretically, this may increase the metabolism of CYP2C9 substrates; however, this has not been studied in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP3A4 substrates.
In vitro research shows that Bulbine natalensis stem extract induces CYP3A4 mRNA expression and enzyme activity. Theoretically, this may increase the metabolism of CYP3A4 substrates, but this has not been studied in humans.
Digoxin (Lanoxin)
Theoretically, Bulbine natalensis stem might increase the risk of adverse effects and toxicity when taken with digoxin.
Bulbine natalensis stem may contain cardiac glycosides, although it is unclear if these chemicals are present in clinically relevant concentrations.
P-Glycoprotein Substrates
Theoretically, Bulbine natalensis stem might increase the levels and clinical effects of p-glycoprotein substrates.
In vitro research shows that Bulbine natalensis stem extract induces p-glycoprotein mRNA expression; however, effects on transporter expression were not evaluated.
Testosterone
Theoretically, using Bulbine natalensis stem with testosterone replacement therapy might increase the risk of adverse effects.
Animal research shows that Bulbine natalensis stem can increase testosterone levels.
Androsta-3, 5-Diene-7, 17-Dione
Aromatase Inhibitors
It is believed that Arimistane inhibits the aromatase enzyme, which may interact with other aromatase inhibitors. This interaction could potentially increase the risk of side effects associated with low estrogen levels or from additive side effects, such as an increased risk of liver toxicity. It is recommended to consult with a healthcare provider before combining Arimistane with other aromatase inhibitors to assess the potential risks and benefits.
Brand information
Manufacturer and brand details for True Shred, from the product label.
True Shred by Hard Rock Supplements: Common Questions
Does True Shred by Hard Rock Supplements interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is True Shred safe to take while I'm pregnant or breastfeeding?
Does this product actually help with muscle building or fat loss?
What side effects might I notice?
Can I take this with my blood thinner?
What's 7-Keto DHEA, and why is it in here?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if True Shred is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind True Shred’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
7-keto-dhea
7-keto-DHEA is a lab-made metabolite of the hormone DHEA that is marketed mainly for weight loss and a faster metabolism. Unlike DHEA, it is not thought to convert into estrogen or testoster...
Read the full 7-keto-dhea monograph → Herb & supplement monographArimistane
Interacts with 4 drugsArimistane (sometimes sold as Estrovade) is a synthetic aromatase inhibitor marketed as a dietary supplement to lower estrogen and raise testosterone, often during or after steroid or prohor...
Read the full Arimistane monograph → Herb & supplement monographBulbine Natalensis
Interacts with 919 drugsBulbine natalensis is a South African plant marketed mainly as a testosterone-boosting and libido supplement, but the human evidence is essentially absent and most claims come from animal st...
Read the full Bulbine Natalensis monograph → Herb & supplement monographDiiodothyronine
Diiodothyronine (T2) is a thyroid hormone metabolite sold as a fat-loss and metabolism supplement, mostly in the bodybuilding world. Human evidence for its safety and effectiveness is very l...
Read the full Diiodothyronine monograph →Sources & How We Checked
True Shred'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 14 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.
7-keto-dhea 2 references
- Davidson M, Marwah A, Sawchuk RJ, et al. Safety and pharmacokinetic study with escalating doses of 3-acetyl-7-oxo-dehydroepiandrosterone in healthy male volunteers. Clin Invest Med 2000;23:300-10..
- Zenk JL, Frestedt JL, Kuskowski MA. HUM5007, a novel combination of thermogenic compounds, and 3-acetyl-7-oxo-dehydroepiandrosterone: each increases the resting metabolic rate of overweight adults. J Nutr Biochem 2007;18(9):629-34. PubMed
Arimistane 1 reference
- Joseph JF, Parr MK. Synthetic androgens as designer supplements. Curr Neuropharmacol. 2015;13(1):89-100. PubMed
Bulbine Natalensis 8 references
- Afolayan AJ, Yakubu MT. Effect of Bulbine natalensis Baker Stem Extract on the Functional Indices and Histology of the Liver and Kidney of Male Wistar Rats. J Med Food. 2009;12(4):814-820.
- Mosa RA, Lazarus GG, Gwala PE, Oyedeji AO, Opoku AR. In Vitro Anti-platelet Aggregation, Antioxidant and Cytotoxic Activity of Extracts of Some Zulu Medicinal Plants. J Nat Prod. 2011;4(2011):136-146.
- Okem A, Southway C, Stirk WA, et al. Heavy metal contamination in South African medicinal plants: A cause for concern. South African J Bot. 2014;93(2014):125-130. DOI
- Yakubu MT, Afolayan AJ. Reproductive toxicologic evaluations of Bulbine natalensis Baker stem extract in albino rats. Theriogenology. 2009;72(3):322-32. PubMed
- Yakubu MT, Afolayan AJ. Effect of aqueous extract of Bulbine natalensis (Baker) stem on the sexual behaviour of male rats. Int J Androl. 2009;32(6):629-36.
- Yakubu MT, Afolayan AJ. Anabolic and androgenic activities of Bulbine natalensis stem in male Wistar rats. Pharm Biol. 2010;48(5):568-76.
- Husain I, Manda V, Alhusban M, et al. Modulation of CYP3A4 and CYP2C9 activity by Bulbine natalensis and its constituents: An assessment of HDI risk of B. natalensis containing supplements. Phytomedicine 2021;81:153416. PubMed
- Husain I, Dale OR, Manda V, et al. Bulbine natalensis (currently Bulbine latifolia) and select bulbine knipholones modulate the activity of AhR, CYP1A2, CYP2B6, and P-gp. Planta Med 2022;88(12):975-984. PubMed
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