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Fluids Hypertension Syndromes: Migraines, Headaches, Normal ...

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<strong>Fluids</strong> <strong>Hypertension</strong> <strong>Syndromes</strong> – Dr. Leonardo Izecksohn – page 299<br />

Religious opinion: We found healthy the Latter-Day Saints Church stands on caffeine and cola<br />

drinks: “We know that cola drinks contain the drug caffeine. We know caffeine is not wholesome or<br />

prudent for the use of our bodies. It is only sound judgment to conclude that cola drinks and any others<br />

that contain caffeine or other harmful ingredients should not be used.” (Peterson, H B).<br />

Public Health authorities manifests:<br />

At the USA:<br />

“TITLE 21--FOOD AND DRUGS<br />

CHAPTER I--FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HU-<br />

MAN SERVICES (CONTINUED)<br />

PART 182--SUBSTANCES GENERALLY RECOGNIZED AS SAFE--Table of Contents<br />

Subpart B--Multiple Purpose GRAS Food Substances<br />

Sec. 182.1180 Caffeine.<br />

(a) Product. Caffeine.<br />

(b) Tolerance. 0.02 percent.<br />

(c) Limitations, restrictions, or explanation. This substance is generally recognized as safe when<br />

used in cola-type beverages in accordance with good manufacturing practice.” (Code of Federal Regulations).<br />

We entirely agree with the words of Reissig C J, and others, from the Department of Psychiatry and<br />

Behavioral Sciences, the Johns Hopkins University School of Medicine, Baltimore, USA:<br />

“Hundreds of different brands (of energy drinks) are now marketed, with caffeine content ranging<br />

from a modest 50 mg to an alarming 505 mg per can or bottle. Regulation of energy drinks, including<br />

content labeling and health warnings differs across countries, with some of the most lax regulatory requirements<br />

in the U.S. The absence of regulatory oversight has resulted in aggressive marketing of energy<br />

drinks, targeted primarily toward young males, for psychoactive, performance-enhancing and<br />

stimulant drug effects. There are increasing reports of caffeine intoxication from energy drinks, and it<br />

seems likely that problems with caffeine dependence and withdrawal will also increase. In children and<br />

adolescents who are not habitual caffeine users, vulnerability to caffeine intoxication may be markedly<br />

increased due to an absence of pharmacological tolerance. Genetic factors may also contribute to an individual's<br />

vulnerability to caffeine-related disorders including caffeine intoxication, dependence, and<br />

withdrawal. The combined use of caffeine and alcohol is increasing sharply, and studies suggest that<br />

such combined use may increase the rate of alcohol-related injury. Several studies suggest that energy<br />

drinks may serve as a gateway to other forms of drug dependence.”<br />

At England:<br />

“Agency issues caffeine advice to pregnant women:<br />

Pregnant women should limit their caffeine intake to less than the equivalent of four cups of coffee a<br />

day, the Food Standards Agency has warned.<br />

An intake of more than 300 mg a day - equivalent to six cups of tea or four cans of energy drink - may<br />

be associated with miscarriage, according to the Agency's advice.<br />

The new advice puts a figure for the first time on previous Department of Health guidance for pregnant<br />

women to 'moderate' their caffeine consumption. It follows an independent review which found<br />

that caffeine intakes above 300 mg a day, or four cups of instant coffee, may be linked with low<br />

birth weight as well as miscarriage.” (Food Standards Agency).<br />

Soft drinks on Croatian high schools: “Only 10% of 571 high school students did not use foodstuffs<br />

containing caffeine. The intake of caffeine originated from soft drinks (50%), coffee (37%), and<br />

chocolate (13%). The mean estimated caffeine intake was 62.8 mg/day. Large-scale public health measures<br />

are needed to inform the public on health issues related to excessive intake of caffeine-containing<br />

foodstuffs by children and adolescents.” (Valek M, and others).<br />

Here at Niterói, state of Rio de Janeiro, Brazil, there are some schools forbidding soft drinks to their

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