Ephedra-free diet pills often substitute
synephrine for ephedra/ephedrine. Synephrine is the main active
compound found in the fruit of a plant called Citrus aurantium.
The fruit is also known as zhi shi, green orange, sour orange or
bitter orange in other parts of the world. Synephrine is chemically
very similar to the ephedrine and pseudo-ephedrine found in many
OTC cold/allergy medications and in weight loss and energy supplements
which contain Ma Huang.
Because synephrine is a stimulant, similar to caffeine and ephedrine,
it is thought to have similar effects in terms of providing an energy
boost, suppressing appetite and increasing metabolic rate and caloric
expenditure. In traditional Chinese medicine zhi shi is used to
help stimulate the Qi . Although synephrine and several other compounds
found in zhi shi are structurally similar to ephedrine and are known
to act as stimulants, zhi shi does not appear to have the same negative
central nervous effects of ephedra. Through its stimulation of specific
adrenergic receptors (beta-3, but not beta-1, beta-2 or alpha-1),
zhi shi is theorized to stimulate fat metabolism without the negative
cardiovascular side effects experienced by some people with Ma Huang.
The effects of synephrine alone or in combination with other ingredients
such as kola nut and guarana (both are caffeine sources) or with
salicylates such as white willow (a natural form of aspirin) generally
fall into the category of acting as a mild stimulant. The extract
of citrus aurantium, in addition to synephrine, also contains tyramine
and octopamine. Octopamine may be related in some way to appetite
control, as it is thought to influence insect behavior by stopping
bugs from eating the citrus fruit. Importantly, each of these related
compounds (synephrine, ephedrine and octopamine) can result in elevated
blood pressure. A recent study conducted in
dogs suggests that synephrine and octopamine can increase metabolic
rate in a specific type of fat tissue known as brown adipose tissue.
This effect would be expected to increase fat loss in humans
except for one small details adult humans dont have
brown adipose tissue.
As it stands now, citrus aurantium extract exists
as one of the most over-hyped ingredients on the weight loss scene.
There are some interesting theories on how it might work to increase
metabolic rate and promote weight loss, but most are couched in
pseudo-scientific mumbo jumbo and none are backed by any credible
scientific evidence of effectiveness in humans.
Both isolated synephrine and citrus aurantium extract
have been shown to raise blood pressure in animal studies. Until
more studies are conducted on the safety, pharmacology and efficacy
of citrus aurantium as a thermogenic supplement, it should be treated
as an ingredient with mild stimulant properties and should be avoided
by individuals with cardiovascular concerns such as hypertension.