Some have been flagged by the FDA for quality issues that should make anyone nervous
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[DOI] [PubMed] [Google Scholar] 82.Fujioka K

You should contact your GP if you experience: Urination that is painful or burning (which may suggest a urinary tract infection see the NHS UTI page for guidance) Blood in the urine (haematuria), which always warrants prompt medical review Excessive thirst alongside very frequent urination, which can be a sign of type 2 diabetes or, less commonly, diabetes insipidus Urinary incontinence or a sudden urgency to urinate that is difficult to control Urination that continues to be very frequent (more than 8 times in 24 hours) beyond the initial weeks of dieting Persistently dark urine despite drinking adequate fluids (tea- or cola-coloured urine may suggest a kidney or liver problem) Persistently foamy urine , which may be a sign of protein in the urine (proteinuria) and warrants assessment Seek urgent medical attention (same day) if you experience: Excessive thirst, frequent urination, unexplained weight loss, nausea, vomiting, abdominal pain, drowsiness, or a fruity smell on the breath these can be signs of type 1 diabetes or diabetic ketoacidosis, which requires urgent assessment
