Hawaii health officials are asking stores to pull a fat-burning supplement from shelves after officials linked it to cases of liver failure and acute hepatitis in 29 people.
Two people have undergone liver transplants and one person has died, according to the Hawaii State Department of Health. Twenty-four of the people who fell ill reported using OxyElite Pro before being diagnosed; the patients had no other medication or supplement in common.
While the investigation is ongoing, health officials advised people to "discontinue use of the product at this time."
Hawaii investigators are working with the U.S. Food and Drug Administration and the Centers for Disease Control and Prevention.
"Anyone who develops symptoms such as abdominal pain or discomfort, fatigue, loss of appetite, nausea and/or vomiting, and yellow skin or eyes should consult their doctor immediately," Health Director Loretta Fuddy said in a statement.