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Ishita Roy

Company Sends Legal Notice To Doctor After Her Campaign Questions Fake ORS-Labelled Hydration Drinks

Company Sends Legal Notice Doctor After Her Campaign Questions Fake ORS-Labelled Hydration Drinks

Hyderabad pediatrician Dr. Sivaranjani Santosh shared on X, previously Twitter that she has been sent a notice by JTNL Consumer Health (India) Private Limited, a Kenvue Inc. company. The notice claimed that Dr Sivaranjini has been maligning the names of <span>ORSL</span> and <span>ERZL</span> for her "own commercial benefits" and for "increasing the number of followers" on her page.

Also Read:<a href="https://www.healthandme.com/health-news/shigella-cases-rise-to-12-in-kerala-doctor-explains-why-the-bacterial-infection-is-fatal-for-young-kids-article-153900125" data-type="tilCustomLink" target="_blank"> Shigella Cases Rise To 12 In Kerala: Doctor Explains Why The Bacterial Infection Is Fatal For Young Kids</a> 

Dr Sivaranjini has been campaigning that commercial beverages labeled as <span>ORS</span> were often high in sugar and nutritionally different from the WHO-recommended Oral Rehydration Solution, a life-saving treatment for dehydration. In a statement following the court order, Dr. Sivaranjani said, “The long battle we have won! ORSL cannot produce new high-sugar ORSL, but it wants to clear out its existing ₹180 crore stock. India, please stand with me! People’s power has to win against corporate lobbying.”

Dr Sivaranjini claims that this is why she has been sent a notice by the company. However, the truth is that ORSL or ERZL, while specializes in hydration solution and claims it as solutions for illness and daily fluid replenishment, however, it does not match the WHO standards. 

Also Read: <a href="https://www.healthandme.com/nutrition/beat-the-heat-with-ors-how-to-know-which-one-is-real-article-151700706" data-type="tilCustomLink">Beat The Heat With ORS: How To Know Which One Is Real?</a>

<h2>A Doctor's 8-year-long Fight Against <span rel="noindex">Fake ORS</span></h2>

In 2022, Dr Sivaranjini filed a Public Interest Litigation in the Telangana High Court seeking directions for manufacturers to remove the letters “ORS” from the product name ORSL. Following the petition, companies began promoting the idea of “silent dehydration,” a term that does not appear in recognised medical literature, to market the drink.

the problem is that while there are disclaimers on the ORSL tetra packs that state: “Do not use during diarrhoea,” but these disclaimers are often printed in very small fonts, and easy to overlook. “Pharmacists also prefer selling ORSL because they earn a higher margin, as ORSL is twice as expensive as standard ORS solutions,” said Dr Sivaranjini.

Dr Sivaranjini has documented cases of children developing life-threatening dehydration despite being administered drinks marketed as ORS. These are so-called "repair solution" drinks, as she calls them, which contain excessive sugar and inadequate salt and electrolyte ratios and can undermine the purpose of a life-saving medical formulation, which is recognized by the WHO. 

Dr Santosh explains: "During diarrhoea, high-sugar drinks should be avoided because excess sugar can worsen the condition.When ORSL was introduced, manufacturers met with paediatricians, leading many to believe it was ORS. But in reality, the sugar content in ORSL is as high as in packaged soft/fruit drinks, with only a little extra sodium. We noticed that many children’s diarrhoea worsened. When we investigated we realised ORSL is not the same as ORS.”

It is an adequate glucose-electrolyte solution called the Oral Rehydration Salts (ORS) solution. It was first used in 1969, and then a new solution has been recommended by the WHO and the UNICEF since 2003. This use of ORS formulation, as WHO mentions has improved effectiveness from as compared to the old solution.

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Hyderabad pediatrician Dr. Sivaranjani Santosh shared on X, previously Twitter that she has been sent a notice by JTNL Consumer Health (India) Private Limited, a Kenvue Inc. company. The notice claimed that Dr Sivaranjini has been maligning the names of ORSL and ERZL for her "own commercial benefits" and for "increasing the number of followers" on her page.Also Read: Shigella Cases Rise To 12 In Kerala: Doctor Explains Why The Bacterial Infection Is Fatal For Young Kids Dr Sivaranjini has been campaigning that commercial beverages labeled as ORS were often high in sugar and nutritionally different from the WHO-recommended Oral Rehydration Solution, a life-saving treatment for dehydration. In a statement following the court order, Dr. Sivaranjani said, “The long battle we have won! ORSL cannot produce new high-sugar ORSL, but it wants to clear out its existing ₹180 crore stock. India, please stand with me! People’s power has to win against corporate lobbying.”        How dare you send me a notice @jnjhealthequity @kenvue that I am maligning the names of ORSL and ERZL for my own commercial benefits and for increasing the number of followers for my page, and that you will drag me to the court?! My stance is predated and vindicated by the FSSAI… pic.twitter.com/kEdjsaqobi&mdash; Dr.Sivaranjini (@dr_sivaranjani) March 22, 2026 ]]>Dr Sivaranjini claims that this is why she has been sent a notice by the company. However, the truth is that ORSL or ERZL, while specializes in hydration solution and claims it as solutions for illness and daily fluid replenishment, however, it does not match the WHO standards. Also Read: Beat The Heat With ORS: How To Know Which One Is Real?A Doctor's 8-year-long Fight Against Fake ORSIn 2022, Dr Sivaranjini filed a Public Interest Litigation in the Telangana High Court seeking directions for manufacturers to remove the letters “ORS” from the product name ORSL. Following the petition, companies began promoting the idea of “silent dehydration,” a term that does not appear in recognised medical literature, to market the drink.the problem is that while there are disclaimers on the ORSL tetra packs that state: “Do not use during diarrhoea,” but these disclaimers are often printed in very small fonts, and easy to overlook. “Pharmacists also prefer selling ORSL because they earn a higher margin, as ORSL is twice as expensive as standard ORS solutions,” said Dr Sivaranjini.Dr Sivaranjini has documented cases of children developing life-threatening dehydration despite being administered drinks marketed as ORS. These are so-called "repair solution" drinks, as she calls them, which contain excessive sugar and inadequate salt and electrolyte ratios and can undermine the purpose of a life-saving medical formulation, which is recognized by the WHO. Dr Santosh explains: "During diarrhoea, high-sugar drinks should be avoided because excess sugar can worsen the condition.When ORSL was introduced, manufacturers met with paediatricians, leading many to believe it was ORS. But in reality, the sugar content in ORSL is as high as in packaged soft/fruit drinks, with only a little extra sodium. We noticed that many children’s diarrhoea worsened. When we investigated we realised ORSL is not the same as ORS.”What Is ORS?It is an adequate glucose-electrolyte solution called the Oral Rehydration Salts (ORS) solution. It was first used in 1969, and then a new solution has been recommended by the WHO and the UNICEF since 2003. This use of ORS formulation, as WHO mentions has improved effectiveness from as compared to the old solution.

company sends legal notice doctor after her campaign questions fake ors-labelled hydration drinks

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