Q: does trim spa have any ephedrine or anything that can effect your heart.. i take toprol for irreggular heart beat and i needed to know before i purchase this

A: The original trim spa has ephedrine and I believe the 'new' one does not have it. But I can't tell you if it has something else that may cause problems with your medicine. In general I have a very low opinion of diet pills -- check out http://www.mikesfitness.com/content/diet-pills . Especially for somebody like you, with a possible heart condition, I would stay away from all diet pills and instead eat healthy and exercise as much as your condition allows. Remember to consult with your doctor before starting any exercise or diet/supplement program!