Three people have been hospitalized and at least seven sickened after taking a trendy supplement sold on Amazon and TikTok.
The FDA said the patients were infected with a dangerous strain of salmonella, a potentially deadly bacteria, that is resistant to standard antibiotics.
Their illnesses have been linked to Rosabella-branded moringa powder capsules, marketed as a nutrient-dense wellness booster and sold in 60-capsule white plastic bottles that have green labels.
The CDC said the illnesses were reported between November 7 and January 8 across seven states, mostly in the Midwest. No deaths have been reported.
Hundreds of affected bottles from Rosabella, which is run by Ambrosia, have now been recalled.
Shoppers are being urged to check their supplement cabinets for the products and throw them out immediately.
They are also being asked to carefully clean and sanitize any surfaces or containers that the recalled products came into contact with, in order to avoid spreading the dangerous salmonella strain.
Those who fear they may have been infected with salmonella by the supplements are being asked to contact their healthcare provider immediately.
The FDA is warning Americans about the supplement moringa, after capsules sold by Rosabella were linked to infections with drug-resistant salmonella.
Patients infected with salmonella develop symptoms within 12 to 72 hours of an infection. Warning signs include diarrhea, fever and abdominal cramps.
In healthy adults, the infection lasts four to seven days before clearing. But, in serious cases, the bacteria can spread to the bloodstream and cause the life-threatening complication sepsis.
Children younger than five years old, the elderly and people with weakened immune systems are particularly at risk of infection.
Moringa powder is made from the crushed leaves of the moringa tree, a plant native to India that has previously been described as the 'miracle tree' for its alleged health benefits.
Cleveland Clinic says its green powder is high in nutrients and can support healthy bones, eyesight and weight management.
The powder first became popular in the 2010s, with many shoppers mixing it into other foods or drinks before consuming.
In the recall, bottles included have a best-before date between March and November 2027.
The bottles were sold nationwide, but infected individuals were reported in the following states: Washington, Arizona, Iowa, Illinois, Indiana, Tennessee and Florida.
It was not clear how the moringa powder may have become contaminated with salmonella, but, in previous cases, this has been linked to plants being irrigated or treated with water contaminated with animal feces.
The recalled bottles have the lot numbers, found on the bottom of the bottles, of: 5020591, 5020592, 5020593, 5020594, 5020595, 5020596, 5030246, 5030247, 5030248, 5030249, 5030250, 5030251, 5040270, 5040271, 5040272, 5040273, 5040274, 5040275, 5040276, 5040277, 5040278, 5040279, 5050053, 5050054, 5050055, 5050056, 5060069, 5060070, 5060071, 5060072, 5060073, 5060074, 5060075, 5060076, 5060077, 5060078, 5060079, 5060080, 5080084, 5080085, 5080086, 5090107, 5090108, 5090109, 5090113, 5090114, 5090115, 5090116, 5090117, 5090118, 5100039; and 5100048.
In its recall notice, the FDA says the supplement was sold on Amazon, TikTok shop, eBay, Shein and on the supplement's website.
Ambrosia brands, which include Rosabella, said it had not sold the supplement on Amazon, although it was possible it had been listed on the website by other sellers.
In its notice of the investigation, the CDC said it had interviewed three patients, all of whom reported consuming Rosabella-branded moringa powder before suffering from an infection.
No further details were revealed on the patients, including their names, ages, symptoms and whether they had now recovered.
In a statement, a spokesperson for Ambrosia said: 'We continue to diligently investigate, in collaboration with FDA, this possible link of the salmonella outbreak to Rosebella Moringa Capsule.
'We have discontinued use and purchase of all raw moringa leaf powder from the raw material supplier of the above-referenced lots.'
They added: 'Ambrosia Brands is conducting this recall voluntarily and takes this matter very seriously. We apologize for the inconvenience and concern this recall may cause our customers.'