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Monday, 4 May 2026

Drugstores not immune to fraud, Beware of cheap fake meds online

 Cases of stolen identity, couterfeit products

PETALING JAYA: What was first a mere question from a friend about discounted products ­quickly turned into a worrying discovery for pharmacist Rachel Gan May Shiang.

Someone was using her pharmacy’s identity to sell doubtful products.

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“The store looked almost identical. The only difference was that one of the letters bore a small alphabet as opposed to mine.

“Unregistered products in the Malaysian market were also sold on that site,” said Gan, who foun­ded a pharmacy in Kota Kemuning, Shah Alam.

This led to complaints being made to the said e-commerce platform. Several of the product postings were then removed.

Days later, however, more fake accounts emerged.

“What’s even more worrying is that these products are being purchased.

“Besides the impersonation, there are wider public health concerns,” she said.

Gan, who is honorary secretary of the Malaysian Community Pharmacy Guild, questioned how the said platform vets its sellers, especially for those related to sectors such as pharmaceuticals.

Her case is not an isolated one, as even chain pharmacies are being targeted by fraudulent operators.

“Over the past year, we noticed this becoming increasingly rampant.

“At first, we received custo­mer enquiries, with many also ­chec­king the authenticity of the products at our physical stores.

“So we checked the sites daily and lodged reports with the relevant authorities every time our brand name is misused to sell health and supplement products,” said Alpro Pharmacy professional care and development manager Ng Yi Ling.

These stores impersonate the Alpro brand, logo and images, she said.

The only difference was in the capitalisation of the letters in the brand name.

“Our biggest concern is how consuming these products will impact the health of consumers. We do not know the contents of these products,” she said.

Du Kiat Seng and Ng Seng Wei, who are the brand owners and sole distributor of a supplement product in Malaysia, said they have received complaints about counterfeit products as recently as March.

“We tried ordering the product ourselves and found that it was clearly a counterfeit.”

The give­away was the absence of mandatory hologram tags.

The registration number was also a duplicated one, they said.

Both of them found that posts of doubtful pro­ducts would be taken down ­following complaints but they would reappear the next day on the same online store.

“There should be some sense of responsibility from platforms to do their due diligence before allowing anyone to list health products for sale online.”

Brego Life Sciences marketing manager Claris Wong said they discovered such issues happening since 2024.

“We received complaints online. The prices were between 30% and 40% cheaper.

“We purchased the products and saw that they were almost identical with our products, although there were subtle diffe­rences in the printing.

“There was even a hologram printed on it. But when we scanned it, we found the product was not registered,” she said.

Sh said there was an instance where a customer was hospita­lised after consuming a counterfeit product.

“Counterfeit products are dangerous.

“Our tests revealed that they do not have any of the active ingre­dients as claimed and may also contain unknown or harmful substances,” she said.

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Save a dime, risk a life? Beware of cheap fake meds online

PETALING JAYA: It may seem like a good bargain online. But it comes with serious risks, as counterfeit medicines and supplements are still being sold on e-commerce platforms despite ongoing crackdowns.

TikTok Shop Malaysia said medicines and supplements are subject to requirements, inclu­ding the need for a MAL number or notification from the National Pharma­­ceutical Regulatory Agency (NPRA), before being lis­ted.

“Through our Intellectual Property Protection Centre, brands or authorised representatives can submit takedown requests for products and monitor their st

“There is no finish line when it comes to safety. Users are encou­raged to report these products, content and sellers through the in-app reporting channel,” said a spokesperson.

TikTok Shop Malaysia is wor­king with the Domestic Trade and Cost of Living Ministry and Health Ministry to address evolving forms of circumvention.

The spokesperson said conti­nuous investments are made to improve safety tools, technology and personnel, with more than US$1bil committed globally to protect users from fraudulent and dangerous activities.

Automated systems are also used to detect potential fraud, infringement, unsafe content or violative product listings, both before and after products or content are uploaded.

“Sellers must submit official documentation during registration, which is then verified against business and banking details to ensure authenticity.

“Store names are subject to strict guidelines to prevent misrepresentation, including restrictions on terms such as ‘official’, ‘flagship’ or ‘authorised’,” the spokesperson said.

Once approved, new sellers undergo a probationary period where daily orders and product listings are capped as they fami­liarise themselves with platform policies.

Between January and June this year, it said more than 70 million product listing attempts were rejected globally for policy violations, with a proactive removal rate exceeding 99.5%.

Some 1.4 million seller account registration applications that failed to meet its standards were declined, with more than 700,000 sellers removed during the same period due to shop-level violations.

“More than 900,000 reports from users viewing TikTok Shop videos or live streams were also reviewed,” the spokesperson said.

Shopee strictly prohibits the sale of counterfeit and prohibited items too, requiring all sellers to comply with local regulations and platform policies.

A spokesperson said the platform works closely with the Malaysian Pharmacists Society (MPS) to verify pharmacies and actively remove listings that violate its rules.

“We are committed to building a safe and trusted platform where shoppers can transact with confidence.

“We also use proactive monitoring and work with brands, law enforcement and the Health Ministry to detect and take action against sellers breaching our policies, including account suspension, permanent bans and, where appropriate, legal action.

“Users are encouraged to report suspicious or counterfeit pro­ducts via the ‘Report this Product’ option.”

Complaints can also be made to the Public Complaints Manage­ment System (SISPAA), which is used to manage public complaints, including reports of fake or unregistered medicines.

MPS president Amrahi Buang said all pharmaceutical products sold online must be registered with the Health Ministry and comply with laws including the Poisons Act, Sale of Drugs Act and the Medicines (Advertisement & Sale) Act and Regulations.

“Legitimate products have the Health Ministry hologram tag and the MAL number,” he said, ­adding that the number can be checked at the NPRA website.

He said MPS also signed a memo­randum of understanding (MOU) with an e-commerce platform to curb the sale of counterfeit drugs online.

There are several conditions to be fulfilled when applying to open an online store as per the MOU, including having a licensed pharmacist, ensuring the pro­ducts sold online can be tied to a physical store and confirming that the pharmacist is an MPS member.

“Pharmacists can check if the product is legitimate and advise you.

“We don’t just sell drugs. We want the best for our customers,” he said




Thursday, 23 April 2026

Mixed property outlook amid higher oil prices

 High-rise and luxury segments seen most vulnerable

PPC International MD Datuk Siders Sittampalam

PETALING JAYA: Malaysia’s property market remains an appealing investment avenue despite increasing global uncertainties, according to industry experts.

PPC International Sdn Bhd managing director Datuk Siders Sittampalam said the local property market remains attractive to investors despite the ongoing West Asia crisis.

“However, the appeal is likely to be selective rather than broad-based, with investment decisions increasingly adopting a sector-led approach.

“It is important to recognise that Malaysia’s property market continues to be driven largely by domestic fundamentals, rather than direct exposure to the Middle East,” he told StarBiz.

An analyst said investing in property during global economic uncertainty “still makes sense,” adding, however, that it is “no longer about riding a broad market upswing”.

“It’s about selectivity, resilience, and long-term thinking. Property remains attractive because it’s a tangible, income-generating asset.”

Amid uncertain times, he said investors often value “stability.”

“Real estate can provide relatively predictable rental income and act as a partial hedge against inflation. Compared to more volatile assets like equities, it tends to be less reactive to short-term global shocks.”

However, he said the current environment has changed the investment outlook.

“Higher construction costs, cautious lending and more price-sensitive buyers mean that not all properties will perform well. Oversupply in certain segments, especially high-density developments, can limit both rental yields and capital appreciation.

“At the same time, global uncertainties can affect job markets and consumer confidence, indirectly impacting demand,” he said.

Compared with many countries in the region, Siders noted that Malaysia’s political neutrality provides a degree of stability.

“As such, the crisis is expected to affect the market only indirectly, primarily through higher oil prices, inflationary pressures and shifts in investor sentiment.

“One key reason the market remains attractive is that, during periods of geopolitical uncertainty, investors tend to rotate away from volatile equities into hard assets such as real estate.”

Siders emphasised that property, particularly income-producing assets, is generally less sensitive to short-term volatility affecting equities and other financial instruments.

“That said, the principal risk lies in a prolonged period of elevated oil prices, which could translate into higher domestic transportation costs, increased steel and concrete prices, pressure on rental affordability and slower take-up rates for high-end residential properties.”

Collectively, Siders said these factors may erode household disposable income and temper overall market momentum.

“In my view, investment strategies should now be anchored on income generation and strong underlying fundamentals, rather than expectations of capital appreciation or speculative gains.”

One market observer said that in times of uncertainty, the key question isn’t whether to invest, but rather “how to invest.”

“Investors should focus on properties with strong fundamentals – good locations, access to infrastructure, proximity to employment hubs and realistic pricing.

“Rental demand is especially important now, as steady income can offset slower price growth. A longer investment horizon also becomes critical, since quick gains are less likely in a cautious market cycle.”

Amid current economic uncertainties, a property analyst said there would be an impact on the market should things escalate further or be prolonged.

In such a situation, he said the impact would vary depending on the property segment. He said high-rise condominiums, especially in Kuala Lumpur, would be the most vulnerable segment.

“This segment would be the hardest hit because buyers here are often investors or middle- to upper-income earners.”

He noted that this segment also tends to be more sensitive to economic uncertainty, rental yields and short-term sentiment.

“Should oil prices spike, investors here will likely pull back and there will be fewer speculative purchases.

“The number of expatriates would also shrink if the global economy slows. Moreover, rental demand for these types of properties could also soften.”

Ultimately, this could lead to slower price growth or stagnation for high-rise condominiums.

“There would be higher unsold inventory. This is already an issue for condominiums within the Klang Valley,” he said.

Similarly, luxury and high-end properties are also at high risk, he noted.

“This segment is highly dependent on foreign buyers and investor sentiment.

“Oil price spikes often come with global uncertainty, which reduces foreign inflows and makes buyers more cautious. In such situations, transactions within this segment could drop significantly and prices may stagnate or correct.”

On the flip side, he said affordable houses (or mass-market properties) would be the most resilient if global economic conditions continue to worsen.

“This segment holds up better because it is driven by genuine need for owner occupation rather than investment.

“It is also often supported by government schemes and financing access. Even if oil prices push up living costs, people still need homes.

“Demand may slow slightly, but the segment still remains relatively stable. Prices may still inch up, albeit more slowly.”

Nevertheless, higher oil prices equals higher fuel costs, he noted. “Therefore, commuting can become more expensive.

“In such cases, locations far from city centres may see reduced appeal, while well-connected areas (especially ones near mass rapid transits and light rail transits) will hold their value better.”    

By EUGENE MAHALINGAM eugenicz@thestar.com.my

Tuesday, 7 April 2026

Why nitric oxide is important for our health

>

Nitric oxide causes blood vessels to relax and dilate, allowing for more blood to pass through when needed. — Wikimedia Commons

Nitric oxide  (NO
) is a vital signaling molecule produced naturally by the body that acts as a vasodilator, relaxing and widening blood vessels to increase blood flow, improve oxygen delivery, and lower blood pressure. It is essential for cardiovascular health, erectile function, immune system strength, and regulating neurotransmission in the brain.
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Many of the chronic health challenges we face as adults in Malaysia now – like high blood pressure, diabetes, heart disease, fatigue, brain fog and sexual health conditions – are often treated as separate problems.

But from a health and long-term perspective of functional medicine and ageing, these problems that can apparently be separated from one another often seem to have a common denominator: declining blood vessel health.

Central to this process is the naturally-occurring molecule nitric oxide, which is responsible for circulation, metabolism, immune balance and healthy ageing.

Nitric oxide is a gas formed in the body that relaxes and widens the channels of blood vessels within the body – a process called vasodilation.

This basic action helps to ensure that oxygen and nutrients are delivered to all tissues in the body.

Even in very small amounts, nitric oxide has a huge impact on health.

It is typically considered in functional medicine to be a marker of vascular age as healthy blood vessels are crucial for determining how well the body functions over time.

Here is why nitric oxide matters to our health:

Heart disease and high blood pressure

Heart disease remains a major cause of death in Malaysia.

Many people assume that high blood pressure or heart disease are just a consequence of advancing age or genetic fate.

In fact, one major contributor to these conditions is endothelial dysfunction, in which the lining of a blood vessel loses its ability to produce adequate nitric oxide.

When nitric oxide levels are low, our blood vessels become stiff and inflamed, causing the heart to work harder and blood pressure to eventually rise.

The longer this goes on, the more likely you are to experience complications like heart attack and stroke.

Diabetes and metabolic syndrome

Nitric oxide also contributes to metabolic health, which has become an increasingly serious issue in Malaysia.

A sufficient level of nitric oxide assists in increasing cellular insulin sensitivity and aiding glucose to enter the muscles more effectively.

With decreased production of nitric oxide, insulin resistance and the occurrence of type 2 diabetes increases.

This vascular-metabolic connection explains why people with diabetes are at much higher risk for heart disease, and why the health of blood vessels is critical in long-term diabetes management.

> Ageing brains

Nitric oxide is crucial for brain health and cognitive longevity.

Reduced availability of nitric oxide is associated with impaired cerebral blood flow and a greater risk of neurodegenerative diseases, like Alzheimer’s disease.

The brain is exceptionally sensitive to changes in blood flow, and even small decreases in circulation can threaten memory, concentration and mental clarity.

From a lifelong perspective, sustaining healthy blood flow to the brain is the most critical means of preserving cognitive function and independence in old age.

Energy and stamina

Nitric oxide is closely related to a person’s energy level and physical stamina.

A lot of middle-aged and elder Malaysians say that they are easily fatigued, have low exercise resistance or take longer to recover after playing sports.

Although such symptoms are frequently ascribed to ageing, they often indicate diminished nitric oxide generation instead.

When blood vessels do not dilate properly, muscles get less oxygen for activity, leading to mild tiredness and slower recovery.

Supporting pathways through nitric oxide helps to preserve mobility, strength and vitality – key elements of healthy ageing.

Sexual health

Another important insight into nitric oxide status comes from sexual health.

Early indicators of the ageing of the vascular system often occur in men via erectile dysfunction and women via impaired sexual responsiveness.

Nitric oxide is critical for genital blood flow and normal sexual function, so trouble in that area often shows up years before more significant cardiovascular symptoms come about.

Thus, sexual health in functional medicine is conceptualised not just as an individual problem, but also as a window into overall cardiovascular and metabolic health.

Living longer

Nitric oxide production naturally decreases with age due to several key factors.

Sadly, Malaysia’s modern lifestyle aspects – i.e. physical inactivity, consumption of refined carbohydrates and ultra-process-ed foods, chronic stress, poor sleep, smoking, and chronic metabolic disease – only exacerbate this decline.

When the amount of nitric oxide drops, blood vessels become stiffer, inflammation rises and the body’s capacity for coping with stress decreases.

This accelerates biological ageing and raises the risk of various chronic diseases.

From a functional medicine and longevity standpoint, the idea is to not just treat disease once it starts, but also preserve nitric oxide levels over the course of a lifetime by promoting early and consistent production.

It requires that the body’s natural nitric oxide pathways be supported by lifestyle and nutritional approaches, rather than relying only on drugs for the treatment of late stage disease.

Some examples of nitrate-containing vegetables in Malaysia include:

  • Spinach (bayam)
  • Water spinach (kangkung)
  • Mustard greens (sawi)
  • Lettuce
  • Beetroot
  • Ulam-ulam (pegaga, selom, daun ketumbar).

These vegetables help to fuel the nitrate to nitrite to nitric oxide pathway, which depends on healthful oral bacteria.

This pathway may be blocked by excessive use of antiseptic mouthwash.

Regular physical activity, adequate sleep, stress management and so on are also important to reduce chronic inflammation and oxidative stress, which quickly destroy nitric oxide and decrease blood vessel function.

> Ageing healthily

Nitric oxide, in the context of healthy ageing, is much more than a cardiovascular molecule.

It says everything about health as a healthy circulatory system serves all organs in the body.

Sufficient nitric oxide is related to higher energy metabolism, higher cognitive function, better metabolic control, healthier sexual function and resilience with ageing.

By boosting nitric oxide production, people aren’t just adding years to life, but are maximising the quality of those years.

Clinically, nitric oxide provides a valuable model of why many co-existing chronic diseases are often clustered in the same individual.

High blood pressure, diabetes, fatigue, erectile dysfunction and cognitive complaints are often treated independent of one another, but tend to stem from the same underlying problem: vascular dysfunction with a reduced availability of nitric oxide.

In a clinical setting, signs such as low exercise tolerance, chronic fatigue or sexual dysfunction should not be dismissed as standard ageing.

These findings are frequently early indicators of compromised endothelial function and increased risk of cardiometabolic disease.

Early intervention in nitric oxide pathways can help clinicians to prevent irreversible damage before it happens.

Do note however, that functional medicine does not replace medical treatment; it is an answer to root causes, not a substitute for clinical care.

Medications are often needed when necessary and life-saving, but improved long-term health happens when lifestyle problems, nutrition, metabolic state, sleep and stress are treated in parallel with pharmacological treatment.

Providing interventions to support nitric oxide production and utilisation by vascular systems provide an opportunity to enhance vascular resilience and potentially reduce the burden of future disease.

For patients, the real message is empowerment.

The many factors that affect nitric oxide – physical activity, diet, gut and oral health, sleep quality and stress – can be changed.

Even modest and consistent changes can lead to significant improvements in circulation, vitality and overall health.

Preserving nitric oxide is ultimately about protecting the body’s internal highways that connect oxygen, nutrients and signals to every cell.

When these are kept open and flexible, the body ages more slowly, recovers more efficiently and stays in use for longer.

This is what longevity-led, preventive care is about.

Datuk Dr Nor Ashikin Mokhtar is a consultant obstetrician and gynaecologist, and a functional medicine practitioner. For further information, email starhealth@thestar.com.my. The information provided is for educational and communication purposes only, and it should not be construed as personal medical advice. Informa-tion published in this article is not intended to replace, supplant or augment a consultation with a health professional regarding the reader’s own medical care. The Star does not give any warranty on accuracy, completeness, functionality, usefulness or other assurances as to the content appearing in this column. The Star disclaims all responsibility for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such information.

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