 [ Symptoms ] why are my labia minora lips so big i have never seen anyone with them so large they stick outhang down almost an inch and a half i feel like a freak of nature i have never seen anything like it why am i like this how could i be made to look normal the older i get the worse they look [ Disease ] this is a great question so many consumers and patients are coming with these type of products to the counter and saying hey can you help me figure out if this is right for me once again this is an over the counter product they are usually in the vitamin and herbal section we have limited data on whether or not they work we do not know what they are active ingredients sometimes are so we want to make sure that patients are really careful about this one of the things encountering in the diet area is the fact that people who have cardiac conditions or high blood pressure these may not be the right choices for them once again the physician or healthcare provider needs to see this and evaluate you based on that first before we go and choose any over the counter supplement people might think oh it is just something minor because i just feel like i gained a few pounds of water weight but that can make a really big difference especially if you have high blood pressure or certain lung disorders like chronic obstructive pulmonary disease copd all these things kind of come into play so i really want consumers and patients to understand that we know these products are out there but we want to make sure we make the right choices and education is the best way to go so ask a question first and find out if it is the right product for you they could have an adverse reaction the other thing is too is that sometimes they contain byproducts that people that may have allergic reactions to a filler or a salt or a particular root that they found like a lot of them come with more natural products like leaves or roots from trees and a lot of people are starting to break out from those because they have never been exposed to them before so once again be really careful about the choices that we are making