Osteochondral lesion also referred to as osteochondritis dessicans or osteochondral fractures are injuries to the bottom bone of the ankle joint (talus) where a thin layer of the bone, along with the overlying cartilage, comes loose from the end of a bone.
Cayenne pepper may be included as part of a healthy diet, but its use should not be considered a substantive weight loss method. According to the Mayo Clinic, weight loss requires a deficit of 3500 calories in order to lose one pound of body weight.
The Cayenne pepper. is a bit milder, rating at 30,000 to 50,000 Scoville units. They're named after the French Guiana city of Cayenne. I'm sure you're familiar with the Cayenne pepper; it's ground and sold as a pretty common spice.