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. 2021 Jun;24(9):2771-2775.
doi: 10.1017/S1368980021000665. Epub 2021 Feb 26.

Dietary supplements in the USA: problematic trends

Affiliations

Dietary supplements in the USA: problematic trends

Bryan E Denham. Public Health Nutr. 2021 Jun.

Abstract

More than 25 years have passed since the Dietary Supplement Health and Education Act of 1994 classified dietary supplements as a subcategory of food, thereby exempting manufacturers from providing premarket evidence of product safety and efficacy. In this commentary, I discuss problems in the supplement industry through an examination of cases introduced or decided in US federal courts between 2010 and 2019. More than half the cases located involved defendants charged with introducing misbranded food or drugs into interstate commerce. Contaminants included anabolic steroids, erectile dysfunction medications, weight-loss drugs, workout stimulants and mind-altering substances. As the article points out, raw powders obtained in bulk quantities facilitate the practice of 'home brewing' and the introduction of prescription drugs into dietary supplements.

Keywords: Dietary supplements; Public policy; US Food and Drug Administration.

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References

    1. US Food and Drug Administration (2019) Questions and answers on dietary supplements. https://www.fda.gov/food/information-consumers-using-dietary-supplements... (accessed January 2021).
    1. Cohen PA & Bass S (2019) Injecting safety into supplements – modernizing the dietary supplement law. N Engl J Med 381, 2387–2389. - PubMed
    1. US Department of Defense Dietary Supplement Resource Operation Supplement Safety (2020) Adulterated and misbranded supplements. https://www.opss.org/article/adulterated-and-misbranded-supplements (accessed January 2021).
    1. US Food and Drug Administration (2021) Tainted products marketed as dietary supplements. https://www.accessdata.fda.gov/scripts/sda/sdnavigation.cfm?sd=tainted_s... (accessed January 2021).
    1. Marcus DM (2016) Dietary supplements: what’s in a name? what’s in a bottle? Drug Test Anal 8, 410–412. - PubMed

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