Why can't labels on nutritional supplements be trusted?

Since nutritional supplements aren't regulated by Food and Drug Administration (FDA) the way that prescription drugs and over-the-counter drugs are, their sellers are free to do just about anything they want. Manufacturers can sell supplements in any quantity or combination they want, and quality control…let's just say it's eclectic. Different brands of the same supplement might contain wildly different ingredients.

They'll frequently contain contaminants not listed on the label. For example, if you buy two bottles of an herb such as saw palmetto from two manufacturers, and they may each contain a different substance -- and each may bear no resemblance to saw palmetto. Yes, the law allows this!

The Dietary Supplement Health and Education Act (DSHEA) allows herbal remedies to be sold in the United States as food products, and the second paragraph states (and I paraphrase): "What is on the (bottle) label may or may not be in the bottle. And what is in the bottle may or may not be listed on the label." Can you imagine if aspirin manufacturers were given the same leeway?

We could have brands that contain no aspirin whatsoever and others that pack 10 times as much as the label declared. Manufacturers would also be free to market aspirin under the name that Native Americans knew it by, cinchona bark, which would add dozens of interesting possibilities for confusion or deception. If you're wondering why more alternative medicines aren't more dangerous given how unregulated they are, well, that's a good question.

The answer: Most include too few active ingredients in their pills, so you're often taking nothing more than a placebo.

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