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Nutrition Science and Everyday Application - beta v 0.1

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DIETARY SUPPLEMENTS 455<br />

REGULATION OF DIETARY SUPPLEMENTS<br />

A dietary supplement is defined as a product that: 1<br />

• is intended to supplement the diet<br />

• contains one or more dietary ingredients (e.g., vitamins, minerals, herbs or other<br />

botanicals, amino acids, <strong>and</strong> enzymes)<br />

• can be taken by mouth as a pill, capsule, tablet, or liquid<br />

• is labeled as being a dietary supplement<br />

The Food <strong>and</strong> Drug Administration (FDA) regulates dietary supplements, but under a<br />

different set of regulations than foods, pharmaceuticals, <strong>and</strong> over-the-counter drugs. In<br />

1994, the Dietary Supplement Health <strong>and</strong> Education Act (DSHEA) created new regulations<br />

for the labeling <strong>and</strong> safety of dietary supplements. Under these rules, the “FDA is not<br />

authorized to review dietary supplement products for safety <strong>and</strong> effectiveness before<br />

they are marketed.” 3 Therefore, the responsibility falls on the manufacturers <strong>and</strong><br />

distributors of dietary supplements to ensure their products are safe before they go to<br />

consumers. The FDA has to prove that the product is unsafe in order to remove it from<br />

the market. This is a big contrast from pharmaceuticals, which must obtain approval from<br />

the FDA, showing substantial evidence that their drugs are safe <strong>and</strong> effective before reaching<br />

the marketplace.<br />

The FDA issued Good Manufacturing Practices (GMPs) for dietary supplements in 2007.<br />

GMPs are a set of requirements <strong>and</strong> expectations by which dietary supplements must be<br />

manufactured, prepared, <strong>and</strong> stored to ensure quality. 4 Manufacturers are expected to<br />

guarantee the identity, purity, strength, <strong>and</strong> composition of their dietary supplements. 4<br />

Once a dietary supplement is on the market, the FDA tracks side effects reported by<br />

consumers, supplement companies, <strong>and</strong> others. If the FDA finds a product to be unsafe, it<br />

can take legal action against the manufacturer or distributor <strong>and</strong> may issue a warning or<br />

require that the product be removed from the marketplace. However, the FDA says it can’t<br />

test all products marketed as dietary supplements that may have potentially harmful hidden<br />

ingredients.<br />

SAFETY OF DIETARY SUPPLEMENTS<br />

With current regulations, the safety of dietary supplements is the manufacturers’<br />

responsibility. Unfortunately, manufacturers don’t always have the public’s best interest in<br />

mind, especially when there is a profit to be gained.

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