Near the end of last year, the New York Times put it bluntly: “Americans spend more than
$30 billion a year on dietary supplements – vitamins, minerals and
herbal products, among others – many of which are unnecessary or of doubtful
benefit to those taking them. That comes to about $100 a year for every man,
woman and child for substances that are often of questionable value.” These are often the same people who see
themselves as being so careful in other cases about what they put into their
bodies.
A boom in sales came after the Dietary Supplement Health and
Education Act of 1994, pushed through by lawmakers with close ties to the
supplement lobby. The number of products
grew from 4,000 to 55,000+ over the next 20 years. The law allowed the industry to sell their products
without submitting any evidence to the Food and Drug Administration as to their
safety or effectiveness. Marketers are
legally allowed to promote products as supporting the health of various parts
of the body but are banned from any claims that they prevent, treat or cure any condition. Clever advertising often skirts this
provision and sometimes violates it completely.
But the problem is not just that they may be ineffective,
that is, a waste of money. Last fall the
Journal of the American Medical Association (JAMA) published a summary of studies
done on supplements. “During the past 2
decades, a steady stream of high-quality studies evaluating dietary supplements
has yielded predominantly disappointing results about potential health
benefits, whereas evidence of harm has continued to accumulate.” They cite various examples of the increased
problems including more than 10,000 calls per year to national poison centers since
2002 “related to ephedra poisonings.”
Surprisingly, as more research shows that particular
substances are no more effective than the sugar pill, the sales do not
generally decrease. Consumers seem to
think that if they don’t work for the target ailment, they at least promote
general good health. A list of
supplements that have failed to live up to the advertisers' promises includes
vitamin C, vitamin E and glucosamine/chondroitin.
What about consumer protection? The government is very involved in this –
considering the fact that they cannot act until actual harmful effects are
reported or the vendors cross the line by promising more than supporting good
health. According to this release from
the Truth in Advertising website, the supplement store GNC, “which has more
than 9,000 store locations worldwide, has been the subject of numerous federal
and state actions and has been named in more than 100 consumer lawsuits.”
Since 1984 the Department of Justice has cited problems in
advertising 3 times. Two resulted in
fines or settlements and the latest in an agreement to take aggressive steps to
prevent illegal products and ingredients from being sold in its stores. The Federal Trade commission has taken seven
actions against GNC or its suppliers, including “Sensa for its deceptive
‘sprinkle, eat and lose weight’ claims.”
On top of that there have been three USPS probes, six investigations by
individual states and ten problems with the Food and Drug Administration
(FDA). (Details are provided in the
Truth in Advertising link.)
There are valid reasons to use supplements such as for known
deficiencies. In the UK for example,
some researchers are recommending that vitamin D be added to some food, like it
is to milk in the US, to address the problem of a populations with lower
exposure to sunlight. In general,
though, it is always better to get nutrients from food rather than popping a
pill. If supplements are needed, patients
should use caution and critical thinking and consult with a health care professional
to confirm that a problem exists and that the particular supplement will be
effective in solving it. Research
continues to show that taking a pill just because it “makes you feel better” is
about the same as throwing away your money.
No comments:
Post a Comment
Click again on the title to add a comment