Nutritional Supplements - their safety and effectiveness

1. Key Points

Many people take dietary supplements in an effort to be well and stay healthy. With so many dietary supplements available and so many claims made about their health benefits, how can a consumer decide what's safe and effective?

Federal regulations for dietary supplements are very different from those for prescription and over-the-counter drugs. For example, a dietary supplement manufacturer does not have to prove a product's safety and effectiveness before it is marketed.

If you are thinking about using a dietary supplement, first get information on it from reliable sources. Keep in mind that dietary supplements may interact with medications or other dietary supplements and may contain ingredients not listed on the label.

Tell your health care providers about any complementary and alternative practices you use, including dietary supplements. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care.

2. About Supplements

Dietary supplements were defined in a law passed by Congress in 1994 called the Dietary Supplement Health and Education Act (DSHEA). According to DSHEA, a dietary supplement is a product that:

  • Is intended to supplement the diet
  • Contains one or more dietary ingredients (including vitamins, minerals, herbs or other botanicals, amino acids, and certain other substances) or their constituents
  • Is intended to be taken by mouth, in forms such as tablet, capsule, powder, softgel, gelcap, or liquid
  • Is labeled as being a dietary supplement.

Herbal supplements are one type of dietary supplement. An herb is a plant or plant part (such as leaves, flowers, or seeds) that is used for its flavor, scent, and/or therapeutic properties. "Botanical" is often used as a synonym for "herb." An herbal supplementmay contain a single herb or mixtures of herbs.

Research has shown that some uses of dietary supplements are effective in preventing or treating diseases. For example, scientists have found that folic acid (a vitamin) prevents certain birth defects, and a regimen of vitamins and zinc can slow the progression of the age- related eye disease macular degeneration. Also, calcium and vitamin D supplements can be helpful in preventing and treating bone loss and osteoporosis (thinning of bone tissue).

Research has also produced some promising results suggesting that other dietary supplements may be helpful for other health conditions (e.g., omega-3 fatty acids for coronary disease), but in most cases, additional research is needed before firm conclusions can be drawn.

Source:  National Institute of Health, National Center for Complementary and Alternative Medicine   http://nccam.nih.gov/

Factsheets

A series of fact sheets that provides basic information about specific herbs or botanicals--common names, uses, potential side effects, and resources for more information - and the same for vitamins.

HERBALS

VITAMINS

  • Calcium
  • Chromium
  • Folate
  • Iodine
  • Iron
  • Magnesium
  • Selenium
  • Vitamin A
  • Vitamin B12
  • Vitamin B6
  • Vitamin C
  • Vitamin D
  • Vitamin E
  • Vitamin K
  • Zinc

Source:  http://www.nutrition.gov