SUPPLEMENTS REFERENCES

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A SCIENTIFIC LOOK AT ALTERNATIVE MEDICINE


Dietary Supplements


References


Thomas J. Wheeler, Ph.D.


Associate Professor (retired), Department of Biochemistry and Molecular Biology,

University of Louisville School of Medicine, Louisville KY

thomas.wheeler@louisville.edu


Revised 2021


This material was originally part of a handout for an elective course given to medical students at the University of Louisville.

Copyright 2021. Permission to copy for non-profit uses is granted as long as proper citation of the source is given.


DISCLAIMER: The material presented here is not medical advice. It represents the author's summary of scientific evidence concerning various topics. For medical advice, see your physician.



CONTENTS OF PARTS 1 AND 2:


PART 1 General aspects. Includes overview, regulation and labeling, adverse effects, scientific critique, conventional nutrition, antioxidants, phytochemicals, and reviews and major trials of multiple supplements


PART 2 Some items marketed as dietary supplements. Discusses 175 individual topics, arranged alphabetically.


A pdf file (120 pages), including both parts and references, is available at this site: Supplements2021.pdf


Note: Herbs are regulated along with dietary supplements in the U.S., so their regulation is included in Part 1. For discussion of other aspects of herbs, as well as individual herbal products, see the HERBS article.


REFERENCES

See also references for review articles in the text of Part 1 and Part 2.

Dietary supplements - general

Food and Drug Administration. 2019. Dietary Supplements

Food and Drug Administration. 2015. FDA 101: Dietary supplements

National Institutes of Health. Office of Dietary Supplements


United States Anti-Doping Agency. Supplement 411 ["Supplement 411 is USADA’s dietary supplement safety education and awareness resource."]

National Center for Complementary and Integrative Health. 2018. Diabetes and dietary supplements


Bender DA. 2002. Daily doses of multivitamin tablets. BMJ. 325(7357):173-4 [editorial] (“Regular consumption will probably do you no good, with a few exceptions”)

Lichtenstein AH, Russell RM. 2005. Essential nutrients: food or supplements? Where should the emphasis be? JAMA. 294(3):351-8 [abstract]

Spector R. 2009 May 1. Methodological and statistical issues in adult nutritional research. Skeptical Inquirer

Wallace TC. 2012. Dietary reference intakes and nutrition labeling: updating the daily values for vitamins and minerals. J Am Coll Nutr. 31(4):233-8 [first page preview]

Moyher MW. 2014. Vitamins on trial. Nature. 510(7506):462-4

Frenkel M, Sierpina V. 2014. The use of dietary supplements in oncology. Curr Oncol Rep. 16(11):411 Supplements [abstract]

Gardiner P, Sadikova E, Filippelli AC, White LF, Jack BW. 2015. Medical reconciliation of dietary supplements: don't ask, don't tell. Patient Educ Couns. 98(4):512-7

Kantor ED, Rehm CD, Du M, White E, Giovannucci EL. 2016. Trends in dietary supplement use among US adults from 1999-2012. JAMA. 316(14):1464-74

Gavura S. 2016 Nov 17. What are health professionals telling consumers about dietary supplements? Science-Based Medicine

Austin SB, Yu K, Liu SH, Dong F, Tefft N. 2017. Household expenditures on dietary supplements sold for weight loss, muscle building, and sexual function: Disproportionate burden by gender and income. Prev Med Rep. 24;6:236-41

Manson JE, Bassuk SS. 2018. Vitamin and mineral supplements: What clinicians need to know. JAMA. 319(9):859-60 [abstract]

Marra MV, Bailey RL. 2018. Position of the Academy of Nutrition and Dietetics: Micronutrient supplementation. J Acad Nutr Diet. 118(11):2162-73

Mishra S, Stierman B, Gahche JJ, Potischman N. 2021. Dietary supplement use among adults: United States, 2017-2018. NCHS Data Brief. (399):1-8

Panjwani AA, Cowan AE, Jun S, Bailey RL. 2021. Trends in nutrient- and non-nutrient-containing dietary supplement use among US children from 1999 to 2016. J Pediatr. 231:131-40

Denham BE. 2021. Dietary supplements in the USA: problematic trends. Public Health Nutr. 24(9):2771-5


Labeling and regulation (see also Adverse effects below)

Barrett S. 2020. How the Dietary Supplement Health and Education Act of 1994 weakened the FDA. Quackwatch

Food and Drug Administration. 2009. Guidance for Industry: Substantiation for Dietary Supplement Claims Made Under Section 403(r) (6) of the Federal Food, Drug, and Cosmetic Act

Ellwood KC, Trumbo PR, Kavanaugh CJ. 2010. How the US Food and Drug Administration evaluates the scientific evidence for health claims. Nutr Rev. 68(2):114-21

Ashar BH. 2010. The dietary supplement health and education act: time for a reassessment. Arch Intern Med. 170(3):261-3 [first paragraph]

Nestle M, Ludwig DS. 2010. Front-of-package food labels: public health or propaganda? JAMA. 303(8):771-2 [first paragraph]

Pray WS. 2012. Orrin Hatch and the Dietary Supplement Health and Education Act: Pandora's Box revisited. J Child Neurol. 27(5):561-3

Cohen PA, Maller G, DeSouza R, Neal-Kababick J. 2014. Presence of banned drugs in dietary supplements following FDA recalls. JAMA. 312(16):1691-3

Starr RR. 2015. Too little, too late: ineffective regulation of dietary supplements in the United States. Am J Public Health. 105(3):478-85

Wallace TC. 2015. Twenty years of the Dietary Supplement Health and Education Act - How should dietary supplements be regulated? J Nutr. 145(8):1683-6

Novella S. 2015 Nov 18. US Department of Justice goes after supplements. Science-Based Medicine

Kesselheim AS, Connolly J, Rogers J, Avorn J. 2015. Mandatory disclaimers on dietary supplements do not reliably communicate the intended issues. Health Aff (Millwood). 34(3):438-46

Marcus DM. 2016. Dietary supplements: What's in a name? What's in the bottle? Drug Test Anal. 8(3-4):410-2

Borchers AT, Keen CL, Gershwin ME. 2016. The basis of structure/function claims of nutraceuticals. Clin Rev Allergy Immunol. 51(3):370-82 [abstract]

Anon. 2016 Nov. 6. Is the DSA [Direct Selling Association] ignoring illegal health claims? Truth in Advertising

Aciman A. 2017 Jan 27. What the FDA doesn’t know about alternative medicine - thanks to politics - could kill you. Quartz

Avery RJ, Eisenberg MD, Cantor JH. 2017. An examination of structure-function claims in dietary supplement advertising in the U.S.: 2003-2009. Prev Med. 97:86-92 [abstract]

Bellamy J. 2017 Aug 17. The Congressional Dietary Supplement Caucus. Science-Based Medicine

Mathews NM. 2018. Prohibited contaminants in dietary supplements. Sports Health. 10(1):19-30

Tucker J, Fischer T, Upjohn L, Mazzera D, Kumar M. 2018. Unapproved pharmaceutical ingredients included in dietary supplements associated with US Food and Drug Administration warnings. JAMA Netw Open. 1(6):e183337

Gavura S. 2018 Oct 18. Drugs in your supplements. Science-Based Medicine [discussion of previous item]

Cohen PA, Wen A, Gerona R. 2018. Prohibited stimulants in dietary supplements after enforcement action by the US Food and Drug Administration. JAMA Intern Med. 178(12):1721-3

Bellamy J. 2019 Feb 14. FDA promises industry-friendly “modernization” of dietary supplement regulation. Science-Based Medicine

Miller H, Bloom J. 2019 Jun 17. Viewpoint: FDA must do more to protect consumers from "outright fraud" of dietary supplements. Genetic Literacy Project

Markowitz JS, Gurley PC, Gurley BJ. 2020. Medical foods - a closer look at the menu: a brief review and commentary. Clin Ther. 42(7):1416-23 [abstract]

Felton R. 2021 Mar 9. Beware dietary supplements marketed online. Consumer reports

Adverse effects (see also labeling and regulation above, and general critiques below, as well as individual items under specific topics)

Boullata J. 2005. Natural health product interactions with medication. Nutr Clin Pract. 20(1):33-51 [abstract]

Lee LS, Andrade AS, Flexner C. 2006. Interactions between natural health products and antiretroviral drugs: pharmacokinetic and pharmacodynamic effects. Clin Infect Dis. 43(8):1052-9

Frankos VH, Street DA, O'Neill RK. 2010. FDA regulation of dietary supplements and requirements regarding adverse event reporting. Clin Pharmacol Ther. 87(2):239-44 [abstract]

Genuis SJ, Schwalfenberg G, Siy AK, Rodushkin I. 2012. Toxic element contamination of natural health products and pharmaceutical preparations. PLoS One. 7(11):e49676

Kaye AD. 2014. Critical care medicine and the emerging challenges of dietary supplements, including herbal products. Crit Care Med. 42(4):1014-6 [first page]

Cohen PA. 2014. Hazards of hindsight - monitoring the safety of nutritional supplements. N Engl J Med. 370(14):1277-80

Geller AI, Shehab N, Weidle NJ, Lovegrove MC, Wolpert BJ, et al. 2015. Emergency department visits for adverse events related to dietary supplements. N Engl J Med. 373(16):1531-40

Interlandi J. 2016 Jul 12. Supplements can make you sick. yahoo!finance [also in Consumer Reports, Sep 2016]

Heidemann LA, Navarro VJ, Ahmad J, Hayashi PH, Stolz A, et al. 2016. Severe acute hepatocellular injury attributed to OxyELITE Pro: a case series. Dig Dis Sci. 61(9):2741-8

Eichner A, Tygart T. 2016. Adulterated dietary supplements threaten the health and sporting career of up-and-coming young athletes. Drug Test Anal. 8(3-4):304-6

Deldicque L, Francaux M. 2016. Potential harmful effects of dietary supplements in sports medicine. Curr Opin Clin Nutr Metab Care. 19(6):439-45 [abstract]

Navarro VJ, Khan I, Björnsson E, Seeff LB, Serrano J, Hoofnagle JH. 2017. Liver injury from herbal and dietary supplements. Hepatology. 65(1):363-73

Herriman M, Fletcher L, Tchaconas A, Adesman A, Milanaik R. 2017. Dietary supplements and young teens: misinformation and access provided by retailers. Pediatrics. 139(2):e20161257

Novella S. 2017 Jul 26. Increase in supplement poisonings. Science-Based Medicine

Biggs JM, Morgan JA, Lardieri AB, Kishk OA, Klein-Schwartz W. 2017. Abuse and misuse of selected dietary supplements among adolescents: a look at poison center data. J Pediatr Pharmacol Ther. 22(6):385-93

Ronis MJJ, Pedersen KB, Watt J. 2018. Adverse effects of nutraceuticals and dietary supplements. Annu Rev Pharmacol Toxicol. 58:583-601

Or F, Kim Y, Simms J, Austin SB. 2019. Taking stock of dietary supplements' harmful effects on children, adolescents, and young adults. J Adolesc Health. 65(4):455-61 [abstract]

Navarro V, Avula B, Khan I, Verma M, Seeff L et al. 2019. The contents of herbal and dietary supplements implicated in liver injury in the United States are frequently mislabeled. Hepatol Commun. 3(6):792-4


Anon. 2019 Oct 30. 15 Supplement ingredients to always avoid. Consumer Reports

Felton R. 2020 May 27. FDA's supplement warning system has deadly limitations. Consumer Reports [version from Yahoo News, 2020 Aug 1]

Perez-Sanchez AC, Burns EK, Perez VM, Tantry EK, Prabhu S, Katta R. 2020. Safety concerns of skin, hair and nail supplements in retail stores. Cureus. 12(7):e9477

Zamil DH, Perez-Sanchez A, Katta R. 2020. Acne related to dietary supplements. Dermatol Online J. 26(8):13030/qt9rp7t2p2

White CM. 2020. Dietary supplements pose real dangers to patients. Ann Pharmacother. 54(8):815-9

Anon. 2020 Dec 17. FDA warns consumers to avoid certain male enhancement and weight loss products sold through Amazon, eBay and other retailers due to hidden, potentially dangerous drug ingredients. FDA News Release

Dietary supplements - general critiques (see also adverse effects above)

Barrett S. 2014. The mirage of multilevel marketing. Quackwatch

MLM Watch [multilevel marketing]

Spector R. 2009. Science and pseudoscience in adult nutrition research and practice. Skeptical Inquirer. 33(3):35-41

MartĂ­nez ME, Jacobs ET, Baron JA, Marshall JR, Byers T. 2012. Dietary supplements and cancer prevention: balancing potential benefits against proven harms. J Natl Cancer Inst. 104(10):732-9

Inoue-Choi M, Oppeneer SJ, Robien K. 2013. Reality check: there is no such thing as a miracle food. Nutr Cancer. 65(2):165-8

Vamenta-Morris H, Dreisbach A, Shoemaker-Moyle M, Abdel-Rahman EM. 2014. Internet claims on dietary and herbal supplements in advanced nephropathy: truth or myth. Am J Nephrol. 40(5):393-8 [abstract]

Outram SM, Stewart B. 2015. Should nutritional supplements and sports drinks companies sponsor sport? A short review of the ethical concerns. J Med Ethics. 41(6):447-50 [abstract]

Sax JK. 2015. Dietary supplements are not all safe and not all food: how the low cost of dietary supplements preys on the consumer. Am J Law Med. 41(2-3):374-94 [abstract]

Hall HA, Barrett S. 2016 Feb 9. Puritan’s Pride’s “Vitamin Advisor” wants to sell you something. Quackwatch

Gavura S. 2016 May 19. Where science meets supplements. Science-Based Medicine

Novella S. 2016 Jul 20. Pharmacists selling snakeoil. Science-Based Medicine

Gavura S. 2016 Nov 3. Supplements: still popular despite little evidence they're useful. Science-Based Medicine

Branson C. 2016 Nov 22. Journalists need to prune the overgrowth in the jungle of supplement news. HealthNewsReview.org

Aronson JK. 2017. Defining "nutraceuticals": neither nutritious nor pharmaceutical. Br J Clin Pharmacol. 83(1):8-19

Klatt K. 2017 Jan 10. Dietetics: Embracing integrative and functional medicine. Science-Based Medicine

Novella S. 2017 Aug 16. The supplement con. Science-Based Medicine

Royak D. 2018 Apr 27. I used to be a holistic nutritionist. Science-Based Medicine

Novella S. 2018 May 30. Routine vitamin supplementation mostly useless. Science-Based Medicine

Cardenas D, Fuchs-Tarlovsky V. 2018. Is multi-level marketing of nutrition supplements a legal and an ethical practice? Clin Nutr ESPEN. 25:133-8 [abstract]

Hall H. 2019 Dec 10. Supplements with multiple ingredients, many with no apparent rationale. Science-Based Medicine

Hall H. 2020 Mar 10. "Healthy Directions" is a double misnomer. Science-Based Medicine

Crawford C, Boyd C, Avula B, Wang YH, Khan IA, Deuster PA. 2020. A public health issue: dietary supplements promoted for brain health and cognitive performance. J Altern Complement Med. 26(4):265-72

Hall H. 2020 Aug 4. The recipe for making stupid videos. Science-Based Medicine

Hall H. 2020 Sep 15. Plexus: MLM strikes again. Science-Based Medicine

Hall H. 2021 Feb 9. A pattern of deceptive video ads for supplements. Science-Based Medicine

Hall H. 2021 Jun 1. The Natural Medicine Handbook. Science-Based Medicine

Dietary supplements - specific topics

Note: links for items from the National Institutes of Health Office of Dietary Supplements are for the health professional versions. Each of these has a link at the top directing to the consumer version.

Multivitamin/mineral supplements

National Institutes of Health Office of Dietary Supplements. 2021. Multivitamin/mineral supplements

Wassertheil-Smoller S, McGinn AP. 2014. Multivitamin and mineral supplements: hung jury. Womens Health (Lond). 10(2):111-3

Novella S. 2018 Jul 11. Multivitamins and vascular disease. Science-Based Medicine

Antioxidants and other combinations of supplements

Barrett S. 2018. Antioxidants and related phytochemicals. Quackwatch

D’Andrea GM. 2005. Use of antioxidants during chemotherapy and radiotherapy should be avoided. CA Cancer J Clin. 55(5):319-21

National Institutes of Health 2008 Dec 9. Review of prostate cancer prevention study shows no benefit for use of selenium and vitamin E supplements

Dunham W. 2008 Dec 30. Antioxidants fail again in cancer prevention study. Reuters

Brownstein J. 2011 Oct 10. Vitamins may increase women's risk of dying, research finds. LiveScience

Bast A, Haenen GR. 2013. Ten misconceptions about antioxidants. Trends Pharmacol Sci. 34(8):430-6

Kaiser J. 2014. Biomedical research. Antioxidants could spur tumors by acting on cancer gene. Science. 343(6170):477

Harvie M. 2014. Nutritional supplements and cancer: potential benefits and proven harms. Am Soc Clin Oncol Educ Book. 2014:e478-86

Novella S. 2016 Jan 27. More trouble for antioxidants. Science-Based Medicine

Merry TL, Ristow M. 2016. Do antioxidant supplements interfere with skeletal muscle adaptation to exercise training? J Physiol. 594(18):5135-47

Riley A. 2016 Dec 8. Why vitamin pills don't work, and may be bad for you. BBC

Hall H. 2017 Feb 7. Re-thinking antioxidant supplementation for macular degeneration. Science-Based Medicine

Ernst E. 2018 Jul 3. Antioxidant supplements produce expensive urine, wealthy manufacturers, BUT NOT FERTILE MEN! Edzard Ernst

Quiles J. 2018 Oct 23. A call for caution on antioxidant supplementation. Science-Based Medicine

Spector R. 2019. Antioxidant megavitamins for brain health: puffery vs. fact. Skeptical Inquirer. 43(2):46-50

Lightsey D. 2020 Nov 24. Marketing's holy grail of terms: antioxidants. American Council on Science and Health

Supplements for specific diseases or conditions (see also individual topics below)

Ernst E. 2017 Mar 7. “Foods that will naturally cleanse your arteries.” Edzard Ernst

Reinberg S. 2019 Jul 8. More evidence supplements won’t help the heart. HealthDay

Gavura S. 2019 Sep 19. Do dietary supplements improve heart health? Science-Based Medicine

Ernst E. 2020 Apr 27. How can I stimulate my immune system? A systematic review of clinical trials. Edzard Ernst

Other individual supplements or topics

National Center for Complementary and Integrative Health. 2020. Acai

MedlinePlus. 2021. Activated charcoal

MedlinePlus. 2020. Alfalfa

Department of Defense Dietary Supplement Resource. 2020. Apple cider vinegar in dietary supplements

Ernst E. 2017 Dec 14. The incredible health benefits of Apple Cider Vinegar. Edzard Ernst

MedlinePlus. 2021. L-Arginine

Hall H. 2012 Aug 7. ASEA: another expensive way to buy water. Science-Based Medicine

Hall H. 2017 Nov 7. Update on ASEA, Protandim, and dĹŤTERRA. Science-Based Medicine

Barrett S. 1999. Bee pollen, royal jelly, and propolis. Quackwatch

MedlinePlus. 2021. Bee pollen

Landi F, Calvani R, Picca A, Marzetti E. 2019. Beta-hydroxy-beta-methylbutyrate and sarcopenia: from biological plausibility to clinical evidence. Curr Opin Clin Nutr Metab Care. 22(1):37-43 [abstract]

National Institutes of Health Office of Dietary Supplements. 2021. Biotin

Hall H. 2018 Dec. 11. BladderMax: fake news and outrageous headlines. Science-Based Medicine

MedlinePlus. 2021. Blueberry

National Institutes of Health Office of Dietary Supplements. 2021. Boron

National Center for Complementary and Integrative Health. 2020. Bromelain

National Institutes of Health Office of Dietary Supplements. 2021. Calcium

National Cancer Institute. 2009. Calcium and cancer prevention

Barrett S. 2012. A critical look at Robert Barefoot and Coral Calcium. Quackwatch

National Center for Complementary and Integrative Health. 2019. Cannabis (marijuana) and cannabinoids: What you need to know

U.S. Food and Drug Administration. 2020. What you need to know (and what we’re working to find out) about products containing cannabis or cannabis-derived compounds, including CBD

Bellamy J. 2019 May 9. FDA: No CBD in dietary supplements or foods for now, but let’s talk. Science-Based Medicine

Gavura S. 2019 Jul 11. CBD oil: the new miracle cure. Science-Based Medicine

Novella S. 2020 Mar 25. Cannabinoids for acute pain. Science-Based Medicine

U.S. Food and Drug Administration. 2020 Apr 23. FDA warns companies illegally selling CBD products to treat medical conditions, opioid addiction

Bellamy J. 2020 Apr 23. FDA issues new CBD safety warnings, calls for more research to guide regulation. Science-Based Medicine

Novella S. 2020 Sep 30. Where are we with CBD. Science-Based Medicine

Federal Trade Commission. 2020 Dec 19. FTC announces crackdown on deceptively marketed CBD products

Ernst E. 2021 May 28. Is cannabis an effective treatment for PTSD? Edzard Ernst

MedlinePlus. 2021. Capsicum

National Institutes of Health Office of Dietary Supplements. 2021. Carnitine

Houston L. 2013 Apr 7. Researchers find new pathway linking heart disease to carnitine. Forbes

Hall H. 2020 Apr 28. Chaga tea. Science-Based Medicine

National Institutes of Health Office of Dietary Supplements. 2021. Choline

MedlinePlus. 2021. Chondroitin sulfate

Ernst E. 2017 May 26. SURPRISE, SURPRISE: some dietary supplements do work! (Chondroitin for OA). Edzard Ernst

Hall H. 2017 May 30. New evidence for chondroitin. Science-Based Medicine

National Institutes of Health Office of Dietary Supplements. 2021. Chromium

Vincent JB. 2017. New evidence against chromium as an essential trace element. J Nutr. 147(12):2212-9

National Center for Complementary and Integrative Health. 2020. Cinnamon

Gavura S. 2012 (reposted 2019 Jun 27). How effectively does cinnamon treat diabetes? Science-Based Medicine

MedlinePlus. 2020. Clove

Schardt D. 2017 Jul 17. The truth comes out about coconut oil. Nutrition Action

Hall H. 2019. Coconut oil: health food or health hazard? Skeptic Magazine. 24(3):4-5

MedlinePlus. 2021. Cod liver oil

National Center for Complementary and Integrative Health. 2019. Coenzyme Q10

Ernst E. 2021 Apr 22. Coffee and cancer risk. Edzard Ernst

Gavura S. 2011 Nov 10. Collagen: an implausible supplement for joint pain. Science-Based Medicine

Ernst E. 2019 Feb 28. Collagen, a promising supplement for reducing skin aging? Edzard Ernst

Wadyka S. 2020 Oct 13. The real deal on collagen. Consumer Reports

Pontolillo J. 1998.Colloidal minerals: Unnecessary and potentially hazardous. Quackwatch

National Center for Complementary and Integrative Health. 2020. Cranberry

Gavura S. 2016 Dec 15. Cranberries to prevent urinary tract infections: another alternative medicine zombie that’s impervious to evidence. Science-Based Medicine

Hall H. 2019 Dec 24. Ellura: a supplement backed by evidence. Science-Based Medicine [cranberry product]

Department of Defense Dietary Supplement Resource. 2019. Creatine supplements: the basics

Kreider RB, Kalman DS, Antonio J, Ziegenfuss TN, Wildman R, et al. 2017. International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine. J Int Soc Sports Nutr. 14:18

Bailes JE, Cantu RC, Day AL. 2002. The neurosurgeon in sport: awareness of the risks of heatstroke and dietary supplements. Neurosurgery. 51(2):283-8 [creatine]

Brudnak MA. 2004. Creatine: are the benefits worth the risk? Toxicol Lett. 150(1):123-30 [abstract]

Antonio J, Candow DG, Forbes SC, Gualano B, Jagim AR et al. 2021. Common questions and misconceptions about creatine supplementation: what does the scientific evidence really show? J Int Soc Sports Nutr. 18(1):13

Department of Defense Dietary Supplement Resource. 2019. Deer velvet: is it banned?

Yen SS. 2001. Dehydroepiandrosterone sulfate and longevity: new clues for an old friend. Proc Natl Acad Sci USA. 98(15):8167-9

Department of Defense Dietary Supplement Resource. 2020. DHEA: Can I use it?

Department of Defense Dietary Supplement Resource. 2019. Diatomaceous earth: Is it a useful supplement?

Hall H. 2016 Jul 12. Diatomaceous earth? No thank you! Science-Based Medicine

Hall H. 2020 Jun 23. Dr. Seeds' Chill Pills. Science-Based Medicine [dihydrohonokiol-B]

Deardorff J. 2012 Jun 4. Pressure builds to ban dietary supplement DMAA. Chicago Tribune

Singer N, Lattman P. 2013 Mar 15. Is the seller to blame? New York Times [DMAA]

Department of Defense Dietary Supplement Resource. 2020. Energy drinks and energy shots: What's the problem?

Higgins JP, Tuttle TD, Higgins CL. 2010. Energy beverages: content and safety. Mayo Clin Proc. 85(11):1033-41

Sorkin BC, Camp KM, Haggans CJ, Deuster PA, Haverkos L et al. 2014. Executive summary of NIH workshop on the Use and Biology of Energy Drinks: Current Knowledge and Critical Gaps. Nutr Rev. 72 Suppl 1(Suppl 1):1-8

Childs E. 2014. Influence of energy drink ingredients on mood and cognitive performance. Nutr Rev. 72 Suppl 1:48-59

Anon. 2018 Nov 30. Energy drinks, cramming for final exams could be unhealthy mix. American Heart Association News

Barrett S. 2003. Enzyme deficiency. Quackwatch

Edakkanambeth Varayil J, Bauer BA, Hurt RT. 2014. Over-the-counter enzyme supplements: what a clinician needs to know. Mayo Clin Proc. 89(9):1307-12

Barrett S. 2015 Dec 28. Dubious claims made for DZ10 enzyme supplement. Quackwatch

Hall H. 2017 Aug 22. Viotren and other dietary supplements for erectile dysfunction: buyer beware. Science-Based Medicine

National Center for Complementary and Integrative Health. 2020. Evening primrose oil

Ernst E. 2018 Oct 5. Is evening primrose oil effective after all? I still have my doubts! Edzard Ernst

National Institutes of Health Office of Dietary Supplements. 2021. Dietary supplements for exercise and athletic performance

National Institutes of Health Office of Dietary Supplements. 2021. Omega-3 fatty acids

Kris-Etherton PM, Harris WS, Appel LJ; American Heart Association Nutrition Committee. 2002. Fish consumption, fish oil, omega-3 fatty acids, and cardiovascular disease. Circulation. 106(21):2747-57

O’Neill B. 2010 Mar 1. The cult of omega-3. BBC News

Morin M. 2012 Sep 11. Analysis casts doubt on benefits of omega-3 supplements. Los Angeles Times

Monaco J, Mounsey A, Bello Kottenstette J. 2013. Should you still recommend omega-3 supplements? J Fam Pract.62(8):422-4

Simmer K. 2016. Fish-oil supplementation: the controversy continues. Am J Clin Nutr. 103(1):1-2 [supplementation in pregnancy and lactation]

Ernst E. 2016 Dec 30. Fish oil might prevent asthma. Edzard Ernst

Hall H. 2018 Jun 5. Fake news about fish oil. Science-Based Medicine [claims for a krill oil product]

Novella S. 2018 Aug 8. No benefit from fish oil. Science-Based Medicine

Gavura S. 2018 Sep 20. Fish oil doesn't help dry eyes. Science-Based Medicine

Ernst E. 2018 Sep 26. Fish oil might reduce anxiety. Edzard Ernst

Tummala R, Ghosh RK, Jain V, Devanabanda AR, Bandyopadhyay D et al. 2019. Fish oil and cardiometabolic diseases: Recent updates and controversies. Am J Med. 132(10):1153-9 [abstract]

Department of Defense Dietary Supplement Resource. 2019. Omega-3s and brain injury

Calder PC, Deckelbaum RJ. 2020. Omega-3 fatty acids and cardiovascular outcomes: an update. Curr Opin Clin Nutr Metab Care. 22(2):97-102 [first page preview]

Curfman G. 2020. Do Omega-3 Fatty Acids Benefit Health? JAMA 324(22):2280-1

MedlinePlus. 2021. Omega-6 fatty acids


Department of Defense Dietary Supplement Resource. 2019. Omega 7 supplements

Anon. 2021 Apr 16. Palmitoleic acid paper pulled for data concerns. Retraction Watch

National Center for Complementary and Integrative Health. 2020. Flaxseed and flaxseed oil

Gardner A. 2011 Jun 5. Flaxseed fails as treatment for hot flashes. HealthDay

National Institutes of Health Office of Dietary Supplements. 2021. Fluoride

National Institutes of Health Office of Dietary Supplements. 2021. Folate

Associated Press 2007 Jun 6. Folic acid does not prevent precancerous colon polyps, may hike risk: study. CBC News

Norton A. 2011 Apr 13. Folic acid fails in another heart-health study. Reuters

National Center for Complementary and Integrative Health. 2020. Garlic

Stern A. 2007 Feb 27. Garlic does not lower cholesterol: study. Reuters

Anon. 2007 Oct 15. Why garlic is good for the heart. BBC News

Ernst E. 2017 Jun 30. Garlic against infections? Edzard Ernst

MedlinePlus. 2020. Gelatin

University of Illinois at Urbana-Champaign 2008 Sep 23. Dietary supplement genistein can undermine breast cancer treatment. ScienceDaily

MedlinePlus. 2021. Glucosamine

Barrett S. 2019. Glucosamine and chondroitin for arthritis: Benefit is unlikely. Quackwatch

National Center for Complementary and Integrative Health. 2014. Glucosamine and chondroitin for osteoarthritis

Mroz PJ, Silbert JE. 2003. Effects of [3H]glucosamine concentration on [3H]chondroitin sulphate formation by cultured chondrocytes. Biochem J. 376(Pt 2):511-5 [“We conclude that the cells have excess capacity to form maximal amounts of GlcN from glucose so that exogenous GlcN does not stimulate chondroitin sulphate synthesis.”]

National Center for Complementary and Alternative Medicine 2006 Feb 22. . Efficacy of glucosamine and chondroitin sulfate may depend on level of osteoarthritis pain

Kolata G. 2006 Feb 23. Supplement fail to stop arthritis pain, study says. New York Times

Fox M. 2008 Sep 29. Glucosamine and chondroitin don't slow arthritis. Reuters

Associated Press 2010 Sep 17. 2 Popular arthritis supplements don't work. Fox News

Ernst E. 2019 May 18. Glucosamine supplements might reduce cardiovascular risks. Edzard Ernst

Ernst E. 2020 Jul 17. Glucosamine supplementation is associated with lower mortality due to all causes, cancer, CVD, respiratory and digestive diseases. Edzard Ernst

Avila J, Martz G, Paparella A. 2007 Jun 1. Cure for your disease or empty promise? ABC News [Mannatech and "glyconutrients"]

Schnaar RL, Freeze HH. 2008. A "glyconutrient sham." Glycobiology.18(9):652-7

Schnaar RL, Freeze HH. 2017. A "glyconutrient sham" and the Jenner Glycobiology and Medicine Symposium. Glycobiology. 27(5):383-4


Hall H. 2016 Sep 13. “Glyconutrients,” Mannatech, and Ambrotose: marketing, not science. Science-Based Medicine

MedlinePlus. 2021. Grape

National Center for Complementary and Integrative Health. 2020. Grape seed extract

MedlinePlus. 2021. Grapefruit

Gavura S. 2016 Mar 10. Not natural, not safe: grapefruit seed extract. Science-Based Medicine

Ernst E. 2020 Aug 21. Alcohol hangover: is L-cysteine the solution? Edzard Ernst

Bellamy J. 2020 Sep 10. FDA warns companies selling illegal hangover remedies. Science-Based Medicine

Barrett S. 2016. Growth hormone schemes and scams. Quackwatch

Department of Defense Dietary Supplement Resource. 2020. Huperzine A: dietary supplements for brain health

Crawford C, Wang YH, Avula B, Bae JY, Khan IA, Deuster PA. 2020. The scoop on brain health dietary supplement products containing huperzine A. Clin Toxicol (Phila). 58(10):991-6 [abstract]

Hall H. 2019 Oct 8. Hydrogen water is not “the new nutrient;” health claims are hype, not science. Science-Based Medicine

Hall H. 2020 Oct 6. The evidence for hydrogen water. Science-Based Medicine

Ernst E. 2020 Oct 21. Hydrogen-rich water: the new wonder drug? Edzard Ernst

MedlinePlus. 2021. 5-HTP

Department of Defense Dietary Supplement Resource. 2021. 5-HTP for depression and other conditions

National Institutes of Health Office of Dietary Supplements. 2021. Iodine

National Institutes of Health Office of Dietary Supplements. 2021. Iron

Barrett S. 1999. Juicing. Quackwatch

Barrett S. 2016. Juice Plus: a critical look. Quackwatch

Hall H. 2019 Jun 11. Juice Plus+: good marketing, not good science. Science-Based Medicine

Department of Defense Dietary Supplement Resource. 2020. Ketone supplements for performance

Ernst E. 2018 May 13. Kombucha: hype, harm and humbug. Edzard Ernst

Gavura S. 2019 Jun 13. Lactation cookies feed on breastfeeding anxieties. Science-Based Medicine

Hall H. 2020 Mar 17. Lipogen for premenstrual syndrome (PMS). Science-Based Medicine

MedlinePlus. 2021. Lutein

MedlinePlus. 2021. Lycopene

Ernst E. 2019 Mar 13. "Most of the supplement market is bogus," but surely not the world’s 1st super-supplement! Edzard Ernst [Lyma]

National Institutes of Health Office of Dietary Supplements. 2021. Magnesium

Hall H. 2020 May 26. Is magnesium the underlying cause and treatment for everything? Science-Based Medicine

National Institutes of Health Office of Dietary Supplements. 2021. Manganese

Hall H. 2019 Oct 21. "SuperMannan cures bladder infections!" Really? Science-Based Medicine [mannan oligosaccharides, mannose]

Ernst E. 2019 Jun 10. Matcha tea: the new SCAM to scam the gullible consumer? Edzard Ernst

National Center for Complementary and Integrative Health. 2021. Melatonin: What you need to know

Gavura S. 2013 Jul 4. Melatonin for sleep disorders - safe and effective? Science-Based Medicine

Gavura S. 2017 Mar 9. Melatonin: what's on the label isn't in the bottle. Science-Based Medicine

Erland LA, Saxena PK. 2017. Melatonin natural health products and supplements: presence of serotonin and significant variability of melatonin content. J Clin Sleep Med. 13(2):275-81

Hall H. 2020 Dec 15. Melatonin. Science-Based Medicine

MedlinePlus. 2021. Methylsulfonylmethane (MSM)

Lang KL. 2001. Methylsulfonylmethane (MSM). Quackwatch

Food and Drug Administration 2019. Danger: don’t drink Miracle Mineral Solution or similar products

Gorski D. 2016 Oct 31. Bleaching away what ails you: Miracle Mineral Solution and Jim Humble’s Genesis II Church. Respectful Insolence

National Institutes of Health Office of Dietary Supplements. 2020. Dietary supplements for primary mitochondrial disorders

National Institutes of Health Office of Dietary Supplements. 2021. Molybdenum

MedlinePlus. 2021. Reishi mushroom

Department of Defense Dietary Supplement Resource. 2020. Mushrooms in dietary supplements

Ernst E. 2016 Nov 26. Mushrooms for the management of diabetes? Edzard Ernst

National Institutes of Health Office of Dietary Supplements. 2021. Niacin

Department of Defense Dietary Supplement Resource. 2019. Nitric oxide supplements

National Center for Complementary and Integrative Health. 2020. Noni

Department of Defense Dietary Supplement Resource. 2021. Nootropics: drugs vs. dietary supplements for brain health

Novella S. 2015 May 20. The PIED piper of nootropics. Science-Based Medicine

Hall H. 2016 Nov 29. BrainPlus IQ: lying with advertising Science-Based Medicine

Anon. 2019 Apr 10. Geniux dietary supplement sellers barred from unsupported cognitive improvement claims. Federal Trade Commission

Hall H. 2021 Jul 6. Mayim Bialik's Neuriva commercials make questionable claims. Science-Based Medicine

MedlinePlus. 2021. Olive

MedlinePlus. 2021. Oregano

Anon. 2009 Jul 29. Organic "has no health benefits." BBC News

Morin M. 2014 Jul 14. Organic foods are more nutritious, according to review of 343 studies. Daily Press


National Institutes of Health Office of Dietary Supplements. 2021. Pantothenic acid

MedlinePlus. 2020. Papaya

Campbell A. 2016 Nov 25. Phenibut is neither proven nor safe as a prosocial wonder drug. Science-Based Medicine

National Institutes of Health Office of Dietary Supplements. 2021. Phosphorus

Pett K. 2016 Dec 27. A review of Benecol, a plant-stanol margarine. Science-Based Medicine

National Center for Complementary and Integrative Health. 2020. Pomegranate

National Institutes of Health Office of Dietary Supplements. 2021. Potassium

Federal Trade Commission. 2017 Jan 9. FTC, New York State charge the marketers of Prevagen with making deceptive memory, cognitive improvement claims

Bellamy J. 2018 Jun 21. Prevagen goes P-hacking. Science-Based Medicine

Hall H. 2018 Dec. 4. Reader's Digest promotes prevagen. Science-Based Medicine

Eisner C. 2020 Oct. 21. Americans took Prevagen for years - as the FDA questioned its safety. Wired

National Institutes of Health Office of Dietary Supplements. 2020. Probiotics

MedlinePlus. 2021. Lactobacillus

MedlinePlus. 2021. Saccharomyces boulardii

Abbasi J. 2019. Are probiotics money down the toilet? Or worse? JAMA.321(7):633-5 [first paragraph]

Suez J, Zmora N, Segal E, Elinav E. 2019. The pros, cons, and many unknowns of probiotics. Nat Med. 25(5):716-29 [abstract]

Ernst E. 2019 Jan 15. Probiotics are NOT entirely risk-free. Edzard Ernst

Khoruts A, Hoffmann DE, Britton RA. 2020. Probiotics: promise, evidence, and hope. Gastroenterology. 159(2):409-13

Su GL, Ko CW, Bercik P, Falck-Ytter Y, Sultan S et al. 2020. AGA clinical practice guidelines on the role of probiotics in the management of gastrointestinal disorders. Gastroenterology. 159(2):697-705

Novella S. 2020 Jan 15. Probiotics online. Science-Based Medicine

American Gastroenterological Association. 2020 Jun 9. AGA does not recommend the use of probiotics for most digestive conditions

LaPook J. 2020 Jun 28. Do probiotics actually do anything? 60 Minutes

Gavura S. 2020 Jul 9. Probiotics, revisited. Science-Based Medicine

Hall H. 2019 Mar 12. The "evidence" for Prodovite is junk science. Science-Based Medicine

MedlinePlus. 2021. Propolis

Hall H. 2017 May 9. Protandim update: new studies and an FDA warning letter. Science-Based Medicine

Hall H. 2017 Dec 5. I was wrong about Protandim. Science-Based Medicine

Campbell A. 2017 Apr 8. Nope, quenepa has no health benefits. Science-Based Medicine

Novella S. 2020 Jul 7. More evidence raw milk is bad. Science-Based Medicine


Liu J, Zhu Y, Jay-Russell M, Lemay DG, Mills DA. 2020. Reservoirs of antimicrobial resistance genes in retail raw milk. Microbiome. 8(1):99

National Center for Complementary and Integrative Health. 2013. Red yeast rice

Cohen PA, Avula B, Khan IA. 2017. Variability in strength of red yeast rice supplements purchased from mainstream retailers. Eur J Prev Cardiol. 24(13):1431-4

Gavura S. 2017 Aug 24. Statins beat supplements. Science-Based Medicine [red yeast rice]

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Pezzuto JM. 2019. Resveratrol: twenty years of growth, development and controversy. Biomol Ther (Seoul). 27(1):1-14

Ernst E. 2020 Apr 6. Resveratrol, one of the most promising dietary supplements available to date. Edzard Ernst

National Institutes of Health Office of Dietary Supplements. 2021. Riboflavin

Hall H. 2017 Jan 31. Pink Himalayan sea salt: an update. Science-Based Medicine

National Institutes of Health Office of Dietary Supplements. 2021. Selenium

Ernst E. 2021 May 7. Supplementation with selenium and coenzyme Q 10 may lower cardiovascular mortality. Edzard Ernst

MedlinePlus. 2019. Shark cartilage

National Center for Complementary and Integrative Health. 2020. Soy

Barrett S. 2007. Algae: False claims and hype. Quackwatch

MedlinePlus. 2021. Blue-green algae

National Institutes of Health Office of Dietary Supplements. 2021. Thiamine

Hall H. 2019 Oct 29. Lipo-Flavonoid for tinnitus. Science-Based Medicine

Hall H. 2021 Apr 27. Another in a pattern of really stupid marketing videos, this one claiming tinnitus has nothing to do with the ear and is 100% curable. Science-Based Medicine

MedlinePlus. 2021. L-Tryptophan

Department of Defense Dietary Supplement Resource. 2021. Vinpocetine in dietary supplement products

National Institutes of Health Office of Dietary Supplements. 2021. Vitamin A

National Institutes of Health Office of Dietary Supplements. 2021. Vitamin B12

National Institutes of Health Office of Dietary Supplements. 2021. Vitamin B6

National Institutes of Health Office of Dietary Supplements. 2021. Vitamin C

Barrett S. 2014. The dark side of Linus Pauling's legacy. Quackwatch [vitamin C]

Marshall CW. 2002. Vitamin C: Do high doses prevent colds? Quackwatch

National Institutes of Health Office of Dietary Supplements. 2021. Vitamin D

National Institutes of Health Office of Dietary Supplements. 2021. Vitamin E


National Institutes of Health Office of Dietary Supplements. 2021. Vitamin K

Gorski D. 2016 May 6. Wheatgrass quack Brian Clement returns to the scene of the crime in Six Nations. Respectful Insolence

MedlinePlus. 2021. Whey protein

Department of Defense Dietary Supplement Resource. 2019. Whey protein: the basics

MedlinePlus. 2020. Wild yam

Ernst E. 2020 Jul 7. Yogurt intake reduces all-cause and cardiovascular disease mortality … OR PERHAPS NOT? Edzard Ernst

Barrett S. 2013. Analysis of an ad for ZNatural. Quackwatch [zeolites]

National Institutes of Health Office of Dietary Supplements. 2021. Zinc

Parker-Pope T. 2011 Feb 15. For cold virus, zinc may edge out even chicken soup. New York Times