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Study: 1/3 of all herbal supplements are fakes

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ToxicAdam

Member
Americans spend an estimated $5 billion a year on unproven herbal supplements that promise everything from fighting off colds to curbing hot flashes and boosting memory. But now there is a new reason for supplement buyers to beware: DNA tests show that many pills labeled as healing herbs are little more than powdered rice and weeds.

Using a test called DNA barcoding, a kind of genetic fingerprinting that has also been used to help uncover labeling fraud in the commercial seafood industry, Canadian researchers tested 44 bottles of popular supplements sold by 12 companies. They found that many were not what they claimed to be, and that pills labeled as popular herbs were often diluted — or replaced entirely — by cheap fillers like soybean, wheat and rice.

Consumer advocates and scientists say the research provides more evidence that the herbal supplement industry is riddled with questionable practices. Industry representatives argue that any problems are not widespread.

For the study, the researchers selected popular medicinal herbs, and then randomly bought different brands of those products from stores and outlets in Canada and the United States. To avoid singling out any company, they did not disclose any product names.

Among their findings were bottles of echinacea supplements, used by millions of Americans to prevent and treat colds, that contained ground up bitter weed, Parthenium hysterophorus, an invasive plant found in India and Australia that has been linked to rashes, nausea and flatulence.

Two bottles labeled as St. John’s wort, which studies have shown may treat mild depression, contained none of the medicinal herb. Instead, the pills in one bottle were made of nothing but rice, and another bottle contained only Alexandrian senna, an Egyptian yellow shrub that is a powerful laxative. Gingko biloba supplements, promoted as memory enhancers, were mixed with fillers and black walnut, a potentially deadly hazard for people with nut allergies.

Of 44 herbal supplements tested, one-third showed outright substitution, meaning there was no trace of the plant advertised on the bottle — only another plant in its place.

Many were adulterated with ingredients not listed on the label, like rice, soybean and wheat, which are used as fillers.

In some cases, these fillers were the only plant detected in the bottle — a health concern for people with allergies or those seeking gluten-free products, said the study’s lead author, Steven G. Newmaster, a biology professor and botanical director of the Biodiversity Institute of Ontario at the University of Guelph.

The findings, published in the journal BMC Medicine, follow a number of smaller studies conducted in recent years that have suggested a sizable percentage of herbal products are not what they purport to be. But because the latest findings are backed by DNA testing, they offer perhaps the most credible evidence to date of adulteration, contamination and mislabeling in the medicinal supplement industry, a rapidly growing area of alternative medicine that includes an estimated 29,000 herbal products and substances sold throughout North America.

“This suggests that the problems are widespread and that quality control for many companies, whether through ignorance, incompetence or dishonesty, is unacceptable,” said David Schardt, a senior nutritionist at the Center for Science in the Public Interest, an advocacy group. “Given these results, it’s hard to recommend any herbal supplements to consumers.”

Representatives of the supplement industry said that while mislabeling of supplements was a legitimate concern, they did not believe it reached the extent suggested by the new research.

Stefan Gafner, the chief science officer at the American Botanical Council, a nonprofit group that promotes the use of herbal supplements, said the study was flawed, in part because the bar-coding technology it used could not always identify herbs that have been purified and highly processed.

“Over all, I would agree that quality control is an issue in the herbal industry,” Dr. Gafner said. “But I think that what’s represented here is overblown. I don’t think it’s as bad as it looks according to this study.”

The Food and Drug Administration has used bar-coding technology to warn and in some cases prosecute sellers of seafood found to be “misbranded.” The DNA technique has also been used in studies of herbal teas, which showed that a significant percentage contain herbs and ingredients that are not listed on their labels.

But policing the supplement industry is a special challenge. The F.D.A. requires that companies test the products they sell to make sure that they are safe. But the system essentially operates on the honor code. Unlike prescription drugs, supplements are generally considered safe until proved otherwise.

Under a 1994 federal law, they can be sold and marketed with little regulatory oversight, and they are pulled from shelves generally only after complaints of serious injury. The F.D.A. audits a small number of companies, but even industry representatives say more oversight is needed.

“The regulations are very appropriate and rigorous,” said Duffy MacKay of the Council for Responsible Nutrition, a supplement industry trade group. “But we need a strong regulator enforcing the full force of the law. F.D.A. resources are limited, and therefore enforcement has not historically been as rigorous as it could be.”

An F.D.A. spokeswoman did not respond to a request for comment.

DNA bar coding was developed about a decade ago at the University of Guelph. Instead of sequencing entire genomes, scientists realized that they could examine genes from a standardized region of every genome to identify species of plants and animals. These short sequences can be quickly analyzed — much like the bar codes on the items at a supermarket — and compared with others in an electronic database. An electronic reference library at Guelph called the International Barcode of Life Project, contains over 2.6 million bar code records for almost 200,000 species of plants and animals.

The testing technique is not foolproof. It can identify the substances in a supplement, but it cannot determine their potency. And because the technology relies on the detection of DNA, it may not be able to identify concentrated chemical extracts that do not contain genetic material, or products in which the material has been destroyed by heat and processing.

But Dr. Newmaster emphasized that only powders and pills were used in the new research, not extracts. In addition, the DNA testing nearly always detected some plant material in the samples —just not always the plant or herb named on the label.

[more at link]

http://www.nytimes.com/2013/11/05/science/herbal-supplements-are-often-not-what-they-seem.html?_r=0


The biggest headscratcher for me in my lifetime was how an industry so big and sells things we ingest could be so unregulated.
 

ToxicAdam

Member
I could have told you that.

I don't know why I expected the people who sell snake oil to actually use real snake oil. My cynicism wasn't deep enough.

What are the companies doing this?

For the study, the researchers selected popular medicinal herbs, and then randomly bought different brands of those products from stores and outlets in Canada and the United States. To avoid singling out any company, they did not disclose any product names


Would be nice to know the names to see if they just selected the worst companies to make the problem seem worse than it is.
 

studyguy

Member
Herbal supplements like what?
I mean I take a multivitamin in the morning for the hell of it, why not.

Thought this was talking about those Vitamin supplements you see in stores... seems more like this is the "alternative medicine" sort of herbs.
 

ToxicAdam

Member
Herbal supplements like what?
I mean I take a multivitamin in the morning for the hell of it, why not.

Thought this was talking about those Vitamin supplements you see in stores... seems more like this is the "alternative medicine" sort of herbs.

Herbal supplements are products like St. John's Wort, Ginko Biloba, Kava, Pennyroyal and Chapparel.
 
Herbal supplements like what?
I mean I take a multivitamin in the morning for the hell of it, why not.

Thought this was talking about those Vitamin supplements you see in stores... seems more like this is the "alternative medicine" sort of herbs.

Vitamins could actually make you worse. Don't take anything like that unless you need to.
 

Funky Papa

FUNK-Y-PPA-4
I suggest you to watch Bigger Stronger Faster for a look at how fucking INSANE is the lack of regulation when it comes to supplements.

The FDA is essentially barred from doing shit because of some douchelords who lobbied like mad in order to be able to sell sawdust while parroting its alleged health benefits in big flashy labels with no actual basis whatsoever.
 
I suggest you to watch Bigger Stronger Faster for a look at how fucking INSANE is the lack of regulation when it comes to supplements.

The FDA is essentially barred from doing shit because of some douchelords who lobbied like mad in order to be able to sell sawdust while parroting its alledged health benefits in big flashy labels with no actual basis whatsoever.

Yep. As long as you don't claim that it cures a disease, you can sell whatever the fuck you want, regulation free.
 

Opiate

Member
The impact of the 1994 law mentioned briefly in this article cannot be understated. It isn't that the FDA isn't paying attention, it's that they've been deliberately hamstrung by said laws so that their oversight in these matters is essentially nil.

As long as you are listed as a non-prescription herbal remedy that makes no specific structure function claims (e.g. you can say that you "boost the immune system" or "increase energy," which are vague nebulous claims, but you cannot say you eliminate flu symptoms or remit cancer or anything specific like that), you are virtually oversight free thanks to the 1994 easing of regulation.
 

Opiate

Member
Can you elaborate on this?

I can. There are two potential problems with multivitamins:

1) Overdosing on vitamins. Many of these multivitamins include very high doses of specific minerals which if properly absorbed could cause overdoses. Vitamins, like most "healthy" things, are good only in moderation.
2) With all that said, your chances of overdosing are quite low, because absorption rates on vitamins in pill form are extremely small. As in, the amount of actual vitamin your system absorbs from these pills is nearly nonexistent. We don't quite know why yet, we just know that it's true. As such, there's a real chance that the tiny amount of vitamins you get from a pill is less valuable than the (possibly) tiny amount of contaminants you get along with it. All pills contain at least some contaminants -- it's inevitable with any ingest product, even hamburgers have some fecal matter, etc. -- but these types of supplements may contain an especially large amount because they are largely unregulated.
 

Esch

Banned
Its all a conspiracy by big drug companies, of course. How will they compete with powerful natural supplements?
 

studyguy

Member
I can. There are two potential problems with multivitamins:

1) Overdosing on vitamins. Many of these multivitamins include very high doses of specific minerals which if properly absorbed could cause overdoses. Vitamins, like most "healthy" things, are good only in moderation.
2) With all that said, your chances of overdosing are quite low, because absorption rates on vitamins in pill form are extremely small. As in, the amount of actual vitamin your system absorbs from these pills is nearly nonexistent. We don't quite know why yet, we just know that it's true. As such, there's a real chance that the tiny amount of vitamins you get from a pill is less valuable than the (possibly) tiny amount of contaminants you get along with it. All pills contain at least some contaminants -- it's inevitable with any ingest product, even hamburgers have some fecal matter, etc. -- but these types of supplements may contain an especially large amount because they are largely unregulated.

Aw man... but I like my Flintstone chewables, especially the red ones!
Honestly though, I don't necessarily get to eat as balanced a diet as I used to, so I'd imagine I probably get something out of taking them. I usually just take one in the morning and that's about it... beats me, might be worth looking into either way I guess.
 
I drank some swig with a cobra in it once and my sexual prowess has been off the charts.

supplements work confirmed.

:this message has not been approved by the FDA

I hate all this herbal supplement stuff. Last week my wife drank some kind of clay.. clay..
 
4x06-Cherokee-Hair-Tampons-south-park-21441398-720-540.jpg
 

entremet

Member
The impact of the 1994 law mentioned briefly in this article cannot be understated. It isn't that the FDA isn't paying attention, it's that they've been deliberately hamstrung by said laws so that their oversight in these matters is essentially nil.

As long as you are listed as a non-prescription herbal remedy that makes no specific structure function claims (e.g. you can say that you "boost the immune system" or "increase energy," which are vague nebulous claims, but you cannot say you eliminate flu symptoms or remit cancer or anything specific like that), you are virtually oversight free thanks to the 1994 easing of regulation.

Wasn't that law spearheaded by Orrin Hatch of Utah, which lead to the creation of the supplement industry?
 
It's like some sort of weird philosophical conundrum - if the snake oil you are selling is fake, is it still snake oil?

On the other hand, this is basically the biggest ever trial of "active" herbal remedies against filler, and it took genetic testing before anyone noticed - herbal remedies indistinguishable from placebos - what a complete surprise!
 
The problem is not with St. John's wort (extract).
The problem is you might not be ingesting it at all.

The other side of that coin is that even if you get what's advertised, there's no real benefit either. A pill of sawdust and a pill of St John's Wort will have roughly the same effect.
 

ToxicAdam

Member



The early studies of extracts standardized for hypericin found it to be about twice as effective as a placebo. A few studies found it somewhat more effective than a standard antidepressant. However, none of these studies lasted more than six weeks, which is not long enough to determine how long the herb would be effective or to detect any long-term adverse effects [4]. In addition, some of the studies were not well-designed [3,5]. In most of these studies, the diagnosis was not well established, the placebo response rate was lower than usually seen in such studies, the dosage of standard antidepressants was low, and the dosage of hypericin varied more than six-fold. [4


After reviewing 26 clinical trials that compared St. John's wort to placebo, he noted that only two were conducted in the United States, and both were negative. This is significant, he said, because journals outside of English-speakng countries are much more likely than those in the United States, Canada, Australia and New Zealand to publish undeservedly positive results [6]. The negative studies to which he referred were much larger and better designed than the rest. The first one, which involved 200 participants and was published in 2001, found no benefit against severe ("major") depression [7]. The second study, which involved 340 participants and was published in 2002, found no benefit against moderately severe depression [8]. Both studies, in addition to being larger and longer than the rest, were double-blind, randomized, placebo controlled, and conducted at multiple sites—which is the gold standard for clinical research.

In 2003, researchers who tested 54 commercial St. Johns wort products purchased in Canada and the United States reported that only two products had a total hypericin content (hypericin plus pseudohypericin) within 10% of the amount stated on the label

http://www.quackwatch.com/01QuackeryRelatedTopics/DSH/stjohn.html
 

http://jama.jamanetwork.com/article.aspx?articleid=194814#RESULTS This is one of the (major) studies he cites, please read (because he didn't).
Then read this: http://jpet.aspetjournals.org/content/290/3/1363.full.pdf+html

Yes, St. John's Wort has been shown in some studies to offer a slight short term improvement in people with mild depression for reasons no one can scientifically explain. I guess you can technically claim that it's slightly better than sawdust, but I don't believe anyone has tried the same studies with sawdust. It's about as effective as a cookie.

hahahahaha
 

Cyan

Banned
It's like some sort of weird philosophical conundrum - if the snake oil you are selling is fake, is it still snake oil?

On the other hand, this is basically the biggest ever trial of "active" herbal remedies against filler, and it took genetic testing before anyone noticed - herbal remedies indistinguishable from placebos - what a complete surprise!

Right, it's a funny kind of issue, isn't it. On the one hand, it's kind of shitty to present what you're actually selling as something totally different. On the other hand... they're already doing that.
 

Piecake

Member
Herbal supplements like what?
I mean I take a multivitamin in the morning for the hell of it, why not.

Thought this was talking about those Vitamin supplements you see in stores... seems more like this is the "alternative medicine" sort of herbs.

multivitamins are useless and can actually be bad for you. Too much of a good thing is actually a bad thing.

About the only worthwhile suppliments are Vitamin D if you don't get enough sun, and Fish oil, if you dont get enough good omega (eating fish would obviously be better)

Check this out if you don't believe me

http://minnesota.publicradio.org/display/web/2013/08/13/daily-circuit-vitamins-health
 
I'm sure a board certified psychiatrist, facing a patient with depression that left untreated, might spiral into suicide, would say -- "Oh yeah, just take St John's wart. Does the specific mechanism work with your brain chemistry? Probably, we won't need a followup appointment to check. How much should you take? Eh, whatever dosage is in a single pill in the particular supplement you decide to buy. How long should you take it? Is it worth exploring CBT with a psychologist to find factors that contribute to your condition? Nah, don't worry about any of that."
 
I'm sure a board certified psychiatrist, facing a patient with depression that left untreated, might spiral into suicide, would say -- "Oh yeah, just take St John's wart. Does the specific mechanism work with your brain chemistry? Probably, we won't need a followup appointment to check. How much should you take? Eh, whatever dosage is in a single pill in the particular supplement you decide to buy. How long should you take it? Is it worth exploring CBT with a psychologist to find factors that contribute to your condition? Nah, don't worry about any of that."

And I thought I had used all my laughs with Kano's post.
 

hey_it's_that_dog

benevolent sexism
I can. There are two potential problems with multivitamins:

1) Overdosing on vitamins. Many of these multivitamins include very high doses of specific minerals which if properly absorbed could cause overdoses. Vitamins, like most "healthy" things, are good only in moderation.
2) With all that said, your chances of overdosing are quite low, because absorption rates on vitamins in pill form are extremely small. As in, the amount of actual vitamin your system absorbs from these pills is nearly nonexistent. We don't quite know why yet, we just know that it's true. As such, there's a real chance that the tiny amount of vitamins you get from a pill is less valuable than the (possibly) tiny amount of contaminants you get along with it. All pills contain at least some contaminants -- it's inevitable with any ingest product, even hamburgers have some fecal matter, etc. -- but these types of supplements may contain an especially large amount because they are largely unregulated.

Got it. I was aware of the potential to get too much of certain minerals. I hadn't thought about the ratio of absorption vs. contaminants, though I was aware that a lot of vitamin content in supplements goes to waste.
 

Jag

Member
Regarding FDA authority, if a product is adulterated and doesn't contain what is on the label, the FDA can treat it as an unapproved new drug and has the full force of Federal Law behind them to enforce both civil and criminal penalties. Saying the FDA has no authority here is incorrect. The FDA has an entire division dedicated to supplement regulation.

While existing products don't have to be registered like drugs, once it is on the market, if there are any health risks the FDA has the full authority to pull it and go after the perpetrators.
 

zigg

Member
On the other hand, this is basically the biggest ever trial of "active" herbal remedies against filler, and it took genetic testing before anyone noticed - herbal remedies indistinguishable from placebos - what a complete surprise!
Haha, I was just about to post this. Love it. 😄
 
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