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Tighter Regulation of Supplements Is Urged

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Dr. Altman noted that the medical literature contains virtually no data on which brand of supplements or herbal preparations most closely resemble their labeling. Nor is country of manufacture a good guideline, Dr. Altman said.

The unreliability of labeling puts both physicians and patients in a bind, he said. “It does present a real dilemma, because even if it's a safe product, like glucosamine, and you'd like to use it, there is no way of really knowing for certain what you're getting. I try and steer my patients toward brands I have personally investigated and feel comfortable with, but there are no databases that contain this information, so people can't make informed choices.”

'I try and steer my patients toward brands I have personally investigated and feel comfortable with.' DR. ALTMAN

The FDA should be tracking all levels of adverse events related to the use of dietary supplements, the GAO report says. ©