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HPRC Fitness Arena: Dietary Supplements

Cannabidiol in dietary supplements

FDA says that products with the ingredient cannabidiol can’t be marketed as dietary supplements.

Cannabidiol (CBD) is a major chemical found in marijuana that may have beneficial effects on certain health conditions, but it’s still being tested as a new drug. However, FDA recently announced that products containing CBD cannot be sold as dietary supplements.

Read the Operation Supplement Safety (OPSS) FAQ for more information, which also includes a link to the OPSS FAQ on hemp. While you’re there, check out our other OPSS FAQs. Still can’t find the answer you’re looking for? Use our “Ask the Expert” button located on the OPSS home page.

Energy drinks and teens don’t mix

Energy drinks have become increasingly popular among teens, but they provide no health benefit and can even be harmful.

It’s cause for concern: Approximately 30% of teens consume energy drinks on a regular basis. Energy drinks provide no nutritional benefit and can actually pose health risks to adolescents, including increased heart rate, high blood pressure, anxiety, digestive problems, sleep disturbances, dehydration, and even death. Teens who consume energy drinks are also more likely to engage in unhealthy behaviors such as drinking more sugar-sweetened beverages, smoking cigarettes, and using drugs and alcohol.

Many of the negative effects associated with energy drinks are due to the large amounts of stimulants in these beverages. Their caffeine content can range from 50 to more than 500 mg per can or bottle. The American Academy of Pediatrics recommends that children and teens:

  • consume no more than 100 mg of caffeine per day (equal to about 2 cans of caffeine-containing soda or one 8 oz. cup of coffee) and
  • avoid energy drinks altogether.

However, the amount of caffeine teens consume from energy drinks is trending upwards, in part due to heavy marketing with celebrity athletes. Be sure to talk to your teens about the potential problems associated with energy drinks, and make sure they don’t confuse them with sports drinks.

Are supplements the “whey” to protein?

Whey protein is often referred to as the “king of proteins.” But are whey protein supplements the best option for muscle growth and recovery?

Whole foods, not dietary supplements, should be your first choice for protein. Protein supports muscle growth and repair. People often turn to protein supplements (such as whey, casein, and soy) to optimize those effects, especially after a workout. Whole food protein sources such as lean meats, fish, dairy products, legumes, nuts, and seeds are just as effective (in some cases more effective) than protein supplements. Whey protein products can be an acceptable, convenient, and efficient way to deliver protein when your needs are greater or when normal dietary sources are not available. If you are using protein supplements, be sure to choose a product that has been third-party evaluated for its quality. Read more here.

FDA warns again about powdered caffeine

FDA issued warning letters to 5 distributors of powdered pure caffeine and continues to warn consumers against using these products.

The Food and Drug Administration (FDA) is again warning about the dangers of powdered pure caffeine. At least 2 deaths (both teenagers) were associated with it in 2014, yet it continues to be sold, primarily in bulk online. FDA recently sent warning letters to 5 distributors of pure powdered caffeine, warning about potential serious health effects. FDA notes that it’s difficult to determine the difference between a safe amount and a toxic amount but that one teaspoon is roughly equivalent to 28 cups of coffee. For more information, read FDA’s update and HPRC’s 2014 article.

Where to go for dietary supplement information

Visit OPSS—for the first time or again—for new FAQs, videos and PSAs, and print materials with information about dietary supplements.

Searching for reliable information about dietary supplements and don’t know where to go? Operation Supplement Safety (OPSS) has answers for you. OPSS has a comprehensive “Frequently Asked Questions (FAQs)” section with subcategories about general and miscellaneous topics, dietary supplement ingredients, performance, and weight loss. Or if you’re an educator and need some videos or short PSAs, click on “Tools for Warfighters,” and then search the “Video” tab. We also have materials that can be printed for distribution or ordered through the USAPHC Health Information Products e-catalog.

Didn’t find what you’re looking for while in OPSS? Use our Ask the Expert button located on the OPSS home page

Supplements and medications – What’s the problem?

Dietary supplements can affect how medications work in your body. Read more on what you can do to keep yourself safe.

Dietary supplements and medications (prescription or over-the-counter) can be a dangerous combination. Many dietary supplement ingredients, especially herbs and botanicals, can interact with drugs or even other dietary supplements, which can either increase or decrease the effectiveness of your medications. In other words, you could be getting too much or too little of the medications that you need, putting your health at risk.

If you are taking or plan on taking a dietary supplement, inform your healthcare provider to make sure it’s safe to use with your medications. Even then, you should still take caution, as some dietary supplements contain ingredients not listed on the label.

The Food and Drug Administration (FDA) advises consumers to be aware of certain supplement/drug interactions and offers tips to stay safe. For more information, see the FDA’s Consumer Update. And for information about many known interactions, visit the Natural Medicines Comprehensive Database (NMCD).

Protein powders: Food or supplements?

Some protein powders have Nutrition Facts labels while others have Supplement Facts labels. Is this a case of mislabeling?

Conventional foods and dietary supplements follow different rules when it comes to labeling, but the difference between the two isn’t always black and white. Such is the case with protein powders. If you look closely at various protein powders, you may notice that some are labeled with Nutrition Facts (required for foods), while others have Supplement Facts (required for supplements). So are protein powders conventional foods or dietary supplements? Read more in our OPSS FAQ on protein powder labels.

For more answers to common questions we’ve received about dietary supplements, please visit our Operation Supplement Safety FAQs.

What’s in your energy drink?

Energy drinks are really “stimulant” drinks. Learn how to identify potentially harmful ingredients.

Stimulants can be dangerous to your health, especially in large quantities, but they’re what give energy drinks their “punch.” You may already know caffeine is a major stimulant found in energy drinks. But do you know that energy drinks often contain other stimulants? These can include “hidden sources” of caffeine (such as guarana, green coffee bean, green tea, and yerba mate), yohimbe, and synephrine (bitter orange).

Many energy drinks, however, aren’t labeled with the amounts of caffeine or other stimulants in them. Some or all of these ingredients are often part of “proprietary blends,” so it’s impossible to determine from the label the exact amount of each ingredient you would be taking. Furthermore, energy drinks might be mislabeled or marketed as sports drinks, causing even more confusion.

Remember, stimulants come in many different forms, so Operation Supplement Safety (OPSS) put together a list of stimulants found in dietary supplements to help you identify these potentially harmful ingredients. And to help you understand what’s in your energy drink, check out the OPSS infosheet on energy drink labels, which includes helpful notes about ingredients. 

What should I look for in sports drinks?

Sports drinks are popular products for fueling and hydration during workouts. Learn about what your sports drink should contain and how they stack up to nutrient recommendations for performance.

Sports drinks that contain electrolytes and carbohydrates can be essential to performance by replenishing what is lost during activity, mostly through sweat. For activities less than 60 minutes, water is the best drink to replace lost fluids. If your exercise session or mission exceeds 60 minutes, then sports drinks can be helpful. Follow HPRC’s guidelines for maintaining important nutrients such as fluid, carbohydrates, sodium, and potassium during activity to keep well hydrated and on top of your game. Read more here.

What are high-risk supplements?

HPRC Fitness Arena: Dietary Supplements
Some dietary supplement products contain problematic ingredients. Find out which ones might pose a health risk.

High-risk dietary supplements are those that may present serious health risks. Many have been found to contain undeclared drug ingredients, steroids, steroid-like ingredients, and/or stimulants, which can have negative and dangerous side effects. Products most commonly “tainted” in this way are those marketed for bodybuilding, performance enhancement, weight loss, sexual enhancement, and diabetes. Such products may also result in a positive drug test. For more information, read FDA’s Consumer Update “Tainted Products Marketed as Dietary Supplements.” For more information about urinalysis and drug testing, read HPRC’sDietary supplements and drug testing."

In addition, you can visit the OPSS High-Risk Supplement List for information about certain dietary supplements that may pose a health or sport anti-doping risk.

For more Frequently Asked Questions about dietary supplements, visit the Operation Supplement Safety (OPSS) FAQs.

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