Filed under: Supplements
Before you reach for dietary supplements marketed as “testosterone boosters,” consider this: They probably won’t produce the results you’re looking for, and while some of the ingredients in these products might not be cause for concern, others might put your health and career at risk. To learn more about the safety and effectiveness these types of supplements, visit the Operation Supplement Safety (OPSS) FAQ about testosterone boosters. However, if you’re concerned about your testosterone levels or if you’re experiencing related symptoms such as low sex drive, insomnia, or depression, talk to your healthcare provider.
In recent years, the Food and Drug Administration (FDA) has taken action against dietary supplement companies for selling products with ingredients that put them in a category of being “adulterated” or “misbranded.” Examples of these ingredients include Acacia rigidula, BMPEA, DMAA, DMBA, ephedra, methylsynephrine, and picamilon. Such ingredients have been determined to be unsafe, lack evidence of safety, don’t meet the definition of a dietary ingredient, or combinations of these issues. Some are even used as drugs in other countries.
Although these ingredients are not allowed in dietary supplements, you might still find them in some products, so always read product labels carefully. Service members especially take note! Since FDA has declared the ingredients listed above (and others) to be “illegal” or “not allowed” in dietary supplements for one reason or another, commands have restricted their use by military members. For more information about FDA’s role in regulating dietary supplement products and ingredients, visit FDA’s web page.
DHEA, short for dehydroepiandrosterone (also known as Prasterone), and chemical variations of this dietary supplement ingredient are commonly found in products marketed for sexual enhancement and bodybuilding such as testosterone boosters and prohormones. They’re also marketed to produce effects similar to anabolic steroids. Unlike anabolic steroids, DHEA is not illegal, but it is prohibited by professional sports organizations such as the World Anti-Doping Agency (WADA) and the National Collegiate Athletic Association (NCAA). Members of the Coast Guard should especially look out for supplements containing this ingredient, as they are not permitted to take any substances NCAA classifies as anabolic agents. To learn more, visit the OPSS FAQ about DHEA.
Operation Supplement Safety (OPSS) has a new infographic about stimulants. Do you want to know what types of dietary supplements commonly contain stimulants? Or how to tell if your supplement contains a stimulant? Or what can happen if you take too much or too many stimulants? Get up to speed and check out the infographic below with information on what you need to know about these dietary supplement ingredients. Use it in conjunction with the OPSS stimulants list to help you with these ingredients often found in dietary supplements.
Another ingredient that has been showing up in dietary supplement products recently is Acadia rigidula. FDA recently declared that it is not acceptable in such products because it falls in the class known as a “new dietary ingredient.” A. rigidula is just the latest in a series of ingredients FDA has disallowed for this reason. Others include DMAA, DMBA, BMPEA, and aegeline. Visit the Operation Supplement Safety (OPSS) FAQ about Acacia rigidula to learn more, and explore the OPSS FAQs about ingredients to learn about others not permitted in dietary supplement products. especially BMPEA, which has been associated with A. rigidula.
If you’ve searched recently for dietary supplements to enhance your performance, you may have come across products marketed as “ketone supplements.” Before you consider taking any of these products, read the new Operation Supplement Safety FAQ about ketone supplements. Learn what ketone supplements are and if they’re worth the often-hefty price tag.
If you’re curious about other supplements marketed for performance, check out the OPSS Performance FAQs. Can’t find the answers you’re looking for? Send us a question using our Ask the Expert feature.
The Food and Drug Administration recently announced that methylsynephrine (also known as oxilofrine) “does not meet the statutory definition of a dietary supplement ingredient.” So what does this mean? Products containing methylsynephrine are adulterated and can’t be marketed legally as dietary supplements. Methylsynephrine is also prohibited in sport because it’s a pharmaceutical drug (not currently approved in the U.S) and a stimulant that increases blood pressure and affects heart rate. What’s more, some supplements have been found to contain methylsynephrine in amounts equal to or greater than pharmaceutical doses.
The consequences of taking methylsynephrine in large amounts or in combination with other stimulants aren’t entirely known, but one product containing this ingredient and other stimulants has been linked to nausea, vomiting, agitation, increased heart rate, chest pain, and cardiac arrest. If you’re considering taking a dietary supplement with methylsynephrine or oxilofrine on the label, you might want to think twice. For more from FDA, please see “Methylsynephrine in Dietary Supplements.”
Most dietary supplement products are marketed for adults 18 and older and typically carry a warning on the label against use by those under 18. That’s because there has been little to no reliable research done on the use of dietary supplements—especially those marketed for bodybuilding and performance enhancement—by people under the age of 18. As such, the National Federation of State High School Associations (NFHS) strongly opposes the use of dietary supplements by high school athletes to gain a competitive advantage.
Whether you’re a teen athlete, parent, coach, or healthcare provider, here are a few things to keep in mind:
Teens: Achieving your athletic goals means hard work. Taking shortcuts with dietary supplements can be harmful to your health and have a negative effect on your future athletic ambitions. Watch OPSS’s video below to learn about one college athlete’s experience.
Parents and coaches: Talk often with your athletes about dietary supplements, and encourage them to eat whole foods to fuel their bodies. Download HPRC’s “Fueling the adolescent athlete,” which has helpful suggestions for hydrating and for eating between workouts.
Healthcare providers: Use the OPSS Guidelines to ask about supplement use as part of taking a comprehensive dietary supplement history. Counsel athletes and their parents about the risks involved with using dietary supplements and other performance-enhancing substances. Promote proper nutrition, training, and rest to improve performance.
Remember, teens (and adults) can get all the nutrients their bodies need by eating a variety of nutrient-rich foods. Teens and adults don’t need supplements unless a doctor determines it’s needed to treat deficiency of a particular nutrient.
SARMs (selective androgen receptor modulators) are unapproved, experimental drugs sometimes illegally marketed and sold as dietary supplement products. They’re also available on the Internet in other forms, but their use in sport is prohibited. Use of SARMs can affect military performance and readiness.
Operation Supplement Safety (OPSS) has an FAQ about SARMS, including a link to a list of more than 200 dietary supplements and other commercial products containing SARMs. The list also includes an extensive list of SARM names to help you identify them on product labels.
HPRC’s Ask the Expert feature is available if you have particular questions about these ingredients or any other questions about dietary supplements.
In the sea of dietary supplements, can you tell which ones are safe to take and which to avoid? Do you often find yourself confused, wondering what you should be looking for in a product? Operation Supplement Safety (OPSS) has you covered. Here are just some of the tools that OPSS provides to help you choose supplements wisely:
- Frequently Asked Questions (FAQs). HPRC receives hundreds of questions every year, and we’ve put answers to the most frequently asked questions in this section of OPSS. You’ll find information about banned substances in the military, hot-topic dietary supplement ingredients, and more.
- OPSS Scorecard. The scorecard consists of just 7 questions to show you what to look for on a product label and help you determine if a product is okay or a “no-go.”
- OPSS High-Risk Supplement List. With HRSL, you can see if a certain dietary supplement product might pose a health or sport anti-doping risk.
- Natural Medicines Comprehensive Database. NMCD, a partner of HPRC, provides information about the safety and effectiveness of thousands of dietary supplement products and ingredients. And best of all, it’s free to all DoD personnel with a “.mil” email address.
The goal of OPSS is to provide you with the most reliable and relevant information about dietary supplements, but if you can’t find what you’re looking for, send us a question using our Ask the Expert feature.