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Don’t let supplements send you to the ER

HPRC Fitness Arena: Dietary Supplements
Filed under: Drugs, OPSS, Supplements
Some supplements can have serious adverse effects and lead you to seek medical help. But there are things you can do to stay safe and out of the emergency room.

It is estimated that more than 20,000 Americans go to an emergency room every year for reasons related to dietary supplements such as allergic reactions and adverse events, according to a government study. Adverse events can result from ingredients in dietary supplements themselves or from drug-supplement interactions and can have serious side effects. Among adults, common complaints include chest pain and increased heart rate and are often associated with weight-loss products, energy products, bodybuilding products, and sexual-enhancement products.

Before taking any dietary supplement, talk to your doctor and be an informed consumer. It can prevent a health scare and even could save your life! For more information, please visit Operation Supplement Safety (OPSS), including the OPSS High-Risk Supplement List. And for more information about this study, read this article from MedlinePlus.

Substance abuse: Stop it now

HPRC Fitness Arena: Mind Tactics, Total Force Fitness
October is National Substance Abuse Prevention Month. Read more about how substance abuse can affect you and how to put an end to it.

Substance abuse can be detrimental to your health and your career, and it’s on the rise in the military, but you can learn to avoid and overcome it. Stress from active-duty service, deployments, family, and life in general might lead you to try tobacco, alcohol, or drugs as a source of relief. In the long run, though, substance abuse can take a toll on your body and affect your heart, lungs, liver, and mind, putting even more stress on you and your family. Staying clear of self-medication (and the slippery slope of substance abuse) is a good way to stay healthy, be productive, and live longer.

Everyone needs help sometimes, so don’t be afraid to reach out for help with substance abuse. Each service has its own substance-abuse treatment and prevention program to help you get better and return to duty:

For more information on substance abuse, please visit this Military OneSource web page.

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 the FDA News Release “Tainted products marketed as dietary supplements potentially dangerous.” 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.

Here's how you shouldn't "spice" up your career!

HPRC Fitness Arena: Mind Tactics, Total Force Fitness

Synthetic drugs are laboratory-made substances marketed and sold as alternatives to illegal drugs such as marijuana, cocaine, and amphetamines. Although most are advertised as “all-natural,” they may have serious health effects and violate the Uniform Code of Military Justice (UCMJ). HPRC takes a look at two examples of synthetic drugs, their legal status, and how they can affect service members in “HPRC’s Answer: Synthetic Drugs of Abuse.”

Questions about C4 Extreme?

Will C4 Extreme cause you to “pop positive” on a drug test? Read the OPSS FAQ to find out the answer.

HPRC has received many questions about C4 Extreme and whether or not it will result in a positive drug test. We have posted an OPSS FAQ to answer the question. Be sure to check back often as we add answers to other questions about ingredients in performance and weight-loss supplements and how to choose supplements safely. If you have additional questions about a particular dietary supplement ingredient or product, please use our “Ask the Expert” button located on the OPSS home page.

FDA Warns Companies about DMAA Safety

Marketers and distributors of products containing DMAA warned by FDA.

The Food and Drug Administration (FDA) sent warning letters to manufacturers and distributors of dietary supplements containing 1,3-dimethylamylamine (DMAA) due to lack of safety evidence provided before marketing. The FDA states that information about the safety of DMAA as a dietary supplement ingredient has not been identified. For more information, see the FDA News Release and HPRC’s latest on Dietary Supplement Products Containing DMAA.

DMAA list updates

HPRC has again updated its list of DMAA containing products. The latest news includes New Zealand’s ban on DMAA-containing products.

The latest news on DMAA includes the New Zealand government’s ban just placed on DMAA-containing products. DMAA has already been declared a drug in Canada and is banned by the World Anti-Doping Agency, the United States Anti-doping Agency (USADA), collegiate sports teams, and most professional sports teams.

HPRC has again updated its list of DMAA-containing dietary supplements, including a number of additions as well as some products that have been discontinued or reformulated. The additions mostly represent lesser-known products that have been around a while, but surprisingly there are a couple new products too. And we have added two new “aliases” to the list of other names for DMAA. To download the list, click on this link to “Dietary Supplement Products Containing DMAA.

Dietary supplements and drug testing

Want to know if your dietary supplement or prescription drug product will affect your drug test? Consult with DoD laboratories for help.

HPRC has received a number of questions about whether dietary supplements—especially those used for bodybuilding and weight loss—could result in a positive result on military drug tests.

Military drug testing begins with urine, which is first screened and then followed by additional tests depending on the outcome of the screen. You can get extensive information about DoD’s drug policy and drug testing from the Drug Demand Reduction Program (DDRP), including military testing. And for answers about the potential effects of specific dietary supplements on drug screening tests, you can contact your service’s military drug-testing laboratory by phone or email at:

Positive urinalysis results due to dietary supplement use can occur because products on the market may contain undeclared drug ingredients—that is, controlled substances that are not stated/listed on the product label. More information can be found in the FDA Consumer Update There you will also find information about how to get updates about products FDA has identified as tainted. There is no way to know if a particular supplement contains an undeclared drug without laboratory testing, but FDA does keep track of such products once identified through its MedWatch program.

The Department of Defense (DoD) currently has no formal policy on the use of dietary supplements and no list of either banned or safe supplements. For more on this topic, see Operation Supplement Safety’s (OPSS) FAQ “Is there an all-encompassing list of dietary supplements that are banned or illegal for use by military personnel?”

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