Filed under: Dietary supplements
DMAA has been illegal for use as an ingredient in dietary supplements for more than 3 years. It still is, but just when you think it would be disappearing from the market, it seems to be on a slight rise again. Our online search of available dietary supplements with DMAA turned up 11 products we had never encountered before, in addition to 34 products still on the list since before DMAA became illegal. We also found 50 discontinued products with DMAA still being sold by third-party retail outlets.
Unfortunately, illegal substances of all kinds are readily available on the Internet. For example, ephedra has been illegal since 2004, when FDA acted on growing reports of severe adverse events, including deaths, associated with the popular weight-loss supplement ingredient. However, products containing ephedra are commonly marketed online. Even substances on the Drug Enforcement Agency’s list of controlled substances can be purchased online. Worse, laboratory testing of dietary supplement products sometimes reveals the presence of illegal ingredients even when they aren’t listed on the products’ labels.
Ingredients such as DMAA are not allowed in dietary supplements because, according to FDA, “they can be a health risk to consumers.” Stay informed, starting with the OPSS FAQ about DMAA and updated list of Dietary Supplements/Products Containing DMAA.
An adverse event from a dietary supplement is any undesirable health effect you might experience. It could be mild or life threatening. It’s important to know how to recognize symptoms that might impact readiness. To learn how, read the Operation Supplement Safety (OPSS) FAQ on adverse events, which also has a link to a form for reporting adverse events to the Natural Medicines Comprehensive Database. All forms are then sent to FDA. Documenting adverse events is an essential part of how the FDA evaluates potentially dangerous dietary supplements.
Manufacturers and distributors also are required to notify FDA of adverse events by calling the 800 telephone number located on product labels.
“Explosive workouts.” “Extreme pumps.” “Enhanced endurance.” These are just some of the marketing claims used to promote nitric oxide (NO) supplements. Interestingly though, NO supplements don’t actually contain any nitric oxide, which is a gas. Instead, these types of supplements usually contain amino acids plus various other ingredients. So will these supplements fulfill their promises of improving your performance or are they just “full of hot air”? Read the Operation Supplement Safety (OPSS) FAQ on nitric oxide supplements to find out.
Since July 2016, the Food and Drug Administration (FDA) has released over 25 Public Notifications about individual supplement products marketed for sexual enhancement and weight loss that contain hidden active ingredients. Through laboratory testing, these products were found to contain drugs and controlled substances—ingredients that pose health and readiness risks. For a list of these Public Notifications, visit FDA’s Tainted Sexual Enhancement Products and Tainted Weight Loss Products.
The most common types of products found to contain “undeclared” ingredients (that is, substances not listed on the label) are those marketed for weight loss, sexual enhancement, and bodybuilding. Dietary supplements don’t require FDA approval before being put on the market, and there is no way to know the contents of a product without laboratory testing. So if you’re considering a dietary supplement, check the label to see if the product has been evaluated by an independent third-party organization.
Two-a-day practices have started for teens in fall sports. One big issue is concussion education: learning the signs of a concussion and then what to do if you actually have one—or if someone you know does. Several dietary supplement manufacturers have promoted products to help with recovery from concussions and traumatic brain injuries (TBIs), but there isn’t enough scientific evidence to support these claims. If you suffer from a concussion or TBI, make sure you follow your doctor’s orders for recovery. And if you have children involved in sports, watch them for possible signs.
FDA warns consumers to avoid using products that claim to prevent or treat a concussion or TBI. For more information, read FDA’s Consumer Update on dietary supplements and concussions.
Caffeinated gum is a quick and efficient way for Warfighters to consume caffeine in order to improve physical performance and maintain cognitive capabilities temporarily during situations that demand vigilance. Because the caffeine is absorbed through tissues in the mouth, it enters the bloodstream faster than foods, beverages, and supplements do. In addition to the rapid absorption of caffeine, caffeinated gum offers other benefits such as being lightweight, compact, and providing caffeine in an appropriate amount when needed. However, caffeinated gum might not always be the best choice depending on your situation, needs, and preferences.
Aconitum kusnezoffii—one of several plants known as aconite—is being marketed in some dietary supplement products as a source of the stimulant 2-aminoisoheptane. All aconites naturally contain a toxin called “aconitine” and are considered poisonous. Although some types of aconite are used in traditional Chinese medicines, the plant must be properly processed, or it can be dangerous and lethal. Even when properly processed, it can still be dangerous.
There is no scientific evidence that 2-aminoisoheptane, also called octodrine or DMHA, occurs in aconite or anywhere else in nature. Octodrine is a nasal decongestant, first made in a laboratory in 1944. Without laboratory testing, there’s no way to know if a dietary supplement product labeled with this ingredient contains 2-aminoisoheptane or aconite (or both) or any of the other toxic chemicals found in aconite. Bottom line: If a product lists “2-aminoisoheptane (Aconitum kusnezoffii)” as an ingredient, it could be problematic.
Since May 2016, 43 dietary supplement products have been added to the Operation Supplement Safety (OPSS) High-Risk Supplement List, bringing the total number of products on the list to 247. Together with the U.S. Anti-Doping Agency (USADA), OPSS frequently updates the list to help you stay informed about current high-risk products. You can access the High-Risk Supplement List from the OPSS web page or download the app (from the Apps tab) to your phone or tablet and take it wherever you go. If you’re considering dietary supplements, be sure to check back often for more updates.
Picamilon goes by many names, such as pikatropin and nicotinyl-gamma-aminobutric acid, but one thing it can’t be called is a dietary ingredient. In 2015, the Food and Drug Administration declared that picamilon is not a legal ingredient in dietary supplements and sent warning letters to 5 companies whose dietary supplement products contained picamilon. So why is it illegal? Find out in the Operation Supplement Safety (OPSS) FAQ about picamilon.
If you want to learn more about other questionable ingredients, explore the OPSS FAQs about dietary supplement ingredients.
Hemp is turning up in a variety of foods, beverages, and dietary supplements, and most service members need to keep an eye out for this ingredient on product labels. While hemp provides important nutrients such as protein, it also contains tetrahydrocannabinol (THC), the main active ingredient in marijuana. The levels of THC in hemp used for food and supplements are much lower than those in marijuana, so products containing hemp shouldn’t get you “high.” But don’t run to the store just yet! Although DoD does not have a specific policy regarding hemp, each service does. Check the OPSS FAQ about hemp for your service’s policy on hemp.