Filed under: Safety
Do you know what’s in your dietary supplement? In the case of supplements, ignorance isn’t bliss, and what you don’t know can put your health at risk. Performance Triad has created 2 videos highlighting the dangers of dietary supplements. In “The Dangers of Supplements,” Drill Sergeant David Cross talks about the consequences he dealt with from using supplements, including permanent liver damage. Also watch the Operation Supplement Safety App video to learn more about what goes into dietary supplements. You can download the OPSS app to get access right in your hands to information about thousands of dietary supplement products and ingredients. Please visit the Apps tab of HPRC’s Tools for the Warfighters to download the app.
Dietary supplements that claim to be “all natural” aren’t necessarily safe. The Food and Drug Administration (FDA) has issued 2 Consumer Updates warning consumers about “all natural” products for erectile dysfunction and imported dietary supplements.
According to FDA, supplements marketed as “all natural” sexual-enhancement products might be tainted with hidden drug ingredients. Some of these are the same active ingredients found in prescription drugs used to treat erectile dysfunction. Not only could you potentially be consuming multiple drug ingredients, you could be consuming them in amounts even greater than prescription doses. Either way, these types of products can put your health and career in danger. For more information, please read FDA’s Consumer Update on "'All Natural' Alternatives..."
Consumers should also beware of dietary supplements and nonprescription drugs marketed as “all natural” remedies for serious conditions such as cancer, HIV/AIDS, diabetes, or heart disease. “Natural” does not necessarily mean safe, and these products also can contain undisclosed chemicals or drug ingredients that can be harmful. FDA specifically warns consumers about imported products sold online or at flea markets, or swap meets. Please read FDA’s Consumer Update on "Some Imported Dietary Supplements..." to learn more.
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.
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.
It’s the peak of summer, which means barbeques, picnics, and other food-filled events. But especially in summer’s heat, don’t forget about food safety, or it might just spoil your fun. Let the good times roll this summer with these food safety tips:
- Wash your hands. Washing your hands often is one of the best ways to prevent the spread of bacteria. Remember to use warm water and soap, and wash your hands for at least 20 seconds.
- Marinate meat safely. Marinate your food in the refrigerator, and keep it there until you’re ready to cook it. If you want to use the marinade as a sauce, set aside a portion before adding your raw meat or poultry, and don’t reuse marinade.
- Cook food thoroughly.Use a thermometer to ensure your food is cooked to the right minimum internal temperature:
- Steaks and pork—145°F
- Hamburgers and sausages—160°F
- Keep cold food cold. Don’t let your cold dishes sit out on a counter for more than 2 hours, or one hour outdoors when temperature is above 90°F. Otherwise, keep it chilled at 40°F or less in a cooler or place directly on ice.
Always remember: “When in doubt, throw it out.” A foodborne illness is not worth the risk. For more information on food safety during the summer, visit “Summer and Vacations” at Foodsafety.gov.
Service members and their families relocate a lot, and moving to a new home is hard enough without adding injury. Here are some tips on how to properly handle heavy objects such as moving boxes and furniture, and how to take care of yourself if you do sustain an injury:
- Wear less-restrictive clothing such as looser-fitting pants or workout clothes.
- Wear closed-toe shoes.
- Take breaks when necessary. Stretching and reassessing your mechanics can help you maintain proper posture when lifting. HPRC has tips on how to maintain flexibility and remove tension in your body.
- The U.S. Army has fact sheets on Lifting Techniques for handling heavy objects and How to Safely Perform Pushing and Pulling Tasks.
- Remember to keep your core tight, and use your leg muscles rather than your back to lift heavy objects.
The best way to prevent back injury is to strengthen your back and core muscles. The National Institutes of Health (NIH) has suggestions and exercises to help build your back.
If you’re sore from all the lifting or think you may have pulled something, you can treat the pain with ice and rest—and perhaps an over-the-counter pain reliever—for the first 48 hours. Follow NIH guidelines on how to further treat your back pain if it’s acute. However, if the pain persists, consult your doctor to rule out a more serious back problem or injury before you do any more heavy lifting. If all seems well, consider core-strengthening exercises to support your back. Another option is a yoga class to relieve your pain, build your muscles, and return your back to normal function.
For more about how to protect your back, please visit HPRC’s Injury Prevention Series. Good luck with your PCS!
BMPEA is an unapproved amphetamine-like substance that has been appearing in some dietary supplement products. BMPEA (also known as β-methylphenylethylamine, R-beta methylphenylethylamine, beta-methylphenethylamine, and others) was first made in the 1930s as a possible replacement to amphetamine (a central nervous system stimulant), although it never became a drug because human studies on safety were not performed.
The Food and Drug Administration (FDA) tested 21 supplement products with the ingredient Acacia rigidula listed on the label and found that 9 of the 21 products were found to contain BMPEA, which is not derived from the plant Acacia rigidula. Some dietary supplement products actually list BMPEA on their labels. FDA recently issued a warning stating, “…BMPEA does not meet the statutory definition of a dietary ingredient.” Therefore, dietary supplement products with BMPEA are misbranded and cannot be sold as dietary supplements.
The World Anti-Doping Agency has banned BMPEA. For more answers to questions we’ve received about ingredients in dietary supplements, please visit our Operation Supplement Safety (OPSS) FAQs.
Bitter orange is an extract from the immature green fruit of the Citrus aurantium plant, also known as Seville orange. It is sometimes used in small amounts in food as a flavorant and often used in weight-loss supplements. The terms “bitter orange,” “bitter orange extract,” or “Citrus aurantium” are often used interchangeably with the ingredient name “synephrine,” but bitter orange (the extract from Citrus aurantium fruit) is actually a complex mixture of many compounds, including synephrine and octopamine. Although both synephrine and octopamine occur naturally in the Citrus aurantium plant, they also can be made in a laboratory.
Many safety concerns have been raised with regard to synephrine and octopamine, which are both stimulants. The National Collegiate Athletic Association (NCAA) bans both of them, but the World Anti-Doping Agency (WADA) bans only octopamine. Bitter orange is frequently used in "ephedra-free" products since 2004, when the Food and Drug Administration (FDA) banned ephedra for its association with serious adverse cardiovascular effects. Combinations of stimulants—such as bitter orange and caffeine, commonly found together in weight-loss and bodybuilding products—can cause hypertension and increase heart rate in otherwise healthy adults. A major concern with products that list bitter orange (or synephrine, or octopamine) on the label is that the amount of stimulants in the product is sometimes very difficult—if not impossible—to determine. Service members should exercise extreme caution when considering whether to use supplements containing bitter orange.
No conclusive, peer-reviewed, scientific evidence clearly establishes that bitter orange is any safer than ephedra. For more information on bitter orange and ephedra, read the monographs in HPRC’s Dietary Supplement Classification System series.
For more answers to common questions we’ve received about dietary supplements, please visit our Operation Supplement Safety (OPSS) FAQs.
Lately, HPRC has been receiving a lot of questions about the use of banned supplements in the military, but the fact is: There isn’t a list of banned dietary supplements currently available. It isn’t always easy to determine whether a dietary supplement product is safe or not, so the Department of Defense (DoD), together with HPRC, provides helpful resources on the Operation Supplement Safety (OPSS) website to help you choose supplements wisely. With regard to the military’s stance on supplements in general, please see the OPSS FAQ about a "banned list," which is pertinent to all service branches.
Some dietary supplements, including ones sold on military installations, contain potentially harmful and problematic ingredients. For some tips about how to avoid these, read the OPSS infosheet “Red Flags—What You Need to Know.” In addition, some other potentially dangerous ingredients include prescription drug ingredients and their analogs, drugs banned by FDA for safety reasons, controlled substances (such as anabolic steroids), and untested/unstudied new active drug ingredients, which may not be listed on the product label.
One way to ensure that a dietary supplement product is safe is to see if it is third-party verified. Third-party certification organizations have developed criteria for evaluating and authenticating the quality of a supplement—the ingredients, the dosage levels, the level of contaminants, the label claims, and whether the manufacturing facilities follow Good Manufacturing Practices (GMP).
The Natural Medicines Comprehensive Database (NMCD) is the gold standard for evidence-based information on dietary supplement products and ingredients and is an HPRC partner. (Subscription is free if you have a “.mil” email address; visit the OPSS FAQ for more information.) NMCD rates products on a scale of 1 to 10 based on safety and effectiveness. We encourage you to consider only using products rated 8 or above.
To avoid potential problems, talk with your healthcare provider or dietitian before using dietary supplements. Also, see FDA’s list of tainted bodybuilding products, which includes important public notifications.
In a new Operation Supplement Safety (OPSS) PSA video, Gold Star mother Ms. Terri Bellamy-Coleman urges service members to seek out information and guidance on dietary supplements from the appropriate sources before taking them. Ms. Bellamy-Coleman’s son, who was attending the NCO (Noncommissioned Officer Academy, WLC (Warrior Leadership Course) in Fort Benning, GA at the time of his death, had been taking dietary supplements when he exerted himself during physical training, suffered a heart arrhythmia, and died. He had the sickle-cell trait, which may have aggravated the situation. She wants others to be aware of the possible risks associated with dietary supplements, especially when certain medical conditions are present, and urges service members to seek information to help prevent possible harmful health effects. Please watch the video, “A Mother’s Plea."