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Which Supplements Can You Trust?

Q. I have read that you can’t trust the label on some supplements. I guess the FDA doesn’t bother to check them.

If it says USP on the container, can we assume the product is what it says it is?

A. We were appalled to read the research published in JAMA Internal Medicine (online Feb. 11, 2013) showing wide variations in compounded and OTC vitamin D pills. The scientists found that potency ranged from 9 percent to 146 percent of the dose listed on the label.

You are right that the FDA does not have the resources to check the quality of most supplements. You mention USP, the United States Pharmacopeia. This nongovernmental scientific organization has set quality standards for medicines for nearly 200 years.

We spoke with a representative who told us that the USP-Verified seal is backed by careful quality monitoring, including off-the-shelf vitamin testing. You can learn more about USP verification and see what the symbol looks like at the organization’s site.

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About the Author
Terry Graedon, PhD, is a medical anthropologist and co-host of The People’s Pharmacy radio show, co-author of The People’s Pharmacy syndicated newspaper columns and numerous books, and co-founder of The People’s Pharmacy website. Terry taught in the Duke University School of Nursing and was an adjunct assistant professor in the Department of Anthropology. She is a Fellow of the Society of Applied Anthropology. Terry is one of the country's leading authorities on the science behind folk remedies..
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