The growing consumer interest in health and fitness has expanded the market for a wide range of products, from yoga mats to the multiple dietary supplements now on the market. Supplements are popular, but are they safe? Many dietary supplements are probably safe when used as recommended. However, since 1994 when Congress decided that they should be regulated as if they were foods, they are assumed to be safe unless the Food and Drug Administration can demonstrate that they pose a significant risk to the consumer. But there are many types of products that qualify as dietary supplements, and the distinctions can become muddled and vague. Manufacturers are not legally required to provide specific information about safety before marketing their products. And the sales of supplements have been steadily increasingâ€"all together, the various types now bring in almost $16 billion per year. Given these confounding factors, what kind of information can the Food and Drug Administration use to effectively regulate dietary supplements? This book provides a framework for evaluating dietary supplement safety and protecting the health of consumers.

Integration of complementary and alternative medicine therapies (CAM) with conventional medicine is occurring in hospitals and physicians offices, health maintenance organizations (HMOs) are covering CAM therapies, insurance coverage for CAM is increasing, and integrative medicine centers and clinics are being established, many with close ties to medical schools and teaching hospitals. In determining what care to provide, the goal should be comprehensive care that uses the best scientific evidence available regarding benefits and harm, encourages a focus on healing, recognizes the importance of compassion and caring, emphasizes the centrality of relationship-based care, encourages patients to share in decision making about therapeutic options, and promotes choices in care that can include complementary therapies where appropriate. Numerous approaches to delivering integrative medicine have evolved. Complementary and Alternative Medicine in the United States identifies an urgent need for health systems research that focuses on identifying the elements of these models, the outcomes of care delivered in these models, and whether these models are cost-effective when compared to conventional practice settings. It outlines areas of research in convention and CAM therapies, ways of integrating these therapies, development of curriculum that provides further education to health professionals, and an amendment of the Dietary Supplement Health and Education Act to improve quality, accurate labeling, research into use of supplements, incentives for privately funded research into their efficacy, and consumer protection against all potential hazards.

A riveting work of investigative journalism that charts the rise of the dietary supplement craze and reveals the dangerous—and sometimes deadly—side of these highly popular and completely unregulated products. Over 60 percent of Americans buy and take herbal and dietary supplements for all sorts of reasons—to prevent illness (vitamin C), to ease depression (St. John’s wort), to aid weight loss (ephedra), to boost the memory (ginkgo biloba), and even to cure cancer (shark cartilage, bloodroot)—despite the fact that few of these “natural” supplements have been proven to be safe or effective. The vitamin and herbal supplement industry generates over $20 billion a year by selling products that promise to cure or fix, but are produced and marketed essentially without oversight. And while the media has been quick to sensationalize the benefits of supplements, few have taken a hard look at the dangers posed by many of the remedies flooding the market today. Award-winning journalist Dan Hurley breaks the silence for the first time in Natural Causes. From the snake-oil salesmen of the early twentieth century, to rise of the health food movement in the sixties and seventies, Hurley charts the remarkable growth of an industry built largely on fraud, and reveals the backroom politics that led to the passage of the Dietary Supplement Health and Education Act of 1994, which effectively freed the industry from FDA oversight. In unprecedented detail, he shows how supplement manufacturers have concealed the truth about dozens of untested treatments and the shocking rise in deaths, disfigurements, and life-threatening injuries caused by products deceptively promoted as “safe and natural.” Most importantly, he provides a telling look at why, in an age of unprecedented scientific advancement, we continue to buy and believe in remedies for which little evidence exists—and why the supplements we take to promote our health may be doing far more harm than good. As Hurley shows, the dietary supplement craze may be one of the greatest swindles ever perpetrated on the American public—one that feeds billions of dollars each year into the pockets of lobbyists, politicians, and any charlatan who wants to slap a label on a bottle and tout it as the next big “natural cure.” Blending hard facts with spellbinding personal stories, Natural Causes is a must-read for anyone who has ever popped a multivitamin or an herb, and provides a hard-hitting, frightening look at a cultural trend that is out of control.