Abstract
During the past 5 years, we have observed an expansion of the use of and advertising for a variety of nonvitamin, nonmineral (NVNM) supplements. Use of NVNM supplements increased substantially with the passage of the Dietary Supplement Health and Education Act of 1994 (DSHEA) (1), which gave manufacturers greater freedom to market more products as dietary supplements and to provide information about their purported benefits in package labeling and advertising. Although the US Food and Drug Administration (FDA) regulates additives and drugs, premarket review of dietary supplements is minimal (2).
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