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42 N. Y. L. Sch. L. Rev. 261 (1988)
Where There's Smoke There's Fire: The Dangers of the Unregulated Dietary Supplement Industry

handle is hein.journals/nyls42 and id is 271 raw text is: WHERE THERE'S SMOKE THERE'S FIRE:
THE DANGERS OF THE UNREGULATED
DIETARY SUPPLEMENT INDUSTRY
I. INTRODUCTION
Today, standards placed on the drug industry to assure safety' and
efficacy2 are very demanding. In contrast, dietary supplements, which are
often diluted drugs3 with similar benefits and dangers, have managed to
elude the regulatory scrutiny of the Food and Drug Administration (FDA).
Presently, when vitamins, minerals, herbs, botanicals, and amino acids (all
classified as dietary supplements) reach the marketplace, they do so
without established clinical proof of safety or efficacy.4 Instead, the
marketplace serves as the forum for such assessment.5
This note will discuss how under today's definition, what classifies a
product as a drug or a dietary supplement is not necessarily what it does,
but often what it claims to do.6 Dietary supplements in many
1. See Dixie Farley, Benefit vs. Risk: How FDA Approves New Drugs, FDA
CONSUMER, Jan. 1995, at 23, 29 (discussing the definition of safety in terms of submitting
test results adequate to show the drug is safe under the conditions of use in the proposed
labeling and that safety is determined case by case in which the benefits of the drug must
outweigh the risks).
2. See id. at 28 (discussing the absorption rates of generic and brand name drugs,
their influence on a disease, and that efficacy is proven by substantial evidence consisting
of well-controlled investigations, including human studies, which demonstrate that the
drug will have the effect claimed in the labeling).
3. See Judith Mandelbaum-Schmid, NaturalRemedies, SELF, Sept. 1996, at 206, 209
(explaining how some herbal medicines which are classified as dietary supplements are
as potent and, arguably, as dangerous as drugs).
4. See id. at 209 (discussing how consumers cannot be sure of what they are buying
when purchasing these supplements).
5. See id.
6. See Edgar R. Cataxinos, Regulation of Herbal Medications in the United States:
Germany Provides aModelforReform, 1995 UTAH L. REV. 561, 566 (discussing how an
herbal medication's intended use determines its classification under a food or drug
category and that the manufacturer, through labeling and advertising representations, can
determine the herbal medication's use and thus influence the herbal product's respective
classification by the FDA); see also Sheryl Gay Stolberg, F.D.A. Warns Consumers
About Herbal Weight Loss Mixtures, N.Y. TIMEs, Nov. 7, 1997, at A19 (stating that it
is not illegal for a manufacturer to sell a dietary supplement like fen-phen, but it is illegal
to refer to fen-phen as something that is exactly like a medication and to make medical
claims like the prescription products do).

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