• Welcome to Phoenix Rising!

    Created in 2008, Phoenix Rising is the largest and oldest forum dedicated to furthering the understanding of, and finding treatments for, complex chronic illnesses such as chronic fatigue syndrome (ME/CFS), fibromyalgia, long COVID, postural orthostatic tachycardia syndrome (POTS), mast cell activation syndrome (MCAS), and allied diseases.

    To become a member, simply click the Register button at the top right.

Fatigue supplements are actually misbranded drugs: FDA

Ember

Senior Member
Messages
2,115
May 4, 2012

A commercial website for people suffering from symptoms of chronic fatigue syndrome and fibromyalgia is rife with numerous illegal and misleading treatment claims, according to a recent warning letter sent to Dr. Jacob Teitelbaum by the U.S. Food and Drug Administration.

Teitelbaum, the medical director of the national Fibromyalgia and Fatigue Centers and author of several books on the topic, including From Fatigued to Fantastic! also unlawfully used his Facebook account to promote his products for disease treatment and prevention, the FDA said in the three-page letter.

More than a dozen of products on the Teitelbaums website endfatigue.com are marketed with therapeutic claims meaning they can prevent, cure or treat disease -- which classifies them as drugs, the FDA said. But the supplements have not been approved as drugs by the FDA and do not have Generally Recognized As Safe or GRAS status.

The products are also promoted for treating conditions shouldnt be self diagnosed or treated by non-medical practitioners, the FDA said. As a result, they dont have adequate directions for use and are considered misbranded.

The FDA found the section on Teitelbaums website titled Cures A-Z, especially problematic because it listed a number of medical conditions with information on how to treat these conditions along with products offered for sale through the website.

For example, it recommended Eskimo 3 Fish Oil as a treatment for Alzheimers Disease and claimed the product could help treat any hidden depression which may be present.

On the web page titled, Breast Cancer, under the heading, TREATMENT, it recommended Coenzyme Q10 and claimed that [E]arly experience showed these nutrients may decrease breast cancer growth. The Website also recommended specific supplements to treat colds and flu, hypertension, Parkinsons Disease, heart disease and reduce cholesterol.

And in one example of a Facebook post, Teitelbaum wrote that he looked at a new study showing that an herbal can beat the pants off a pain medication when managing arthritis, according to the warning letter. In that post, he included a link titled, Herbal Beats Pain Medication in New Arthritis Study, which links to his website, endfatigue.com. The webpage accessible through that link includes the claim described above for your Healthy Knees and Joints product, the FDA said.

The FDAs surveillance of false or misleading claims on Facebook is of great interest to the supplement industry. One important lesson for manufacturers is the continued tendency for the FDA to consider social media as a source for illegal claims, when linked to products for sale, wrote the Natural Products Insider. There is no safe haven in Facebook or Twitter.

In a statement, Teitelbaum characterized himself as a patient advocate reporting on thousands of scientific studies. His goal is to help people become aware of the pros and cons of new research on both natural health products and prescription treatment options.

Teitelbaum said he recognized the need for the regulations but was surprised by FDAs letter. The Cures A-Z section is no longer on the site; Teitelbaum said he is working with the agency to address concerns.

Current FDA regulations do not allow disease-related claims to be made for natural products, unless the product has gone through the FDA drug approval process, which can cost upward of $500 million, making this impossible for most non-patentable natural options, he said.

This often creates a difficult line between what is considered simply reporting on a research study result versus what is considered making a promotional product claim to treat a disease, even if the report is based on solid research.

Teitelbaum vowed to keep advocating for consumer access to truthful, reliable, information about the thousands of studies demonstrating the health benefits of natural dietary supplements and herbal products, while ensuring the language on the web site complies with FDA regulations.

Still, after reading the warning letter, you could almost hear a collective sigh by agency staff. The unlawful disease treatment and prevention claims made on your website were too numerous to list in this letter, wrote Evelyn Bonnin, District Director of the FDAs Baltimore District Office.

The FDA listed the following dietary supplements as being marketed as unapproved drugs but also noted the list was only a fraction of the violations.
Corvalen (D-Ribose)
Coenzyme Q10
Jigsaw Magnesium w/ SRT
BMR Complex (Thyroid Glandular)
Energy Revitalization System
Acetyl-L-Carnitine
Chol-less
Thymic Protein
Alpha Lipoic acid
Black Cohosh
Healthy Knees and Joints
Eskimo 3 Fish Oil

http://www.chicagotribune.com/featu...ts-illegal-drugs-fda-20120504,0,5706746.story
 

peggy-sue

Senior Member
Messages
2,623
Location
Scotland
Co-Q 10 and carnitine supplements are prescribable supplements in the uk.

Fish oils, if the correct type, have been proven scientifically to treat mild depression and to stave off Alzheimer's and other degenerative brain disorders.

Having said that, I'm not remotely convinced by Teitelbaum.

This really IS a big problem - one where only big (p)Harmaceutical companies and lawyers will win.
 
Messages
84
Location
United Kingdom
Co-Q 10 and carnitine supplements are prescribable supplements in the uk.

Fish oils, if the correct type, have been proven scientifically to treat mild depression and to stave off Alzheimer's and other degenerative brain disorders.

Having said that, I'm not remotely convinced by Teitelbaum.

This really IS a big problem - one where only big (p)Harmaceutical companies and lawyers will win.

Is carnitine prescribe-able on the NHS? how?
 

peggy-sue

Senior Member
Messages
2,623
Location
Scotland
For (recognised) mitochondrial disorders. ME isn't considered to be one though.
I've a friend with FMS who has to take drugs which actually reduce carnitine levels, he's an awful lot better when he takes it, but his gp scoffed at the idea of prescribing it to him.
Statins reduce Co-Q-10, another prescribable supplement for folk with mitochondrial disorders, again, not prescribed to folk who do need to take it because of the statins.
 
Messages
84
Location
United Kingdom
I have FMS too. Which drugs are he on that reduce it? Hope you don't mind me asking.
I don't take statins, but used to have co q 10 on the nhs. I stopped taking it though as it was a less powerful form.