Vitamin D Supplement Potency Often Not What Label Says

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Main Category: Nutrition / Diet
Also Included In: Public Health
Article Date: 13 Feb 2013 - 0:00 PDT

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Vitamin D Supplement Potency Often Not What Label Says

Patient / Public:5 stars

4.75 (4 votes)

Healthcare Prof:4 stars

4 (2 votes)

Article opinions: 3 posts

When you buy your vitamin D supplements over-the-counter be careful, they may be less potent than the labels claim, researchers from Kaiser Permanente reported in JAMA Internal Medicine.

Vitamin D insufficiency can be harmful to health, hence supplementation is commonly prescribed. However, vitamin D supplements are not regulated by the FDA, meaning that potency might not be evaluated.

In a Research Letter in the journal, the authors explained that vitamin D supplements can have as little as 9% and as much as 146% of what their labels claim. Variations exist not only from brand-to-brand and bottle-to-bottle, but also from pill-to-pill within the same bottles in some cases.

Erin S. LeBlanc, MD, MPH, lead author, from the Kaiser Permanente Center for Health Research in Portland, Oregon, said:

"We were surprised by the variation in potency among these vitamin D pills. The biggest worry is for someone who has low levels of vitamin D in their blood. If they are consistently taking a supplement with little vitamin D in it, they could face health risks."




The FDA (Food and Drug Administration) has been trying to tighten up the labeling of dietary supplements for many years - a market which is worth over $28 billion every year in the USA alone (combined vitamins, herbs and supplements).

USP verification mark

Some vitamin supplement manufactures say they take part in a voluntary quality verification program run by the US Pharmacopeial Convention, a not-for-profit organization which sets public standards for the quality of vitamin, mineral and other dietary supplements. They have to undergo annual GMP (good manufacturing practice) audits in order to get the USP verification mark. Their products are also tested for purity, potency and quality.

Dr. LeBlanc and team found that USP Verified vitamin D supplements were generally more accurate than the other containers they tested. They included one USP Verified manufacturer in their sample of supplements.

LeBlanc said "The USP verification mark may give consumers some reassurance that the amount of vitamin D in those pills is close to the amount listed on the label. There are not many manufacturers that have the USP mark, but it may be worth the extra effort to look for it."

The researchers tested: The products were independently analyzed in a laboratory in Houston, Texas.

Written by Christian Nordqvist
Copyright: Medical News Today
Not to be reproduced without permission of Medical News Today

Visit our nutrition / diet section for the latest news on this subject.
"Over-the-Counter and Compounded Vitamin D: Is Potency What We Expect?"
Erin S. LeBlanc, MD, MPH; Nancy Perrin, PhD; Jeffery D. Johnson, PhD; Annie Ballatore, MS; Teresa Hillier, MD, MS
JAMA Intern Med. 2013;():1-2. doi:10.1001/jamainternmed.2013.3812
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APA
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Visitor Opinions (latest shown first)

Further Information

posted by Jenny Hutchings on 21 Feb 2013 at 3:15 am

I'm afraid the specific information wasn't released, the contact information for the lead author is:

Erin S. LeBlanc, MD, MPH, Center for Health Research, Kaiser Permanente Northwest, 3800 N Interstate Ave, Portland, OR 97227

They may be able to help you.
Best of luck.

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Can we see the specifi findings?

posted by Gracie on 20 Feb 2013 at 8:11 pm

Seems like knowing which supplement producers are closest to the stated concentration of Vitamin D could be significantly and immediately helpful to patients. Article details seem to be limited to subscribers - please, where can we get information about which products to trust?

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FDA - false security

posted by Auburn on 14 Feb 2013 at 8:30 am

FDA inspection doesn't prevent fake or poor quality. FDA does inspect prescription durgs and here is the reality as discussed in MedPageToday 2-13-2013. "The field of counterfeit medicines is a growing, global problem, the IOM said, and it's difficult to know the exact impact of substandard drugs.

"Counterfeit medicines -- those made improperly or differently from their approved labels, or falsified or counterfeit drugs obtained through poor channels -- can present large public health problems. Substandard drugs may not dissolve correctly and can be made from incorrect or impure ingredients.

And because medicines often contain a multitude of ingredients and sources originally made in several countries, the likelihood of at least one being tainted is high.

The high price of active ingredients in drugs can influence manufacturers to boost profits by cutting corners on the purchase of some products during manufacturing, the IOM report said. But doing so sacrifices quality.

Also, spotting adulterated drugs requires special skills and equipment, the report found, while manufacturing them is a high-reward, low-risk enterprise."

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