Comment Re:Snakeoil? Yes. Everything else? HELL, NO! (Score 1) 199
I'm going to scream bloody murder if this turns into some sort of referendum from the entire pharma-industrial complex to destroy ALL dietary supplements all the way down to garden-variety vitamin and mineral supplements.
Yes, you should require a prescription for "garden-variety vitamins".
Not because it's dangerous, but because it's useless. It would save a lot of people a lot of money.
Most people have zero deficit in vitamins. A certain, very specific amount of vitamins is needed for the body to function. Excess is either leaving through urine (harmless like vitamin C), or gets accumulated in fat (which can get dangerous if you take too much of it). No serious study (i.e. placebo controlled) has ever shown that taking more vitamins than the required amount has any health benefits. None.
Supplement "experts" and such will say they use a different, higher scale for vitamins than medicine. When you dig, some will do their own investigations and adjust to their own knowledge/personal experience, but it's clear that most of the info comes first from supplement companies themselves.
Some people do have specific deficits, and that can easily be seen on blood tests. Most obvious one are vegans, since B12 is only found in animals, not plants. So vegans have to take their B12 somewhere else, as there are high risks in a B12 deficits. However, many products are B12 fortified already, so not all vegans needs extra supplements. Another example is that pregnant women should take folic acid. There are tons of very specific example where vitamins/minerals supplements are needed.
Up north in Canada we used to have deficits in vitamin D during winter - but many products are now fortified in vitamin D so it is much less common now, but not uncommon.
Finding a vitamin/mineral deficit is the easiest thing to diagnose for a MD: a simple blood test. So a "wrong" diagnostic is very unlikely. You either have a deficit or not.
That's why, yes, you should get a prescription for simple vitamins/minerals. Even if you eat tons of junk food, frozen lunches, fruit juice, but still somewhat diversifies, you should be able to get your quota most of the time. Unlike what supplement companies are marketing, deficits are not directly liked to bad eating habits or lack of exercise or whatever is the trend currently to make you feel bad and buy some.
Do you really want to have to get a prescription for a simple one-a-day multivitamin?
Well no, as no actual doctors would prescribe a OTC multi-vitamin (see above). Taking specific supplement for a specific deficit is one thing (and needed in some situations), but multi-vitamins is just completely useless, could even be dangerous, and are clearly a marketing ploy (over 50 active multi-vitamins - what!?).
So this is it for vitamins/minerals, which are 100% required for your body and must be taken in specific instances with a clear diagnostic. As for other supplements and such, it's another (somewhat similar) subject, but I wanted to focus on your "garden-variety vitamin and mineral" argument to discredit proponent for more supplements control.
Of course big pharma are big corps looking to make big buck, but so are supplement makers. In the middle of all this, there is still science and medicine. However evil Big Pharmas are, they are strictly controlled based on science and medicine. Why shouldn't supplement companies be controlled that way too?
PS: not an expert in any way.