Supplements: You Get What You Pay For

Do you ever wonder why the “same supplement” online or from your local superstore costs so much less than at the pharmacy or doctor's office? Especially when it comes to supplements, you will see why the adage is true: you get what you pay for!

Supplements are a billion dollar industry

In 2021, the United States dietary supplement market size was over $150 billion. This is a massive industry with little to no regulation, operating essentially on an honor system. This leaves the general population vulnerable to misrepresentation and potentially harmful ingredients. For example, Labdoor, a research company that tests dietary supplements, has found that some manufacturers skew their ingredient labels so that the amounts on the label may not be the same as what's actually in each capsule.

Freshness ought not be overlooked

Most things purchased online from mass retailers come from large warehouses and not from the manufacturer itself. That means your product may be at or near its expiration date upon your receiving it. It could also have been exposed to damaging light or temperatures during storage or transit—since many require a modicum of climate control for potency—that some of these facilities are not equipped to handle. Probiotics are an easy example of one such supplement where freshness is important because the number of Colony Forming Units (CFUs), the unit of measure for probiotics, declines over time and with exposure to extreme temperatures.

Quality is worth it

The rise of e-commerce stores has essentially helped create millions of online counterfeit stores. These counterfeit stores pop up into existence faster than they can be found and shut down and flood the market with inferior products. All supplements are not created equal. Understanding labels for ingredients is important. Some are loaded with fillers and others use the same herb or vitamin or mineral, but in a form that is non-bioavailable (i.e. useless, but cheaper) to us as humans. You are literally throwing your money down the drain.

Beyond the common online retailers, big retailers such as GNC, Walmart, Walgreens, and Target have all been called out in the past for selling “snake oil.” A 2015 study spearheaded by the New York Attorney General revealed that supplements sold at these big name retailers did not actually contain the ingredients advertised, but were instead filled with powdered vegetables. Even some labeled “gluten free” products contained wheat. High quality professional lines are important because they ensure your product contains exactly what's on the label and nothing more.

Safety

I tell all of my patients that the ultimate goal is to not need supplements and medications. Ideally, we ought to get everything we need from our food, sleep, exercise, community, and stress management, but sometimes we need some help. With that in mind I am specific with what I recommend and prescribe—often at a therapeutic strength for a specific period of time as opposed to the recommended daily amount or the manufacturer's recommendation. I am not one to tell people to just take something forever. As if that isn't reason enough, many supplements and medications interact with each other and may be contraindicated for individuals with specific medical conditions. It is ill-advised to ask a vitamin aisle clerk for health advice.

How to choose good quality supplements

I don't eat at fast food joints and I don't get my supplements from superstores—which I see as a similar comparison. I don't seek quantity, but rather quality with what I choose to put into my body and I recommend the same for my patients. Supplements can be a great addition to a treatment plan and they can help get your body back to optimal health, but only if used safely. Your health is the wisest investment you can make. In this instance, quality is value.

For supplement comparisons and rankings check out websites like labdoor.com. Our clinic uses Fullscript—a trusted source for professional-grade products where you can browse the catalog. Finally, you're always welcome to book a free 15-minute intro call with one of our doctors for further advice.