Quality, safety and efficacy will continue to determine success or failure in the modern nutraceuticals market, which is under increased scrutiny by federal authorities.

In the 20 years following the passage of the landmark Dietary Supplement Health and Education Act (DSHEA), the U.S. nutraceuticals industry has become an integral part of both public health and the economy. About two-thirds (68%) of U.S. consumers reported taking supplements, according to a 2014 survey commissioned by the Council for Responsible Nutrition, and a vast majority (83%) expressed overall confidence in the safety, quality and effectiveness of these products.

However, Good Manufacturing Practice (GMP) requirements continue to present challenges to many companies, as demonstrated by FDA warning letters that are made public on a weekly basis. Meanwhile, economically motivated adulteration has been a significant problem for decades. Keen understanding of what’s required under the law, along with appropriate testing methods and secure, transparent supply chains, will be critical to ensuring product safety. Empowered with new enforcement tools afforded by the Food Safety Modernization Act (FSMA), expect federal agencies to dedicate more time and resources to oversee the dietary supplement industry and enforce existing laws.

This past June, a U.S. Senate hearing on weight loss products, which featured popular TV personality Dr. Oz, shined a spotlight on questionable science that supported sales of otherwise unproven products. Expect further FTC action against companies that fail to support claims, which includes use of the undefined term “natural” on products that contain artificial or synthetic substances.

Additionally, expect debate to continue over labeling of genetically modified organisms (GMOs) and, more broadly, the role of science, technology and engineering in the food supply amid an expanding population and shrinking natural resources.

—Sean Moloughney, Editor, Nutraceuticals World

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The past couple of years have seen a sharp rise in public and private capital financings for technology companies. The enthusiasm for technology investing has spilled into the food and nutrition world. In its “Food Tech & Media Report,” Rosenheim Advisors said $800 million went into food tech companies in September 2014 alone! Whether it’s Good Eggs, Blue Apron or Hello Fresh, investors appear keen on food businesses. Even the U.S. Postal Service is partnering with Amazon Fresh to bring groceries to my front door.

Delivery is a curious place to start in the nutrition value chain. Even Whole Foods, with a reputation for high prices, only ekes out a profit margin of about 4.5%. Simplifying the chore of shopping for supplements or food is not a new idea. Fifty years ago, a pint of milk appeared at the door six days a week in many places. But will this new crop of technology powered companies fare any better than the milkmen or the delivery models from the dot-com era of the 1990s?

The public capital markets will decline at some point. The severity of the downturn will impact private investors, who will need to keep plenty of cash in reserve while entrepreneurs will be hoping the cash is transferred to their balance sheets before everyone rushes for the door.

—Steve Allen, Co-Founder, Nutrition Capital Network

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Increased raw material costs and a continued interest in concentrates mark two of the takeaways from the EPA and DHA omega-3 business in the U.S. in the last year. With El Nino conditions in Peru causing a potential suspension of anchovy fishing for the fall season, there remains a big question mark on the supply situation going forward. In the retail sector, year-over-year mainstream sales declined for the first half of 2014, but a small uptick was noted in August and the industry is cautiously optimistic about a more positive future. The omega-3 coalition, organized by GOED and a group of industry partners, successfully completed a test market campaign in Charlotte, NC, and is now focusing on a more comprehensive roll-out in 2015.

—Ellen Schutt, Communications Director, Global Organization for EPA & DHA Omega-3 (GOED)

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One trend has been consistent in the dietary supplement industry, and arguably all industry categories, for the past decade: the requirement for consumer education and transparency. Access to the Internet and the proliferation of information has led to a more sophisticated and complex paradigm of customer service. Today’s consumers reach much farther up the supply chain to gain information and verification about the products they buy or intend to buy.

Education of consumers now requires more than marketing messages. Validation of claims through scientific and/or third party verification is increasingly mandated. Social media has emerged as a double-edged sword in terms of accuracy and content. Total and complete control of consumer education content and accuracy relating to a product is important but exceedingly difficult. For this reason more attention to social media content monitoring will continue to rise in importance. Transparency has also taken a larger role in consumer expectations; questions across all levels of the supply chain are complex and detailed. The line between proprietary and requested information becomes increasingly narrow. Honesty, ethics and integrity are important guidelines to navigate the transparency issue. Companies cannot afford to stonewall questions from consumers anymore than they can afford to become an open book.

—Scott Steinford, CEO/Founder, QX-Partners

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Overall, the industry is expected to grow 3-4%—approximately half of 2013’s rate. One possible reason is the drop off in the first half of 2014 for products such as omega-3s and multivitamins due to negative press in late 2013 that carried over. Fortunately, because most Americans have a short memory, omega-3 sales bounced back for the year’s second half; the industry predicts omega-3 sales to rise overall for 2014.

Regulatory uncertainty and compliance failure remain two important issues. The industry has been anxiously awaiting the FDA’s final rule for NDIs. Companies are continuing to fail cGMP inspections despite the fact that new cGMPs were put in place three years ago.

Consumers are checking out certification labels more than ever before buying foods and supplements. For the first time, natural claims have topped organic as a preference, in part because many people distrust the organic seal due to instances of fraud. The desire for “free from” clean labeling keeps on growing. These two words are key for families confused by labeled ingredients that cannot be pronounced or understood. Non-GMO certification has moved to the forefront. The proliferation of the Non-GMO Project seal has jumped onto the scene. More and more products are being certified every day. Capsugel continues to be the only hard capsule manufacturer to achieve this certification.

—Peter Zambetti, Director of Global Development, Capsugel

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Increased regulatory attention focused on GMP compliance has pushed into high gear the urgency for companies that haven’t done their homework to understand how to identify their articles of commerce. The need for suppliers to provide specific, detailed information about their herbal ingredients, and for companies to understand what they are buying, has never been greater. 
Previous industry guidance provided by the American Herbal Products Association continues to be a valuable resource and the U.S. Pharmacopeia has recently addressed herbal product nomenclature with a guideline for assigning monographs titles. Targeted for monographs in the Herbal Medicines Compendium, it’s easily applicable to supplement ingredients by simply adding common names.

It’s past time for agreed upon international standards for botanical extracts that clearly identify native extract yield and percent excipient in ingredient descriptions, but not to routinely include percent amounts and extract ratios in what these ingredients are called. Too often herbal ingredients are purchased without an understanding of the quality of the starting material, how it was processed, and what the final product represents. Scientifically valid methods of supplement ingredient analysis continue to be developed through AOAC International efforts currently funded by the NIH Office of Dietary Supplements.

—Steven Dentali, VP, Botanical Sciences, Global Product Science & Safety, Herbalife

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Consumers are eager for health enhancing products but health providers are not in sync. More complementary marketing is needed to address products as solutions. Less hyperbole and more relevance enhances the role for products in consumer lifestyles, especially for Boomers. Expect more consumer and regulatory scrutiny. Solid products with research underpinnings and brand strength will compare favorably in a fragmented marketplace. A digital presence is essential; a presence with authenticity and a human connection is both engaging and assuring.

—Nancy M. Childs, PhD, Professor of Food Marketing and Gerald E. Peck Fellow, Saint Joseph’s University, Erivan K. Haub School of Business

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The scientific evidence continues to mount for resistant corn starch and insulin sensitivity, a recognized biomarker for type 2 diabetes. Dr. Barbara Gower from the University of Alabama presented clinical results at The Obesity Society meeting in November, showing 23% improvement in insulin sensitivity in insulin resistant women with supplemented resistant corn starch (type 2). This is the seventh clinical trial showing these impressive results, all using the same ingredient. 

Type 2 diabetes is already a pandemic disease worldwide, with 79 million American adults estimated to have higher blood sugar levels than normal, but not high enough for a diagnosis of diabetes (called “prediabetes”). High insulin levels drive weight gain, prevent weight loss, and promote fat storage, making insulin sensitivity a major biomarker driving obesity as well as type 2 diabetes. While 2014 was a good year for resistant starch research, 2015 will be the year that resistant starch becomes a hot topic within the dietary supplement and functional food industries.

—Rhonda Witwer, Industry Consultant

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From our vantage point, as insurance brokers serving the industry, it’s clear that large retailers are demanding a higher level of compliance on several fronts, making doing business with them more difficult and expensive than ever before.

We review contracts that require on-site compliance audits (often redundant with other retailers requiring the same thing), “social responsibility” clauses (e.g., guarantee of no child labor), and indemnification clauses that are all-encompassing in favor of the retailer and are without regard to fault. Specifically, with respect to liability insurance, we are seeing large retailers demanding ever-higher limits of coverage, even for the smallest of companies, which may be their suppliers. This is an expensive prospect that in some cases has become the tipping point for the supplier. Two in particular, Wal-Mart and Walgreens, currently have a requirement of $20 million for dietary supplements, although enforcement of these requirements seems to be spotty at this time.

—Greg Doherty, Managing Director Dietary Supplement Practice Group, Bolton & Company

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It’s more important than ever for the natural products industry to stay abreast of pertinent legislative and regulatory issues in 2015. With midterm elections and DSHEA’s 20th anniversary behind us, our industry needs to focus on building a strong future and not staying complacent. As the leading voice of the industry, NPA has been setting the stage for natural products to continue to thrive through our advocacy efforts, but we can’t do it alone. To make gains, our industry needs to ensure our voice is heard in the halls of Congress by cultivating champions to defend our industry. We must also focus on increasing our advocacy efforts at the federal level to make sure we’re at the table and not on the menu, as the saying goes. We not only need to be our own advocates, but also find new elected officials to take up our cause so we can get our issues in front of Congress. The year ahead will prove to be an exciting one for our industry, if we can step up to the challenges ahead.

—Daniel Fabricant, PhD, Executive Director & CEO, Natural Products Association (NPA)

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The control in Washington has shifted yet again, and this brings new opportunities to enhance our relationships on the Hill, amplify our messages and educate new members of Congress on the benefits of our products and the value they bring to the economy and healthcare system. Along the lines of new leadership, the timely appointment of a new CFSAN director is appreciated, and brings hope that FDA will move swiftly to fill the other long overdue vacancies.

CRN is still determined to distinguish the good guys from the bad, and we are dismayed each time we learn of illegal activity putting consumers at risk and tainting the reputation of our industry. We should be emboldened by the enforcement action that has taken place this past year, but FDA must increase the aggressiveness by which it enforces the law, moving criminals out of our marketplace once and for all. In the next year, we will continue to push for fuller implementation of the law by the agencies that regulate our industry, discouraging any notion that suggests rewriting the law is a solution—because it is not.

—Steve Mister, President & CEO, Council for Responsible Nutrition (CRN)

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Unity of purpose among responsible members of an industry is one of the strongest traits of an effective trade association. Members of CRN will remain mindful of this as our association looks to the year ahead. As always, we anticipate challenges, possibly on the regulatory or legislative fronts, and certainly in the media. Association membership offers greater assurance that our industry can weather any storm. I have been proud to chair the CRN Board for the past two years. We have a talented and innovative staff. We have forward-thinking leadership on the Board. We have member companies that are determined to work together to responsibly shape the future of our industry. I am optimistic about the future of our industry and the role of our association in helping to facilitate that future. Informed consumers are taking a more proactive role in their health. Dietary supplements and functional foods—in fact all nutrition—is critical to the success of their efforts.

—John Blair, CRN Chairman, and Senior Vice President, The Juice Plus Company

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It is an exciting time to be in the dietary supplement industry. More than two thirds of Americans rely on our products to maintain optimal health. In addition, there is continued opportunity internationally. This is a direct result of increased consumer awareness of the value of dietary supplements. The key to growing the business is two-fold: supporting scientific research and investing in quality control manufacturing practices. Importantly, we must also monitor opposing legislative or regulatory barriers that are unreasonable and will stifle investment, innovation and consumer access. That’s where a trade association can greatly impact your business. The right association understands policy, knows the environment and protects the interests of our companies and our consumers, helping us bring to market products that positively impact consumer health worldwide.

—Harvey Kamil, CRN Vice Chairman, and Vice Chairman, NBTY

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This past year saw sweeping changes to China’s dietary supplement industry. First off, China’s FDA became a larger entity. Furthermore, many of the redundant agencies that overlapped were removed or absorbed into larger entities, thus facilitating smoother communication between agencies. For example, in the past, China FDA, Ministry of Health and the Administration of Quality Supervision Inspection and Quarantine did not communicate very well. Beginning in January 2014 that all changed, and now communication is more streamlined and oversight is becoming more effective.

As a result, the borders were much tighter and not accessible for dietary supplements that were previously being imported as food under China food law. China FDA deems this practice illegal and requires that all dietary supplements follow China’s Health Food law, which requires registration. This registration process is known as the “blue hat” registration system and is quite the investment, taking over two years to complete and costing around $100,000 per SKU.

These changes are all part of China’s plan to reign in the health product industry and issue new regulations moving into 2015. On Nov. 5, 2014, the first part of this plan was finally revealed, calling for a new category of “nutritional supplements,” which refers to vitamins and minerals only. The draft regulations for nutritional supplements has been translated into English by the U.S. – China Health Products Association and its members are preparing a comment paper to submit to China’s FDA by the end of November 2014.

2015 will be a very interesting year for China’s dietary supplement industry. It is expected that implementation of regulations will come out early in the year and industry will begin to understand more clearly how the new system will operate.

The association applauds China’s move to reform the system and will continue to share information with Chinese FDA and other relevant organizations to encourage the further opening of China’s dietary supplement industry.

—Jeff Crowther, Executive Director, U.S. – China Health Products Association

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What a difference a year makes! Fish and krill oil are down—or at least not growing like they were. I contribute this to a combination of irrational researchers seeking attention and the mass media seeking sensational stories. The science on omegas and polar lipids is still solid and the benefits are real. The good news in this category is the strong interest in vegetarian and vegan sources of omegas and polar lipids. This is a real, legitimate market segment and consumers are looking for products.

Bone health represents another growing category. A developing science portfolio and new product combinations are making this an exciting category to be in. It’s encouraging to see new product launches and new line extensions across many categories. The pace is picking up and this is very positive news.

Internationally, the U.S. dollar is gaining strength. For ingredient imports, it’s a good thing and stimulates new opportunities. Many would argue a strong dollar does more good than harm. The U.S. economy seems to be doing better. It’s fragile but companies are expanding and hiring, so things are moving in the right direction. It would feel a little more positive if we all weren’t working overtime to get things done, but it’s far better than sitting around with nothing to do!

—Dan Murray, VP Business Development, Xsto Solutions, LLC

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The nutraceutical industry is again iterating changes as it expands. While increased regulatory scrutiny is affecting many, we are seeing real growth coming from functional foods and beverages, particularly those packed with protein, probiotics and essential fatty acids. Categories to watch include immune enhancers, cognitive and mood products, and “Lifestyle Antidotes”—those products that counter the effects of our not-so-healthy habits. Look for innovations in “better-for-you” convenient breakfast options, more cosmeceuticals (beauty from within), healthier snacks, and anything that can “boost” reality … hello Colorado and Washington.

—Peter Leighton, Vice President of Product Strategy at Complete Nutrition and Founder of Abunda

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Our industry must more strongly document and advocate the safety and benefits of dietary supplements. We must also relentlessly make the case that supplementation offers exceptional opportunities for proactive health beyond diet and exercise.

The numbers and the general consensus are that 2014 is a dull year for dietary supplement revenues, led by declines in multivitamin and omega-3 sales. Strongly negative press on supplement science and industry integrity are reported to be important factors in the slower year. The ongoing core debate among industry leaders is what is necessary for the industry to recover, with public/relations lobbying, self-policing, and higher science standards each having strong advocates. We believe that the consumer movement toward proactive, as contrasted with reactive, approaches to healthy living favors informed use of dietary supplements. 

We believe this is a stronger long-term trend than the trend of seeking our full health benefits from consuming wholesome foods. At PLT Health Solutions, we closely adhere to our strategy of developing and launching “best-in-class,” clinically supported, ready-to-go ingredients which address identified consumer priorities.

—Paul M. Flowerman, President & CEO, PLT Health Solutions, Inc.

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The omega-3 market is at a crucial crossroads. Long considered the most popular nutrient category in the U.S., sales dipped to unprecedented lows during the last year. The good news is most major players are not standing by to see what happens next. Instead, they are involved in a national campaign to bring consumers back to the category by generating more awareness and positive news around omega-3s. Surprisingly, this group is a cohesive one, which sees its efforts on behalf of the entire category well worth the cause. Aker BioMarine is proud to be part of this movement.

In terms of krill specifically, we continue to believe strongly in the power of education, which is the main driver of our new “How to Speak Krill” campaign. Because omega-3s are crucial and complex, we’ve made it our mission to ensure retailers, health practitioners and consumers—everyone—have all the information they need at their disposal to make an educated decision when it comes to these fatty acids. This is why we have taken our retailer education program to the health practitioner segment. Just as retailers do with consumers, many practitioners recommend omega-3s to their patients. However, there seems to be a knowledge gap when it comes to knowing the different sources. We intend to fill that void by teaching them “How to Speak Krill.”

—Becky Wright, Marketing Director, Aker BioMarine Antarctic US

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For the supplement industry, credible and available information on our products is a commodity in driving purchase. We’re seeing consumers invest more time in online and mobile research for their wellness purchases—and that action is across the board from Boomers to Millennials. They are seeking validation from trustworthy sources that show their wellness investment is worth it. This is why there is a need to conduct independent clinical trials on ingredients and products not only to have evidentiary support but also to ensure that performance claims are valid.

Over the past year we have seen a number of clinical studies conducted on both new and long-standing products, further proving their safety and effectiveness. So far this year, six studies have been published demonstrating the benefits of Pycnogenol—our standardized natural extract from French maritime pine bark. This research fostered online consumer conversation and purchase response and feeds into our flourishing research portfolio. More research is coming in 2015. This level of credibility and consumer education is a key motivating factor in why Horphag Research has attained a pioneer role in research and development and continues to push the envelope in science and innovation.

—Sebastien Bornet, Director of Global Marketing, Horphag Research (worldwide exclusive supplier of Pycnogenol)

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The nutrition industry continues to have a bright future with respect to the positive impact that we can make on consumers’ health and wellness status. Two of our biggest challenges to navigate are the confusing and contradictory messages that consumers are subjected to regarding scientific findings and our overall regulatory environment.

Our industry needs to be more active in the advocacy, education and overall consumer dialogue with consistent, relevant and simple-to-understand messaging. Also, educating and working more closely with the media should be part of the industry’s strategic plans going forward.

The challenge regarding regulation will continue to be the search for the intersection of consumer protection and promoting an environment for the industry to make investments in, and get timely returns on, R&D and primary science.

—Will Black, VP Marketing, DSM Nutritional Products, NAA

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I’m optimistic that two of the concerns we have had will improve in the new year: expanded use of more effective chondroitin testing and companies ensuring that the claimed amounts of chondroitin in products are adequate for consumers to receive the benefits they expect a product to provide.

We’ve been advocating a change to how companies test for chondroitin purity for two years, and are seeing encouraging signs that the message is getting through. The industry trade publications have been extremely helpful in getting the word out, and with the recent publication of an article on chondroitin testing in the peer reviewed Journal of AOAC International and subsequent recommendation from the United Natural Products Alliance that its members begin CAME testing immediately, we’re hopeful that consumers will have the benefit of higher quality chondroitin products.

The Supreme Court decision in the POM Wonderful case was encouraging, as industry trade associations and regulatory attorneys were very vocal in their recommendations that companies make sure the amounts in their products reflect not just the supplement facts boxes, but meet consumer expectations indicated by what is on the front of the package. In the end, when the consumer’s expectations are met, we all benefit.

—Weiguo Zhang, President, Synutra Pure

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According to the World Health Organization (WHO), cardiovascular diseases and osteoporosis are the two biggest global healthcare problems. Vitamin K2 is the last unrecognized vitamin of which most of the population is deficient (at least 95% based on studies measuring the activation of vitamin K-dependent proteins), and this vitamin plays an integral role in bone and cardiovascular health. For instance, NattoPharma’s proprietary research shows that adding even 10 mcg of vitamin K2 to one’s diet statistically and therapeutically improves the activation of osteocalcin, the K-dependent protein responsible for binding calcium to the bone mineral matrix. And our clinical research (the gold standard double-blind, placebo-controlled studies) shows taking MenaQ7 Vitamin K2 as MK-7 as a supplement preserves bone mass and strength, and improves artery flexibility.

Populations that consume a lot of vitamin K2 in their diets—the Japanese and the Dutch, for example—clearly demonstrate stronger, healthier bones, as well as cardiovascular systems with less calcification.

The industry needs to recognize that this large-scale deficiency carries with it staggering implications. The good news is that NattoPharma’s data is the proving ground that this deficiency can be addressed, and with it, global health concerns.

—Eric Anderson, Senior Vice President of Global Sales and Marketing, NattoPharma

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Global probiotic sales are expected to top $31.1 billion by 2015, with functional foods and beverages accounting for 90.1% of total sales. As consumer preferences continue to shift from supplements to convenient, lifestyle friendly probiotic food and beverage applications, we at Ganeden Biotech believe that innovation will be imperative. The next several years will bring innovative probiotic applications centered around science-backed probiotic strains, driven by consumer demand.

—Michael Bush, Senior Vice President, Ganeden Biotech

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Consumers have access to an incredible amount of information online wherever they happen to be when a question arises; they now expect answers. This expectation is having an interesting impact that ripples across all aspects of business, and is headed for the testing lab. And I think it’s great.

Consumer expectations of access to information that was formerly behind the scenes will continue to grow, and forward thinking companies will be ready. Manufacturers are getting more questions about ingredients: “Where are they from? How were they grown? Are they non-GMO? Are they allergen free? Are they pure?”  The next question is going to be: “How do you know?”
With manufacturers mentioning product testing as part of their quality descriptions, the logical next questions will be “Where and how do you test? And for what?”  While most consumers won’t be looking for an in-depth explanation of testing methods and equipment, they will expect more than vague assurances that products are tested, especially if “dry labbing” came up when they Googled “supplement testing.”

Given this landscape, I predict that when we look back at the end of 2015, which lab a company uses for its third-party testing won’t be kept a secret anymore. We’re ready for that.

—Elan Sudberg, CEO, Alkemist Labs

 

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Industry Cycles: Convergence of Pharma & Nutra
Ultimately, the dietary supplement industry continues to be driven by strong personal values.

By Greg Stephens
President, Windrose Partners
 

Most will agree that 2014 has been an exciting and challenging year in our industry. Consumer safety through cGMPs, other regulatory action and inaction by FDA, and a rapidly changing political scene are all hot topics. Certainly many colleagues will focus their comments on these and a range of other issues. I will focus my observations on another industry dynamic. As those who have roots in dietary supplements may have observed, there is a cyclical nature to the market. There are numerous examples, depending on one’s perspective.

I am approaching it from the perspective of the ongoing convergence of the dietary supplement and pharmaceutical industries. During my first visits to Natural Products ExpoWest in the late 1990s, two concerns were voiced in the annual State of the Industry address: state licensure requirements by dietitians and the entry of Big Pharma into the supplement market. Sitting in the audience, I recall feeling more than a little self-conscious—my name badge exposing “RD” after my name and just under that, my employer name, a major pharma company. And yes, I was there to assess acquisition opportunities. Shortly thereafter, AHP (American Home Products, subsequently Wyeth) acquired Solgar, which added fuel to a frenzy of M&A activity. Also during this period, Bayer, Warner-Lambert and SmithKline launched or were test-marketing their own brands of botanicals.

With their marketing and distribution expertise and seemingly unlimited resources, pharma companies were encroaching on a future growth area for supplements: the traditional food/drug/mass markets. This, combined with no real “heart” for the industry, caused them to be often viewed with a little disdain. Still, one industry executive observed, “Today I’m seeing the same guys wearing Birkenstocks and pony-tails—the only difference is they are now in Armani suits.”

Post-acquisition was not as glamorous as expected. During integration and implementation of growth strategies it seems the “low hanging fruit” was not as accessible as pharma marketers had imagined. Supplement companies had a seemingly unlimited number of SKUs, few of which reached the pharma threshold of viability. And they didn’t truly understand the culture of the market, particularly the natural foods channel. Also, formerly the sweetheart of the media, consumers began to read negative stories on supplements. This eventually led to a dive in the market. As quickly as they closed, the acquisitions became divestitures. Having bought Solgar for a reported $425 million, Wyeth divested the company seven years later for just more than $100 million. The list goes on.

Such acquisitions continued but with less emphasis on dietary supplements and more on branded “nutritional” products, like Abbott Labs acquisition of EAS. Today, pharma continues to flirt with supplements but with more targeted indications and limited SKUs.

Now we’re seeing the pendulum swing in the other direction. At an industry gathering not long ago, a pharmaceutical executive made the observation that supplement companies are now encroaching on space traditionally exclusive to pharma, specifically medical foods. During the growth phase of medical foods, the industry would usually see a handful of product launches annually. Over the past two years this number has escalated dramatically. Fueled by a category permitted to make nutritional disease management claims and no requirement for FDA premarket approval, it is estimated that there have been at least 10 times that many launches over the past year. Much to the chagrin of the nutra-pharma companies, most of these products come from companies with roots in the dietary supplement industry. (Certainly, many supplement companies are misguided as to the regulatory requirements for medical foods.)

Many dietitians entered the profession because of our passion for health and wellness through nutrition. Career opportunities now abound for dietitians with supplement companies. As far as heart goes, the dietary supplement industry continues to be driven by strong personal values. Regardless of your background and company, this industry is made up of passionate, caring people. Despite the cyclical nature of the industry, our common goal remains: providing safe and efficacious solutions to improve the health of patients and consumers.