Do supplements work? Does it really do what it says? I heard it on TV. If you have ever searched for a supplement on the internet then it is likely you have been exposed to some form of false advertising. One area that is truly bad is prostate supplements or prostate formulas. Beware sights that offer comparison reviews and then selectively claim that this product is # 1. Almost all of these sites receive compensation from the makers of the products recommended. The staff and/or website owners have no credentials or qualifications to review or perform any form of quantitative analysis. If you like the freedom to purchase supplements, without a prescription, then it’s time to step up and actually help the organizations in this article to do a better job at protecting all consumers from false advertising, false treatment claims, and misleading representations and information. If we fail then legislators will have no choice but to restrict everyone’s access to all supplements as a group.This article applies to all supplements that consumers’ freely access in the market place. To help the reader understand I have chosen the category of men’s health Supplements since it ranks almost at high as weightloss products with respect to misinformation. Due to this, prostate supplements will be used in my examples. For anyone who has ever purchased a prostate supplement from an advertisement or has performed a search on the internet it is most likely you were exposed to misinformation.Every day people all across the North American continent are exposed to celebrities claiming this or that supplement will change your life. We witness actors in lab coats whom appear to be doctors. We are enticed to call now and as a result promised a free bottle of this miracle prostate product. Often the free product promised is not free because consumers are signed up to be automatically billed and shipped product. In order to do this, businesses store the consumer’s credit card information. Before you buy any supplement over the internet or on the television it is best to check if other consumers have complained about the product or the company. Most of us are familiar with the non-profit organization the Better Business Bureau (BBB). It is important to look at the number of complaints that have been filed against a specific business. Often businesses can have an “A” rating yet have hundreds of consumer complaints. An extremely popular website ComplaintsBoard.com allows users to search on a product name and users can read the complaints that have been filed.In the background there are multiple organizations that do their best to protect consumers. One of these organizations is the Council for Responsible Nutrition (CRN) and another is the National Advertising Division® (NAD®) of the Council of Better Business Bureaus. Recently the Advertising Self-Regulatory Council, the Council for Responsible Nutrition was notably active in the activities of a famous celebrity television physician and the United States Congress. Another organization, National Advertising Division® or NAD® reviews national advertising for truthfulness and accuracy. Their policies are established by the Advertising Self-Regulatory Council (ASRC). This organization reviews national advertising on broadcast or cable television, in radio, magazines and newspapers, on the Internet (websites) or commercial on-line services, or advertising provided direct to the home or office. This organization focuses on product performance claims, superiority claims against competitive products and all kinds of scientific and technical claims. In March of 2009, the manufacturer of the product Best Prostate was contacted to participate in a voluntary review of its official product website. Every sentence on the website was examined for product claims, superiority claims, scientific claims and or technical claims. Not everything was perfect and some information was brought into full compliance. This review process was a 6 to 9 month process. It is my belief that all manufacturers’ product websites should go through this process in the interest of consumer safety and truth in advertising. If this was the case then consumer freedom to access dietary supplements would not be in jeopardy.The National Products Foundation, a not-for-profit 501(c)(3) corporation, is also actively involved in consumer safety and truth in advertising. The organization also promotes research and education related to natural products. In 2013, this organization reviewed 275 advertising cases, mailed 150 warning letters, and referred 40 cases to the FTC and the FDA. Year to date 2014 an additional 190 advertising cases have been initiated. This is in addition to 99 warning letters sent to companies. Surprisingly only 70 percent of the organizations contacted made changes to bring their promotions into compliance. This likely initiated additional submissions to federal regulatory agencies.In severe cases supplement manufacturers make actual treatment claims for a disease state. This is illegal. When the claim can actually cause harm the Food and Drug Administration (FDA) will actually send a warning letter or enforcement action to the manufacturer. These are readily available to consumers by doing a simple search on the internet. If you are ingesting or swallowing a tablet, capsule, or any fluid, it is important to know who you are buying from, and if they have a history of, or have received enforcement actions from the FDA. There are two very easy ways to check this. The first way is to do a search and enter “product name” and then “FDA” on the same line. Then perform the search. You can also substitute the “product name” and use the “Company Name” and then “FDA” and perform the search. If the search shows an entry from ” http://www.fda.gov ” then you should review it to consider the integrity and honesty of the manufacturer. When it comes to consumer safety manufacturers have a responsibility to be straightforward and honest. It is up to all of us to protect our freedoms. On the FDA website you can report a problem by calling the FDA in your local area please familiarize yourself with the type of complaints they accept.In 2008 it was estimated that approximately 30 percent of men in North America diagnosed with a prostate disease used some complementary or alternative therapy primarily herbal agents, vitamins, supplements, and/or dietary intervention. It is now six years later and that number has increased significantly. This is partially due to the FDA warning issued in 2011 which found that in two large clinical trials with (5-alpha reductase inhibitors) prescription prostate medications that actually showed an increased incidence of high-grade prostate cancer. In addition every night our televisions tell us of yet another prescription medication with a dangerous side effect and that if you or a loved one experienced this or died you need to please contact the law firm. Who wouldn’t be a bit distrustful? Then the next commercial promotes the next latest and greatest prescription medication only to have a laundry list of side effects that is quickly read to us and then we are encouraged to ask our physician to prescribe it. It is no wonder why more and more consumers are embracing complementary or alternative therapies.North American urologists and physicians in general have been slower than their European colleagues to use or even understand these complementary or alternative therapies. In Italy, 50% of the medications used by physicians for benign prostatic hyperplasia (BPH) are (plant-based) phyto therapies. While in Germany and other European countries, phyto therapies are first-line treatment for mild-to-moderate enlarged prostate or benign prostatic hyperplasia/lower urinary tract symptoms (BPH/LUTS).1Despite the positive benefits of using the phytosterols (ex. Beta-sitosterol ) and/or other complementary or alternative therapies, the use of some nutraceuticals in prostate disease have had less desirable consequences, showing lack of efficacy, adulteration, and/or severe side effects or drug interactions. The AUA (American Urological Association) has encouraged studies of the supplements being used by consumers. Despite this some physicians simply dismiss complementary and alternative therapies. In addition studies of phytosterols, with respect to an enlarged prostate, have been published in the same medical journals as their prescription counterparts. Examples: Lancet, British Journal of Urology, and Cochrane Database of Systematic Reviews. This can be confirmed by visiting NIH.GOV and simply entering the “ingredient” (beta-sitosterol) followed by “problem or disease state” (example: BPH). Respectfully with prescription medications the FDA requires adequate safety data for marketing, yet the number of estimated deaths for all adverse drug reactions and medication errors make these the 5th leading cause of death here in the United States. 2Although many in the medical community here in North America level charges against complementary and alternative therapies and allege that they are unsafe. Statistics actually support that traditional prescription medications are guilty of being unsafe despite the submission of safety data to the FDA. With respect to prostate problems urologists do not necessarily treat BPH or prostatitis pharmaceutically based only on objective parameters. In fact, it is acknowledged that typically they treat these conditions by observation. For physicians to truly understand the benefits derived from nutraceuticals or alternative therapies in terms of enlarged prostate symptom improvements (or other medical condition) they must be aware and familiar with the published literature.As we acknowledge the 20th anniversary of Congress passing the DSHEA, the Dietary Supplement Health and Education Act. With this, Congress definitively stated that dietary supplements are a category of food, and not subject to FDA pre-approval thereby allowing your freedom to access complementary and alternative therapies. What is important is that consumers not assume that all supplement manufacturers practice truth in advertising. It is important to verify and look at the product’s reputation and the manufacturer’s reputation through the use of objective sources. Another new scheme is companies that new and just appear on the scene. Do a search on the company name. The owners should be disclosed as should the owner of a website. This is not the industry to hide behind an annonymous proxy company. You should be able to call the company and speak to someone. Always consult and inform your health care provider when you initiate any complementary or alternative therapy. The information contained this article is designed to provide accurate information in regard to the subject matter presented. It is provided with the understanding that the author is not engaged in rendering medical advice. If expert assistance is required, the services of a competent medical professional should be sought. These statements have not been evaluated by the Food and Drug Administration. Any products discussed or mentioned are not intended to diagnose, treat, cure or prevent any disease. The author wishes to acknowledge the following resources used in writing this article.1 Dreikorn K. Complementary and alternative medicine in urology. BJU Int. 2005;96:1177-1184.2 CDC/NCHS National Vital Statistics System 2007, authors. Deaths, percent of total deaths, and death rates for the 15 leading causes of death: United States and each state, 1999-2003. [Accessed January 25, 2007].Nickel JC, Shoskes D, Roehrborn CG, Moyad M. Nutraceuticals in Prostate Disease: The Urologist’s Role. Rev Urol. 2008;10(3):192-206.