PMID- 35093428 OWN - NLM STAT- MEDLINE DCOM- 20220316 LR - 20220316 IS - 1873-6351 (Electronic) IS - 0278-6915 (Linking) VI - 161 DP - 2022 Mar TI - Adverse effects associated with use of specific dietary supplements: The US Military Dietary Supplement Use Study. PG - 112840 LID - S0278-6915(22)00037-0 [pii] LID - 10.1016/j.fct.2022.112840 [doi] AB - Dietary supplements (DSs) are used by 50% of Americans and 70% of United States military service members (SMs); some have adverse effects (AEs). This cross-sectional investigation examined AEs associated with specific DSs. A stratified random sample of SMs from the Air Force, Army, Marine Corps, and Navy was obtained. Volunteers completed a questionnaire reporting AEs for 96 generic and 62 specific DSs. The highest prevalence (>/=1 AE) in specific DS categories was 35% prohormones, 33% weight loss supplements, 26% pre/post workout supplements, 14% herbal products, 12% multivitamin/multiminerals, 11% protein/amino acids, 9% muscle building supplements, 7% other DSs, 6% joint health products, and 5% individual vitamins/minerals. Specific DSs of concern (with proportion reporting AEs) included: Libido Max(R) (35%), Hydroxycut Hardcore(R) (33%), OxyElite(R) (33%), Roxylean(R) (31%), Growth Factor 9(R) (30%), Super HD(R) (29%), Hydroxycut Advanced(R) (29%), Lipo 6(R) (28%), The Ripper(R) (27%), Test Booster(R) (27%), Xenadrine Xtreme Thermogenic(R) (27%), C4 Extreme(R) (26%), and C4 Original(R) (25%). Products marketed for weight loss, use before/after workout, and prohormones had the highest AE prevalence. DSs can contain substances with independent/additive AEs and/or interact with other ingredients or prescribed medications. Methods described here could provide a continuous surveillance system detecting dangerous DSs entering the market. CI - Published by Elsevier Ltd. FAU - Knapik, Joseph J AU - Knapik JJ AD - Military Nutrition Division, US Army Research Institute of Environmental Medicine, 10 General Greene Ave, Natick, MA, 01760, USA. Electronic address: joseph.j.knapik.civ@mail.mil. FAU - Trone, Daniel W AU - Trone DW AD - Naval Health Research Center, Building 329, Ryne Rd, San Diego, CA, 92152, USA. FAU - Steelman, Ryan A AU - Steelman RA AD - Army Public Health Center, 8252 Blackhawk Rd, Aberdeen Proving Ground, MD, 21010, USA. FAU - Farina, Emily K AU - Farina EK AD - Military Nutrition Division, US Army Research Institute of Environmental Medicine, 10 General Greene Ave, Natick, MA, 01760, USA. FAU - Lieberman, Harris R AU - Lieberman HR AD - Military Nutrition Division, US Army Research Institute of Environmental Medicine, 10 General Greene Ave, Natick, MA, 01760, USA. LA - eng PT - Journal Article DEP - 20220131 PL - England TA - Food Chem Toxicol JT - Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association JID - 8207483 RN - 0 (Anti-Obesity Agents) RN - 0 (Minerals) RN - 0 (Vitamins) SB - IM MH - Anti-Obesity Agents/*adverse effects MH - Cross-Sectional Studies MH - Dietary Supplements/*adverse effects MH - Humans MH - Military Personnel MH - Minerals/*adverse effects MH - Surveys and Questionnaires MH - United States MH - Vitamins/*adverse effects OTO - NOTNLM OT - Minerals OT - Pre/post workout OT - Prohormone OT - Protein OT - Vitamins OT - Weight loss EDAT- 2022/01/31 06:00 MHDA- 2022/03/17 06:00 CRDT- 2022/01/30 20:28 PHST- 2021/09/28 00:00 [received] PHST- 2022/01/11 00:00 [revised] PHST- 2022/01/25 00:00 [accepted] PHST- 2022/01/31 06:00 [pubmed] PHST- 2022/03/17 06:00 [medline] PHST- 2022/01/30 20:28 [entrez] AID - S0278-6915(22)00037-0 [pii] AID - 10.1016/j.fct.2022.112840 [doi] PST - ppublish SO - Food Chem Toxicol. 2022 Mar;161:112840. doi: 10.1016/j.fct.2022.112840. Epub 2022 Jan 31.