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	<title>Supplement Safety Solutions</title>
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	<link>https://www.supplementsafetysolutions.com/</link>
	<description>Expert safety, compliance and risk management services</description>
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		<title>Serious Adverse Events Reported with Dietary Supplement Use in the United States: A 2.5 Year Experience</title>
		<link>https://www.supplementsafetysolutions.com/serious-adverse-events-reported-with-dietary-supplement-use-in-the-united-states-a-2-5-year-experience/</link>
		
		<dc:creator><![CDATA[Helen DeAndrade]]></dc:creator>
		<pubDate>Thu, 06 Aug 2020 20:22:24 +0000</pubDate>
				<category><![CDATA[News]]></category>
		<category><![CDATA[Adverse Events]]></category>
		<guid isPermaLink="false">https://www.supplementsafetysolutions.com/?p=2345</guid>

					<description><![CDATA[<p>Serious Adverse Events Reported with Dietary Supplement Use in the United States: A 2.5 Year Experience Dietary supplement marketers assure the safety of their products by complying with current good manufacturing practices and a host of federal regulations, including those enforced by the Food and Drug Administration (FDA). Post-market surveillance is a key part of&#8230;</p>
<p>The post <a href="https://www.supplementsafetysolutions.com/serious-adverse-events-reported-with-dietary-supplement-use-in-the-united-states-a-2-5-year-experience/">Serious Adverse Events Reported with Dietary Supplement Use in the United States: A 2.5 Year Experience</a> appeared first on <a href="https://www.supplementsafetysolutions.com">Supplement Safety Solutions</a>.</p>
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										<content:encoded><![CDATA[<h3>Serious Adverse Events Reported with Dietary Supplement Use in the United States: A 2.5 Year Experience</h3>
<div class="literatumAuthors">
<p><img fetchpriority="high" decoding="async" class="size-full wp-image-2029 alignright" src="http://www.supplementsafetysolutions.com/wp-content/uploads/2019/07/ijds20.v016.i03.cover_.jpg" alt="Journal of Dietary Supplements" width="200" height="286" />Dietary supplement marketers assure the safety of their products by complying with current good manufacturing practices and a host of federal regulations, including those enforced by the Food and Drug Administration (FDA). Post-market surveillance is a key part of identifying safety problems associated with dietary supplement products. FDA requires dietary supplement marketers to provide a domestic address or phone number on product labels for consumers, family members, or health care professionals to report adverse events (AEs) associated with product use and to report all serious adverse events (SAEs) to the agency within 15 business days of receipt. We aimed to evaluate the characteristics of AEs reported with dietary supplement use, including dietary supplement type and Medical Dictionary for Regulatory Activities (MedDRA) system organ class (SOC) that occur with reported SAEs. A total of 41,121 unique adverse event cases reported to two large, U.S.-based dietary supplement marketers in a 2.5-year period (March 1, 2014–August 31, 2016) were assessed for seriousness using established criteria. Each SAE was assigned one or more MedDRA preferred terms and system organ classes (SOC). The types of supplements most responsible for SAEs were assessed. Of the 41,121 AE cases reported, 203 (0.48%) were SAEs. SAEs tended to occur with products marketed for weight loss (69.0%) and glycemic control (19.2%). SAEs occurred most commonly in the cardiovascular, gastrointestinal, and nervous system disorder SOCs. The percentage of SAEs reported to dietary supplement marketers is low, predominantly among consumers of two types of supplements. Further study is needed among a larger cohort of supplement users to determine causal associations between types of supplement products and serious adverse events.</p>
</div>
<div><a href="https://www.tandfonline.com/doi/abs/10.1080/19390211.2018.1513109">Learn more&gt;</a></div>
<p>The post <a href="https://www.supplementsafetysolutions.com/serious-adverse-events-reported-with-dietary-supplement-use-in-the-united-states-a-2-5-year-experience/">Serious Adverse Events Reported with Dietary Supplement Use in the United States: A 2.5 Year Experience</a> appeared first on <a href="https://www.supplementsafetysolutions.com">Supplement Safety Solutions</a>.</p>
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		<title>Effects of Hemp Extract on Markers of Wellness, Stress Resilience, Recovery and Clinical Biomarkers of Safety in Overweight, But Otherwise Healthy Subjects</title>
		<link>https://www.supplementsafetysolutions.com/effects-of-hemp-extract-on-markers-of-wellness-stress-resilience-recovery-and-clinical-biomarkers-of-safety-in-overweight-but-otherwise-healthy-subjects/</link>
		
		<dc:creator><![CDATA[Helen DeAndrade]]></dc:creator>
		<pubDate>Wed, 27 May 2020 00:00:22 +0000</pubDate>
				<category><![CDATA[News]]></category>
		<category><![CDATA[Adverse Events]]></category>
		<guid isPermaLink="false">https://www.supplementsafetysolutions.com/?p=2351</guid>

					<description><![CDATA[<p>Effects of Hemp Extract on Markers of Wellness, Stress Resilience, Recovery and Clinical Biomarkers of Safety in Overweight, But Otherwise Healthy Subjects We determined the effects of a commercially available, GRAS (Generally Recognized As Safe) by independent conclusion, CBD-containing hemp oil extract on stress resilience, perceived recovery, mood, affect, body composition, and clinical safety markers&#8230;</p>
<p>The post <a href="https://www.supplementsafetysolutions.com/effects-of-hemp-extract-on-markers-of-wellness-stress-resilience-recovery-and-clinical-biomarkers-of-safety-in-overweight-but-otherwise-healthy-subjects/">Effects of Hemp Extract on Markers of Wellness, Stress Resilience, Recovery and Clinical Biomarkers of Safety in Overweight, But Otherwise Healthy Subjects</a> appeared first on <a href="https://www.supplementsafetysolutions.com">Supplement Safety Solutions</a>.</p>
]]></description>
										<content:encoded><![CDATA[<h3>Effects of Hemp Extract on Markers of Wellness, Stress Resilience, Recovery and Clinical Biomarkers of Safety in Overweight, But Otherwise Healthy Subjects</h3>
<div class="literatumAuthors">
<p><img decoding="async" class="size-full wp-image-2029 alignright" src="http://www.supplementsafetysolutions.com/wp-content/uploads/2019/07/ijds20.v016.i03.cover_.jpg" alt="Journal of Dietary Supplements" width="200" height="286" /></p>
<p>We determined the effects of a commercially available, GRAS (Generally Recognized As Safe) by independent conclusion, CBD-containing hemp oil extract on stress resilience, perceived recovery, mood, affect, body composition, and clinical safety markers in healthy human subjects.</p>
<p><b>Methods:</b> Using a randomized, placebo-controlled, double-blind design, 65 overweight, but otherwise healthy men and women (35.2 ± 11.4 years, 28.5 ± 3.3 kg/m<sup>2</sup>) ingested either Hemp Oil Extract [Hemp, 60 mg/d PlusCBD<sup>TM</sup> Extra Strength Hemp Extract Oil (15 mg hemp-derived CBD)] or a placebo (PLA) every day for six weeks while continuing to follow their normal diet and physical activity patterns. Outcome variables included changes in stress resilience, a 14-item panel of various psychometric parameters, heart-rate variability, plasma chromogranin A, body composition, and general markers of health. Data were analyzed using mixed factorial ANOVA, t-tests with 95% confidence intervals, and effect sizes (ES).</p>
<p><b>Results</b>: HDL cholesterol significantly improved in the Hemp group (<i>p</i> = 0.004; ES = 0.75). No other statistically significant group x time interaction effects were observed. Statistical tendencies for between-group differences were found for ‘I Get Pleasure From Life’ (<i>p</i> = 0.06, ES = 0.48) and ‘Ability to Cope with Stress’ (<i>p</i> = 0.07, ES = 0.46). Sleep quality (Hemp, <i>p</i> = 0.005, ES = 0.54) and sleep quantity (Hemp, <i>p</i> = 0.01, ES = 0.58) exhibited significant within-group changes. All values for hepato-renal function, cardiovascular health, fasting blood lipids, and whole blood cell counts remained within normal clinical limits with no between-group differences over time being identified.</p>
<p><b>Conclusions</b>: Hemp supplementation improved HDL cholesterol, tended to support psychometric measures of perceived sleep, stress response, and perceived life pleasure and was well tolerated with no clinically relevant safety concerns. Registered at clinicaltrials.gov: NCT04294706.</p>
</div>
<div><a href="https://www.tandfonline.com/doi/abs/10.1080/19390211.2018.1513109">Learn more&gt;</a></div>
<p>The post <a href="https://www.supplementsafetysolutions.com/effects-of-hemp-extract-on-markers-of-wellness-stress-resilience-recovery-and-clinical-biomarkers-of-safety-in-overweight-but-otherwise-healthy-subjects/">Effects of Hemp Extract on Markers of Wellness, Stress Resilience, Recovery and Clinical Biomarkers of Safety in Overweight, But Otherwise Healthy Subjects</a> appeared first on <a href="https://www.supplementsafetysolutions.com">Supplement Safety Solutions</a>.</p>
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		<title>Post Marketing Safety of Plus CBD™ Products, a Full Spectrum Hemp Extract: A 2-Year Experience</title>
		<link>https://www.supplementsafetysolutions.com/serious-adverse-events-study-published-in-the-journal-of-dietary-supplements-2/</link>
		
		<dc:creator><![CDATA[Supplement Safety Solutions]]></dc:creator>
		<pubDate>Mon, 25 May 2020 00:00:03 +0000</pubDate>
				<category><![CDATA[News]]></category>
		<category><![CDATA[Adverse Events]]></category>
		<guid isPermaLink="false">http://new.supplementsafetysolutions.com/?p=2113</guid>

					<description><![CDATA[<p>Post Marketing Safety of Plus CBD™ Products, a Full Spectrum Hemp Extract: A 2-Year Experience The market for products featuring hemp extracts is large and growing larger. However, safety concerns have been raised by medical and regulatory agencies. Post marketing surveillance of full spectrum hemp extract (FSHE) products manufactured and distributed by CV Sciences (CVSI)&#8230;</p>
<p>The post <a href="https://www.supplementsafetysolutions.com/serious-adverse-events-study-published-in-the-journal-of-dietary-supplements-2/">Post Marketing Safety of Plus CBD™ Products, a Full Spectrum Hemp Extract: A 2-Year Experience</a> appeared first on <a href="https://www.supplementsafetysolutions.com">Supplement Safety Solutions</a>.</p>
]]></description>
										<content:encoded><![CDATA[<h3>Post Marketing Safety of Plus CBD™ Products, a Full Spectrum Hemp Extract: A 2-Year Experience</h3>
<div class="literatumAuthors">
<p><img decoding="async" class="size-full wp-image-2029 alignright" src="http://www.supplementsafetysolutions.com/wp-content/uploads/2019/07/ijds20.v016.i03.cover_.jpg" alt="Journal of Dietary Supplements" width="200" height="286" />The market for products featuring hemp extracts is large and growing larger. However, safety concerns have been raised by medical and regulatory agencies. Post marketing surveillance of full spectrum hemp extract (FSHE) products manufactured and distributed by CV Sciences (CVSI) and traded under the brand PlusCBD™ was conducted over a 2-year period (2018-2019). The safety of these products was assessed by analyzing adverse events reports. From a total of approximately five million product units sold during the 2-year period, 1,429 (0.03%) adverse events (AE) were reported in 1,151 unique customers. Of those, only two were classified as serious AEs. For orally ingested products, the most common types of AEs reported were gastrointestinal (e.g. abdominal discomfort), while for topically applied products, the most reports mentioned dermatological symptoms (e.g. rashes). There has been no evidence of liver toxicity associated with CVSI products. Based on this longitudinal dataset, the products manufactured using CVSI’s proprietary processes are safe and well tolerated at the recommended doses.</p>
</div>
<div><a href="https://www.tandfonline.com/doi/abs/10.1080/19390211.2018.1513109">Learn more&gt;</a></div>
<p>The post <a href="https://www.supplementsafetysolutions.com/serious-adverse-events-study-published-in-the-journal-of-dietary-supplements-2/">Post Marketing Safety of Plus CBD™ Products, a Full Spectrum Hemp Extract: A 2-Year Experience</a> appeared first on <a href="https://www.supplementsafetysolutions.com">Supplement Safety Solutions</a>.</p>
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		<title>Adverse Event Reporting Requirements During a Pandemic</title>
		<link>https://www.supplementsafetysolutions.com/adverse-event-reporting-requirements-during-a-pandemic/</link>
		
		<dc:creator><![CDATA[Supplement Safety Solutions]]></dc:creator>
		<pubDate>Thu, 02 Apr 2020 20:27:57 +0000</pubDate>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Adverse Events]]></category>
		<category><![CDATA[COVID-19 pandemic]]></category>
		<category><![CDATA[FDA]]></category>
		<guid isPermaLink="false">https://www.supplementsafetysolutions.com/?p=2313</guid>

					<description><![CDATA[<p>In March 2020, FDA released a new guidance regarding the enforcement of adverse event reporting requirements for medical products and dietary supplements during a pandemic. Recognizing that the COVID-19 pandemic is likely to reduce a firm’s capacity to comply with adverse event reporting requirements, this guidance was provided to help firms strategize the use of&#8230;</p>
<p>The post <a href="https://www.supplementsafetysolutions.com/adverse-event-reporting-requirements-during-a-pandemic/">Adverse Event Reporting Requirements During a Pandemic</a> appeared first on <a href="https://www.supplementsafetysolutions.com">Supplement Safety Solutions</a>.</p>
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										<content:encoded><![CDATA[<p><img loading="lazy" decoding="async" class="aligncenter wp-image-2315 size-large" src="http://www.supplementsafetysolutions.com/wp-content/uploads/2020/04/covid-19-4961257_1280-1024x576.jpg" alt="Covid-19 pandemic and adverse event reporting" width="1024" height="576" srcset="https://www.supplementsafetysolutions.com/wp-content/uploads/2020/04/covid-19-4961257_1280-1024x576.jpg 1024w, https://www.supplementsafetysolutions.com/wp-content/uploads/2020/04/covid-19-4961257_1280-300x169.jpg 300w, https://www.supplementsafetysolutions.com/wp-content/uploads/2020/04/covid-19-4961257_1280-768x432.jpg 768w, https://www.supplementsafetysolutions.com/wp-content/uploads/2020/04/covid-19-4961257_1280.jpg 1280w" sizes="auto, (max-width: 1024px) 100vw, 1024px" /></p>
<p>In March 2020, FDA released a new <a href="https://www.fda.gov/regulatory-information/search-fda-guidance-documents/postmarketing-adverse-event-reporting-medical-products-and-dietary-supplements-during-pandemic">guidance</a> regarding the enforcement of adverse event reporting requirements for medical products and dietary supplements during a pandemic. Recognizing that the COVID-19 pandemic is likely to reduce a firm’s capacity to comply with adverse event reporting requirements, this guidance was provided to help firms strategize the use of their resources and the FDA prioritize their focus to reports related to medical products indicated for the treatment or prevention of the pathogen causing COVID-19.</p>
<p>Please note that although this guidance may relax some of the timeframes for adverse event reporting required by statute and regulation, the FDA still encourages all firms to plan to maintain the highest possible level of adverse event monitoring and reporting throughout the pandemic period. All adverse event data should be handled using the usual standard operating procedures, and regulatory and statutory requirements for adverse event reporting should be met to the maximum extent possible.</p>
<h3><span style="font-weight: 400">We’re here to help</span></h3>
<p>Let Supplement Safety Solutions be your regulatory partner during these uncertain times. We can help you maintain the highest level of adverse event monitoring and reporting while you navigate the impact of the COVID-19 pandemic on your business operations. We’ll review all Adverse Events associated with the use of your supplement.  review all follow up on selected cases — including interaction with the consumer when necessary — maintain source documentation, and assess and document every Adverse Event report. When the pandemic is resolved, we’ll serve as your Responsible Person to the FDA, reporting all Serious Adverse Events on MedWatch Form 3500A or the Safety Reporting Portal (SRP) and interacting with the FDA on your behalf. <a href="http://www.supplementsafetysolutions.com/contact/">Contact us</a> today for a free consultation.</p>
<p>The post <a href="https://www.supplementsafetysolutions.com/adverse-event-reporting-requirements-during-a-pandemic/">Adverse Event Reporting Requirements During a Pandemic</a> appeared first on <a href="https://www.supplementsafetysolutions.com">Supplement Safety Solutions</a>.</p>
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		<title>Supplement Safety – A Paradigm Shift in Regulation</title>
		<link>https://www.supplementsafetysolutions.com/supplement-safety-a-paradigm-shift-in-regulation/</link>
		
		<dc:creator><![CDATA[Helen DeAndrade]]></dc:creator>
		<pubDate>Wed, 11 Sep 2019 21:05:54 +0000</pubDate>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Good Manufacturing Practices]]></category>
		<category><![CDATA[Supplement Safety]]></category>
		<guid isPermaLink="false">http://new.supplementsafetysolutions.com/?p=2185</guid>

					<description><![CDATA[<p>The role of the regulator cannot be overstated. Regulation has been a fundamental aspect of the medico-industrial complex since the Pure Food and Drugs Act was passed in 1906 and the Food and Drug Administration (FDA) was established in the 1930s. Recently, the United States Dietary Supplement Health and Education Act (DSHEA) propelled the regulatory&#8230;</p>
<p>The post <a href="https://www.supplementsafetysolutions.com/supplement-safety-a-paradigm-shift-in-regulation/">Supplement Safety – A Paradigm Shift in Regulation</a> appeared first on <a href="https://www.supplementsafetysolutions.com">Supplement Safety Solutions</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p><img loading="lazy" decoding="async" class="aligncenter wp-image-2161 size-large" src="http://www.supplementsafetysolutions.com/wp-content/uploads/2019/09/iStock-122715219-1024x685.jpg" alt="Supplement Safety – A Paradigm Shift in Regulation" width="1024" height="685" srcset="https://www.supplementsafetysolutions.com/wp-content/uploads/2019/09/iStock-122715219-1024x685.jpg 1024w, https://www.supplementsafetysolutions.com/wp-content/uploads/2019/09/iStock-122715219-300x201.jpg 300w, https://www.supplementsafetysolutions.com/wp-content/uploads/2019/09/iStock-122715219-768x514.jpg 768w, https://www.supplementsafetysolutions.com/wp-content/uploads/2019/09/iStock-122715219.jpg 1252w" sizes="auto, (max-width: 1024px) 100vw, 1024px" /></p>
<p class="p1"><span class="s2">The role of the regulator cannot be overstated. Regulation has been a fundamental aspect of the medico-industrial complex since the Pure Food and Drugs Act was passed in 1906 and the Food and Drug Administration (FDA) was established in the 1930s. Recently, the <a href="https://www.fda.gov/food/dietary-supplements">United States Dietary Supplement Health and Education Act (DSHEA)</a> propelled the regulatory framework surrounding supplements as foods through the FDA [1]. This marks an important landmark in the FDA’s role as the regulatory watchdog for drugs and medical devices. Previously, the thinking put forth by FDA regulators, was that drugs were considered to be unsafe until proven otherwise, whereas dietary supplements were considered safe until proven unsafe. Fundamentally, this line of thought is fraught with limitations and loopholes—some of which can be dangerous and cost lives. Although the vast majority of dietary and nutritional supplements can be ingested safely and without ill effects, the lack of prior regulation led to some companies being less-than-honest in their manufacturing practices.</span></p>
<h3 class="p1"><span class="s1">Introducing GMP and FSP</span></h3>
<p class="p1"><span class="s2">Published in 2007, Good Manufacturing Practices (GMP) ensured that each manufacturer was responsible for establishing the supplement’s ingredients and final specifications. In 2011, this was expanded to mandate that manufacturers had to conduct a hazard analysis and implement risk-based preventive controls for all dietary supplements through a Food Safety Plan (FSP) [2]. Although this clause was mandated by GMP, a study conducted in 2013 found that out of 44 North American herbal products which claimed to contain single herbs, only 48% of them contained any of that purported herb to begin with [3]. </span></p>
<h3 class="p1"><span class="s1">The Complexity of Adhering to GMP and FSP</span></h3>
<p class="p1"><span class="s2">Supplement companies today are required to not only adhere to GMP, but also perform routine hazard analysis and implement risk-based controls (including supply chain control). Hazard analysis is defined as the “steps in the process of creating that ingredient, consider what might happen at each step that could create a health hazard, determine what preventive controls are required for controlling that hazard and document the verification and validation of those controls.” If that wasn’t a mouthful, this hazard analysis can only be performed by a “preventive controls qualified individual” as well. Furthermore, this FSP must be repeated every 3 years in the life-cycle of a supplement, even after it is in the post-market stage. </span></p>
<h3><span class="s1">Adapting to New Climates</span></h3>
<p class="p1"><span class="s2">Clearly, the FDA has tightened its vice-grip on the dietary and nutritional supplement market, and for good reason too. There should be no reason why dietary supplements should be subject to any less scrutiny than off-the-shelf drugs. However, companies that struggle to adapt to this new climate or learn the ropes fast enough to adhere to this new regulatory framework may find that their trajectories to market are stymied. Supplement Safety S</span><span class="s2">olutions is an industry-leader in the supplement regulatory space. Our experts have decades of experience and are well-versed with the new and developing regulatory framework. </span></p>
<h3><span class="s1">We Are Entrepreneurs, Just Like You!</span></h3>
<p><span class="s2">We fully understand budget restraints and the reality that you want to focus your time and money on areas that will help you effectively market your brand and ultimately make sales.</span></p>
<p>The fact of the matter is that we help supplement brands navigate their way, so that you don’t run into problems that could very well make things worse than you can even fathom—problems that would either cost your company exponentially more and/or risk losing your brand all together.</p>
<p>Call on us, so that never becomes your reality. We are here to help you and your brand survive and thrive!</p>
<h3 class="p1"><span class="s1">References</span></h3>
<p class="p2"><span class="s2">1. Bailey, R.L., <i>Current regulatory guidelines and resources to support research of dietary supplements in the United States.</i> Crit Rev Food Sci Nutr, 2018: p. 1-12.</span></p>
<p class="p2"><span class="s2">2. Levin, M.D., <i>The New Food Current Good Manufacturing Practices and Their Effect on Dietary Supplement Quality: What You Need to Know.</i> Integrative medicine (Encinitas, Calif.), 2016. <b>15</b>(5): p. 22-24.</span></p>
<p class="p3"><span class="s2">3. Newmaster, S.G., et al., <i>DNA barcoding detects contamination and substitution in North American herbal products.</i> BMC medicine, 2013. <b>11</b>: p. 222-222.</span></p>
<p>The post <a href="https://www.supplementsafetysolutions.com/supplement-safety-a-paradigm-shift-in-regulation/">Supplement Safety – A Paradigm Shift in Regulation</a> appeared first on <a href="https://www.supplementsafetysolutions.com">Supplement Safety Solutions</a>.</p>
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