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Dietary Supplements: A Framework for Evaluating Safety (2005)
Institute of Medicine (IOM)

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. "6 Categories of Scientific Evidence--Information About Related Substances." Dietary Supplements: A Framework for Evaluating Safety. Washington, DC: The National Academies Press, 2005.

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Dietary Supplements: A Framework for Evaluating Safety

Observed or Predicted Toxicity

Classa

Other Comments

Hemorrhagic

A

Only seeds are toxic

Muscle and respiratory failure, death

A

 

Gastrointestinal, circulatory

B

Fruits and roots are toxic

A. racemosa syn. Cimcifuga racemosa (black cohosh)

Hepatotoxic, carcinogenicity

A

 

Photosensitization, hepatotoxic

B

 

Gastroenteritis, coma, death

A

 

Hemorrhagic

B

 

Gastritis, vomiting, diarrhea

C

 

Hepatotoxic, carcinogenic

A

 

Convulsant

A

 

Hepatotoxic, carcinogenic

A

 

Gastroenteritis, death

B

 

Coagulapathy, photosensitization

C

 

Cardiotoxic, death

A

 

Carcinogenic

A

Usually mixed with other plants

Dropsy, glaucoma, death

A

 

Numbness of mouth and throat

B

Common household plant

Nephrotoxicity, carcinogenic

A

All species

Goitrogenic, death

B

Only in exceptionally large amounts

Gastrointestinal, coma

C

 

Cardiotoxic, coma

A

 

Abortifacient, neurotoxic; teratogenic

Respiratory failure, death

Anorexia, emaciation, neurotoxicity, death

A

Variable toxicity depending on species

Hepatotoxic, nephrotoxic

A

 

Anticholinergic

A

 

Anoxia

A

 

Gastrointestinal

B

Variable toxicity based on species

Hepatotoxic, nephrotoxic

C

Large amounts in livestock

Teratogenic, respiratory failure, death

A

 

Page
187
Front Matter (R1-R20)
Executive Summary (1-18)
1 Introduction and Background (19-42)
2 Approaches Used by Others and Existing Safety Frameworks (43-84)
3 The Framework (85-125)
4 Categories of Scientific Evidence--Human Information and Data (126-155)
5 Categories of Scientific Evidence--Animal Data (156-174)
6 Categories of Scientific Evidence--Information About Related Substances (175-216)
7 Categories of Scientific Evidence--In Vitro Data (217-234)
8 Interactions (235-246)
9 Vulnerable Groups and Prevalance of Use (247-252)
10 Scientific Principles for Integrating and Evaluating the Available Data (253-268)
11 Applying the Framework: Case Studies Using the Prototype Safety Monographs (269-291)
12 Factors Influencing Use of the Safety Framework (292-296)
13 Findings and Recommendations (297-306)
Appendix A: Existing Frameworks or Systems for Evaluating the Safety of Other Substances (307-315)
Appendix B: Scope of Work and Comments to Initial July 2002 Framework (316-321)
Appendix C: Plant Family Information (322-355)
Appendix D: Chaparral: Prototype Monograph Summary (356-362)
Appendix E: Glucosamine: Prototype Monograph Summary (363-366)
Appendix F: Melatonin: Prototype Monograph Summary (367-371)
Appendix G: Chromium Picolinate: Prototype Monograph Summary (372-375)
Appendix H: Saw Palmetto: Prototype Monograph Summary (376-379)
Appendix I: Shark Cartilage: Prototype Monograph Summary (380-384)
Appendix J: Prototype Focused Monograph: Review of Liver-Related Risks for Chaparral (385-449)
Appendix K: Protoype Focused Monograph: Review of Anti-Androgenic Risks of Saw Palmetto Ingestion by Women (450-477)
Appendix L: Acknowledgements (478-480)
Appendix M: Biographical Sketches of Commitee Members (481-488)
Index (489-506)