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Advising patients who use dietary supplements
Bimal H Ashar1, Anastasia Rowland-Seymour
1Division of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. bashar1@jhmi.edu
Many patients use dietary supplements, but awareness of their risks and benefits is limited. This review offers a 6-step guide for physicians to advise patients on supplement use, covering safety and interactions.
Area of Science:
- Integrative Medicine
- Pharmacology
- Patient Counseling
Background:
- Dietary supplement use is common, with 1 in 5 patients utilizing these products for health maintenance.
- Limited awareness exists among patients and physicians regarding supplement regulation, risks, and benefits.
- Gaps in physician knowledge can negatively impact doctor-patient relationships.
Purpose of the Study:
- To present a structured, 6-step framework for healthcare providers.
- To guide physicians in advising patients considering dietary supplement use.
- To address critical aspects of supplement evaluation and patient management.
Main Methods:
- Literature review focusing on regulatory status, efficacy, and safety of dietary supplements.
- Development of a practical, step-by-step approach for clinical guidance.
- Inclusion of considerations for supplement-drug interactions and adverse event monitoring.
Main Results:
- A comprehensive 6-step framework is proposed for patient counseling.
- The framework emphasizes understanding regulatory oversight and evidence-based efficacy.
- Key components include assessing safety, potential interactions, and monitoring outcomes.
Conclusions:
- Physicians require a systematic approach to effectively counsel patients on dietary supplements.
- Addressing regulatory, safety, and interaction concerns is crucial for informed decision-making.
- This framework aims to enhance physician confidence and improve patient care regarding supplement use.
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