Choosing supplements shouldn’t feel like gambling with your health. Learn how to spot the good vitamins and supplements (and ditch the junk). Your body deserves better than a cheap dietary supplement guessing game.
Navigating the supplement aisle is like wandering into the Bermuda Triangle of health.
One minute you’re optimistic, clutching a shiny bottle of “super something,” and the next, you’re wondering if you just wasted $30 on capsules filled with rice flour and broken dreams.
Supplements are a multi-billion-dollar industry, but not all of them are worth your time, money, or digestive enzymes.
In fact, some can make things worse.
And supplements aren’t even strictly regulated.
That’s right—the stuff you’re putting in your body may not even contain what the label says it does.
But don’t worry, it’s fixable.
If you want to truly support your health (and not accidentally dose yourself with heavy metals), understanding the different grades of supplements is key.
I’m going to break it all down for you: what to avoid, what’s worth the splurge, and how to spot the good stuff without needing a chemistry degree.
Buckle up; it’s time to detox your supplement shelf and give your body the support it deserves.
You’re healing whether you know it or not—let’s make sure you’re not getting in your own way with cheap fillers and untested junk.
Supplement Grade: Not All Supplements Are Created Equal
Choosing the right supplement is key to your health and wellness. Understanding supplement grades can help you make better choices.
In general, I see three supplement grades. Keep in mind that – since supplements are not regulated – these grades are not official statuses assigned by the FDA. These categories are simply how I refer to supplements so we can be on the same page when we talk about them.
Not Graded
Supplements that don’t have a specific grade are rampant in the industry.
You know the ones – they cost, like, $5 for a huge vat of pills.
While they may have been tested for basic safety, they have not passed more rigorous safety testing.
Additionally, they have not been tested for efficacy, and they tend to use fillers and cheap ingredients.
They are the most likely to be contaminated with heavy metals like lead, cadmium, chromium, nickel, and aluminum (4).
These are the least expensive supplements, but the cheap ingredients, fillers, flow agents, preservatives, and other ingredients can interfere with your healing efforts.
They aren’t likely to kill you, but they can make you more toxic. Call me crazy, but I don’t think the goal of supplementation should be to increase your toxic load.
Food Grade
Food grade supplements are a step up from the ungraded supplements.
They generally have passed additional safety tests and efficacy tests.
Food grade supplements tend to use higher-quality ingredients and fewer fillers than ungraded supplements.
You tend to see these in health food stores and places like GNC.
Pharmaceutical or Physician Grade
These supplements meet the highest quality standards and are generally free of contaminants.
Fillers, preservatives, binders, and flavorings are minimal, meaning you’re getting more of what you’re paying for.
Physician grade supplements undergo rigorous testing to ensure safety, efficacy, potency and purity, providing you with peace of mind.
These brands are typically only available through a practitioner.
Though they can be pricier, their strict regulation ensures more accurate dosages. (And bonus! You often need to take less because of the purity, potency, and lack of fillers.)
Why Quality Matters
Physician-grade supplements may cost more, but they offer better purity and bioavailability.
Think of them as the equivalent of organic food compared to fast food—a higher upfront investment yields better long-term outcomes.
For example, pharmaceutical-grade omega-3 capsules are often free from rancidity and heavy metals, while lower-grade versions may be oxidized, riddled with metals, and ineffective.
When selecting supplements, prioritize quality over quantity.
Even the most affordable option becomes costly if it doesn’t deliver results or, worse, causes harm.
Cheap supplements often come with hidden costs, such as digestive discomfort or unmet health goals.
Remember, you’re not saving money if your “bargain” supplement ends up causing more harm than good—or just sits unused in your cabinet next to the expired chia seeds.
Where You Buy Matters: The Source of Purchase
Buying supplements can be tricky. The place you choose to purchase them from can play a huge role in the quality and safety of the products you get. Knowing where to buy, and what to watch out for, can help you make better choices.
The Risks of Big-Box Stores and Online Marketplaces
In 2023, Americans spent close to $45 billion on supplements, so it’s no wonder that alllll the stores want in on this lucrative market (1).
Big-box stores like Sam’s, Walmart or Target and online platforms like Amazon may offer convenience, but they often lack high quality options.
They focus on bulk supplements at “competitive prices.” (In other words, cheap.)
Counterfeit products, expired supplements, or those stored under improper conditions can compromise their effectiveness and safety.
A 2022 study found that 57% of tested supplements purchased on Amazon were fake, and others did not contain what they claimed (2, 3).
A good rule of thumb: If you’re going to put it IN or ON your body, don’t purchase it from Amazon because you don’t know if the third-party sellers are legit.
Health Food Stores
Health food stores such as Whole Foods, Sprout’s, and Trader Joes – and even places like GNC – tend to carry a wider variety of supplement brands.
But more expensive does not mean that the supplement is better, safer, or more efficacious.
Also, these stores have employees who are eager to provide supplement advice, even though they know virtually nothing about you, your health history, or your health goals.
They mean well, but the wrong advice can hurt you.
Practitioners
When buying supplements, prioritize reputable manufacturers recommended by trusted practitioners.
Supplement companies who work with practitioners often have higher standards because they know they can’t fool experienced providers.
They uphold rigorous standards, ensuring the integrity of their products.
Trusted practitioners can also help you identify the best options for your unique needs, steering you away from products that might be ineffective or harmful.
After all, wouldn’t you rather take advice from someone who’s actually read the studies instead of relying on that 4-star review from “HealthyAndHappy123”?
Spotting Red Flags
- Too-good-to-be-true prices: Deep discounts can indicate counterfeit or subpar products. For example, a $10 omega-3 supplement might be diluted or contaminated with heavy metals.
- Lack of third-party certifications: Look for seals like NSF, USP, or CGMP, which signify independent quality testing. (More on this later!)
- Questionable reviews: A flood of overly positive or generic reviews may suggest fake feedback. Genuine reviews often include specific details and experiences—like how a supplement helped someone’s sleep or digestion.
- Poor Packaging: Be cautious of products with missing or unclear labels. Conversely, be wary of brands with over-the-top or flashy marketing
By taking the time to research your supplement sources, you can save yourself from wasted money and potential health risks.
Remember: your health is an investment, not an expense—even if that turmeric latte habit suggests otherwise.
Supplement Formats and Routes of Administration
Supplements come in many formats, each designed for different preferences and absorption needs.
You might find tablets, capsules, or powders easily accessible and convenient for daily use, but hard, compressed tablets are hard for the body to digest. (Fun fact, compressed tablets like a popular once-daily multi-vitamin can often be seen on x-rays, passing through your intestines undigested.)
Capsules and powders allow you to sprinkle the goodies into a smoothie, on a salad, or mixed in with other food.
Gels, suppositories, and liquids offer an alternative for those who have difficulty swallowing pills, and liquids are often easiest for the body to digest.
Gummies are popular for their taste and ease (but they can be high in sugars, preservatives, and additives).
The format you choose affects how the supplement interacts with your body. Your choice might depend on factors like absorption speed or ease of use.
Route of Administration
Understanding how supplements reach their target in your body is key to maximizing their benefits.
Common Routes of Supplementation
- Oral: Pills, capsules, liquids, liposomals, and powders. These are the most common and convenient options but can be less effective for individuals with digestive issues or impaired gut function.
- Sublingual: Absorbed under the tongue for faster effects. This method bypasses the digestive system and offers rapid absorption for certain nutrients like B12 and melatonin.
- Transdermal: Creams or patches that provide continuous dosing and bypass the digestive system. These are ideal for people with absorption challenges or sensitivities and are commonly used for magnesium, hormonal balance, and detox support.
- Intravenous (IV): Direct delivery into the bloodstream, under medical supervision. This method ensures maximal absorption and is often used for high-dose vitamin C in clinical settings. This is the most expensive option and has its own set of concerns.
- Suppository: Delivery mode allows for quick absorption via the colon lining.
Tailoring to Individual Needs
The method of delivery can significantly affect a supplement’s efficacy.
For instance, someone with gastrointestinal issues might benefit more from sublingual or IV options, while others may find oral supplements sufficient.
Understanding your body’s needs ensures you’re not wasting money on ineffective delivery methods.
Consulting a health practitioner can help you determine the best route of administration for your unique health challenges.
Plus, wouldn’t it be nice to stop guessing and get results?
Chemical Forms: This Is More Important Than You Think
Groan—not chemistry again! I promise, this is just the basics. No need for a stress-filled flashback to High School Chemistry!
The chemical form of a supplement greatly influences how effectively your body absorbs it.
Some forms ensure higher bioavailability, meaning your body can use more of the nutrient, while others can cause unwanted side effects.
What Are the Chemical Forms of Supplements?
Chemical forms in supplements refer to the specific compound that holds the essential nutrient you consume.
For example, calcium can be found as calcium citrate or calcium carbonate.
The form (citrate or carbonate in this example) affects how it interacts with your body.
Some forms dissolve more easily, such as vitamin C in the form of ascorbic acid.
Others, like magnesium glycinate, are known for being easily absorbed and gentle on the stomach.
Let’s say you wanted to take magnesium to help with leg cramps.
Magnesium glycinate would be a good option. But if your magnesium supplement only has magnesium chloride (which is cheap, poorly absorbed, and has laxative effects), you won’t get the results you want.
Knowing the specific form helps you choose what’s best for your needs.
The Pitfalls of Cheaper Options
Lower-cost supplements often use less effective forms of nutrients, which may require higher doses to achieve benefits—if they work at all.
Worse, they can contribute to digestive upset or other side effects, leaving you frustrated and questioning their efficacy.
For example, cheap multivitamins often contain synthetic forms of vitamin E (dl-alpha-tocopherol) that are poorly utilized by the body.
To ensure you’re getting the most from your supplements, always check the labels for the specific forms of nutrients included.
Don’t settle for products that cut corners on quality.
Your body deserves the best fuel available.
Because if you’re going to invest in your health, shouldn’t your supplements do more than just “exit” your system quickly?
Speaking of your system, what happens to a supplement once you take it?
Ingestion to Utilization: The Journey Inside Your Body
A supplement has three “hurdles” to overcome in order to be effectively used in your body. Let’s look at each one!
Digestion
Simply put, you must be able to break down or digest the supplement to jump over hurdle number one.
When you consume supplements, digestion begins in the mouth.
Enzymes in your saliva start breaking down the supplements if it’s a chewable format.
Once swallowed, they move to your stomach, where stomach acids and more enzymes ensure further breakdown.
Hard tablets are difficult to break down, especially if your system is compromised by low stomach acid, PPI medication, leaky gut, or other factors.
Liquid supplements overcome this first hurdle of digestion the easiest.
Absorption
Next, the small intestine takes over.
Here, nutrients are absorbed into your bloodstream.
This process relies on the effectiveness of digestive enzymes and the health of your gut lining.
If you have intestinal parasites, mold toxicity, or other issues that interfere with the ability of your gut lining to absorb nutrients, the supplement may stumble over this second hurdle.
Bioavailability
This third hurdle is sometimes the hardest to overcome.
Bioavailability is the ability of a nutrient to pass from the bloodstream into individual cells, and for those cells to be able to use that nutrient effectively.
Part of what determines the “usability” of a supplement by your cells is the number of free electrons they have (5). (And, by the way, the number of free electrons has been shown to be higher in organic foods than those that are conventionally grown.)
Other Factors That Impact Bioavailability
- Digestive health: Conditions like IBS, leaky gut, or low stomach acid can impede absorption. Without addressing these underlying issues, even high-quality supplements may fail to deliver results.
- Timing: Some nutrients, like calcium, compete for absorption and should not be taken with iron. Others, like magnesium, are better absorbed in the evening when the body’s demand is higher.
- Food interactions: Fat-soluble vitamins like A, D, E, and K require dietary fat for optimal uptake. On the other hand, fiber can bind to some minerals and reduce their absorption.
- Format: Liquids win again here.
Why More Isn’t Always Better
Excessive doses can overwhelm the body, leading to poor absorption and potential toxicity.
For example, megadoses of vitamin C can cause gastrointestinal discomfort without additional benefits.
Balance and timing are key to maximizing your supplement’s effectiveness.
As much as we love a good “more is better” mentality, your body doesn’t see it that way. Moderation wins the race here.
Hidden Hazards: Fillers, Flow Agents, and Irradiation
Many supplements contain toxic fillers and flow agents. Others are irradiated to extend shelf life, potentially degrading nutrient quality. These practices prioritize manufacturing convenience over consumer health.
Fillers and Flow Agents
Fillers and flow agents are used to help in the manufacturing process of supplements.
Commonly used agents include magnesium stearate, which helps prevent ingredients from sticking to machines or gumming up the machines between runs.
But magnesium stearate is known to cause gut disturbances.
Fillers like binders and stabilizers keep pills together and extend their shelf life.
These help pad the bottom lines of the manufacturers and may have implications for your health.
Reading labels carefully is key to knowing what’s in your supplements.
Irradiation and Potential Risks
Irradiation is a technique used to sanitize supplements by exposing them to ionizing radiation like x-rays (6).
This process aims to kill bacteria, but it can also destroy beneficial enzymes, vitamins, and phytochemicals found in nutrients, botanicals, and herbs.
There are concerns about irradiation risks leading to unpleasant side effects.
Taste changes or reductions in the nutritional value are among these risks. It’s pointless to pay for a supplement that has been irradiated – the very things you want to support your body have been compromised
Spotting Unnecessary Additives
Read ingredient lists carefully and avoid:
- Artificial colors or flavors, which serve no health purpose.
- Hydrogenated oils, which are inflammatory and can harm cardiovascular health.
- High amounts of binders or preservatives, which add no nutritional value and may even interfere with absorption.
- Titanium dioxide
- Silica
- Rice flour or rice bran (can be contaminated with arsenic)
- Magnesium stearate
- Vegetable stearate
Choose brands that are transparent about their ingredients and avoid unnecessary additives.
Remember, your supplements should support your health, not introduce new challenges.
Supplement Labeling Laws and Regulations: What’s Actually Disclosed?
Dietary supplements are minimally regulated, and there are significant issues with labeling and disclosure. While agencies like the FDA oversee these products, gaps in regulations and undisclosed ingredients can lead to confusion and health risks.
Regulations
The Dietary Supplement Health and Education Act allows supplements on the market without prior approval, contributing to this issue.
Manufacturers aren’t required to prove the effectiveness of their products before selling them.
Whaaaat?
In their words:
“In general, FDA is limited to post market enforcement because, unlike drugs that must be proven safe and effective for their intended use before marketing, there are no provisions in the law for FDA to approve dietary supplements for safety before they reach the consumer.” (7)
Furthermore,
The “FDA has limited resources to analyze the composition of food products, including dietary supplements, and, therefore, focuses its resources first on public health emergencies and products that may have caused injury or illness…FDA does not test dietary supplements before they are sold to consumers.” (7)
Gaps in Labeling
According to the Code of Federal Regulations, not all ingredients are required to be listed on dietary supplements (9).
So, you might be getting things you don’t want or need.
Here are some examples of supplement labeling issues:
- “Dietary ingredients” only include things that supplement the diet such as vitamins, minerals, amino acids, botanicals, herbs, live microbes, enzymes, extracts, metabolites, concentrates, and constituents. You have to look at “other ingredients” to find the fillers, binders, flavorings, preservatives, sweeteners and excipients. (7)
- A supplement is only considered to be those things that are swallowed or ingested. Therefore, transdermal patches, inhalants (as some peptides), and maybe even suppositories are not regulated even as much as a supplement (7).
- Naturally occurring Dietary Ingredients only have to be listed at 80% of declared value (8). The example given by the FDA is that of Vitamin C. If the Vitamin C is synthetic or an isolate, it must list 100% of it on the label. However, if they add rose hips, only 80% of the amount of Vitamin C has to be declared on the label. Vitamin C is innocuous, but not all “naturally occurring” ingredients are.
- A manufacturer isn’t even required to have a Supplement Facts Panel if they make no health claims and sell less than $500,000 per year; sell fewer than 100,000 units or have less than 100 full-time employees; or if they sell their product to other supplement manufacturers (10).
- If the ingredient in question has a known Recommended Daily Intake, it does not have to be listed on the label if the supplement contains less than 2% of that ingredient (8).
- Furthermore, if the amount is high enough to declare, but so low the Percent of Daily Value is less than 0%, it only has to be listed as less than 1% (10). For example, the PDV of potassium is 3500 mg. If a supplement has 5mg of potassium, they divide 5mg by 3500, which equals 0.14%. So even though there are 5mg of potassium, it is listed as less than 1%. (Again, potassium is maybe an innocent ingredient, but what about others?)
Proprietary blends are often problematic, as they allow companies to group several ingredients together without detailing the amounts of each.
While this can protect trade secrets, it means you might only know the total weight of the mixture, not the individual components.
This lack of transparency can pose health risks for those with allergies or sensitivities.
Manufacturers aren’t required to disclose trace amounts of allergens unless they’re major allergens like nuts or soy.
This makes it critical to consult with your practitioner before starting any new supplement regimen.
Decoding Labels
Navigating supplement labels can be tricky, so it helps to know what to look for.
Start by checking for the “Supplement Facts” label, similar to a “Nutrition Facts” panel on food products.
It should list active ingredients and other added components like fillers, binders, and flavorings.
Pay close attention to serving sizes and make sure the dosage recommendations fit your needs.
Keep an eye out for statements like “not evaluated by the FDA,” which indicates that claims about health benefits haven’t been officially reviewed.
Identifying reliable certifications can also help, as they might indicate that a product meets certain standards for potency and purity.
Being a label detective empowers you to make informed choices and avoid potentially harmful products.
Transparency in labeling is non-negotiable for safe and effective supplementation.
And remember: if you wouldn’t trust that label on your groceries, why trust it on your supplements?
How to Choose Safe, Effective Supplements
Picking the right supplements can feel overwhelming, but focusing on three critical aspects can guide you: ensuring testing by independent bodies, checking for recognizable certifications, and seeking advice from trusted professionals.
Third-Party Testing
When you’re looking for good supplements, make sure they have been tested by independent third-party organizations.
This type of testing is important because it confirms that what’s on the label matches what’s in the bottle.
It also checks for contaminants or undisclosed ingredients.
Look for certifications from groups like NSF International (11) or US Pharmacopeia.
Labels often mention if a product has been tested this way, and choosing these can help you avoid low-quality supplements.
Certifications
Certifications are more than just stamps on a bottle; they guarantee that the product meets certain quality standards.
Look for supplements that have earned certifications from recognized organizations.
CGMP indicates the manufacturer has complied with all current good manufacturing practices.
Certifications like USDA Organic or Non-GMO Project verify that the product adheres to ethical practices and uses high-quality ingredients.
You can even ask for a Certificate of Analysis from the manufacturer.
These benchmarks reflect not just health standards, but also ecological concerns, ensuring the product is safe for both you and the planet.
Trusted Practitioner
Practitioners can recommend tailored options and help navigate complex health needs, ensuring you get the most effective and safe products.
They can also identify interactions between supplements and medications, protecting you from adverse effects.
If there’s one thing your practitioner knows, it’s how to make the supplements work for your body—not against it.
Conclusion: Empower Yourself with Knowledge
Here’s the deal: your body is doing the best it can with what you give it.
If you’re feeding it bargain-bin supplements full of contaminants, fillers, and zero actual nutrients, you’re essentially asking it to build a mansion with duct tape and broken bricks.
It’s no wonder you’re not seeing results—your supplements might be working against you.
Choosing high-quality, physician-grade supplements isn’t just an investment in your health; it’s an act of self-respect.
Your body—and your future self—will thank you for it.
So, ditch the dusty bottles of “budget-friendly” nonsense lurking in your cabinet and opt for something that actually works.
Because trust me, when your body finally gets what it needs? That’s when the magic happens.
So, here’s your action plan: toss the junk, invest in the good stuff, and consult someone who actually knows what they’re talking about (spoiler alert: that’s not Amazon reviews).
You’ve got this—because feeling amazing isn’t just a dream; it’s the goal. Let’s get there together!
How We Can Help
Guiding people to reclaim their health and vitality is our greatest joy. Our entire practice is dedicated to supporting you to be who you really are, at home in your body, because your body is able to heal itself.
Book A CallFAQ
Q: What does “pharmaceutical grade” mean?
A: Pharmaceutical-grade supplements meet rigorous quality standards, ensuring they are free from contaminants and offer high bioavailability.
Q: Can supplements be harmful?
A: Yes, especially if they contain low-quality ingredients, improper dosages, or hidden allergens. Always consult with a health practitioner before starting a new regimen.
Q: How do I know if a supplement is effective?
A: Look for third-party testing, high-quality ingredients, and evidence-backed formulations. Consult a trusted practitioner to match the supplement to your specific needs.
Q: Why are some supplements so cheap?
A: Cheaper supplements often use inferior ingredients or lack proper quality testing. They may also include fillers or binders that reduce their effectiveness.
Q: Should I take supplements with food?
A: It depends on the supplement. Fat-soluble vitamins (A, D, E, K) should be taken with meals containing dietary fat, while others may have specific instructions for optimal absorption.
Q: This is so complicated! How does the average person know which supplements are good?
A: Unfortunately, with loopholes in labeling, sophisticated bad actors, and counterfeit products that have undisclosed ingredients, fillers, contaminants, allergens, and more it can be hard to know if your supplements are helping or hurting you (12, 13). Work with an experienced practitioner who knows how to determine what you need and the best manufacturers to provide it.