2. Presented By: Dietary Supplement Industry: An Overview Lori Kalani Co-Chair, State Attorneys General Practice Cozen O’Connor July 18, 2016

3. The Dietary Supplement Industry More than $32 billion in US sales Multi-faceted Industry: Manufacturers Distributors Retailers 3d Parties (Labs, Testers) Trade associations Consumer use of dietary supplements More than 150 million Americans, or 68% of adults, take supplements annually ~98% of supplement users take a vitamin and mineral product ~74% of U.S. adults 55+ take dietary supplements 55% of supplement users trust their medical doctor/physician for reliable information on dietary supplements

4. What is a “Dietary Supplement”? Dietary supplements include such ingredients as vitamins, minerals, herbs, amino acids, and enzymes. Dietary supplements are marketed in forms such as tablets, capsules, softgels, gelcaps, powders, and liquids. Common supplements include: Multi-vitamins Calcium Folic Acid Probiotics Fish Oil Whey Protein Vitamin D Vitamin C Green Tea Fiber

5. Concurrent Regulation Office of the Attorney General

6. Dietary supplement regulation falls between that of food and drugs No pre- market approval Adverse Event Reporting cGMPs Claims DRUGS DIETARY SUPPLEMENTS FOOD

7. Self-Regulating Industry Council for Responsible Nutrition American Herbal Products Association Natural Products Association United Natural Products Alliance