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Nutraceuticals and herbal remedies are very popular in the United States and worldwide.  Reasons for their popularity include access without a prescription, and generally fewer side effects compared to prescription drugs.  However, the safety and efficacy products are less well studied and understood compared to FDA approved drugs. With growing use, we have seen more cases of serious side effects, toxic reactions, and interactions with other drugs.  Shopping for nutraceuticals can also be tricky because different commercial preparations may vary in purity and strength.  Finally, these treatments are not generally covered by medical insurance, so the consumer must pay out of pocket.