[HN Gopher] Amazon receives FDA warning letter for supplements w... ___________________________________________________________________ Amazon receives FDA warning letter for supplements with undeclared ingredients Author : mkmk Score : 424 points Date : 2023-12-28 15:07 UTC (7 hours ago) (HTM) web link (www.fda.gov) (TXT) w3m dump (www.fda.gov) | kayodelycaon wrote: | I'm glad the conclusion says the products lists are not the only | ones to which this letter applies. Otherwise Amazon could just | remove the products mentioned and make the FDA play wack-a-mole. | | As a side note, this letter is exactly why I think a regulatory | agency like the FDA is absolutely necessary. This stuff can kill | people and it is impossible for the average person to protect | themselves. | toomuchtodo wrote: | The FDA likely needs a data team if they don't have one already | to monitor Amazon for ongoing compliance. Similar to the SEC's | data team that monitors capital market data flows for anomalies | that would indicate illegal behavior. | | My two cents: good market to be looking for good data folks who | might want a (potentially remote) federal agency data job with | shakiness in tech. | | https://usajobs.github.io/microsite-data-science/ | bilbo0s wrote: | If you've ever been with a startup that needed a 510k, you'd | know that the FDA regularly monitors everyone for compliance. | At least in my narrow domain of medical imaging and treatment | planning devices they do. I'd be surprised if they didn't | have similar mechanisms in place in every area of their | 'jurisdiction'. | | It doesn't really hurt the Amazons, they're just | distributors. Doesn't really even hurt me. If RTP is a part | of my software product I _should_ be under a microscope. It | 's going to be small people who try to market supplements who | will get trounced now. Because every report will, by law, | have to include the source of the product. And that source | company or individual is in for a long year. Even shutting | down won't end their legal obligations in a lot of cases. | | On the other hand, that was, in part, the original point of | the FDA. To stamp out the snake oil salesmen. So, yeah. I | guess they're just carrying out that mandate in new and | updated ways. | toomuchtodo wrote: | I am not unsympathetic to the disparity you mention, but am | advocating that distributor gorillas (like Amazon, but | others as well) need strong controls (both regulatory and | technical) due to their incentives to not be compliant and | the potential negative outcomes (illness, perhaps death | even, depending on material and consumer) from non | compliance. | tacheiordache wrote: | Absolutely. And Amazon should also pay for it! | LeifCarrotson wrote: | > It doesn't really hurt the Amazons, they're just | distributors. | | I'm doing my first FDA-monitored automation project at a | local brewery, and am quickly becoming familiar with the | abundant controls that the FDA puts on domestic producers. | | But the FDA is an American organization. Amazon or Ebay or | Aliexpress or whoever may be just distributors, but they're | international distributors. They're _fully-automated_ self- | service distributors for manufacturers in China and Russia | and Indonesia and India who aren 't subject to FDA | jurisdiction, who sometimes aren't subject to any oversight | at all. | | The only entity that the FDA can go after here is Amazon, | so this should hurt Amazon. | galangalalgol wrote: | The FCC should be going after them too. A lot of the | wireless stuff they sell isn't registered. | LeifCarrotson wrote: | Yes, the FCC should be going after Amazon as well. I have | more experience with that as an electrical engineer who's | just getting into FDA-adjacent work. | | But the FCC's position is that if I as an electrical | engineer want to sell my neighbor here in the US some | custom PCB with an antenna, I need to go through testing | that costs many thousands of dollars. | | If an EE in Shenzhen wants to sell my neighbor the same | PCB over Alibaba, Aliexpress, Banggood, Wish, Temu, | Shein, Gearbest, or whatever new discount importer is hot | I can't keep up anymore, or | Ebay/Amazon/Target/Walmart.com, they're just going to | create a listing and import it. The FCC simply cannot | keep up. | | What I don't understand is how they're getting through | Customs and Border Patrol. If I want to ship a spare off- | the-shelf PLC digital input card for a machine to one of | my customers who has a satellite facility in Mexico, | there's a 50% chance it gets held up for a month or more. | Meanwhile these big distributors have no issues with air- | freight shipments of a GPS jammer or raw testosterone | direct to American doorsteps in 3 days. | pfisherman wrote: | They do not for supplements. Supplements fall under the | office of the Director, which is not funded by PDUFA / | MDUFA. Supplements are basically the Wild West. | jacurtis wrote: | As someone who worked at a startup that grew to a | significant size in the "Nutraceuticals" industry (the | fancy name for supplements), I can tell you that the FDA | has nearly zero regulation or monitoring of supplements. | | I'll omit brand names here, but I can tell you some sketchy | stuff happens in supplement manufacturing all the time. | During the ~6 years I worked there, only one letter came | from the FDA after a whistleblower at a competitor's | company came forward. The FDA sent a warning letter out to | several of the large competitors in the industry to "don't | do it or else" and never followed up again. The company | that got in trouble got a few hundred thousand dollar fine | for using mislabeled and toxic ingredients. They had one | follow up inspection about 6 months after the warning and | that was the end of it. For comparison that company was | making ~$600M a year at the time of the fine and is now | making $1B+. We carried on and never heard from the FDA | again despite being equally guilty in our own company. | | The guilt is what eventually led me away from the cash cow, | where I went on an 18 month sabbatical to get away from any | corporate greed for a little bit. I legitimately had | nightmares that I would be complicity guilty of several | crimes if I stayed there long enough. | | I promise you, there is no oversight in supplements. There | are a handful of posted guidelines. If a whistleblower | comes forward the FDA might react to that single case, but | they are so understaffed; the team that manages | nutriceuticals is marked in the "tens" of people, not the | thousands dedicated to proper medical equipment and | medicines. | thfuran wrote: | It seems like a bizarre gap between food and drugs that | shouldn't exist. If it's meant to be eaten, the FDA | should definitely be regulating it thoroughly. | kayodelycaon wrote: | The FDA still requires supplements to follow safety | standards and be properly labeled, but you do not need | approval to make them. | dataflow wrote: | > It seems like a bizarre gap between food and drugs that | shouldn't exist. If it's meant to be eaten, the FDA | should definitely be regulating it thoroughly. | | The FDA _did_ try regulating supplements. They were | legally prohibited from doing much. | | You can thank Senator Orrin Hatch (who was the longest- | serving Republican senator in history until recently) for | preventing the FDA from regulating supplements back in | 1994. [1] [2] | | [1] https://www.youtube.com/watch?v=WIT5_SMIaHE&t=6m46s | (watch a few minutes of it from here) | | Edit: Posted it here for those interested: | https://news.ycombinator.com/item?id=38797162 | | [2] https://www.congress.gov/bill/103rd-congress/senate- | bill/784 | BobaFloutist wrote: | > Because every report will, by law, have to include the | source of the product. | | I don't think it's an undue burden that if you're going to | sell things people are ingesting, you have to know and | communicate where they came from. | | And I feel like small people that try to market supplements | won't be especially damaged by this. It feels like as much | as anything this would "hurt" small people that try to | start a supplement manufacturing cottage-venture on a shoe | string, over which I don't expect to lose any sleep. | altairprime wrote: | If Amazon fails to comply with the auditing requirements | imposed by law, their entire retail shipping business could | be closed by the US federal government. The FDA need only | prove that Amazon has a pattern of negligence in their | product auditing duties under law, in order to impose severe | penalties, up to and including shuttering Amazon FBA. The FDA | is not required to perform inventory assessments as a free | service for Amazon in order to reach that final outcome. This | letter is the first, necessary, step towards doing so. | serial_dev wrote: | I assume it's still a move with lots of politicking | involved, so they need to stand on solid grounds, proof and | all, I don't think they would every take lightly closing | down vone of the biggest companies of the country (and the | world). | | If it ever happened, I can already see the endless coverage | by Sean Hannity and similar about how it's governmental | overreach that risks destroying an important US company | with X thousands employees... | | However, I don't think it will ever happen, in the end it's | one of the richest men, Jeff Bezos behind Amazon with | significant influence on news reporting, who seems to be on | good terms with both the Republicans and Democrats, and the | regulatory agencies in the US just didn't show a pattern of | going too hard against US companies. | altairprime wrote: | I definitely don't have a well-formed opinion on how | _likely_ such an outcome is, but I absolutely believe | that discussing that outcome as a serious concern is | _necessary_ discussion to have. | fallingknife wrote: | I'm certainly in favor of these regulations that require | supplements and food products to accurately list ingredients. | I'm also in favor of the FDA coming down hard on violators. | | But it seems perfectly reasonable that law enforcement should | have to play whack a mole. That's kind and of how it works with | innocent until proven guilty. I'm not a fan of the whole "you | enforce it for us or we come after you" approach. In reality | what it means is that gate keepers like Amazon have to put in | place policies that are much more strict than the actual rules | in order to avoid even a chance of getting hit. Agencies like | the FDA know this and use it as a way to put in place de facto | policies that are much stricter than they could legislate. | werico wrote: | I totally get where you're coming from, but the problem with | enforcement-by-whack-a-mole is that some crimes are very | cheap and easy to carry out and very difficult to detect and | prosecute. The asymmetry means criminals are incentivized to | commit those crimes, and can even become fantastically | wealthy by doing so. If there isn't an offsetting risk for | them (or control), then they're going to do it. Some of those | crimes can ruin victims' lives, and in some cases (like this) | people can die. We simply can't afford to use no other | enforcement strategies. | | A good example of where we threw out the upfront controls was | COVID relief money, and that was a disaster in terms of | fraud. (Admittedly a purely government program, but the same | principle applies.) | bumby wrote: | I think it's a distinction in risk philosophy. The whack-a- | mole approach is "continue until we find you unsafe" while | the other approach is "don't start until you prove you're | safe". I think both approaches can be reasonable depending on | the level of risk. When it comes to supplements tainted with | unlisted ingredients that can have harmful or deadly effects | for consumers, I personally think the latter is the better | approach. | fallingknife wrote: | But the risk level is very low. The stats I see show less | than 20 hospitalizations and 2 deaths per year due to bad | supplements. https://time.com/5602125/dietary-supplements- | kids/ | bumby wrote: | That article is just a subset of the overall data because | it only focuses on those under the age of 25. [1] | suggests there are almost 25,000 ER visits and over 2,100 | hospitalizations per year due to supplements (although | adverse reactions don't necessarily mean tainted or | poorly controlled dosage). | | [1] https://www.nejm.org/doi/full/10.1056/NEJMsa1504267 | hammock wrote: | How many of those are due to unknown, unlabeled risks? | | I'm willing to be that there are far more than 25,000 ER | visits a year due to OTC drugs. | | Sometimes the risks are labeled. Other times they aren't. | And still other times people just didn't follow the | labeled directions. | | You can't assume that every supplement ER visit was | because of off-label ingredients or what FDA is saying | here. That's too far of a leap. | bumby wrote: | > _You can't assume that every supplement ER visit was | because of off-label ingredients_ | | I already acknowledged this in the previous post. | | However, if you look at the rates of tainted supplements | it probably isn't a leap to assume a fair number can be | attributed to unlisted ingredients. Some studies show | contamination rates of nearly 60%. Again, I think the | mitigation should be proportional to the risk. We might | be about to debate what the acceptable threshold is (and | I think most would agree it's lower than the current data | suggests) but I don't think accuracy in labels is too big | of an ask. | hammock wrote: | >Some studies show contamination rates of nearly 60%. | | And what % of "contamination" is dangerous ingredients | (when directions are followed) vs harmless? You can't | assume that every contaminated supplement is dangerous. | Fraudulent, maybe. Mislabeled, yes. | bumby wrote: | Those rates are from prohibited substances. Meaning there | is the possibility a strong enough effect to be | concerning (otherwise they wouldn't be prohibited as a | PED), but you're correct that dosage matters too. But I | already addressed that in the first post. Regardless, | there is a truth in labeling standard that many believe | should extend to supplements. I'm probably in that camp. | If you're not, I'd be interesting in hearing why. | callalex wrote: | Innocent until proven guilty only applies to individual | people, not corporate entities. | dragonwriter wrote: | Incorrect, innocent until proven guilty applies generally | (but, as "guilty" applies specifically to criminal law, | only there, but to juridical persons as well as natural | ones; but the concept is not far removed from that of due | process, which applies even outside of criminal law.) | dctoedt wrote: | > _the concept is not far removed from that of due | process, which applies even outside of criminal law_ | | Spot on. How much process is "due" is largely a function | of the potential downside consequences of a mistake by | the authorities. | | _Examples_ (from U.S. law): | | * A police officer can briefly stop you on the street to | ask a question such as "did you see what happened?" | pretty much at will. | | * To detain you or search your person or property, the | officer (with some exceptions) needs probable cause, in | most cases confirmed by a neutral, independent judicial | authority (that's the warrant requirement). | | * To imprison you or fine you, the government must | affirmatively establish your guilt beyond a reasonable | doubt, to a neutral jury of your peers, using evidence | that meets established legal standards of reliability. | | * In all civil cases, a claimant seeking damages must put | on admissible evidence affirmatively showing facts that | legally entitle the claimant to the requested relief. | | * In certain grave civil matters, such as claims of | fraud, the claimant must prove the claim by clear and | convincing evidence, the highest standard of proof in | civil law. (The usual standard in civil cases is | "preponderance of the evidence," i.e., more likely than | not.) | | * In some cases, the testimony of witnesses "having an | interest" (e.g., an agenda to advance, an axe to grind, a | score to settle) must be supported by corroborating | evidence because the law recognizes that such witnesses | can sometimes be, ahem, unreliable. | | _Usual caution to readers: IAAL but not_ your _lawyer._ | kayodelycaon wrote: | Frankly, it is absolutely ludicrous to limit the FDA to | telling Amazon to remove a product _by name_ and then having | to do that again each time someone resells the same product | under a different name. | | In this case the FDA is saying everything that includes | regulated medications in non-regulated products must be | addressed. | | Seems reasonable to me. If a company completely ignores | regulation, the FDA should have to power to enforce its own | regulations. | 1920musicman wrote: | I searched for all products mentioned in the letter - they are | all gone. Amazon is quick to react to such public letters to | pretend that they are a responsible company. | | Saying that, the search returns hundreds of other supplements | in the same category, with similar nonsensical names. They are | certainly attempting to play wack-a-mole. | ssgodderidge wrote: | I think the speed to remove the noted items isn't suspect; | it's what I would expect a responsible company to do in this | scenario. | | However, I am curious to see how Amazon handles the other | drugs. Seems like pausing the sale of the entire category is | the right call | 1920musicman wrote: | The category these supplements were listed under is "Sports | Nutrition Endurance & Energy Products" with some legitimate | products listed under it. I doubt Amazon would delist the | entire category. But also, something tells me that sellers | would just list products under a different category without | any meaningful consequences. | | E.g. these or similar tainted supplements could be listed | under "Health, Household, and Body Care" (a very broad | category that already has products like "stripfast5000 Fire | Bullet Capsules with K-CYTRO for Women and Men" listed | under it), etc. | treprinum wrote: | Amazon bans all sellers that ever attempt to sell/list | anything Amazon bans even if the ban was not made public | (unless they pay their "consultants" closely connected to | managers to unban them of course). | stickfigure wrote: | Genuine question: What level of scrutiny do you think Amazon | should provide here? In vaguely increasing level of | detail/effort, it could be... | | * Checking the published label of items for illicit content | | * Checking the contents of one bottle for undeclared | ingredients | | * Checking the contents of all bottles for undeclared | ingredients | | * Checking the contents of all pills in all bottles for | undeclared ingredients | | ...etc. I guess what I'm wondering is, what course of action do | you think is reasonable for Amazon to take here? It's easy to | say "don't allow this to happen"; I'm curious about what that | actually translates to in practice. | Baldbvrhunter wrote: | It is an interesting question. | | How much cocaine goes via Amazon? | | Or ephedrine, or ecstasy... Etc | giarc wrote: | GNC (and likely other online supplement stores) have an | online presence and likely has some QA for the products they | sell. Amazon just insists on having 1,000,000+ listings for | supplements rather than a more curated list. Perhaps some | categories shouldn't have endless list of products. | lotsofpulp wrote: | The only QA in the "supplement" and "vitamin" business I | know of is USP: | | https://www.quality-supplements.org | | Although, I have no clue if USP simply rubber stamps it | once time, or if they do continuous testing of the | products. If I were to bet, I would say they probably do | not test often enough after initial certification. | verall wrote: | Supplements should probably not be sold in a marketplace | fashion by fly-by-night distributors by a major trusted brand | (amazon). | | Businesses that sell supplements should create trusted | relationships with their suppliers to not break the rules and | to limit their own liability. | AnthonyMouse wrote: | For products like this what you need is some entity in the | destination jurisdiction responsible for asserting | regulatory compliance. That doesn't necessarily have to be | Amazon -- it wouldn't be Visa, for example -- as long as | there is some domestic manufacturer or domestic importer | the FDA can go after instead. And the latter is really what | you want, because otherwise _Amazon_ has to play whack-a- | mole as the perpetrators just create new accounts, whereas | the government could charge them with a crime to actually | deter them. | | The only reason you'd need to go after Amazon is if they're | selling products dropshipped from another country, which | they could avoid by simply requiring sellers of products | meant for human consumption to have a domestic presence. | They wouldn't even have to ship from here, just have | somebody here who gets arrested if they break the law. | verall wrote: | Every brick and mortar store has to assert the safety and | legality of everything they sell or else risk serious | liability. | | From what I can tell, Amazon does not present itself as a | farmer's or flea market, yet it tries to limit its | liability by pretending it does. To the average consumer | things purchased from it come "from amazon", as compared | to ebay which makes it much more obvious you are | purchasing from a particular person or shop. | | Amazon really tries to have its cake and eat it too here, | and it sort of blows my mind that consumer product safety | regulators haven't clamped down on this. | | It's really one thing to have basically anything | available on ebay/aliexpress/others (consumer trust is | much lower) and another to be a huge retailer (just like | walmart) and yet to be able to sell whatever unsafe stuff | you want (unlike walmart). | cool_dude85 wrote: | >And the latter is really what you want, because | otherwise Amazon has to play whack-a-mole as the | perpetrators just create new accounts | | How can they just create a new account to sell | supplements without thorough testing, vetting, control | processes, etc. by Amazon, the business actually selling | the stuff? If Amazon doesn't have such controls in place | to stop people from "just creating new accounts" then | hold Amazon liable. | AnthonyMouse wrote: | > How can they just create a new account to sell | supplements without thorough testing, vetting, control | processes, etc. by Amazon, the business actually selling | the stuff? | | Because they, not Amazon, are the business actually | selling the stuff. Amazon is a payment processor and a | warehouse provider. | | You go after the person who knew they were breaking the | law, not their landlord or their bank or the dealership | where they bought their car by accusing them of not | thoroughly investigating their customers. Criminal | investigations are the role of law enforcement, not | private businesses. | Animats wrote: | > Because they, not Amazon, are the business actually | selling the stuff. Amazon is a payment processor and a | warehouse provider. | | That is legally questionable. When Amazon was losing on | that issue in Pennsylvania higher courts, they settled to | avoid having an on the record decision that Amazon was | liable.[1] | | [1] https://www.villanovalawreview.com/post/890-oberdorf- | v-amazo... | blagie wrote: | Whatever level is needed, so that if I'm buying a product | made be Nestle, I know that it was made by Nestle. | | I think the policy mechanism here should be liability: | | * If I buy a counterfeit memory card on Amazon, and it loses | my photos, Amazon should be liable for the cost and effort of | those photos. If I am poisoned with bad medicine, Amazon | should be liable for the damages. | | * If I spend money on 400TC cotton sheets, and get 300TC | cotton/poly blend ones. | | * If I write a book, and Amazon sells pirated copies, I | should receive damages. | | * If a bad medical product injures me, or doesn't have the | intended effect, Amazon is liable (with standard astronomical | damages) | | Critically: | | * It should be easy to extract those damages (Amazon can't | tie me up in court or arbitration), and when this happens at | scale, this should be class action or federal / state | enforcement. | | * Damages should include reasonable costs of enforcement. | They should also be set at a minimum at treble damages, since | not all instances will be caught / enforced. | | At that point, the actuaries can do their thing on reasonable | level of effort Amazon should put in. That may be shutting | down all fulfilment-by-Amazon, co-mingling, and marketplace | sellers, very different fee structures, inspections / | enforcement, or something else. I don't know. | | I actually think the most likely outcome is a verified supply | chain, where Nestle (or any other manufacturer) sends to | Amazon and Amazon to me with no middlemen. Vendors in | compatible enforcement regimes with appropriate treaties | (e.g. US and EU) are allowed in, so long as they have | everything in order (corporate registration, etc.) and are | selling under their own name. Vendors where the long arm of | my local justice system doesn't quite reach aren't allowed | in, at least directly, unless Amazon does a lot more scrutiny | to the level to the point where I have similar guarantees | about product safety, quality, environmental impact, labor | laws, IP, etc. | | I would not set a similar bar for eBay or Aliexpress, which | claim to be marketplaces and not stores. However, when I buy | from Amazon, Walmart, Target, etc., I believe that I am | buying from a store (even if the fine print says otherwise). | I'd want a very clear distinction between the two. Part of | the way Amazon got itself into deep trouble is by trying to | mix the two up. If I'm shopping at a flea market, it's | _caveat emptor_ , and those can be fun for some things. If | I'm shopping at a store, I expect a certain level of trust. | | What is clear, though, is that Amazon isn't self-policing, | and we need regulatory enforcement. | zopa wrote: | > It's easy to say "don't allow this to happen"; I'm curious | about what that actually translates to in practice. | | It translates into "don't allow this to happen," because any | other standard can and will be gamed. So for instance testing | a bottle or two at random would work fine if Amazon really | does test a random and representative sample of what's being | sold, and to me that's a reasonable level of diligence to | expect. But if Amazon Testing emails the supplier: "Please | send over a batch of X MAX SUPER ENERGY so we can test if for | these substances which we hope we won't find, and make | absolutely sure what you send is the same thing you're | selling!" -- then that will work somewhat less well. There | are endless ways for Amazon and sellers to wink and nod and | skirt the intent of the rules, if Amazon is just checking a | box for the FDA, and doesn't actually care. | | The way to get Amazon to care is to hold it responsible for | the outcome. Of course there will be sellers that find a way | to skirt whatever process Amazon puts in place, but that | needs to be Amazon's problem. Amazon can survive taking its | lumps when it messes up. | kayodelycaon wrote: | They don't need to inspect individual products, but they | should be able to verify anyone selling supplements is who | they say they are. | | Verification only needs to be good enough to stop low effort | fraud. This is entirely doable. | | They also need to ensure the product you buy comes directly | from the seller you bought from. | | They need to prevent counterfeits from random sellers getting | added to inventory of legitimate companies. | | Separating inventory by seller is 100% doable. My company | manages it. It just costs more. | nradov wrote: | The FDA does some good work, but they have no authority to | specifically approve or certify most types of nutritional | supplements. If you want to know what you're actually getting | and avoid contamination, then only buy supplements when have | been certified by the NSF. | | https://www.nsf.org/consumer-resources/articles/supplement-v... | | https://www.nsfsport.com/ | | Amazon.com does have their own certification program for | dietary supplements, but it seems like the rules aren't | consistently enforced. | | https://blog.ansi.org/anab/requirements-sell-dietary-supplem... | loeg wrote: | > As a side note, this letter is exactly why I think a | regulatory agency like the FDA is absolutely necessary. This | stuff can kill people and it is impossible for the average | person to protect themselves. | | The mislabeling is certainly a problem, but really these drugs | (sildenafil and tadalafil) should be over-the-counter and | cheaply available on Amazon as generics. That they are not is a | failure of the same FDA. They have a great safety profile and | limited contraindications, comparable to many other OTC drugs. | AnthonyMouse wrote: | > As a side note, this letter is exactly why I think a | regulatory agency like the FDA is absolutely necessary. | | This isn't what anybody objects to about the FDA. "You have to | list what's in the product" is a simple rule that every knows, | is easy to comply with, and doesn't require any government | interaction even in the case of a suspected violation because | the FDA can just buy the product to test it and compare the lab | results to the label. | | What people object to is when someone wants to sell an | _accurately labeled_ product with a risk-benefit trade off, the | customer knows what the product is and is exercising informed | consent, and the government says they can 't have it anyway. | wredue wrote: | >doesn't require any government interaction | | Dude what? Government around the world are constantly | catching corporations for lying on their product lists. | | As for controlled substances, on this topic is a completely | fine line which I'd probably tend to agree is not treaded | properly. There are risk trade offs to allowing open markets | on classes of drugs. | | With that said, the massive propaganda campaigns corporations | get up to completely subvert that risk, and 100% leaves | consumers uninformed even with the proper information at | their fingertips: as a major example, the opioid crisis, | leaded fuels, leaded paints, carcinogenic materials handling. | I mean, the list really goes on and on. | | The issue with the FDA has time and time and time again been | demonstrated to be how toothless it is. Corporations | constantly ignore regulation for billions in profits, only to | receive a sternly worded letter and MAYBE a 0.01% of profits | fine. | nickff wrote: | Governments around the world are terrible at 'catching | corporations for lying' in any way. There are manifold | examples in every regulatory field, in every country. | Examples include Wirecard, Theranos, Volkswagen, Johnson & | Johnson talc, etc. In most cases, the regulators are handed | the evidence, and take a long time to do anything about it. | | In my mind, the question is whether the massive regulatory | burdens which protect incumbents and inhibit liberty are | worth it. This is not an all-or-nothing question, and might | be answered field-by-field, but regulators have not covered | themselves in glory. | wallaBBB wrote: | The list of caught ones is immensely longer. It's a cat | and mouse game, it doesn't really stop. Big pharma spends | a lot of money on training the employees on how not to | get caught. I worked 5 years in big pharma and it took me | almost a year to understand why are the constantly | repeating compliance and fair practice trainings. Giving | examples how others failed, etc. Those were not there to | tell you not to do it, but what to watch out for. And the | sale targets and incentives are there to motivate you to | cross the lines. I'm just grateful I was not in sales but | application training. | | Btw how is a government responsible for Theranos? There | was never a product there, just promises burning VC | money. Wirecard is more a failure of trusted independent | auditors (one of the big 4) that failed to do a proper | international audit. | nickff wrote: | The FDA was the regulator for Theranos' products, which | were used by customers, and the SEC was the regulator for | Theranos' securities. | | https://theconversation.com/how-theranos-faulty-blood- | tests-... | | https://www.sec.gov/litigation/litreleases/lr-24069 | | Wirecard was actually a much worse regulatory failure in | that the regulator _attempted to prosecute the reporters | which revealed the affair_. Not only did the regulator | fail to uncover either side of Wirecard 's illegal | behaviour, they went after the people who did. | | https://www.ft.com/content/4ebd9032-d3d1-4a9e-976c-d12354 | 48e... | AnthonyMouse wrote: | > Government around the world are constantly catching | corporations for lying on their product lists. | | Obviously you have to interact with the government if they | catch you lying. You're not intended to lie. | | The point is that you can have a labeling requirement and | businesses can comply with it without having to make | regulatory filings or prohibiting products. | | > There are risk trade offs to allowing open markets on | classes of drugs. | | Which is why you have labeling requirements. _This is | cocaine, it 's highly addictive, you probably want to try | ibuprofen first._ | kayodelycaon wrote: | Having things unnecessarily banned is a trade off of | enforcing regulations effectively. | | Someone has to decide what substances safe and prevent them | from sold. | | The FDA could do better but you'll never fix that problem | unless you don't allow the FDA to enforce regulations. | AnthonyMouse wrote: | > Someone has to decide what substances safe and prevent | them from sold. | | No they don't. If a product has a label that says "this | product is considered unsafe by the Food and Drug | Administration" and explains why and you buy it anyway, you | got what you paid for. | kayodelycaon wrote: | Unfortunately all this would result in is everything | being labeled unsafe. | | See California and cancer. | AnthonyMouse wrote: | Label the things unsafe that are currently banned. Not | everything is currently banned, is it? | VBprogrammer wrote: | I don't think you've understood the, very valid arguement | in my opinion, that everything would end up with an | unsafe label. In the same way that almost everything you | buy either may contain nuts or is made in a factory which | might process nuts - a practise which provides exactly | zero useful input for the people it's intended to | protect. | | Why would this happen for things which aren't currently | banned? An abundance of caution - better to claim it's | potentially unsafe than pay the claims later. Or | economics - why pay more for a safe sweetener when you | can use the cheap and cheerful one and just label it | unsafe. | AnthonyMouse wrote: | You're assuming that people would disregard the labels. | But people with allergies don't disregard the labels, | they buy a different product. Most others don't care if | it has traces of nuts or not because nuts aren't going to | kill them, so those products find a wide market of people | who are perfectly safe eating them. | | California says that everything causes cancer because | everything kind of causes cancer and their labeling rules | are stupid. If the label was only on products with a | _significant risk_ of causing cancer _from ordinary use_ | , it would be rare and people wouldn't ignore it. In | other words, if it was only on the products that would | otherwise be banned. | | This would only be a problem if you would otherwise have | banned lots of things people would still want to buy | given a free and informed choice, in which case actually | banning them is even worse. | | We didn't ban cigarettes, we informed people of the risk: | | https://www.lung.org/research/trends-in-lung- | disease/tobacco... | | And that's one of the most addictive products known. | Around the same percentage of adults smoke cigarettes and | use illegal drugs. So what good is the ban? | ben_w wrote: | > But people with allergies don't disregard the labels, | they buy a different product. | | And sometimes you get people like me, who eat yoghurt | without checking the ingredients because you shouldn't | need to, only to then find out that for some crazy reason | American food companies put beef gelatine into theirs. | | For me vegetarian is a choice rather than mandatory, but | if you rely on "common sense" people will die, and have | died. It's happened with surprise nuts, despite that one | being well known. | AnthonyMouse wrote: | > And sometimes you get people like me, who eat yoghurt | without checking the ingredients because you shouldn't | need to, only to then find out that for some crazy reason | American food companies put beef gelatine into theirs. | | They made a product and told you what was in it. You're | not required to read the ingredients first but you have | the opportunity to. Are you proposing that we ban beef | gelatin? | | > if you rely on "common sense" people will die, and have | died. It's happened with surprise nuts, despite that one | being well known. | | But what are you even suggesting here? That you can't | make a product with nuts if someone might not expect it, | even if you labeled it? | ben_w wrote: | > Are you proposing that we ban beef gelatin? | | Although I would in general, that wasn't the point being | made in that comment. The point was: nobody expects | surprises. | | People mostly don't read lists to confirm the absence of | things they think would be crazy to find. | | Like _boiled cow bone and skin derivatives_ in _yoghurt_. | | > But what are you even suggesting here? | | The specific thing that I actually said, with no extra | hidden implications between the lines: common sense gets | people killed. | AnthonyMouse wrote: | > common sense gets people killed. | | That isn't a policy proposal. | | If you're in a cornfield next to a farm road that only | sees one truck every six months, common sense says you're | not at a busy intersection, but if you step into the road | without looking and there _is_ a truck, that 's not the | truck's fault. You can be cautious all the time or you | can take a risk once in a while; it's your choice because | it's your life. | | It's also not clear how it applies to the topic. If you | went to the store and asked for some MDMA and they gave | you some MDMA, you are not going to be _surprised_ that | the contents is MDMA. That 's not why it's banned. | Retric wrote: | > You're assuming that people would disregard the labels. | | People _do_ disregard labels including those with | allergies. | | > If the label was only on products with a significant | risk of causing cancer from ordinary use, it would be | rare and people wouldn't ignore it. In other words, if it | was only on the products that would otherwise be banned. | | Ahh, but the risks are high enough that companies will | still put that label on everything unless companies where | required to only put such a label on products with | significant risk which then gets back to regulators. | AnthonyMouse wrote: | > People _do_ disregard labels including those with | allergies. | | Exception that proves the rule. | | The purpose of the law is to protect people who act | within reason. If you have an allergy and don't read the | label, that's on you, not the company or the government. | | > Ahh, but the risks are such companies will still put | that label on everything unless companies where required | to only put such a label on products with significant | risk which then gets back to regulators. | | The entire point is that "regulators say you have to | label this" and "regulators say you cannot buy this even | with informed consent" are two different things. | riversflow wrote: | > The purpose of the law is to protect people who act | within reason. | | This is just flat out wrong, and pretty gross. | | The purpose of the law is to protect _people_. Not | _white_ people, not _land-owning_ people, not _smart_ | people, not _literate_ people, not _able-bodied_ people, | not _" reasonable"_ people. _People._ Full stop. | | Assuming people are reasonable is a recipe for disaster, | and ablest. Perhaps one day someone you know will get | dementia, or have a stroke, or get macular degeneration, | or any of the number of ailments that can relieve you of | your ability to read and comprehend long texts, lists, | and warnings, then maybe you will understand how | ridiculous this view is. | AnthonyMouse wrote: | I hope your argument isn't that only white people can | exercise reason. | | If you have a mental illness you can go to the store and | buy rat poison and eat it. The law doesn't address this | by prohibiting rodenticides. If you think you can fly and | jump off the roof of a parking structure, the government | can't disable gravity. | | Acting within reason in that context is getting | treatment, which is a whole different set of laws. | Retric wrote: | This isn't about extremely dumb behavior, this is about | extreme consequences for reasonable actions. | | If you walk up to a food truck you shouldn't need to | worry about long term mercury exposure from a single | lunch. But the same is true if you happen to eat the same | item from the same truck for 30 years. | | The maximum allowable exposure from food is very | different between those two cases. But the second case | isn't unreasonable so that's what the standard should be | set for. | riversflow wrote: | My argument is that you are picking a specific group and | saying the law is only for them. | | >If you think you can fly and jump off the roof of a | parking structure, the government can't disable gravity | | The law can make it so you have guardrail on your roof if | it is publicly accessible. The law can also make you put | up suicide guards if it's really a problem, all of my | favorite bridge have them now. | | > The law doesn't address this by prohibiting | rodenticides. | | Rat poison has actually been getting more scrutiny | lately, the traditional pellet form was banned this year | in favor of bricks in the US, and non-professional | exterminators are limited to buying it a pound at a time. | Also, rats are a real pressing problem that is being | handled with rat poison. Without it, we go back to food | security problems related to controlling pest | populations. The same _can 't_ be said in reverse, we | don't have a real, pressing problem with an overabundance | of safety. | VBprogrammer wrote: | You are being extremely naive I'm afraid. People with | allergies have to disregard labels every day. Almost | everything edible in the UK had these labels. | | I just looked at the back of the chocolate wrapper I just | ate and it "may contain nuts, eggs and peanuts." None of | those things are ingredients and the warning is just | there to prevent a law suit. My friend who has a severe | allergy to eggs and nuts would eat it - otherwise he'd | have a very bland diet indeed. | RobotToaster wrote: | > Someone has to decide what substances safe and prevent | them from sold. | | Why? | | If someone buys deadly nightshade, and gets deadly | nightshade, why should the government care? | Eji1700 wrote: | Basically for the same reasons they don't let you buy | other toxins/dangerous materials with almost no | alternative use? | diob wrote: | I mean, can't you take this to the extreme and see why it | is a bad point of view. Anything is sell-able as long as | we slap a warning label on it. That seems like a recipe | for disaster, right? We sold a highly radioactive | substance to Jim, and endanger more than Jim. | | Consequences are often far beyond the individual, and I | think folks believe they're too smart to get caught in | the fallout of someone else's decisions. Oops, Karen from | HR brought in deadly nightshade muffins to share ("small | amounts are said to be good for the liver, I heard it on | my favorite podcast!"). | | There's a middle ground here, where if it's dangerous | enough, we don't allow it to be sold. It's not one way or | the other. That's dangerous thinking in and of itself. | iakh wrote: | I'm assuming you agree the FDA shouldn't allow somebody | to sell deadly nightshade to somebody that doesn't know | that nightshade is deadly, but then how do you tell the | person that knows the nightshade is deadly apart from the | person that doesn't know that the nightshade is deadly? | bell-cot wrote: | Is the product's seller paying for the "recipient's" ER | visit, hospitalization, autopsy, or any other possible | externalities of the purchase? | ben_w wrote: | My mum was a big believer in homeopathy and Bach flower | remedies. | | The homeopathic sodium chloride and silicon dioxide sugar | tablets probably didn't hurt me, but given how dumb Bach | flower remedies are it's entirely possible she randomly | and unwittingly dosed me with a small quantity of ground | up _something_ in the Solanaceae family. | | Governments care because well meaning hippy parents who | don't know any better feeding snake oil to their kids | gets headlines in newspapers. | msla wrote: | And this is something the "Freedom!"-yelpers don't | mention: Yes, adults can be "Free!" to do crappy and | dangerous things to themselves, but when it's parents | poisoning children, you have to be pretty damned | sociopathic to only consider how the rights of the | parents are being infringed by regulation. I honestly | think some people consider children to be property. | CapitalistCartr wrote: | The Libertarisn view is that children _are_ property, in | that the gov 't. should not interfere in child-rearing. | diob wrote: | Yeah, these folks are basically naive libertarians (I | know, repetitious). There's a middle ground, yet they go | slippery slope and think the government is going to take | their freedoms. | growse wrote: | The government's got to pay for the road the ambulance | drives you on when you stop breathing. | psychlops wrote: | "A business should only be permitted to exist if the | government allows it." | | What could go wrong? | kayodelycaon wrote: | That's a bit of a stretch. You're not allowed to start a | business selling cocaine. | | You're not allow to start an airline without adhering to | regulations. | | You're not allow to sell certain unapproved | pharmaceuticals or medical devices. | | This is a relatively narrow scope. | AnthonyMouse wrote: | Pharmaceuticals and medical devices have life and death | implications. But prohibiting a life-saving product is | just as deadly as allowing an unsafe one, and there are | existing mechanisms that punish the sellers of dangerous | products (it comes out and they lose their customers and | get sued). | | This comes from a facet of human psychology: If you do | something and people die then you're a murderer, but if | you do nothing and people die you're allowed to shrug and | go home. This may be a reasonable heuristic when deciding | whether you should do something but it isn't when | deciding whether to prevent someone else from doing | something. | davidthewatson wrote: | The problem is that some medical devices are approved | despite their being demonstrably deadly as they are | designed, manufactured, shipped, and used without | sufficient oversight by the governing body of apologists | put in place to oversee them. This pattern has only | worsened since therac 25. | IG_Semmelweiss wrote: | >>>> Someone has to decide what substances safe and prevent | them from sold. | | That's an odd take. | | Where do these uncorruptible angels live ? Who are they? | Who put them there? | | Because we all know you are not corruptible, its always the | other guy, right? | | What about by rights , by the way ? | LoganDark wrote: | > Someone has to decide what substances safe and prevent | them from sold. | | Plenty of substances are risky, but can be worth the risk. | For example, psychedelics, for the wrong person or in the | wrong situation, can cause psychotic episodes or lasting | trauma, but psychedelic therapy has already been legalized | in at least 1 US state, because it can also be extremely | helpful. | | I'm still not able to buy it and take it home (at least | legally), but in my honest opinion, I should be. | 2devnull wrote: | I disagree. I think the best generic argument against the FDA | is that government isn't very capable of doing the many | things we want it to. I would love perfect security when it | comes to foods, drugs and supplements but even with | regulations a lot of bad stuff slips through. Imo, that's a | better argument than that the fda keeps us from having nice | things. The fda fails to protect us because perfect security | isn't possible, and past a certain point it's all diminishing | returns if not actually counterproductive (consider the | effects of prohibition). | Veserv wrote: | The problem is that the risk-benefit tradeoff is not | accurately labeled and presented. | | Advertising laws in the US mean manufacturers can and should | do everything in their power to obscure and mislead about the | tradeoff. A person purchasing a unverified product should | have tremendous misgivings. They should only purchase it _in | spite of tremendous misgivings_. Anything less is not | informed consent; it is deception masquerading as informed | consent. | | Until you fix that you get companies downplaying risks and | overstating potential benefits. Fix that and informed consent | becomes a real possibility and a much more attractive | proposition. | Spivak wrote: | > Anything less is not informed consent; it is deception | masquerading as informed consent. | | Which is why I think the model for such things should just | be "informed consent." It's a concept that already exists | in the medical practice with a well-defined procedure. | Someone who your state medical board has deemed competent | and responsible has to explain in painfully explicit detail | all the tradeoffs and answer any and all questions. If you | still want to do it you sign some forms and go on with your | day. | rchaud wrote: | > accurately labeled product with a risk-benefit trade off, | the customer knows what the product is and is exercising | informed consent, and the government says they can't have it | anyway. | | The FDA's regulatory purview is to limit the collateral | damage (negative externalities) of even accurately labeled | products. | | Informed consent from the customer is one side of the | equation. Unfortunately they cannot consent to conditions | like "Don't burden the hospital system if you take the wrong | dosage". | AnthonyMouse wrote: | > Unfortunately they cannot consent to conditions like | "Don't burden the hospital system if you take the wrong | dosage". | | By this logic the FDA would have to ban Tylenol and | Robitussin. Tens of thousands of ER visits every year. | | The government should generally be concerned with | preventing deception and coercion and pricing | externalities, because otherwise people have the incentive | to do them and they would be prolific. | | Things nature punishes directly don't need the state to | deter them. They happen by accident rather than by motive | and we choose purposely to spread the cost of this across | the population as a form of insurance and a cost of living | in a free society, sometimes even when the misfortune is a | result of their own stupidity. Other times we send them a | bill for costs. | growse wrote: | > By this logic the FDA would have to ban Tylenol and | Robitussin. Tens of thousands of ER visits every year. | | It's almost like there's a balance of harms to be | evaluated. | | I'd bet the cheap availability of paracetamol etc. saves | more hospital visits than it causes, but I don't have the | data to hand. | AnthonyMouse wrote: | > It's almost like there's a balance of harms to be | evaluated. | | Which is a highly context-specific evaluation, so is it | better decided by the person with the most knowledge of | their own circumstances, or across the board with no | context at all? | fluidcruft wrote: | I'm not really sure what you're referring to, but the | closest I can interpolate is that you are probably | confusing the FDA with the DEA. | ineedaj0b wrote: | I don't want to sound like a nut job, but please look into how | much the FDA hampers drug trails. | | If you understand how tough it is in one case, think how many | trails yearly never get done because of the FDA. | | The amount of benefit vs. the amount of deaths caused by the | FDA being slow likely means many more are deaths at the hands | of the FDA than you expect. | | Cracking down on supplements that people take voluntary hardly | seems like something I'm pleased they meddle with too. | neaden wrote: | You're only taking them voluntarily if they are what they say | they are, if as in this case they aren't you aren't | meaningfully taking them voluntarily. | Tao3300 wrote: | Buying shady penis pills on the Internet is a voluntary | risk. Play stupid games, win stupid heart attacks and | priapisms. | | Though I do think Amazon should have a share of the blame. | Buyer and seller are both wrong here. | hibikir wrote: | It's possible, and even a good idea, to say that the FDA | massively overregulates drug trials, while at the same time | also say that the current supplement market is almost just as | massively underregulated, and would be far healthier with | more oversight. Organizations, just like people, can do good | and bad things at the same time. | | I am very happy they crack down on supplements, a kind of | product that is filled with fraud and that I lack the | resources to make informed purchases on. I would also be just | as happy if they started cross-approving drugs with the EU | and Australia. They are neither angels nor the devil. | pardoned_turkey wrote: | Well, on the flip side: the whole reason these are sold is that | the FDA is _preventing_ the substance from being sold OTC. This | is not an example of a manufacturer putting something unwanted | in the product. It 's all just a wink-wink-nudge-nudge kind of | a deal with willing buyers. It creates _some_ risk of | accidents, but I doubt there were any. | | I'm not sure the regulation here is great. As with Rx-only | contraception, these regulations force patients to spend money | and discuss their intimate life with a doctor for no real | reason, which many people find difficult. And it's not like you | undergo thorough screening to get Viagra anyway. A doctor is | not gonna say "no". | | The problem with bodies such as the FDA is that once they | address grave risks, they seldom reach this point of "OK, we | fixed the problem of arsenic in patent medicine, so let's scale | back for now." Instead, the bureaucracies only grow. Today, far | too many drugs are Rx-only and stay this way for too long. The | need for prescriptions for equipment such as eyeglasses or | contact lenses is hard to justify too. | lwhi wrote: | It's the job of a regulatory body to reduce risk. | | If wrongly prescribed equipment can cause harm, it's very | justifiable that a license scheme is put in place. | bjt wrote: | > It's the job of a regulatory body to reduce risk. | | Sure, and the parent comment's point was that there's a | line where further risk reduction doesn't make sense | anymore. The agency doesn't have the right incentives to | stop at that line. | | Plenty of very significant risks aren't regulated to the | degree that Viagra and Cialis are. You don't need a note | from a doctor or a govt-issued permit to buy kitchen knives | or a table saw or a Bic lighter, for example. | lwhi wrote: | Kitchen knives have multiple uses and discretion through | education is expected as standard. | | Viagra and Cialis have a singular use and | contraindications aren't likely to be understood through | cultural osmosis. | adolph wrote: | A regulatory agency was fine for a world with a finite number | of trusted vendors working operating in the the agency | jurisdiction. Reliable consumer owned/operated molecular | characterization is needed for a future that moves faster and | farther than an agency or regulation. | jeffrallen wrote: | Cool! Now do their crappy cords that are likely to burn down your | house. | | Amazon Basics should be terminated with prejudice. | gruez wrote: | I checked a random amazon basics powerstrip and there's an ETL | certification mark on them. As much as it's popular to hate on | amazon for fakes/subquality products, your particular example | is a poor one. | | https://m.media-amazon.com/images/W/MEDIAX_792452-T2/images/... | noodlesUK wrote: | Funnily enough AmazonBasics is probably the safest set of | products on Amazon, as nobody but Amazon is allowed to sell | those products. A brand name item might be a fake, but | AmazonBasics is always the original (potentially crappy | anyway) product. | floatrock wrote: | EV Chargers then. Search for Level 2 EV Charger. The number | of generic chineesium chargers available that will move | 40amps of power in your garage without UL or ETL | certification is mind-boggingly high. | | I've seen some advertise "UL Safety Report", which I assume | is weasel-words for "We failed UL certification so we can't | actually say the magic phrase 'UL Listed'". | | I've seen some claim to be UL Listed without being able to | find them on the UL site. | | Sure, it's nice to buy a cheap chinesium drone, but something | moving 40amps of power and heat in your home without accepted | safety checks? That feels like something that should have | some liability on the merchant's side when it burns something | down. | gruez wrote: | >EV Chargers then. Search for Level 2 EV Charger. The | number of generic chineesium chargers available that will | move 40amps of power in your garage without UL or ETL | certification is mind-boggingly high. | | Sounds like you're talking about third party EV chargers. | What does this have to do with amazon basics? Or are you | pulling a motte and bailey, going from "amazon basics is | going to burn down your house" to "third party EV chargers | are going to burn down your house"? | neither_color wrote: | I went down a small rabbit hole of Amazon electrical | products once. You truly are better off at the big orange | or blue hardware store for anything electric. Might cost a | few bucks more but you don't have multiple suppliers | referencing the same fake certificates and skimping on wire | gauge to save a few cents. | dboreham wrote: | Nanny state socialism! The market should take care of dangerous | products. Nobody is going to buy such a cord twice. | risho wrote: | without regulations the next differently branded unregulated | cable might also burn your house down. | voidee wrote: | Of course nobody will buy a dangerous product twice. You | can't buy another product after being burned to a crisp! | astura wrote: | None of the dick pills mentioned are AmazonBasics brand. | throw__away7391 wrote: | Nothing bought on Amazon should be consumed or applied topically | or otherwise come into prolonged contact with your body. I | learned this the hard way a few years back with some counterfeit | shampoo that severely burned my scalp after a single use. | enlightenedfool wrote: | Did you take any action at all? Sounds serious enough for legal | action. | inetknght wrote: | > _Did you take any action at all? Sounds serious enough for | legal action._ | | A lot of people don't have time, or money, to risk legal | action. | asquabventured wrote: | I had the similar experience back in 2018... Led to temporary | hair loss (I remember my hair falling out in tufts) from what I | believe was counterfeit hair gel (it smelled different from | same product I've used for years). Stopped using the product | from Amazon and only ever order from reputable sites like | Sephora and Nordstrom now. | | Amazon has lost all of my business for consumable goods. It's | not worth the convenience to risk my own or my families health. | Fuck 'em. | y-c-o-m-b wrote: | I stopped buying health and beauty stuff on Amazon altogether | due to the counterfeits or people returning items by replacing | the actual product with something else which I ultimately end | up getting. I had too many instances with vitamins and such | where the labels and seals were sketchy, damaged, or didn't | exist. Same with shampoos, lotions, face-washes, soaps, | detergents, hot-tub supplies, etc. Reporting to the seller or | Amazon was a pointless exercise as often times they'd shrug it | off. | blibble wrote: | or left plugged into the mains unattended | blagie wrote: | Here's my list of things I won't buy on Amazon.com: | | - Anything which goes in or on my body (foods, medicines, | etc.). | | - Anything which is easily knocked off (SD cards, memory, SSDs, | etc.) | | - Bed sheets (oddly enough, you'll often get lies on materials | and fabric) | | - Thing I need reliably / reliably on-time (I cancelled Prime | after several shipping issues) | | Since I cancelled Prime, things added to this list include: | | - Most digital content (they added ads to music I paid for as | soon as I cancelled Prime, and many newer Kindle books are hard | to back up into non-DRMed formats) | | Most of what I will buy on Amazon are generic gizmos, like kids | toys, cables, generic keyboards, battery chargers, basic tools, | and basic clothing (kids pyjamas and that sort of thing). | However, it's no longer my first source. I'll go Aliexpress, | eBay, and Walmart first. | | I now have Walmart's equivalent of Prime instead. It's not | great, but it's better. There is zero customer service, but | shipping times are more accurate than Amazon, generally faster, | and they'll actually let you know if something is running late | or early (which is huge, if you're planning a project). | Walmart's selection is worse than Amazons, but I'm hoping it | will catch up. I also am starting to go to local stores again. | giarc wrote: | Hate to break it to you, but Aliexpress is likely less | reliable than Amazon (or have the exact same products). eBay | is likely the same and Walmart allows 3rd party sellers so | it's pretty much the same as Amazon unless you source the | products curated by Walmart. | emayljames wrote: | From much experience, AliExpress customer service is 100x | better than Amazon. Very prompt refunds and dispute | resolutions. | blagie wrote: | I agree with the math, but not the spirit. | | 0*100 = 0. | | Aliexpress is fast, efficient, but completely random and | automated in resolution. Products from Aliexpress are | great 50% of the time, non-working or not shipped 10% of | the time, and somewhere in between 40% of the time. It's | cheap and complete roulette. | | That's okay for a lot of things. | blagie wrote: | I think you misread my comment. | | I'll go to Aliexpress and eBay first for: "kids toys, | cables, generic keyboards, battery chargers, basic tools, | and basic clothing." | | I have the exact same list for them as for Amazon. I'll go | there first for those products since Aliexpress has much | better prices than Amazon. eBay has better seller reviews. | I certainly wouldn't buy food or medicine from them, | though, or even bedsheets or SD cards. | | Walmart is a lot better than Amazon. They do have a search | filter to disable marketplace sellers, and if buying from | Walmart proper, I do trust them to still get supply chains | adequately right. Amazon did okay here too, even a half- | decade ago; it crapped out with Covid and never fixed | itself. Perhaps Walmart will crap out too, but it hasn't | yet. | 1905 wrote: | > I'll go to Aliexpress and eBay first for: "kids toys, | cables, generic keyboards, battery chargers, basic tools, | and basic clothing." | | I do too. I don't use Amazon Prime and can usually find | the same products for cheaper on ebay with free shipping. | The competition among other sellers is greater on ebay so | the price will often be lower. It is difficult to do | returns though | 1905 wrote: | > - Bed sheets (oddly enough, you'll often get lies on | materials and fabric) | | It makes you wonder about all those masks people were buying | online and wearing 14+ hours a day | blagie wrote: | I don't wonder. Fakes and knock-offs were rampant on Amazon | -- for a long time, more common than genuine product. | People tested them. That's especially true for brand names | like 3M. | | I only bought through trusted supply chains. My masks were | made in South Korea, and I bought directly from the | manufacturer's US-based distributor. | RobotToaster wrote: | > Bed sheets (oddly enough, you'll often get lies on | materials and fabric) | | Happens with clothes too, had to return several linen shirts | for this reason. | jetanoia wrote: | Agreed with your post - except on the "Kids pajamas" - they | should probably be reclassified under the "Anything which | goes in or on my body" list you made. | | Whether it's undisclosed flame retardants, toxic dyes, or | other harmful substances, kids bodies are generally more | susceptible to harm via environmental pollutants. Such harms | may not be at all obvious in the short term, but could still | be very harmful over the long-term. | | I wish I knew of a vastly superior option (ie, safer option) | for buying kids or baby clothes. (Anyone have suggestions on | this?) | | That said, I believe Amazon is probably at the riskier end of | this spectrum vs.traditional stores because of their | distributor-centric structure. | | Basically, if a harmful product were to receive any negative | press, it would more easily be equated with a single | company/seller from another country, and probably one with an | odd-sounding name. | | With a more traditional brick and mortar store, the product | may be sourced from the exact same producer, but the | reputation hit will be greater to the brick and mortar store, | because the customer tends to equate the product more closely | with the the store itself. Often, they present themselves to | the public as the "seller" of the product whereas Amazon will | more give the presentation of "distributor" on behalf of | "(_insert_generic_inscrutably- | named_foreign_corporation_name)". Fly-by-night seems an apt | description for these companies most the time. | | This seemingly reduced level of accountability is the biggest | problem I have with trusting them but it's not the only one; | it's just compounded by the often fraudulent reviews, their | practice of taking down authentic but critical reviews, and | of selling counterfeits - even occasionally when one orders | via a "Prime" option, or fulfilled by Amazon, or seemingly | buys an item directly via the manufacturer's Amazon 'store'. | | Of course there are many other issues as well but these are a | few that have created headaches for me in the past to the | point that I now avoid them for most purchases. | jejeyyy77 wrote: | what about brand name items? | Sanzig wrote: | > FDA confirmed through laboratory analyses that the "MANNERS | Energy Boost," "Round 2," "Genergy," and "X Max Triple Shot | Energy Honey" products, purchased on www.amazon.com, contained | the active pharmaceutical ingredient (API) tadalafil; and the | "WeFun," "Big Guys Male Energy Supplement," and "Mens Maximum | Energy Supplement" products, also purchased on www.amazon.com, | contained the API sildenafil. These ingredients are not declared | on the products' labeling. Sildenafil and tadalafil are | phosphodiesterase type-5 (PDE-5) inhibitors and the active | ingredients in the FDA-approved prescription drugs Viagra and | Cialis, respectively, used to treat erectile dysfunction (ED). | | So Amazon was literally selling Viagra and Cialis disguised as a | supplement. Wow. | EA-3167 wrote: | Not just Amazon, every time these "ED supplements" are tested, | most of them turn out to have actual pharmaceuticals in them. | | Here's a similar article from 5 years ago: | https://www.wired.com/story/dietary-supplements-can-contain-... | bpodgursky wrote: | Can we have an honest conversation about whether there's any | good reason for Viagra to require a prescription? | | The barrier right now is that you have to waste 2 hours and | $100 to tell a doctor that you have ED. What's the point? It's | not stopping anyone except people too poor or busy to jump | through the hoops. | lokar wrote: | A middle ground is to let a pharmacist dispense it after | going over side effects, instructions, interactions and | existing conditions (without a Rx). | Sanzig wrote: | Yeah, I think this is the most reasonable approach. ED | medication can have some nasty side effects and | interactions, so a medical professional should be in the | loop - but that professional could easily be a pharmacist | who already has a copy of all the other Rx drugs the | patient is taking. | peyton wrote: | Feels a little silly to be forced to have a chat with the | lady at the grocery store pharmacy about dick pills | whenever I might need them. I can just order it on Amazon | apparently. | dreamcompiler wrote: | That would work. Viagra is a blood-pressure lowering drug | (that was its original purpose). If you take it with other | BP-lowering drugs like nitroglycerin etc, you could pass | out or even die. | | So some degree of oversight by a medical professional is | warranted. | dec0dedab0de wrote: | The reason is to check for preexisting conditions and | negative interactions with other medicines. Also, the barrier | is even lower than what you say with companies like blue | chew, hims, etc. | dahart wrote: | If we're going to have an honest conversation, Sildenafil | does have some serious potential side effects and | contraindications. Googling "why does viagra require a | prescription?" I get an answer attributed to Healthline: "due | to these severe (but rare) side-effects, Viagra requires a | prescription". At least acknowledge that, it is a good | reason. | | A doc visit does take time but it neither takes 2 hours nor | costs $100 for me, co-pay is still $20 I think (or maybe | covered 100% once a year), and the visit might be 45 minutes | when the clinic is pretty busy. There is _plenty_ that's | messed up and wrong with our health care system and | insurance, but maybe the minor hurdle of having to require a | doc to check on the potential for side-effects really is | justified? | | Another decent reason, I speculate, is that the drug is | relatively new and we don't know the long term effects of | overuse, nor all of the contraindications. If it's available | over the counter and many men use it when they don't _really_ | need it, just because it's available and easy, there could be | dramatic unforeseen consequences. Like a lot of drugs, Viagra | might be something that people look to as an easier | alternative to changing habits or doing preventative work. | JumpCrisscross wrote: | > _maybe the minor hurdle of having to require a doc to | check on the potential for side-effects really is | justified?_ | | Viagra is trivially available on the black market because | many people don't want to put up with that B.S. Antibiotics | have a public interest in being gatekept; they harm | everyone if abused. A similar argument can be made for | addictive substances. | | Merely-harmful drugs, on the other hand, can be disclaimed | and, where the clinical and fatal doses are close, diluted. | Beyond that, we're manufacturing busywork. | dahart wrote: | Everything is available on the black market, that doesn't | mean regulations are BS, it means people are willing to | risk breaking the law to avoid being tracked. The demand | for Viagra might have more to do with being embarassed | about ED or other fears than with concern about the | difficulty of getting it legally. (As another commenter | pointed out, the bar is extremely low when using online | remote clinics.) | | What does "merely-harmful" mean? What do you mean it can | be disclaimed? If it were over the counter, how will | people know when and how to avoid fatal doses? Why do you | assume it might be either effective or safe if diluted? | JumpCrisscross wrote: | > _What does "merely-harmful" mean?_ | | Drugs that really only harm the person who takes them if | abused. Alternatively, drugs which are unproblematically | sold over the counter the world over. | | > _Everything is available on the black market_ | | Available versus commonly procured. | | > _that doesn't mean regulations are BS, it means people | are willing to risk breaking the law to avoid being | tracked_ | | It means they're willing to break regulations to get it. | We can't impute motivation. | | > _how will people know when and how to avoid fatal | doses_ | | Same way they do for _e.g._ Tylenol. | | > _Why do you assume it might be either effective or safe | if diluted?_ | | I don't. Dilution is a common (and obvious) | pharmaceutical tool for increasing the distance between | the therapeutic and harmful dose. | lostlogin wrote: | > What does "merely-harmful" mean? Drugs that really only | harm the person who takes them if abused. Alternatively, | drugs which are unproblematically sold over the counter | the world over. | | In the extreme case where someone ends up being injured | or dead, friends and family are most definitely affected. | There are few people this would not apply to. | | Aside from that, the healthcare system takes a hit, | employers do too and a thousand other little ripples | spread out. | | Some drugs are over-regulated and this is why I'm a fan | of the middle line where some are sold at a pharmacy with | no script needed and they can partially control the | purchasing. | dahart wrote: | > We can't impute motivation. | | Correct, you're right, I was speculating on alternative | reasons people might avoid the doctor. We also don't have | evidence that the cost or time of a doctors visit is the | reason for the existence of the black market demand, | contrary to your claim above. | | Of course, a huge risk for black market purchases is that | they turn out to be fake and/or have unlisted harmful | ingredients. It's already happening with black market | Viagra. You get what you pay for, which is people who are | breaking the law, are secretive and unaccountable, and | putting anything they want in those pills. Good luck with | that. A co-pay and a quick Zoom call with a doc seems | like a safer choice to me... | JumpCrisscross wrote: | > _co-pay and a quick Zoom call with a doc seems like a | better choice to me_ | | Nobody is arguing it isn't. The point is the forced | choice is flawed. There wouldn't be a market for the | adultered stuff if the medicine were OTC. | dahart wrote: | > The point is the forced choice is flawed. There | wouldn't be a market for the adulterated stuff if the | medicine were OTC. | | You haven't convinced me that there's anything wrong with | the regulation. There might be, but again, the existence | of a black market is not a valid reason to relax the | regulation. The black market exists for guns and heroine | and antibiotics and certain types of illegal porn too, | not to mention crazier things like bazookas. You wouldn't | argue any of those should be less regulated just because | you can buy them on the black market right? What actual | reasons justify deregulating Sildenafil? | JumpCrisscross wrote: | > _wouldn't argue any of those should be less regulated | just because you can buy them on the black market_ | | I'd use that as evidence there is demand. Then I'd | consider the harm of looser controls. The harm balance | for Viagra seems minimal, particularly given so many | people take it without bothering with a prescription. If | you think Viagra is in the same harm bucket as guns and | heroin, then yes, it makes sense to regulate it. | dahart wrote: | Demand is not a valid reason to deregulate, that's | exactly the same argument as the existence of a black | market argument. And it doesn't have to be in a severe | harm bucket as heroine to deserve deregulation, it has to | be relatively _safe_ , and not have big contraindications | with others commonly used medications. | | Better reasons to deregulate would be that it's shown as | safe or safer than existing OTC products, that many other | countries offer it OTC, or that Viagra provides a | compelling health benefit when used safely. The benefit | is there for some specific cases, but quite questionable | broadly speaking, given that it often gets used casually | and to help men who don't truly need it, to party when | they're drunk or whatever. The safety has been reviewed | and deemed worthy of a prescription gate, and it's not a | hard gate to get through at all, the top comment | exaggerated it. Maybe it'll change and get deregulated, | but I guess I don't really even see why deregulating | Viagra would be a net positive for anything other than | Pfizer's pocketbook. | sdbrown wrote: | How, in your view, does dilution change the therapeutic | index of a chemical? If a drug is effective at 20 | milligrams, but at 60 milligrams has a steep rise in the | incidence of hypotension, how does taking that same 60 | milligrams in a larger volume of filler (e.g. water, or | spread across more physical pills) change the fact that | you've just taken 60 milligrams? | JumpCrisscross wrote: | > _how does taking that same 60 milligrams in a larger | volume of filler (e.g. water, or spread across more | physical pills) change the fact that you 've just taken | 60 milligrams?_ | | It increases tolerance to mismeasurement and mistake. | Same reason many pharmaceuticals require multiple pills | for minimum dosing despite a concentrated form existing. | A child eating a single pill, or you missing that you | popped an extra pill into your hand, causes less damage. | sdbrown wrote: | That doesn't change the difference between effective and | toxic doses, it changes the potential scale of off-by-one | user error. If 20 milligrams is delivered in 1 tablet, | then 3 tablets is the toxic dose. If 20 milligrams is | delivered in 5 tablets, then 15 is the toxic dose. A | single daily tablet is far superior to multiple daily | tablets in terms of patient adherence and hence disease | management. | | Can you name specific examples where the number of | pills/capsules/tablets has been increased to improve drug | safety? Increased pill counts historically reduces | patient adherence, which worses disease management. This | is just the first example I found which measured it: | https://pubmed.ncbi.nlm.nih.gov/31298592/ This review | explicitly states it in the abstract even: | https://pubmed.ncbi.nlm.nih.gov/30561486/ | JumpCrisscross wrote: | Idk what to say, this is established medicine [1]. When | you have a small TI you dilute to make measurement | tolerances wider in absolute terms. This is a motivating | factor behind prescription-strength medicine. | | > _Increased pill counts historically reduces patient | adherence_ | | Of course. There are tradeoffs. You want to know what | also increases burden? Requiring a prescription. | | [1] https://en.m.wikipedia.org/wiki/Therapeutic_index | sdbrown wrote: | I don't see dilution anywhere on that page, and | increasing volume of administration at a lower | concentration to achieve the same effective dose does not | alter the dose itself. You are not interpreting TI | correctly. | | Edit: further, to your comment about "prescription | strength" nomenclature, look at section 14 of the | Cialis/tadalafil prescribing information, IIRC, table of | clinical studies, where they have the second two outcomes | of the clinical studies broken down by dose. Efficacy | increases pretty directly with increasing dose, and these | are where the observed side effects show up. It seems | like patients may well self-escalate. Maybe the OTC | countries have public data on this? | JumpCrisscross wrote: | NTI drugs, a/k/a critical dose drugs, can avoid titration | requirements through dilution. It's harder to fuck up a | 500 mL difference than a 1 mL difference. Again, this is | why most OTC versions of prescription drugs are different | in only one way: concentration. | cheald wrote: | Aspirin has "severe (but rare) side effects", too. Many of | the OTC pharmaceuticals we take have potentially nasty side | effects. The only 100% safe stuff is homeopathic, and | that's because it's not actually chemically active. I'd be | a lot more convinced by the argument if it weren't widely | OTC in most of the rest of the world. | | Interestingly, there do seem to be long-term side effects | of sildenafil/tadalafil - though they seem to be positive. | There is a possible link between long-term usage of ED | drugs and cognitive protections in old age: | | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6705107/ | | https://content.iospress.com/articles/journal-of- | alzheimers-... | beejiu wrote: | This is how it is in the UK now, it's an OTC drug, so you can | simply buy it in pharmacy or online. | eggy wrote: | But then you cut off the career path of an FDA lackey in | becoming a big pharma exec after they've served big pharma so | well. Curious if they went after supplements that don't step | on big pharma products, but are actually harmful to the | public they supposedly serve. | | Reminds me of the X-Ray glasses and aphrodisiac ads from old | magazines and comics when I was a kid. | | Cosmetics get away with anti-aging and beautification claims, | but I believe they are not regulated by the FDA for thise | claims, because a lot if it is hogwash. | sdbrown wrote: | Tadalafil (Cialis) is available as a generic in the United | States. If you think "big pharma" is served by drugs going | off-patent, you may want to re-evaluate your perspective. | | If you want to get more reasonably unhappy with market | exclusivity, look at Celgene's grip on | thalidomide/lenalidomide/pomalidomide for the treatment of | multiple myeloma. | jcampbell1 wrote: | They are practically OTC everywhere in the world. A huge pain | in the add to get in the US where the MD cartel engages in rent | seeking by claiming every pharmaceutical is dangerous and they | need $200 every quarter to let you buy the meds at hyper | inflated prices. | Sanzig wrote: | Well, sure, but the solution to that is to make it OTC or | added to the list of medications that pharmacists are allowed | to prescribe by themselves. That way the medication dispensed | is still coming from an authorized and inspected facility | with adequate quality control. Mixing it with dodgy | supplements is not the solution. | FartyMcFarter wrote: | Anyone have an idea of what's likely to happen here? Fines or | something more serious such as being barred from selling whole | categories of products? | pbj1968 wrote: | Heard a talk once by someone that managed nutrition for an NFL | team. She said periodically clusters of players would pop | positive for meth and inevitably it would be some new supplement | that was giving them results and they told all their teammates | about it. They'd just tell them to quit using it and move on. | Interesting story, possibly true. | BolexNOLA wrote: | And I imagine a lot of nutritionists on teams kind of know | what's going on, but are disincentivized from looking too | closely at it unless it could really hurt somebody. Or rather, | it could hurt somebody enough for someone to notice immediately | or impact their performance in the short term. This is | obviously armchair speculation, but I've seen it in other | industries, time and time again. Everyone kind of knows, but | nobody wants to be the squeaky wheel that gets the star player | - or major piece of equipment - out of commission. | LargeTomato wrote: | It's possible the nutritionists are also duped. They know | that giving their athletes X mg of Y gives them better | performance. They don't know that their particular X | supplement is really just sugar pills and meth. | dopa42365 wrote: | Any even remotely WADA compliant drug testing uses | chromatography, this story is most likely false. | hotpotamus wrote: | I don't really know the details, but I assume chromatography | can detect meth no problem, so I assume that's not the | problem with the story. The skepticism on GP's part is mostly | that the meth was consumed unwittingly; perhaps that's just | the story the players tell. But it seems plausible at least. | ta988 wrote: | Yes a 3-5 min UHPLC/MS (and even a UHPLC/UV which is | cheaper) can tell you that. Cost of experiment? $10 (not | including human cost) Cost of equipment $200k-$400k for | this kind of things. One machine and one operator can | analyze hundreds of samples a day (once the sample is ready | you don't have to stay in front it is fully automated). | | For just detecting Meth there are much faster and cheaper | methods. But the one I am talking about has the advantage | to also allow for detection of other things like steroids | (extremely common in supplements), opioids (same) etc | | The only thing it will not work well for is anything | inorganic, so if they put lead or chrome salts you will not | see them and really small (solvents for example) and really | large (proteins, large sugars etc) | baby-yoda wrote: | As of a couple years ago the NFLPA doesn't comply with WADA | (the current CBA runs until 2030) | | https://journals.library.columbia.edu/index.php/lawandarts/a. | .. | jdietrich wrote: | The (intentional or unintentional) contamination of dietary | supplements with performance-enhancing drugs is a widespread | problem. | | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5691710/ | | https://www.frontiersin.org/articles/10.3389/fspor.2022.8682. | .. | stefan_ wrote: | That's the joke, they are non-WADA compliant on purpose - | American NFL and other sports leagues are rotten with steroid | abuse and more. And the reason the teams run their own "anti- | doping" is so they can know about it before, not because they | are beacons of purity. | duxup wrote: | More and more Amazon just seems like a "you're on your own" scam | site. I can't figure out what I'm getting anymore. | | Half the listings are sponsored ads when I search. I searched for | "Lego" this past Christmas and on the first page I got a bunch of | products that were in what looked just like Lego boxes with Lego | fonts and numbering ... but were not made by Lego and were | clearly made to deceive. | | I noticed some items I get price alerts now will drop low but | only one vendor is actually offering the low price ... who has | terrible ratings. But you can't actually know that is happening | unless you click through the UI a bunch, if you just buy it | you'll see the overall rating that is fine... but you get it from | some vendor with terrible ratings. | | I bought something last spring that was never delivered, turns | out it was some random Chinese company. The item even says it | wasn't delivered and yet I couldn't get a refund if I went | through the order status page. It just sent me to one automated | customer service who sent me to a different customer service who | sent me back. | | Someone on HN had to tell me to go to the front page and contact | "that customer service".... wtf | | I used to go to Amazon because it offered better selection and | quality products that my local stores didn't sell. Now it's just | low quality garbage and scams. | BolexNOLA wrote: | Your comment made me realize that the gap between Amazon and | eBay has been steadily shrinking for years now. And it's not | because eBay is getting better, that's for sure. | zargon wrote: | The gap has been widening for years. Because Amazon keeps | getting worse. | mrweasel wrote: | The good thing about Amazon is that they've made it | increasingly easy to stop buying from them. Finding the things | you need is increasingly difficult and even if you find it, | most of it seems like obvious scams. Amazon went from a | bookstore to the "everything store" and back to being just a | book store, because those are the only items you can reasonably | find and trust to not be scams. | | It must be rather difficult to be in the US where Amazon is so | dominant, because I given up and just rely on local webshops. | enlightenedfool wrote: | Books cannot be trusted too. I have purchased books which | have such cheap paper and bad print and cover that feels like | someone makes them in their garage. It wasn't worth the | price. | mrweasel wrote: | Oh that sucks, I haven't experienced that... Yet. | | I worked for a webshop years ago, they wanted to implement | a "marketplace" and I advised against it, but they went | forward anyway. A few years later I was contact by someone | still working there, they had dropped the marketplace | again. They simply could not deal with the amount of | absolute shit sellers where shipping and it was damaging | their brand. This is a store that was really selective | about which products could be sold and what resellers was | allowed and they still couldn't do it. So why isn't this | damaging Amazons brand to the point of them limiting | marketplace? | duxup wrote: | Unfortunately my example of "low price from crappy seller" | has largely been books :( | mackatsol wrote: | It's not a reliable book store either! Counterfeits, cheap | reproductions, fake publishers, ai generated books, pirated | content .. as well as co-mingled SKU's. For physical and | e-books! | wombat-man wrote: | It's such a strange assortment of results whenever I search | for anything on Amazon now. Buying direct from the producer | or even just walking into a local big box store is less | stressful if I have the time. | myaccountonhn wrote: | I tried buying audiobooks from Amazon, the version I bought | turned out to so obviously be an AI voice reading it.... Just | an awful experience. | jupp0r wrote: | The customer service is pretty amazing compared to most other | stores, at least in my opinion. Returns are easy and free, and | you get a replacement shipped right away but have weeks to | return the item. | LegitShady wrote: | returns are not universally free or easy. I bought a power | supply for a computer (corsair) and it went on sale a week | later. I called to get a price adjustment and amazon told me | they don't match even their own prices. So I said I'd return | it and order a new one and I was told I'd have to pay return | shipping. | | I don't buy many products on amazon anymore. | jupp0r wrote: | I have never had that problem and have probably returned | ~100 items over the years. YMMV I guess. | duxup wrote: | My example regarding customer service kinda makes me feel | that their CS isn't so amazing. | FartyMcFarter wrote: | Yet another reminder that buying so called supplements should | almost never be done, except for supplements that have been | widely researched like multivitamins or creatine (and then only | from reputable suppliers). | TheCaptain4815 wrote: | About 15 years too late. Wonder what they'd find if they tested | the protein, creatine, etc on Amazon. | noodlesUK wrote: | I think with the state of things, Amazon should be completely | banned from selling anything that might be construed a | supplement. They have such lax controls that your protein powder | or vitamin pills might contain pretty much anything. Even | reputable brands bought from their brand storefront might be | counterfeit [1]. You'd be shocked at the number of things that | are counterfeit. A friend of mine recently bought a niche optical | device, and it turned out it was a fake, despite being allegedly | sold by the manufacturer. Amazon needs to stop co-mingling | inventory, and it also needs to stop selling things that have no | safety testing whatsoever, especially in the food and supplement | space. | | https://www.inc.com/sonya-mann/amazon-counterfeits-no-starch... | arcticfox wrote: | I used to think my wife was silly for spending more at beauty | stores for her skincare products, but after realizing how | insane Amazon's quality controls are, I think someone needs to | actually shut them down. I wonder if there are any grounds for | lawsuits. The number of counterfeit products they sell, even | under "Sold by Amazon.com" is WILD. Zero supply chain | discipline. | bryanrasmussen wrote: | obviously if Amazon sold something that damaged someone it | would be grounds for suit under tort law, in which case the | sky's the limit, and guessing the easy to find details of | their behavior over the years any American jury would punish | them. | jdksmdbtbdnmsm wrote: | Only a tiny few Americans can afford filing such types of | lawsuits, and only a tiny few of those people are | interested in pursuing such things. | baryphonic wrote: | Personal injury is serious business, and many personal | injury attorneys work on contingency. Amazon has "deep | pockets," so I doubt this is the reason. | partiallypro wrote: | This isn't correct, most personal injury lawyers don't | charge you directly. They take a percentage of the | settlement or victory. There's way more money to be made | with the "no fee" model than charging hourly in these | instances. | jdksmdbtbdnmsm wrote: | Time and availability are expensive commodities. Who's | paying for that? | partiallypro wrote: | I literally just said that they make their money on fees | from the outcome of the cases. That is how basically | every personal injury case works. If they don't think the | case will win, they don't take it. Personal injury/tort | lawyers do not charge clients in the same way as other | types of law. They especially don't do that because a) | they'd make less money and b) they are often times | dealing with people that couldn't afford hourly rates up | front especially as a case becomes more complicated. | tikkun wrote: | Can you elaborate about counterfeit products being sold under | "sold by amazon.com"? That's surprising to me, I treat that | as a sign of something being non-counterfeit. | noodlesUK wrote: | My understanding is that all sellers, including Amazon | itself have co-mingled inventory. Therefore you can't | actually guarantee that what you're getting is from | Amazon's stock, as opposed to some other random seller who | gave the FBA warehouse a truck full of fake products. | ryandrake wrote: | Amazon commingles[1] inventory. So if there are N vendors | selling an item, including Amazon.com, all N inventories | just get mixed together at the warehouses. So if some M of | those N are counterfeit, there's no way to know. | | "As an example, if I sell Duracell C batteries on Amazon | through their "Shipping Fulfilled by Amazon" -- which I | must do to receive Prime shipping designation -- I need to | send my batteries to an Amazon warehouse. After receiving | my delivery, they will count the number of batteries, then | slide the whole stock into a generic shelf labeled | "Duracell C Batteries." Any purchaser receives a Duracell C | battery from that box, and thus the actual seller is | unknown." | | 1: https://thetriplehelix.medium.com/your-amazon-products- | could... | lostlogin wrote: | This makes it rather attractive for sellers to add in | some cheap fakes - thanks for the explanation. | squidbeak wrote: | It's an inventory management exploit that Amazon seems in | no hurry to fix. | | https://www.redpoints.com/blog/amazon-commingled- | inventory-m... | jonhohle wrote: | I've ordered an Apple-brand Lightning cable from Amazon | (sold by Amazon), for example, and received a counterfeit. | | They replaced it, of course, but had it been a gift, or I'd | been in a hurry, would anyone have noticed? If Amazon can't | keep counterfeits out of their own inventory, what chance | do most buyers have? | noodlesUK wrote: | I think the issue is multifold: a lot of the fake products | are not dangerous, but they are either useless, or otherwise | inferior. There's essentially no recourse for this as a | consumer, and you probably won't even notice that you don't | have an original product. | | In some cases the fakes are downright dangerous. This is much | more the case in supplements, cosmetics, food, and | occasionally electrical appliances. | | People will only sue them when they get actually dangerous | products. Even then it's a difficult process. | oooyay wrote: | Beauty products are in the ballpark but are also a different | ball game. Unless you're licensed or very educated on what | chemicals and chemical combinations do to your skin picking | beauty products can be tough. My partner is an esthetician | and most of what she spends her time doing is helping people | pick products that won't adversely impact their skin or just | do nothing. Beauty is chalk full of fake products and worse | influencers who push them onto unsuspecting/unknowing people. | It's given rise to an industry of estheticians who don't make | money on purchases but who collect a fee to just help you | sift through the bullshit. | uniformlyrandom wrote: | > Amazon needs to stop co-mingling inventory | | That alone would solve 99% of the problems, as dedicated | inventory would allow to quickly weed out the bad actors. | jonhohle wrote: | My understanding is that co-mingling was originally a | distribution optimization. I can't remember if I was there | under the initial rollout or they had tried it, stopped it, | and rolled it out again during my tenure, but when I started | in 2009 it wasn't a thing, and people were opinionated about | why it wasn't a thing (to protect seller reputation), but it | was obvious how it could reduce shipping times (if you have | your inventory on the west coast, but a buyer on the east | coast, picking from another merchant reduces shipping time | and cost and wasted warehouse space partitioning everyone's | inventory). | | However, Amazon has abandoned any idea of consistent reliable | shipping or even delivery "promises", so the only thing co- | mingling does is reduce shipping costs and warehouse space at | the customer's expense. That's the antithesis of what Amazon | delivery used to be. It's sad to see all the work we did on | Prime and Delivery Experience get washed down the drain. | Prime used to be a no brained for anyone who used Amazon | regularly, and now I'm not even sure if there is discrete | value there anymore, rather than just a mishmash of | unrelated, mediocre up upsell opportunities. | dawnerd wrote: | The solution is to stop allowing third party sellers. The idea | that any random person can get an Amazon seller account and | scam their way into being approved for certain categories and | just send in anything as long as it has a label is insane (it's | incredibly easy to forge the invoices they request). There's | zero control at Amazon, they frequently put returned products | back into new inventory as well which makes buying trading | cards and Lego a massive gamble. Computer parts get swapped and | resold all the time too. I can't imagine trusting them with | anything that goes in your body. | | Edit: if anyone hasn't seen just how lax they are, search | YouTube for FBA. Literally random people driving around to drug | stores picking up nearly expired clearance items to send in for | FBA. | __MatrixMan__ wrote: | There are a lot of undesirable side effects with that | solution. | | You shouldn't have to be tech savvy enough to host a shopping | experience that's competitive with Amazon in order to sell | things online. You ought to be able to focus solely on your | product and if it's a good one you ought to be able to | compete with Amazon Basics on a level playing field--even if | it's a field served by Amazon metal. | | I think we need more separation between the part of Amazon | that handles clicking "buy" and printing shipping labels, and | the part that comes up with things for sale. So much | separation, in fact, that the former considers the latter to | be no more trustworthy than any other company or individual. | | Seller reputation should be important, and the medium for | determining if a seller is trustworthy should be free from | conflicts of interest. | | If the user facing part was adequately adversarial about the | cardboard facing part it would result in a UI which had no | reason to encourage the user to trust the contents of the | cardboard, and instead simply presented facts that enable the | user to apply their own scrutiny. | tadfisher wrote: | Can Amazon even run FBA without comingling? This is the | root of the problem; tracing an individual item back to the | seller is apparently not possible, so seller reputation | doesn't really exist. So either it's not a big enough | problem for Amazon to kill comingling, or it's not | profitable to do so at Amazon's scale. | __MatrixMan__ wrote: | I'm pretty sure that if we manage to coordinate an | existential threat to Amazon, Amazon will respond by | finding a way to do it profitably. The problem is that | we're not threatening enough because we're uncoordinated. | lumb63 wrote: | Calling for Amazon to be banned from selling supplements is | extreme, IMO. But they should be accountable for preventing | counterfeit items from being sold or marketed as the items | they're counterfeiting. In cases where the authenticity of the | item has not been verified, that should be made clear to the | buyer. Absence of such an indicator would mean the product is | authentic (consumers should IMO be able to rely on products | being what they are marketed as by default). That would put | them on par with pretty much any other supplement seller, and | go a long way toward ensuring people get the items they buy. | moritzwarhier wrote: | Defending the right of a company to profit from selling or | mediating sales of products intended for human consumption, | without any legal liability for their content or safety, is | also pretty extreme. | | Nevermind the fact that they pay no taxes, at least not here. | lostlogin wrote: | > Calling for Amazon to be banned from selling supplements is | extreme | | If a physical store near you sold fake everything, including | supplements, you'd think it extreme to shut it down? | LargeTomato wrote: | Step 1: Cease and desist letter | | Step 2: Legal action to pursue a change of policy and | damages. | | Step 3: 2nd legal action if Amazon continues to be out of | compliance with the previous ruling. | | There's a process here and jumping to the very end is not | how it works. | lostlogin wrote: | This seems entirely appropriate, but skip step 2, then | start sanctions or shutdowns if the situation persists. | | There is surely a template for this - quite possibly it's | what you detail? | lumb63 wrote: | Wouldn't it be better for all parties involved to keep it | open and implement regulations requiring they be honest | about products? The customers could use the marketplace to | get the products they actually want, and the business gets | to benefit. | | Note that idea isn't mutually incompatible with penalizing | the company for all the counterfeit products it | sold/marketed. | patmorgan23 wrote: | If they sell people counterfeit food and health supplements | they should be banned from selling those items (at least for | a period of time) until they can figure out proper inventory | controls. | samstave wrote: | >> _...the state of things..._ | | If you're not familiar with Skinny Puppy (industrial band) | | There is a lyric in a song "... _define... the state of | things..._ | | https://youtu.be/sDEhCm0pxCo?t=271 | | " _...that paper shredder, patent tender, puts us back in time | again...._ " | | https://www.youtube.com/watch?v=5KHDb9xwHvc | | Skinny puppy is from an AI cultural perspective, where they | audience is a bunch of ~50 year old dorks (yes, population, we | are fucking old - but we built things) | | 1. the song: https://www.youtube.com/watch?v=sDEhCm0pxCo | | 2. Reference: https://youtu.be/sDEhCm0pxCo?t=271 | | (about to filter this through AI topaz and see if can get a | better qual vid - but this song is a Hex on Exxon mobile (in | response to valdez spills and oil profit demons) | deeth_starr_v wrote: | It's been common knowledge that any Chinese ED supplement on | Amazon that is effective has Viagra in it. This is not a bug but | a feature | tacheiordache wrote: | > It's been common knowledge that any Chinese ED supplement on | Amazon that is effective has Viagra in it. This is not a bug | but a feature | | And who knows what else!!! | | I'd never ingest anything that has Chinese provenance. Chinese | garlic comes to mind as the latest thing to try to avoid. Not | sure if true but it seems to be grown in sewage. I'd rather be | safe and avoid that altogether. | ta988 wrote: | A lot of the garlic in yhe US is from China, so if you ate in | a restaurant you likely had some already. | gruez wrote: | >Not sure if true but it seems to be grown in sewage. | | If that's your concern, you shouldn't be worried about just | China. It's done in America as well. | | https://www.npr.org/sections/thesalt/2013/04/10/176822392/ci. | .. | thedougd wrote: | Do American grocery stores have better controls or does their | broker model just happen to filter the junk? | notyourwork wrote: | I wonder the same thing. It seems like something that at Amazon | scale we pick on but at physical store scale we discard as not | possible. | gehwartzen wrote: | I haven't hear about these problems at Walmart and would | think the scale of stuff sold is comparable. I think the main | problem, as others have mentioned, is that Amazon commingles | products from various suppliers (so everything that comes in | from a manufacturer or a true vetted wholesaler + 1000's of | "flip stuff from china" garage operations get mixed up at | Amazon warehouses before being sold). | arrowleaf wrote: | Right. Walmart doesn't let someone drive up with a semi- | load of what looks like bags of King Arthur bread flour, | mark the pallets with a tag, and cut them a check when they | stock the items from that pallet onto the shelf. That's | basically what Amazon does. | toast0 wrote: | Walmart is known for having a _very_ tight control over | their suppy chains. IMHO, mostly for cost control, but | quality control and authenticity are useful side effects. | wccrawford wrote: | IMO, there's a couple things going on there. | | First, grocery stores work on a 3% margin, so if they have a | ton of returns on something, it costs them a ton of money from | credit card fees and wages, and possibly from losing the cost | of some portion of the product. | | Second, grocery stores have limited space and are picky about | what they'll put in their store. They want quality goods that | will sell well, and they don't want to cannibalize other | products that would make them more money. So random supplements | don't find their way to their shelves. | arrowleaf wrote: | Grocery stores typically have an extensive if not integrated | supply chain they have absolute control over. | hx8 wrote: | Some of both. I think it's mostly the model. | | * All of a single product is from the same vendor. Very often, | that vendor is also the manufacturer. (model) | | * Grocery stores have limited shelf space, and thus spend time | getting to know their products. (model influencing qa) | dec0dedab0de wrote: | I don't think Amazon should have any protections for being a | marketplace. Especially since we all found out about co-mingling, | and how reviews are transferable between vendors and sometimes | between products. | | They should be liable for any damages caused by these drugs, as | well as patent/copyright/trademark infringement for any | counterfeit products. | | I don't feel the same for ebay, reverb, or facebook. I'm not sure | where the line should be, but I'm certain Amazon crossed it. Plus | their business model infected Newegg and even Walmart, and who | knows how many others, it just needs to stop. | | Maybe it should be that either you're a retailer or a | marketplace, but never both? I don't know the answer but it sucks | and has sucked for a long time, and im too lazy to stop using it | so i guess im part of the problem. | ta988 wrote: | Reviews are transferable? I was wondering because many reviews | I have seen don't seem to be for the product I am looking at at | all. | Wingman4l7 wrote: | It's a tactic that's been abused by third-party sellers for a | long time now. They list a product, organize a bunch of paid- | for 5-star reviews on another platform (you buy the product, | submit a 5-star review, and they refund you the purchase | cost, so you get the item for free), and then once all those | 5-star reviews are in place, they eventually re-use the | product page for another item entirely. | | It baffles me that Amazon's item listing system ever allowed | this in the first place. | rincebrain wrote: | Nominally, this might make sense with a "people liked the | v1 of this and now it's a different SKU", with a note about | it being for something else. | | In practice, it seems very likely harm outweighs the | benefits for consumers here, and it's just that it | encourages more sales that keeps Amazon allowing it. | macNchz wrote: | Perhaps forgivable that it was allowed in the first place, | but unacceptable that it was allowed to continue after the | first time they noticed the lack of a review requirement | for product page changes being exploited in this way. | 1920musicman wrote: | That's the biggest Amazon scam that Amazon itself allows and | encourages (indirectly). In my experience, most inexpensive | items from unknown brands have transferred reviews. | supriyo-biswas wrote: | The seller often swaps the product description for some other | product, capitalizing on the reputation of the first to sell | the second. | dec0dedab0de wrote: | There have been articles about it, I don't remember the | details, but it is an exploit stemming from wanting the | review to be about the product instead of the vendor, and the | process of combining reviews from different listings of the | same product. | | The fact that the reviews are not limited to a single vendor | is a major part of the overall problem. | alexpotato wrote: | A personal example: | | - I order a large tweezer for cooking etc | | - It works great! | | - End up losing it so "order again" a year later and it's | clearly a different product/manufacturer etc | asquabventured wrote: | Reading reviews of Chinese clone items you'll also start to | see people mention an entire different product in the | review than what you're looking at. | | E.g you're looking at a mattress cover and the reviews and | pictures are for a folding chair or a slotted spoon. | | The internet of today is total trash. | reubenmorais wrote: | > The internet of today is total trash. | | Because despite this behavior we keep giving them money. | It's not that hard to stop using Amazon. | FredPret wrote: | Not the internet. Just Amazon. Buying direct from the | manufacturer / a trusted store is better than ever. | gukov wrote: | I often see reviews for a model that's similar but still | different. Not being a seller, I'm guessing the exploit is | around labelling a different model / product as a colour | variation of the product they're trying to leech off, and | voila: now the crappy product has the same rating / reviews | as the original, better product. | jacurtis wrote: | There is a blackmarket of repurposed Amazon Product Pages. | This is a problem that Amazon knows about and does nothing to | resolve. | | So the way it works is that some company makes a page for a | stuffed animal for example. They name the product page | appropriately and start selling their toys. They push hard | and gets lots of reviews and build up the aSEO (amazon search | Optimization) for that page. They build up 1,000 positive | reviews for their stuffed animal averaging 4.8 stars. Cool. | | Now they decide to stop selling that toy and instead start | selling fidget spinners. Why start from scratch and go | through the work of building up all those reviews again and | the aSEO that took years on the stuffed animal product. | Instead they just go in and change the title, the URL slug | and the images to represent the new Fidget Spinner. They | publish the changes and now, within seconds of posting their | new Fidget Spinner is one of the best reviewed fidget | spinners on Amazon and starts immediately getting sales | because the page has strong aSEO and high reviews which makes | it present well in search results. Visitors of the page see | the high reviews and buy the product. They start selling | thousands of Fidget Spinners overnight and build up to 2,000 | positive reviews. | | Now that company sells fidget spinners and then gets sued for | using toxic glue in the building of their fidget spinners. No | problem. THey change their name from | SpinnyAltodaWidgetCorpIncUnlimitedPlus to | ShenzenSpinnyWidgetToyPlusUnlimitedCorp. New company, now you | can't sue them. Then they change the name on the product page | and keep selling the same product with a different name and | same reviews, building it up to 3,000. | | Now the company goes under. But they have all these high | performing amazon pages. Here is where the fun begins, they | literally go up for auction. Companies will page hundreds of | thousands for a top performing amazon page. They sell the | page to the highest bidder. Now a new company | ShenzenShitzuSuperCorpPlusMegaChargerMorePlusPlus buys the | page and starts selling Fish Oil supplements. They just | change the name, images, URL, and company information, but it | is technically the same amazon page. Then they start selling | Fish Oil supplements with 5,000 reviews averaging 4.8 stars. | They immediately shoot to the top of the search results and | start selling thousands of bottles overnight because people | are overwhelmed by the positive reviews of this product and | its age and legacy on Amazon tells Amazon to push it to the | top of search results. | | This is the black market of Amazon pages. These pages change | hands often many times a year. Amazon could easily prevent | product changes above a certain threshold or even across | categories to prevent or eliminate this, but they don't want | to. They are complicit in these behaviors by turning a blind | eye to what they know is happening. | | Here is a detailed article about Hijacked Reviews from | Consumer Reports: https://www.consumerreports.org/customer- | reviews-ratings/hij... | | For example, in one review they find a phone charging cable | that has reviews for zip ties, hand soap, shaving cream, and | gaming headsets all in the reviews for a phone charging | cable. This page has been hijacked several times by entirely | different product types. | pompino wrote: | Amazon tracks the "wrong item was sent" returns to find such | items. They outsourced the checking to the customers, but | they're eating the cost of processing the returns/shipping. | Maybe that is cheaper in the long run? | pests wrote: | You misunderstand. It's the correct item. The old product | page was rebuilt for the new product. Users aren't confused | or expecting the original product. | smith7018 wrote: | Agreed that they should be held accountable for creating a | platform that elevates these scam supplements to the same level | as Apple, GE, Google, GNC, etc. I know some people might argue | that Amazon shouldn't be responsible for the products that are | listed on its site but I think we can just as easily say Amazon | shouldn't be able to offer supplements/vitamins if they can't | stand by their safety. | | All of this is even more troubling when you consider their | purchase of One Medical. So my Amazon doctor tells me to ingest | more zinc but buying zinc from Amazon might not actually have | zinc in it? | bradfa wrote: | At least Walmart lets you easily filter search results for only | things sold by Walmart itself. That makes it fine by me to be | both a seller and marketplace. Amazon does not make such | filtering easy at all. | schemescape wrote: | Anecdote: I filtered to "sold by Walmart" (I forget the exact | terminology, but customer support confirmed it was _not_ from | a marketplace seller), but the item I received had an Amazon | return label and was shipped from an Amazon warehouse. | | That was the last time I bought from Walmart in an attempt to | avoid Amazon's shenanigans. | abracadaniel wrote: | There is absolutely a tier of marketplace seller that | bypasses that filter. I was trying to buy rechargeable | batteries just yesterday and noticed this. If you look | carefully, they are still listed as sold by a marketplace | seller. Very frustrating, as it's gotten nearly impossible | to find a retailer that isn't secretly selling me crap from | the back of someone's van. | bradfa wrote: | I've given up buying rechargeable batteries online from | anywhere except B&H in NYC and then only Panasonic | branded ones at that. For a short time Amazon Basics | rechargeables were decent but that was quite a while ago | and only for a short time. | bradfa wrote: | That's frustrating. I've been pleasantly surprised at many | of my interactions with Walmart when ordering online. Once | even got same day delivery for free and without requesting | it. Maybe I'm an outlier? | 1920musicman wrote: | I am not aware of any lawsuits against distributors/retailers | but supplement companies have been successfully sued in the | past. One famous case is Yoel Romero vs Gold Star Performance | Products (https://bleacherreport.com/articles/2838434-ufc- | fighter-yoel...). | Xeoncross wrote: | I purchased a vitamin c supplement that was pure white and | odorless/tasteless. I posted a review and photos. Obviously fake | filler of some sort, Amazon removed my review as inaccurate when | it's obvious whatever was in those capsules was not ascorbic acid | of any kind. | | They also claimed to have zinc (greenish) and elderberry | (purple). It's not safe for Amazon to let any random exporter put | stuff for sale without any sanity checks. | asquabventured wrote: | When I reviewed a product as obviously fake they also removed | my review. The company as a whole really kind of disgusts me | now. | wombat-man wrote: | yeah they are kind of the last resort for me at this point | when buying online. | GuB-42 wrote: | Ascorbic acid is cheap in bulk, something like less than $5/kg | if you buy it by the ton. Maybe cheap enough to _be_ the | filler. | | And it is white and odorless in its pure form. It does have an | acidic taste though, because it is an acid. I have some of it | in my kitchen (pure bulk powder, not bought on Amazon) and I | can tell you by experience. | nostromo wrote: | Vitamin C _is_ odorless and pure white, so maybe your review | was right to be removed. | | It's not tasteless of course, it's sour. | segmondy wrote: | Don't buy anything from Amazon that you would put in your mouth, | supplements, food, toothpaste, mouthwash, anything! | | I'm even wondering if to do the same for things applied to body | as well, my wife recently bought a hair cream because from Amazon | because she couldn't find it in stores. It was obvious the one | from Amazon was not real when compared with the remaining ones | she had. Package was perfect, but the color/texture of the cream | was very different. | | It's a big chance buying things from online marketplace. | Beijinger wrote: | Well, some stuff you can buy only online. | | Anecdote: I tried to market my own dietary supplements in the | US for a while. Unfortunately I am poor in marketing but many | customers loved it. I bought all the ingredients from a | supplier, had it mixed in California and shipped to a company | that can package it. For a slight taste I needed a tiny amount | of sucralose. Did not want to buy a huge amount. So I ordered | it on eBay. I asked the guy to send me a CoA and he did. It | said Manufacturere Spectrum and Food grade. Unfortunately I | knew that Spectrum was not selling this as food grade. Sure the | guy could have made his own tests but how likely is this? I | just trashed it and bought it somewhere else. Should have used | Stevia anyway. | TaylorSwift wrote: | Most supplements are garbage. Since they don't actually work, | most people would never know if you replaced their magnesium or | calcium supplement with chalk. Some supplements do work, but | since they're not regulated, they're drowned out by nonsense and | noise. OK, so you don't want to be a rube?...you do your research | and then piece of shit fitness influencers tell you "ohh...that | vitamin you bought form Walgreens or Costco didn't work?...of | course not, you need to buy mine...it's CHELATED!!!!! thus is | more BIOAVAILBLE...or some other random scientific work which is | either incorrectly used or outright fraudulent. | | Half of my family spends a huge fortune on supplements, most of | which are placebos. If you're young, you may not understand, but | for us over 40, life starts to suck, physically. When you're | young, your body is very fault-tolerant...have 6 beers and a | cheeseburger for supper every day for a week?...nothing a few | tums can't fix. Now that I'm over 40, I do everything right | (daily exercise, eat healthy, get sleep, etc) and still feel like | shit most of the day....same with most my age...thus we're | desperate for anything that will make us feel better and not have | any side effects that make things worse. | | Supplements are the dream and an age-old scam. Maybe punishing | big retailers who tolerate fraud will not only reduce false | claims, but make the public more aware that so called health | experts online are ignorant, scammers, or both. | ta988 wrote: | If you replace the Calcium with chalk you would still have a | source of calcium so it wouldn't be that bad :D | achanda358 wrote: | With different bioavailability | dehrmann wrote: | It's better than that. According to Wikipedia | | > Chalk is typically almost pure calcite, CaCO3, with just 2% | to 4% of other minerals | | The supplement I just looked up uses Calcium Carbonate. That | could just be purified chalk and be in compliance with the | FDA. In fact, it probably is just that. | beambot wrote: | Animals eat naturally-occurring chalk (and other | substances) to regulate key minerals. It's called | geophagia. | dehrmann wrote: | https://en.wikipedia.org/wiki/Mineral_lick | FredPret wrote: | > geophagia | | Animals are eating the world | Wowfunhappy wrote: | > Most supplements are garbage. Since they don't actually work, | most people would never know if you replaced their magnesium or | calcium supplement with chalk. | | Whether or not that's true, if you replaced someone's magnesium | supplement with _viagra_ , you could seriously hurt them. | | >> FDA confirmed through laboratory analyses that the [...] | products, purchased on www.amazon.com, contained [...] the | active ingredients in the FDA-approved prescription drugs | Viagra and Cialis, respectively, used to treat erectile | dysfunction (ED). These undeclared ingredients may interact | with nitrates found in some prescription drugs, such as | nitroglycerin, and may lower blood pressure to dangerous | levels. | epmaybe wrote: | holy crap, that's insane. You don't just accidentally add | sildenafil or tadalafil to your supplements. Unless the FDA | is misidentifying compounds present in the herbs in these | supplements, which seems unlikely but I'm no pharmacology | expert. | tonyarkles wrote: | Yeah, I don't think "accidentally" is something that | happened here. What's the best way to make your "all- | natural Viagra" actually work? Make it with real Viagra. | Scoundreller wrote: | I'd be surprised if the buyers were expecting any | different. | | With the amount of mislabelled product out there in | circulation (and presumably a general lack of harm), does | it still make sense to require a prescription? | tonyarkles wrote: | I'm personally pretty torn on that. On the one hand I | agree with you, especially from a harm-reduction | perspective (e.g. people who are on blood pressure | medication ordering "natural" Viagra because Viagra's | contra-indicated with the medication they're on, not | realizing that they're getting something that could cause | a very bad situation). On the other hand, requiring a | prescription does mean that a physician can ask that | question ("are you on blood pressure medication?") and | counsel the patient to look at different options instead. | | I mean, even though 50% of these are intentional | overdoses... the other 50% probably didn't know they were | doing something that was going to destroy their liver: | https://www.ncbi.nlm.nih.gov/books/NBK441917/ | Scoundreller wrote: | It's pretty much just an interaction with "nitrates" | which are typically taken by people with pretty serious | cardiac issues, and usually educated re: the side effects | if taken with viagra or similar compounds (cuz you never | know if someone has Viagra in their drawer from another | pharmacy or years ago or "natural" Viagra from another | source). | | The interaction with other blood pressure meds appears | additive rather than synergistic and Viagra alone only | minimally reduced blood pressure. The cough and cold | aisle or a cafe presents more dangers. | | https://pubmed.ncbi.nlm.nih.gov/10078539/ | | At least over the counter Viagra would be properly | labelled about these things. | bumby wrote: | Although they are most associated with ED, those | supplements are also performance enhancers. For decades, | unscrupulous supplement companies have put illicit or | prescription drugs in their products. Many of those drugs | (not the supplements) do, in fact, work. The rumor was the | gameplan was to start with that until you get enough market | hype and then remove them, but I've also heard some of the | illicit drugs are cheap enough that they could still | continue tainting them and make a profit. So even if they | work, people deserve to know what they're putting in their | bodies. | 1920musicman wrote: | Adding restricted ingredients to generally available | supplements is a known tactic that supplement producers | utilize extensively. In the past, this has been a well- | known "secret" that bodybuilders basically relied on: | buying tainted pre- and post-workout supplements that | contain illegal steroids and such. | | It's a better regulated industry now, but with the | explosion in supplement popularity over the last decade I | doubt there is an easy way to test and punish all | manufacturers. If you look at the list of supplements | included in that warning letter, they have classic | nonsensical names that Chinese companies are known for | (WeFun, Genergy, etc). None are on www.amazon.com anymore, | but hundreds of other supplements show up with absolutely | no way of telling whether any of them are clean (e.g. | "Endurance 2Nite"). | dullcrisp wrote: | Are you saying there could be Viagra in my Endurance | 2Nite? | exegete wrote: | >Now that I'm over 40, I do everything right (daily exercise, | eat healthy, get sleep, etc) and still feel like shit most of | the day....same with most my age... | | I'm nearing 40. Are you sure it's normal to feel terrible most | of the day when eating right, exercising, and getting enough | sleep? This doesn't sound normal to me. | thechao wrote: | I'm 45, walk, weight lift, eat well, sleep well, and feel | better than I ever have. My dad says he didn't start to | "feel" his age until 80: it may just be genetics? | laweijfmvo wrote: | Could be genetics, could be low T, could be depression, could | be some other uncovered issue. Should probably discuss this | with their doctor. | 1920musicman wrote: | It's not normal. None of my over 40 friends have the same | experience. And in general, I doubt that turning 40 is a | clear biological threshold regardless of one's lifestyle, | diet, fitness level, etc. | sigmoid10 wrote: | Yeah, there's something else going on. If you don't have | permanent damage from some injury or disease, you shouldn't | feel like 60+ if you barely hit 40. Maybe it's related to low | testosterone, but even for that 40 is early. | jml78 wrote: | I am an inactive, 45 year old software developer. | | Can I overdo things and feel like shit? Yeah but mostly I | feel great. | | My knees are kind messed up but that is from running 500 | miles every summer during middle school and high school. | | So no, being in your 40s shouldn't mean feeling like shit. | | As to the topic at hand, I use two supplements in addition to | prescription blood pressure medications. I take my blood | pressure 3 times daily. I can see in the cold hard numbers if | I forget to take them. | jordanpg wrote: | I think OP was being a little hyperbolic, but I know what | they mean. Little things add up. Certain minor issues become | chronic. Waking up with minor aches and pains is somewhat | frequent. Sleep issues are common. | | It falls short of feeling like shit, but there is a kind of | death by many cuts that changes the baseline for feeling | normal in the wrong direction. | libria wrote: | GP might have an illness/disease and fully aware of their | condition, none of us know. No need to lose the main point by | flexing our superior health against them. | | That point being: All of us deteriorate. We all reach an | age/state where conventional medicine has reached its limit | and snake oil begins to be look attractive. Not all of it is | proven wrong, none of it is proven right. | wkjagt wrote: | One of the things that really bother me being over 40 is that | my body is no longer immune to injuries. I can now throw out | my back just my sneezing too enthusiastically. | malfist wrote: | It's funny you mention chelation. The most common method | (cheapest) of chelating some metal is with EDTA, which is such | a strong bond that it makes it completely bio-unavailable. In | fact, if your body was somehow able to break the bond and | absorb the metal ion, EDTA would happily go along and find some | other metal in your body to bind to. You literally take EDTA | for lead poisoning, but it'll happily take calcium, copper and | iron out of your body while doing it, it doesn't give a damn. | hammock wrote: | > most people would never know if you replaced their magnesium | or calcium supplement with chalk. | | Minerals and vitamins come from USP, which is tested and | regulated and everyone in the industry gets the same quality | (regardless of what they claim). It is what they say it is, if | it's USP. | | Where is gets sketchy quickly is all the other stuff, like | plant extracts etc | nick__m wrote: | USP is an old compendium, it is not an organization! it means | United States Pharmacopeia, there is an organization that | manages the trademark but they do not produce pharmaceutical, | nor do they enforce quality, the enforcement is delegated to | the FDA. | phkahler wrote: | I cured my asthma with magnesium and iodine ssupplements. While | I agree with you that there are false claims out there, I have | data to show stuff worked for me. YMMV of course. | justinator wrote: | _same with most my age...thus we 're desperate for anything | that will make us feel better and not have any side effects | that make things worse._ | | The issue is that a chronic mistreatment of your body (similar | to what you describe). The solution is a chronic loving of your | body. Best time to start was 20 years ago. Second best time is | today. I wish you luck and I can tell you: it doesn't have to | be the way you describe, but it WILL take patience and a life- | long commitment. | | And yeah: forget supplements. Focus on good food. | MarCylinder wrote: | Chelated supplements are, generally, more bioavailable than | their oxidized counterparts because they are bound to nutrients | for which you have transporters. Like amino acids, for | instance. | | Supplements are absolutely regulated. To say otherwise is just | ignorant of the law. Those regulations are not well enforced. | That is the fault of the US justice department and Congress. | The FDA is under-equipped in the way of funding to enforce | regulations. And they're dependent on the justice department to | actually follow through on enforcement. The justice department | is only really interested in enforcement action where harm has | occurred. | | Amazon can do better, but why are we exclusively placing the | onus on them to enforce federal law? Why is the FDA not going | after the brands making and selling this shit? | hammock wrote: | > Most supplements are garbage... | | > My family spends a huge fortune on supplements, most of which | are placebos | | Unless you are just using "most" as a weasel word to hedge the | chance that you might be wrong, using "most" would imply that | you are aware of some supplements that aren't frauds. Can you | share them? | dec0dedab0de wrote: | Have you considered that your expectations of supplements not | working have caused a reverse placebo effect? | | I don't take many supplements but they all work for their | intended purpose. | | creatine for muscle recovery and making me a tiny bit stronger | | ZMA (zinc, magnesium, b6). for deeper sleep and overcoming | multiday hangovers | | melatonin for vivid dreams and waking up feeling more | refreshed. | | b12/d3 for energy | | i don't take them all every day, but they have consistently | noticeable effects and have improved my quality of life. | | i also just use the store brands from major retailers, and have | low expectations. | | More importantly when I was in my late thirties I also thought | feeling shitty was just part of getting older, but it turned | out I had cancer. talk to a doctor. | pfisherman wrote: | I had the opportunity to get a peek at the FDA database of | adulterated supplements and by far the most common type of | adulteration was people spiking with viagra. I asked why and was | told: | | "Man has been searching for an aphrodisiac for thousands of years | and we finally found it. Of course they are going to put it in | everything!" | lostlogin wrote: | The product reviews would be interesting to read. | Blundermuffin wrote: | The supplements in the letter say they contain the active | ingredients found in many ED medications... | | This has been going on for years with those over the counter gas | station products as well. | | The demand for these products is clearly big enough, and dozens | of other countries sell these ED medications OTC at pharmacies. | | Maybe it's time the FDA approve those drugs for sale OTC and curb | the madness. | azinman2 wrote: | If you did that you'd end up with a lot of deaths. These | vasodilators are contraindicated for a wide variety of | heart/health issues as well as other prescriptions. | pbj1968 wrote: | Cull the herd. | oglop wrote: | Do not buy supplements or anything you put in your body off | Amazon. Just assume everything is made with fiberglass and dick | pills, and shop with that mindset. | partiallypro wrote: | I bought a lotion from Amazon recently that smells like Windex. I | need to go to the store and see if the lotion in store has the | same smell. I have a feeling it could be counterfeit, as I can't | see this particular maker making a product with that smell. | MarCylinder wrote: | Looks like a lot of uninformed opinions in here. | | As someone who has made a career consulting for supplement | companies selling on Amazon, this does not surprise me. When | Amazon first instituted testing requirements for supplements | (something that already exists under federal law) they required | all sellers to provide testing for all of their products. Failure | to do so resulted in removal of your products from the | marketplace. | | Since then, two things have changed. Certain supplement | categories have additional testing requirements outside of what | is expected by the FDA. Companies have to prove the absence of | certain illegal ingredients. But, Amazon has switched to random | testing requirements. In the last 3 years, Amazon has not asked a | single one of my clients to provide any COAs. I have seen other | brands have to provide some, but the requirements are very | limited. It is for this reason, unsurprising that illegal | products are making it into customer hands. | | It is my understanding that the individual who drove the campaign | to get COAs, GMP certificates, etc for all supplement listings is | no longer with Amazon, and nobody has filled that role since. | That should be changed. | | But Amazon has always been aggressive over enforcement of | marketing claims, and some claims will always instantly flag a | COA requirement. Sellers use careful wording to avoid these | flags. The solution is to make a COA required for the creation of | these listings. | | I mean, let's take this one further. Most supplement companies | are just marketing companies. They don't formulate the product, | they don't manufacture the ingredients, and they don't even blend | the powder. They make a brand. But, the FDA doesn't care. As a | brand receiving product from a manufacturer, you are still | required to test it. The manufacturer is also required to test | the raw materials as well as the finished product. Yet, most | companies I speak to are not testing product received. They rely | solely on the manufacturer testing. | | So we should be requiring these brands to do their due diligence. | Show me the COA you are supposed to have for every lot you send | in. It's already required by the FDA. | | As is always the case with supplements, regulation is not the | issue. It's enforcement | Flammy wrote: | This is a really high quality comment you've written here, | thank you for posting your perspective. | | For those of us who don't know about testing, can you explain | COA/GMP and how robust the testing process is? | | The reason I ask I'm a little concerned about Amazon's | incentives not being aligned with consumers priority for high | quality and safe product and is letting suppliers choose which | product(s) to submit for testing rather than doing periodic | random testing which I fear is too much to hope/ask for... | pama wrote: | It is great that the FDA does these random checks and can | identify supplement and food items that contained erectile | dysfunction drugs in them. It is a tough call to try and | completely eliminate such products from all the marketplaces, | especially when some approved US drugs may be not controlled in | other countries. I'd trust Amazon as more able to do so than a | random pharmacy or internet store. Let's see how this story | develops. | jrmg wrote: | Not just Amazon. It's very obvious that much of e.g. YouTube and | Instagram's funding (and that of creators) comes from ads for | fraudulent and/or potentially dangerous medical supplements (not | to mention other things like financial schemes or fraudulently | described products). | 1920musicman wrote: | Since Amazon removed these products already, here is a link to | one of the supplements mentioned in the letter: "X Max Triple | Shot Energy Honey" (https://khan-alasal.com/honey- | product/3-triple-shot-honey/). | | The company looks very shady, with no registered address and no | contact details. They list dozens of "male energy" supplements | that all apparently have been certified by HAACP (Safe Food | Alliance, https://safefoodalliance.com/). | thorncorona wrote: | They're probably faked certs. | stainablesteel wrote: | if only the FDA cared about vitamins this much | philip1209 wrote: | I've had so many issues with Amazon counterfeits lately. Most | recently, it turned out that my Coravin cartridges were fake. | I've returned to buying direct from the manufacturer for many | branded consumables (such as fish oils). | FredPret wrote: | Amazon is a scam site. | | I will buy my books from Indigo (Canada) from now on. Electronics | and related doodads can come from Costco, Bestbuy, Walmart. | | Maybe it's not as convenient, but you know what you're getting. | | It's really unfortunate that Audible is in the Amazon family, | because I'm not cancelling that any time soon. | | I know much of the internet runs on AWS, but I'll never really | trust that either. | maximinus_thrax wrote: | > Amazon is a scam site. | | It is and I don't understand the downvotes here. With | commingled inventory, I don't understand how people are ok with | ingesting stuff they buy from Amazon. | infamouscow wrote: | I've purchased quite a few paperbacks and hardcovers from | Amazon because the author sidestepped the traditional | publishing industry with Kindle Direct Publishing. I've enjoyed | a number of book series this way. | FredPret wrote: | That is the one light in the darkness that is amazon.com | siliconc0w wrote: | This is a real risk and why supplementation is probably not a | good idea except for like specific conditions as recommended by | your doctor (e.g pregnancy). In an unregulated space like this, | it's basically impossible to know what you're getting which can | range from ineffective to seriously harmful (heavy metals, | toxins, or active pharmaceuticals). Better to get micronutrients | from bio-available sources and optimize diet, sleep, and | exercise. | | It's also relatively expensive compared to the usually marginal | benefit. Most likely you should sock away that spend into an | index so you can afford the more effective and expensive | therapies that our healthcare system doesn't give you access to | (because it generally won't pay for prevention). | nblgbg wrote: | Recently, I noticed that Amazon removed the listed ingredients | for regular items like toothpaste, shampoos, and mouthwashes. | Initially, I thought it was a mistake for a couple of items I | regularly buy, but it seems they have removed this information | for many products. I'm not sure what the intention behind this | change is. My suspicion now (after this article) is that they are | doing it deliberately, allowing them to claim that the page | doesn't list ingredients for any item. | sameermanek wrote: | Amazon was a great site! I still remember buying my first | converse from amazon in 2011. Back then, there were no nike | stores in my town in India and i badly wanted one. I bought from | a few local resellers who sold me duplicate products and i wasted | a lot of my money on that. | | Now, the tables have turned. If i want a genuine product, i often | shop locally rather than amazon. They even messed up my socks and | sent duplicate versions of fairly common books like harry potter. | | The whole site seems to be promoting bad products, placing | something not even Remotely close to my searches. "Looking for a | yoga mat? Here's a chinese fitness tracker we think you might be | interested in".. the fuck?? | | On top of that, the bad quality supplements they sell are just | nerve wrecking. Almost no information is factual, No usage | guidelines, nothing. And the reviews are just another scam by | themselves! | | All in all, it's a really bad product now! | Tao3300 wrote: | IMO Cons (at least Chuck Taylors) themselves have been | counterfeit garbage for a while now. They imbue the soles with | paper so they can dodge tariffs by calling them slippers. They | don't pass the savings from this on to the consumer, and the | traction is terrible. | NanoYohaneTSU wrote: | This is so hilariously pathetic. MISBRANDING???? HOW DARE | YOU!!!!! FDA has been worthless for a long time and only acts as | a barrier to stop idiots from buying products that lie. Let them | die. | diego_sandoval wrote: | So, Amazon sold drugs illegally and all they have to do now is | send a letter promising that they won't do it again? No fines, no | lawsuits? | LanzVonL wrote: | Amazon is totally jam packed with scams, it's actually pretty | shocking. | narrator wrote: | Lol, looks like these guys the FDA wrote the letter about were | selling absurdly cheap generic viagra and cialis. | Groxx wrote: | Driving food- and medical-adjacent stuff off of Amazon and their | un-checked mixed-binning insanity would be _fantastic_. They 've | been allowed to play fast and loose with safety for far too long. | epgui wrote: | Biochemist here: for a whole bunch of biology & administrative | reasons, the supplement industry is more scam than science. | mberning wrote: | Big Pharma using their bought and paid for henchmen to protect | their turf. The mob wishes they were ever this successful. ___________________________________________________________________ (page generated 2023-12-28 23:01 UTC)