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In other words, even after these companies were warned once, they continued selling adulterated products’often with new unapproved substances detected the second or third time around. The study authors concluded that the drugs found in dietary supplements ‘have the potential to cause serious adverse health effects,’ either from accidental misuse, overuse, or interaction with other medications, supplements, or existing health conditions. They also point out that hidden pharmaceutical ingredients may be one reason why supplement use is associated with 23,000 emergency department visits and 2,000 hospitalizations in the United States each year. The study also shows that the number of tainted supplements reported by the FDA has increased over the years, and that they include both products purchased via international mail shipments as well as those for sale in the United States. The number of adulterated products highlighted in this study was ‘no surprise at all,’ he tells Health. 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