Original ArticlesThe Dangerous Mix of Adolescents and Dietary Supplements for Weight Loss and Muscle Building Legal Strategies for State ActionPomeranz, Jennifer L. JD, MPH; Barbosa, Grant JD; Killian, Caroline PhD; Austin, S. Bryn ScDAuthor Information Department of Public Health, Center for Obesity Research and Education, Temple University, Philadelphia, Pennsylvania (Ms Pomeranz); Temple University James E. Beasley School of Law, (by courtesy) Philadelphia, Pennsylvania (Ms Pomeranz); Harvard Law School, Cambridge, Massachusetts (Mr Barbosa); College of Pharmacy, University of Rhode Island, Kingston (Dr Killian); and Boston Children's Hospital and Harvard School of Public Health, Boston, Massachusetts (Dr Austin). Correspondence: Jennifer L. Pomeranz, JD, MPH, Department of Public Health, Center for Obesity Research and Education, Temple University, Ste 175, 3223 N Broad St, Philadelphia, PA 19140 ([email protected]). J.L.P, S.B.A., and G.B. were supported by the Ellen Feldberg Gordon Fund for Eating Disorders Research and the Strategic Training Initiative for the Prevention of Eating Disorders. S.B.A. is supported by Maternal and Child Health Bureau (HRSA grants T71-MC00009 and T76-MC00001). The authors thank Grace Kennedy for her help preparing the manuscript. The authors report no conflict of interest. No human subjects were involved in this study so institutional review board approval was not needed. Journal of Public Health Management and Practice: September/October 2015 - Volume 21 - Issue 5 - p 496-503 doi: 10.1097/PHH.0000000000000142 Buy Metrics AbstractIn Brief Adolescents use dietary supplements marketed for weight loss or muscle building, but these are not recommended by physicians. These products are often ineffective, adulterated, mislabeled, or have unclear dosing recommendations, and consumers have suffered injury and death as a consequence. When Congress passed the Dietary Supplement Health and Education Act, it stripped the Food and Drug Administration of its premarket authority, rendering regulatory controls too weak to adequately protect consumers. State government intervention is thus warranted. This article reviews studies reporting on Americans' use of dietary supplements marketed for weight loss or muscle building, notes the particular dangers these products pose to the youth, and suggests that states can build on their historical enactment of regulatory controls for products with potential health consequences to protect the public and especially young people from unsafe and mislabeled dietary supplements. This article describes Americans' use of dietary supplements for weight loss and muscle building and their state regulation. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.