A different system from medicines
Medicines must be proven safe and effective and approved by the U.S. Food and Drug Administration (FDA) before they can be sold. Dietary supplements are not: the FDA does not approve them for safety or effectiveness before they reach shelves [1].
The 1994 law that set the rules
The framework comes from the Dietary Supplement Health and Education Act of 1994 (DSHEA) [2]. Under DSHEA:
- A manufacturer — not the FDA — is responsible for making sure its products are safe and that label claims are truthful and not misleading.
- Companies must follow current Good Manufacturing Practices (cGMPs) for identity, purity, strength, and composition (see [what cGMP means](/learn/what-cgmp-means-supplements)).
- New dietary ingredients can require a safety notification to the FDA before marketing.
What companies can and cannot say
Supplements may carry structure/function claims ('supports immune health') but not disease claims ('treats, cures, or prevents' a named condition). Structure/function claims must be accompanied by the familiar FDA disclaimer. The line between the two is explained in structure/function vs. disease claims.
How enforcement actually works
Because there is no pre-market approval, oversight is mostly post-market: the FDA can act against products that are adulterated, contaminated, or making illegal claims, and it collects adverse-event reports. The Federal Trade Commission (FTC) separately requires that advertising be truthful and backed by competent and reliable scientific evidence; its 2022 Health Products Compliance Guidance spells out that standard [3].
What this means for you
'FDA-registered facility' is not the same as 'FDA-approved product' — no supplement is FDA-approved. Independent quality verification and honest, evidence-based claims matter more than regulatory-sounding label language. Report problems to your clinician and the FDA (see how to report a supplement problem).