Module 23
Contraindications, drug interactions, quality markers, and red flags
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Rate each item from 1 (not true / not a concern) to 4 (very true / significant concern). Be honest — one missed interaction or quality problem can turn a well-intentioned supplement into a risk. Higher scores indicate more safety concerns.
Child takes prescription medication that may interact with supplements (SSRIs + 5-HTP, stimulants + caffeine, etc.)
Child has a seizure disorder or epilepsy (some supplements lower seizure threshold)
Child has a bleeding disorder or upcoming surgery (fish oil, vitamin E, ginkgo have blood-thinning effects)
Child has a liver or kidney condition affecting supplement metabolism
Child has known allergies to food or supplement ingredients (fish, dairy, fungal)
Child is under age 2 (very few supplements have infant safety data)
Child has an autoimmune condition (immune-stimulating supplements may worsen flares)
Product lacks third-party testing (NSF, USP, ConsumerLab, or IFOS certification)
No Certificate of Analysis (COA) is available from the manufacturer
Manufacturing facility is not GMP-certified
Heavy metal testing is not disclosed (lead, mercury, cadmium, arsenic)
Product uses proprietary blends that hide individual ingredient doses
Product uses cheapest forms instead of bioavailable forms (e.g., magnesium oxide instead of glycinate)
Product contains unnecessary additives, artificial dyes (Red 40, Yellow 5), or fillers
No appropriate child-specific dosing is provided on the label
Company has no traceable sourcing or verifiable business history
Product claims to 'cure' or 'treat' a disease or condition
Product relies on testimonials as primary evidence instead of research
Product is only available through MLM or a single website
Product uses hype language: 'miracle,' 'breakthrough,' 'secret formula'
Price seems too good to be true for the claimed ingredients
Product contains ingredients not appropriate for children (caffeine, yohimbine, high-dose stimulants)
Multiple new supplements were introduced at the same time (instead of one at a time)
Started at a dose higher than the lowest recommended for child's age and weight
No daily tracking journal is being kept (date, supplement, dose, observations)
Did not wait 7-14 days before evaluating effects or increasing dose
No regular reassessment schedule (every 3 months) is planned