The availability of herbal and dietary supplements in the U.S. is increasing exponentially: 4,000 in 1994 to 80,000 today.  Half of all adults have reported using at least one dietary supplement in the past month, but many do not openly relay this to their primary care physicians or emergency medicine physicians.  This month’s journal club focused on the utilization of these products, their adverse events/complications as well as their “regulation”.