Newsletter - Issue 6 - Oct/Nov 2009
Provided by dicentra inc.
www.dicentra.ca

dicentra Inc. International Scientific & Regulatory Consultants. Your Souce for Trusted Natural Products Scientific Information
  Topics

• Win an Ipod Nano!
• Fountain of Youth – Trends and Growth in the Market for Anti-Aging Products
• Upcoming Training Session
• Regulatory Updates
• Upcoming Events


  Win an iPod Nano! – We Need Your Input for 2010 Webinar Topics

As the end of 2009 approaches, we are planning our webinar topics for 2010 and would appreciate your input to ensure that the topics we cover are interesting and pertinent to our audience. Whether you have attended one of our webinars or not, please take the time to fill out this short survey. The survey shouldn’t take more than five minutes, and your answers and comments will remain confidential.

CLICK HERE to take the survey!

We’ve extended our survey period by another week! To thank you for your feedback, submitting a survey enters you in a draw for a chance to win an iPod Nano! The winner will be contacted at the email address provided in the survey, and the winner’s name will be announced during the week of November 16th on our website as well as on our twitter feed. For more information please email erin@dicentra.ca.


  Fountain of Youth – Trends and Growth in the Market for Anti-Aging Products

The market for cosmeceuticals continues to show great potential for growth in the next few years with demand expected to continue to rise. Perhaps the recession has contributed to increasing demand for luxury items such as skin care and anti aging products, as an alternative to expensive cosmetic procedures, a way to improve self esteem, or a means to an edge in a competitive job market.

Anti aging and skin nourishing products accounted for 23% of the global skin care market in 2008 with $17.7 billion in global sales. Euromonitor reports that while North America and Western Europe remain the strongest markets, one fifth of sales came from the BRIC countries (Brazil, Russia, India, and China) which also experienced significantly higher growth at a 22% combined average, compared to the 13% global average.

A report from IBISWorld projects that while the $60 billion U.S. cosmetic industry is expected to decline by 1.2% this year, the cosmeceutical sector is on course for 7.7% growth. Mintel reports that 2008 was the first time sales of anti-aging creams surpassed those of facial cleansers, and anticipates 20% total growth in sales of anti-aging skin care products by 2013.

Anti aging has extended to new and younger market segments by marketing products specifically for men as well as “preventative” products targeted at consumers in their 20s. The expansion of the market for anti-aging products and the sector’s documented and projected growth has led to an increasing number of products designed to preserve youth or reverse aging which go beyond cosmetic skin care.

Fight the Signs of Aging from the Inside

While the anti-ageing product sector may most commonly be associated with cosmetic skin care, the increasing demand for anti-aging products has led to innovative product development in all three of the newer hybrid product categories: nutricosmetics, cosmeceuticals, and nutraceuticals. The idea of regaining or protecting youth and beauty from the inside began with supplements, but has come a long way, with November 2009 marking the scheduled launch of the first anti-aging water in the U.S.

Ingredients are one aspect that anti-aging products often share regardless of whether they are in the form of a cosmetic, supplement, food, or beverage. Antioxidants, Vitamin A, C, D and E, Green Tea, Lycopene, Zinc, and CoQ10 are just a few examples of active ingredients which can be found in some of today’s anti-aging products.

Will Increased Consumer Knowledge Help Bridge the Regulatory Gap?

Hybrid-type products are already very difficult to classify and regulate, and this will undoubtedly be an obstacle to many manufacturers of products making anti-aging claims regardless of what form they are in. However, with ever-growing demand, combined with accessible information, consumer awareness of the benefits associated with several of the more commonly used ingredients is increasing. This will perhaps assist in bridging the gap until a simpler and more consistent method of classifying products is developed.

Erin Riggs, B.A.
dicentra, Inc.

erin@dicentra.ca
416.361.3400 ext.232


  Upcoming Training Sessions

Next Session:

Classification of Products at the Food-Natural Health Product Interface – A Deeper Look

Wednesday, November 25, 2009 at 2 p.m. ET
Presented by Dr. Regan Tessis
60 minutes, followed by a 30 minute Q&A session

In Canada, natural health products (NHPs) and foods are regulated under the Food and Drugs Act (FDA) and its associated regulations. Products that meet the definition “natural health product” in the Natural Health Products Regulations (NHPR) are subject to the FDA as it applies to a drug and to the NHPR. Products defined by the FDA as foods are subject to the FDA as it applies to food and to Parts A, B and D of the Food and Drug Regulations (FDR). A product that is both a NHP and a food is subject to the NHPR but is exempted from the FDA and its regulations as they apply to a food.

Since the implementation of the Natural Health Products Regulations on January 1, 2004, Health Canada has received several hundred Product License Applications for products in food format. Examples include energy drinks, vitamin or mineral supplements in candy format, and some juices or waters with added vitamins and minerals. Health Canada is also aware of many unlicensed products in food format that meet the definition and are currently offered for sale.

This course, prepared and presented by Dr. Regan Tessis (about the speaker), will offer you the tools to accurately classify your products as foods or as NHPs and will help you capitalize on the health claims that you can obtain for each product category. It will also present risk mitigation strategies to ensure regulatory compliance and consumer safety in each class.

Dr. Regan Tessis has extensive experience advising on NHPs in food format, and was chosen to attend Health Canada’s Brainstorming Workshop on Natural Health Products in Food Format earlier this year.

Individuals involved in regulatory affairs and brand management in both the food and NHP sector should attend this course. Companies importing and/or producing Natural NHPs in food-like format are especially encouraged to attend.


Later Sessions:

Successful Product Submissions: How to Get a Natural Product Number
Wednesday, December 9, 2009 at 2 p.m. ET

Have a course topic in mind that you want listed here? Email the topic to training@dicentra.ca.


  Regulatory Updates

Health Canada

Health Canada Updating Proposal for Food Allergen Regulatory Amendments Based on Consultation Results
http://www.hc-sc.gc.ca/ahc-asc/media/advisories-avis/_2009/2009_156-eng.php

As a result of the over 140 comments received up until early December 2008 following the publication of the proposed regulatory amendment in Canada Gazette, Part I in July 2008, Health Canada has made several decisions and changes to its regulatory proposal to address concerns raised by stakeholders and Canadian consumers. These include:

The development of Canadian criteria for the establishment of new priority food allergens;

The decision to add mustard as a priority allergen in the regulations based on this criteria document;

The decision to not add onions and garlic to the list of priority allergens in the regulations based on this criteria document; and

The decision to remove the proposed exemptions of declaration for fining agents and wax coatings on the labels of pre-packaged food products.

The goal is to have the updated regulations published in the Canada Gazette Part II in the spring of 2010. For information on a consultation session, please visit http://www.hc-sc.gc.ca/fn-an/consultation/_allergen2009/index-eng.php.

Guidance Document for Industry - Reporting Adverse Reactions to Marketed Health Products
http://www.hc-sc.gc.ca/dhp-mps/pubs/medeff/_guide/2009-guidance-directrice_reporting-notification/index-eng.php

For a summary and discussion of this document visit our Press Archives.

Natural Health Products Directorate

Status of Submissions – Quarter 2 (as of September 30th, 2009)

Totals

  • 41,872 PLAs received
  • 30,464 completed
  • 15,790 NHPs licensed (representing 20,674 products and 977 companies)
  • Remainder were either refused or withdrawn
  • 59% of “backlog” applications have been or are in the process of being completed (82% have been addressed)
  • 67% of regular workload applications have been or are in the process of being completed (77% have been addressed)

Quarter 2

  • 4,717 PLAs completed (up from Q1’s 3,520)
    • 2,647 NHPs licensed
    • 1,540 PLAs refused
      • 49% refused when applicant did not respond to request for more information
      • 42%failed to meet basic application requirements
      • 7% refused when the applicant’s response to a request for more information did not meet requirements
      • 1% did not meet NHP definition
      • 1% refused when significant changes (“unsolicited change”) were made to the product itself in response to a request for more information
    • 530 PLAs withdraw
  • 64% of PLAs completed during Q2 were submitted in 2009
  • 10% of PLAs completed during Q2 were submitted in 2008
  • 13% of PLAs completed during Q2 were submitted in 2007
  • 11% of PLAs completed during Q2 were submitted in 2006
  • 1% of PLAs completed during Q2 were submitted in 2005
  • 1% of PLAs completed during Q2 were submitted in 2004

New Abbreviated Labeling Standards and Finished Product Specifications Form for NHPs

The NHPD has published its first batch of abbreviated labeling standards for NHPs supporting several ingredients considered to be lower risk medicinal ingredients. View the full notice in our Press Archives.

New Monographs

Soybean Extract and Isolates
http://www.hc-sc.gc.ca/dhp-mps/alt_formats/pdf/prodnatur/applications/licen-prod/monograph/mono_soy_extra_isolate-eng.pdf

German Chamomile
http://www.hc-sc.gc.ca/dhp-mps/alt_formats/pdf/prodnatur/applications/licen-prod/monograph/mono_germ_chamom_allem-eng.pdf

Roman Chamomile
http://www.hc-sc.gc.ca/dhp-mps/alt_formats/pdf/prodnatur/applications/licen-prod/monograph/mono_rom_chamom-eng.pdf

Updated Monographs

Fluoride-Containing Anti-Caries Products
http://www.hc-sc.gc.ca/dhp-mps/alt_formats/pdf/prodnatur/applications/licen-prod/monograph/mono_fluoride_fluorure-eng.pdf

Technical Reports and Notices

Technical Report on the Regulation of Soy Isoflavone Products
http://www.hc-sc.gc.ca/dhp-mps/alt_formats/pdf/prodnatur/legislation/docs/technical-report-soy-isoflavone-eng.pdf

Revised Guidelines for the Use of Stevia in NHPs
http://www.hc-sc.gc.ca/dhp-mps/alt_formats/pdf/prodnatur/legislation/docs/notice-avis-stevia-eng.pdf

 

Update Regarding 2010 Target for Full Implementation

What is the significance of the 2010 date?

As of January 1st, 2010, all NHPs must comply with the licensing requirements under the Natural Health Product Regulations (NHPR), meaning that all DINs must be transferred to NPNs by that deadline. Health Canada has set a goal of addressing the NHP licensing backlog by March 31st, 2010. The following measures will be taken: streamlining current practices, fast-tracking of lower-risk NHP reviews, adopting new product monographs, grouping applications for similar product types, and introducing electronic tools to support efficient submission and review of applications. The NHPD will be informing applicants of review time targets, to assist applicants in planning the release of new products and in bringing new product formulations to market.

Will the current Compliance Policy for Natural Health Products be extended?

The Compliance Policy for NHPs was adopted to provide a reasonable transition period to allow distributors of NHPs to apply for product licences and bring their products into compliance with the requirements of the NHPR. Under this policy, if a product licence application was submitted to the NHPD by its priority deadline date (*final date June 1, 2008), it would be considered a lower priority for enforcement actions unless a risk to health was identified. The NHPD is working collaboratively with the Health Products and Food Branch (HPFB) Inspectorate in the development of a revised risk-based compliance and enforcement approach to be implemented sometime in the fall of 2010.

When will a submission number no longer be considered a "lower risk/lower priority" for compliance and enforcement actions?

While a specific date has not been determined, the HPFB Inspectorate will likely begin to implement the approach in the fall of 2010. An end date to the current practice (i.e. submission numbers considered a lower enforcement priority) will be discussed during the cross-country workshops scheduled for November 2009. Accordingly, Health Canada's compliance approach for NHPs continues to focus primarily on products that pose unacceptable risks to the health of Canadians. Unacceptable risks to health are identified by consumer and industry complaints, adverse reaction reports, alerts from foreign regulators, publications in reputable health journals, etc.

How long will I be able to use labels that include a DIN that was issued for my product?

All NHPs with DINs must obtain a product licence by December 31, 2009. All NHPs advertised, promoted or sold on the market, must comply with the labelling requirements of the NHPR and be in accordance with the terms of the product’s market authorization. When a labelling change is required as a result of a post licensing notification or amendment made to a marketed product, including transitional DINs, this change must comply with the post-licensing requirements and labeling requirements of the NHPR. Modifications to labels are expected to be made within six to twelve months of the issuance or amendment of a product licence, and label stock bearing a DIN can therefore be used during this six to twelve month transition period.

Advertising Standards Canada

ASC 2009 Q3 Complaints Report (July 1-September 30, 2009)
http://www.adstandards.com/en/standards/adComplaintsReports.asp


Health Canada’s Cosmetic Program

Cosmetic Ingredient Hotlist September 2009
http://www.hc-sc.gc.ca/cps-spc/person/cosmet/info-ind-prof/_hot-list-critique/prohibited-eng.php

International Cooperation on Cosmetic Regulation - Outcome of the Meeting held September 9 - 11, 2009, Tokyo, Japan
http://www.hc-sc.gc.ca/cps-spc/person/cosmet/info-ind-prof/iccr_2009-eng.php

1. Alternative Test Methods

Regulators received and endorsed an updated report on ICATM activities.

Regulatory authorities will continue to cooperate, to coordinate and to endorse ICATM activities.

2. GMP (Good Manufacturing Practice)

Regulators confirmed their previous agreement to implement the International Organization for Standardization (ISO) Standard 22716 in their respective regions, wherever possible.

3. Safety of Ingredients/ Authorized Substances Lists

As follow-up to a request made at ICCR-2, industry submitted a proposal for regulators on oversight of ingredient safety.

In ICCR-3, regulators reviewed the proposal and asked industry to submit more detailed proposals, with specific examples of potential topics and issues for consideration within 2-3 months.

4. Nanotechnology

Regulators and industry discussed the outcomes from the nanotechnology workshop hosted by the European Commission-Joint Research Centre in Ispra, Italy in July 2009 as the basis for direction of future work.

Regulators and industry agreed to establish an ad hoc working group to discuss criteria for nanomaterials to be used in cosmetics.

5. Cosmetics Labeling

Industry submitted a proposal for work items to regulators at ICCR-3.

Regulators requested that the industry proposal should be revised to be more specific for each of the elements for future consideration.

Industry committed to update and expand the proposal in a timely fashion.

6. Sunscreens

Both industry and regulators agreed to support ISO sunscreen activities.

7. Regulators' Liaison to Industry Technical Working Group

Industry and Regulators agreed to explore options to improve communications between Regulators and Industry to ensure the efficiency and productivity of ICCR is maintained.

8. Expansion of ICCR

Regulators and Industry felt that it was too soon for expansion of membership and an impact assessment should be developed beforehand.

Preliminary discussion of criteria for new members was discussed.

Therapeutic Products Directorate

Guidance Document on Post-Drug Identification Number (DIN) Changes
http://www.hc-sc.gc.ca/dhp-mps/prodpharma/applic-demande/guide-ld/change_din-eng.php

Consultation on Good Manufacturing Practices - Program Review
http://www.hc-sc.gc.ca/dhp-mps/consultation/compli-conform/2009gmp-bpf-index-eng.php

Health Canada is conducting a review of its Good Manufacturing Practices (GMP) inspection program for drug establishments in an effort to make the program more risk-based. A number of factors highlighted the need for a review at this time, including the growing complexity of health products now available on the Canadian market and international trends related to GMP inspections. The review involves a detailed evaluation of all aspects of the GMP program including such things as inspection scheduling and the conduct of inspections.

Environment Canada

Chemicals Management Plan Moves into New Phase with Release of Draft Screening Assessments for Batch 7 Substances
http://www.hc-sc.gc.ca/ahc-asc/media/nr-cp/_2009/2009_152-eng.php

Of the 14 substances assessed in this batch, three may pose a risk to human health (Michler’s ketone, n-BGE and 2-butanone oxime). Michler’s ketone is primarily found in Canada as a residue in paper colourants; n-BGE is used as a diluent in epoxy resins, which are then used to make coatings, adhesives, binders, sealants, fillers, electrical insulation and resins; and, 2-butanone oxime is used primarily to prevent film from forming in alkyd paints, primers, varnishes and stains.

Five of the remaining 11 substances, which are no longer in commerce in Canada, have hazardous properties that could affect the environment if commercial activity resumes. Therefore it is being proposed that the Significant New Activity (SNAc) provisions of the Canadian Environmental Protection Act 1999 be applied, which require new and future uses to be notified and assessed.

Canadian Health Food Association

New Lobby Campaign Revealed at Expo East – Save Our Natural Health Products
www.saveournaturalhealthproducts.ca

GE Seeds Originating in Canada Pose Major Concern for Canadian Organics

The European Commission’s Rapid Alert System for Food and Feed has discovered an illegal genetically engineered (GE) trait in German food products, which originated from Canada. Although no organic products have been implicated at this time, the discovery of this unauthorized GE trait in food products is a major concern for the Canadian organic sector, and for consumers around the world. The GE flax in question, called ‘Triffid,’ was designed specifically to withstand applications of synthetic chemical pesticides.

Government Funds Branding Campaign

The Canadian government has announced a $32 million investment into a branding initiative to enhance the competitiveness of the country’s food sector. The Canada Brand Advocacy Initiative (CBAI) will put the country's maple leaf brand on products grown by Canadian farmers in a bid to increase global sales. The initiative will help farmers promote their products by funding market analysis, advertising campaigns and public opinion research. The media release did not mention anything about organic agriculture.

Program Advisory Committee

CHFA identified a number of industry representatives to participate as potential members on the NHPD-established Program Advisory Committee (PAC) Working Groups (WG). Three Working Groups will or have been formed to provide recommendations to the PAC. These include:

  • Standards of Evidence – formed with target completion date December 2009
  • Testing Requirements – formed with target completion date January 2010
  • Compliance and Enforcement – to meet after NHPD compliance & enforcement consultations

NHPD workshops

NHPD is undertaking cross Canada workshops in November to discuss key developments and help formulate an appropriate compliance and enforcement strategy. CHFA received an invitation and will participate in the workshops to provide comments in relation to compliance and enforcement activities for NHPs for sale in Canada, including compliance communication, timelines for NHPs on market not holding a license and NHPs carrying a Drug Identification Number (DIN) on the label. Workshop dates and locations have been finalized and include:

  • Vancouver, British Columbia November 16-17, 2009
  • Toronto, Ontario November 19-20, 2009
  • Montreal, Quebec November 24-25, 2009

Recent Developments in Stewardship Ontario programs

All brand owners and/or first importers of natural health products (NHPs) that have permanent establishment in Ontario should be aware of Stewardship Ontario’s Consolidated Municipal Hazardous or Special Waste (MHSW) Program Plan.

This revised program, if approved, would replace the current Phase 1 MHSW Program Plan. While the current Phase 1 MHSW Program may not impact our members that make and/or import NHPs for distribution in Ontario, the consolidated program plan will have an impact at some point, as some types of NHPs are included in the definition of pharmaceuticals (one of the MHSW materials). Therefore, companies will be required to pay a steward fee to Stewardship Ontario to operate the MHSW program, regardless of their gross Ontario revenues.

The program plan (volumes 1 and II), overview, and industry’s consultation document are posted for comment at Environmental Registry.

Canada Talking to Europe about Organic Equivalencies

The Canada Organic Office (COO) is in the process of equivalency determination with the European Union (EU). They have been working with industry to review the technical variances list, in preparation for the Canada Food Inspection Agency’s discussion with the EU in mid-September.

Equivalency is determined by assessing and comparing two regulatory systems, including the standards, to determine whether the principles and outcomes achieved are equivalent. Variations are identified and advice and input are sought from industry on the significance of variations found in the respective standards. Each government takes this input into consideration while determining if the foreign organic regime can be deemed equivalent.

If Canada and EU accept each other variances, an agreement can be reached, but the content of the agreement will depend on Department of Foreign Affairs and International Trade (DFAIT) and Agriculture Canada policies. The intent of an import-export agreement is to allow organic producers to certify only once to their domestic regulations and simultaneously meet domestic requirements and the import requirements of the importing country. Therefore, producers can access both markets while only being certified to the domestic system.

Organic Standards

One of the important components of the Canada Organic Regime is the Canada Organic Standards, which are being referenced in Organic Products Regulations, 2009, to address the technical requirements for organic producers. It is the industry’s goal to clarify the requirements of mandatory Organic standards. The voting process on the latest amendment (referred as “4th ballot”) just ended in early July. While the industry is waiting for the “4th ballot” results on the amendment of the Organic Standards, it is our understanding that the Canada Organic Office (COO) is currently negotiating with the Canadian General Standards Board (CGSB) to have a “5th ballot” this fall to further amend the Canadian Organic Standards.

CHFA Defends Folic Acid Fortification in Letter to the Editor

On August 18, 2009 The Globe and Mail published an article that outlined the latest study that found folic acid fortification to our food supply may elevate predisposed individuals to certain diseases such as cancer. CHFA President and CEO Penny Marrett responded:

It may be considered a dilemma whether or not to have mandatory folic-acid fortification in our food supply. On one hand, the number of babies born in Canada with spina bifida and other neural-tube defects has decreased significantly since its introduction in 1998. On the other, increased exposure to the vitamin 'may' cause certain diseases in predisposed individuals. Until we have the research to show higher levels of this B vitamin are doing more harm than good, the price of foregoing the benefits of this program is just too costly.

Penelope (Penny) Marrett
President & CEO

Canadian Health Food Association

The original article, Fortifying foods with folic acid may present health risk, can be found here www.theglobeandmail.com/life/health/fortifying-foods-with-folic-acid-may-present-health-risk/article1255355.

CCTFA

2009 CIR Compendium Now Available for Purchase
https://www.lulu.com/commerce/index.php?fBuyContent=7463563

The 2009 CIR Compendium is the most complete collection of cosmetic ingredient safety reviews available. The 2009 CIR Compendium contains concise information on each ingredient reviewed by CIR and its Expert Panel over the past 33 years. Professionals in the cosmetic industry, as well as dermatologists and toxicologists, who need concise information about safety assessments, will find the 2009 CIR Compendium an indispensable, easy-to-use resource. It contains summaries of the most essential information on more than 1,400 safety assessments by the CIR Expert Panel.


  Science and Research Updates

Vitamin D and Calcium: A Systematic Review of Health Outcomes
Chung M, Balk EM, Brendel M, et al.
Vitamin Evid Rep Technol Assess (Summ). 2009 Jul;183: 1-342

Since the establishment of the 1997 Dietary Reference Intake (DRI) values for Vitamin D and Calcium were established, new data has become available on their relationship to a wide range of health outcomes both individually and combined. A review of 165 articles and 11 reviews encompassing an additional 200 articles was conducted and concluded that many findings concerning different health outcomes were inconsistent. Available evidence was focused on bone health, cardiovascular disease or cancer outcomes but firm conclusions were difficult to draw on those and numerous other health outcomes. In conclusion, a dose-response relation between the intake of calcium, vitamin D or a combination and health outcomes could not be synthesized from this diverse body of literature.

Soluble or Insoluble Fibre in Irritable Bowel Syndrome in Primary Care? Randomized Placebo Controlled Trial
Bijkerk CJ, de Wit NJ, Muris JW, et al
BMJ. 2009 Aug 27;339:b3154. doi: 10.1136/bmj.b3154

Irritable Bowel Syndrome (IBS), a common functional gastrointestinal disorder, affects 10% of the population with 25% of those people seeking medical advice. Dietary advice for managing IBS usually recommends an increase in daily fibre intake through the addition of insoluble fibre in the form of bran, and many patients who receive drug treatment often use Psyllium based supplements. Evidence shows that while soluble fibre may alleviate the symptoms, insoluble fibre may in fact worsen them. A randomized placebo controlled trial was conducted in primary care patients with IBS to assess the effectiveness of treatment with either bran or Psyllium focusing on symptom relief analyzed at 1, 2, and 3 months to assess sustained effectiveness. The results showed that Psyllium was more effective than placebo during the first and second months, and that bran was more effective than placebo in the third month only. After three months, symptom severity was decreased by 90 points in the Psyllium group, 58 points in the bran group, compared with 49 points in the placebo group. The researchers concluded that Psyllium offers benefits in patients with irritable bowel syndrome in primary care. 

Fall Prevention with Supplemental and Active Forms of Vitamin D: A Meta-Analysis of Randomised Controlled Trials.
Bischoff-Ferrari HA, Dawson-Hughes B, Staehelim HB, Orav JE, Stuck AE, Theiler R, Wong JB, Egli A, Kiel DP, Henschkowski J.
BMJ. 2009 Oct 1;339:b3692. doi: 10.1136/bmj.b3692
Every year one in three people aged 65 or older experiences at least one fall with 9% of those leading to an emergency room and 5-6% resulting in a fracture. Vitamin D’s direct effect on muscle strength has led to several controlled trials, eight of which met the inclusion criteria for this meta-analysis. The included trials observed a range of doses of vitamin D supplementation as well as active form vitamin D and measured its ability to reduce fall risk. It was concluded that supplemental vitamin D in a dose of 700-1000IU per day reduced the risk of falling among older individuals by 19% similar to the 22% reduction for active forms of Vitamin D. Doses lower than 700IU per day may not reduce fall risk.


  Upcoming Events

Supply Side West Conference
November 11-13, Las Vegas, NV

Natural Products Expo West
March 11-14th, Anaheim, CA



  Newsletter Info
dicentra Inc. International Scientific & Regulatory Consultants. Your Souce for Trusted Natural Products Scientific Information

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M5T 1A8 CANADA
Phone: 1-416-361-3400
1-866-NHP-EASY (647-3279)

Fax: 1-416-361-3304
Email: info@dicentra.ca

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