title: A survey of herbal and alternative medication use among participants with eating disorder symptoms.
abstract: OBJECTIVE
  The purpose of this survey was to collect data on herbal use in participants with eating disorder symptoms.
  
  
  METHODS
  A survey was administered to 100 participants who had either sought treatment at the Eating Disorder Institute (EDI) or had been enrolled in previous research as the result of eating disorder symptoms.
  
  
  RESULTS
  Of the 100 participants, 64% used an herbal product for weight loss. The mean monthly expenditure on herbs over the past year was 33.88 dollars +/- 41.10 dollars, with a range of 2 dollars-200 dollars. Dexatrim (Chattem, Chattanooga, TN; N = 27) and St. John's Wort (N = 19) had the highest reported use. Magazines were the most common source of product information (38.3%), with health care professionals being reported less frequently as the source of information. Knowledge of ephedra-related adverse effects was variable, and depended on a previous history of use. The majority (62.3%) of herb users reported an adverse effect.
  
  
  CONCLUSIONS
  Herbal use is frequent among those with eating disorder symptoms, often resulting in substantial financial cost. Health professionals are rarely the source of herbal information. Therefore, there is ample room for educational interventions, which may result in the safer use of herbal products.
authors.affiliation: The Neuropsychiatric Research Institute, Fargo, North Dakota 58107, USA. ksteffen@nrifargo.com
authors.forename: Kristine J
authors.initials: KJ
authors.lastname: Steffen
authors.forename: James L
authors.initials: JL
authors.lastname: Roerig
authors.forename: James E
authors.initials: JE
authors.lastname: Mitchell
authors.forename: Ross D
authors.initials: RD
authors.lastname: Crosby
mesh_terms: D000328:Adult; D000529:Complementary Therapies / Q000009:adverse effects / Q000191:economics / Q000706:statistics & numerical data*; D004358:Drug Therapy / Q000191:economics / Q000706:statistics & numerical data*; D001068:Feeding and Eating Disorders / Q000191:economics / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D008517:Phytotherapy / Q000009:adverse effects* / Q000191:economics* / Q000706:statistics & numerical data; D010946:Plants, Medicinal; D011795:Surveys and Questionnaires