Only 12% of CAM users have sought care from a physician or licensed CAM practitioner, which suggests that most peo- ple use CAM without consulting a health care provider (2,4). This is significant because nearly 15 million dietary supple- ment users also use prescription medications (2). This di- lemma may be attributed to the lack of specific questioning by practitioners or the patient’s perception that the medical establishment has a negative attitude toward CAM. Forty-six percent of supplements users consider these products to be safe and effective. Unfortunately, most patients likely do not comprehend the potential for adverse events or drug–sup- plement interactions (2). The prevalence of drug misadventures related to CAM use is high. In 2003, nearly 25,000