Despite the lack of rigorous regulatory oversight
of the manufacture, testing, and marketing of
dietary supplements, the use of alternative
products should not be categorically discouraged.
Some products, including SJW, represent potentially
legitimate treatment options.
It is important
that clinicians and other healthcare practitioners
recommend natural/herbal antidepressant products,
including SJW and SAM-e, judiciously and
with a sound understanding of the data that exists
to support such a recommendation.