Legal Actions Against Unsafe Dietary Supplements

A search of the phrase “pop a rhino” on Twitter turns up dozens of jokes about their effects. Lee was arrested in 2018, and the rhino pills being sold today were probably made by someone else. A spokesman for the U.S. Attorney’s office in Los Angeles says that most likely “someone else, or perhaps even multiple individuals, started marketing Rhino products” after Lee’s arrest.

• Some "man up" pills are marketed with claims of increasing confidence instantly.
• These pills are often aimed at young men feeling insecure.
• Ingredients like D-aspartic acid are common in some formulations.
• The global market for male enhancement pills is rapidly expanding.
• Effectiveness varies based on individual health and existing conditions.
• Beware of fake "man up" pills sold by unverified sources.
• Not all pills labeled "natural" are free from side effects.
• Transparent manufacturing practices are essential for consumer safety.
• Some supplements include adaptogens believed to reduce stress.
• Always perform thorough research before choosing a "man up" product.

Seeking leniency In letters to the judge, Lee’s children say the family had enjoyed a comfortable middle-class life in Orange County.

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Some consumer groups, as well as the FDA, have argued that the agency should have more legal authority to review supplements before they are sold to consumers. Hiding pharmaceuticals in over-the-counter products is already illegal, and some researchers question why the FDA hasn’t cracked down further on products it knows are in violation of the law. Since 2015, the FDA has identified more than 200 sex supplements with hidden drugs. But an agency database shows only 15 recalls of supplements containing erectile dysfunction drugs. In most cases, the FDA has just issued alerts telling consumers to avoid the products.

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“These are illegal products that are just openly being sold, and the FDA is not doing anything about it,” said Dr. Pieter Cohen, an associate professor at Harvard Medical School who has studied the dangers of unregulated supplements for nearly a decade, and who says he has asked FDA officials about taking more aggressive action. “People say it’s not in my jurisdiction. Within the FDA there is a lot of bureaucratic arguing about who is responsible for taking these products off store shelves,” Cohen said. In a statement, the FDA said that “the agency faces several challenges in deterring fraudulent marketing of these types of products.” Among the obstacles, the FDA said, are that ”even after recall and enforcement action against one distributor, a number of other distributors of a product may continue to sell it.” The FDA also said that dietary supplements tainted with drugs are considered drugs under the law and the blue pillmen agency ”does not have mandatory recall authority” over them. They describe Lee as self-employed throughout their childhood and active in his community and church. According to Lee’s daughter, a social worker, her father would go through periods of reckless behavior, including heavy drinking and gambling. He never received mental health treatment, according to the daughter, but she suspected he suffered from bipolar disorder. His symptoms worsened over time, leading to “the behaviors that led to his current incarceration,” his daughter wrote to the judge.

Product	Dosage	Quantity + Bonus	Price
Viagra Generic	150mg	180 + 10 Pills	236.46€ 225.20€	Buy
Cialis Original	20mg	4 Pills	41.99€ 39.99€	Buy
Cialis Professional	20mg	90 + 2 Pills	241.49€ 229.99€	Buy
Cialis Generic	2.5mg	60 + 4 Pills	83.43€ 79.46€	Buy
Levitra Generic	10mg	360 + 10 Pills	407.94€ 388.51€	Buy
Levitra Professional	20mg	60 + 2 Pills	223.11€ 212.49€	Buy
Cialis Soft Tabs	20mg	60 + 4 Pills	159.37€ 151.78€	Buy
Cialis Generic	60mg	180 + 10 Pills	313.11€ 298.20€	Buy
Cialis Black	80mg	180 + 10 Pills	356.64€ 339.66€	Buy
Tadalista Super Active	20mg	10 Pills	55.64€ 52.99€	Buy
Viagra Generic	100mg	270 + 10 Pills	270.47€ 257.59€	Buy
Viagra Professional	100mg	90 + 2 Pills	207.09€ 197.23€	Buy
Levitra Generic	60mg	120 + 8 Pills	372.33€ 354.60€	Buy

An attorney for Lee declined to comment on the case. Emails obtained by prosecutors show that in 2016, Lee asked wholesalers in China for a quote on sildenafil and tadalafil. He stressed that he cared about “SAFETY and PURITY.” A wholesaler in China assured him that the drugs can easily be shipped in bulk to the U.S. “We will change the name on the product label to make it easier to pass the USA customs,” the Chinese seller wrote, adding that the drugs would be shipped via FedEx, “just like we always do.” Lee made the capsules at warehouses in Southern California before shipping them across the country, according to his indictment. He fell into the federal crosshairs in 2018, when customs agents seized a package of white powder from China addressed to him and labeled as “Acrylic Paint.” Lab tests revealed that the powder actually contained erectile dysfunction drugs. By the time of his arrest, prosecutors say he had netted between $3 million and $9 million in sales. His family has requested that Lee be deported to South Korea rather than serving the recommended three-year prison sentence.

Effect	Percentage of Users Reporting	Average Duration	Notes
Increased libido	65%	1-2 weeks	Varies based on dosage
Enhanced stamina	50%	2-4 weeks	Some users report no effect
Improved mood	40%	Immediate	Often linked with mood-boosting ingredients
No noticeable change	15%	N/A	Some may need longer use or different products

But a prison sentence, prosecutors have argued, will “deter others from engaging in similar conduct or continuing defendant’s operations now that he is in custody.” — Editor’s Note: This story was produced by FairWarning ( a nonprofit news organization based in Southern California that focuses on public health, consumer and environmental issues. Want to see more stories like this?

Age Group	Percentage of Users	Common Reasons for Use	Preferred Types of Pills
18-25	45%	Enhance athletic performance, libido	Natural, quick-acting
26-35	35%	Improve stamina, confidence	Herbal blends
36-50	15%	Maintain vitality, hormone support	Long-term supplements
50+	5%	Age-related vitality support	Hormonal regulation pills

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What’s the Big Deal with Pills at the Counter?

Unknowingly ingesting tadalafil or sildenafil is dangerous because the drugs can have negative interactions with other medications or with alcohol. “Despite these challenges, the FDA recognizes the seriousness of this problem and continues to act within its resources and authorities to address this problem as best it can,” said agency spokesman Jeremy Kahn. Popular worldwide Viagra, the brand name for sildenafil, made history in 1998 as the first drug approved to treat erectile dysfunction. Its competitor Cialis, made with tadalafil, was approved in 2003. Not long after, herbal supplements hiding those ingredients became popular worldwide.

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Consumers choose over-the-counter products because they are cheaper and easier to obtain. Some people may also be swayed by the idea of taking a supplement they are told is all-natural. Lab tests have found that the dosage in the over-the-counter supplements is not uniform, and can often be higher than in prescription pills. Another concern is that the pills may be made with analogues, or experimental variations of existing drugs that have not been tested for safety. As of 2012, at least 46 analogues of erectile dysfunction drugs were in use worldwide, according to researchers in the Netherlands. Stay up to date on the news you need to know. Sign up below, then look for a confirmation email in your inbox.

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For reasons that are unclear, supplement manufacturers have also mixed erectile dysfunction medicine with glyburide, a drug normally used in diabetes medication The combination can be toxic and was linked to more than a dozen deaths in Hong Kong and Singapore in 2007 and 2008. Closer to home, in 2019 in Virginia 17 men were hospitalized with hypoglycemia, a life-threatening drop in blood sugar, after ingesting supplements called “V8 male enhancement.” The drugs were marketed as all-natural but found to contain erectile dysfunction medication and glyburide. Officials with the Virginia Department of Public Health seized the supplements from local stores, a spokesman for the agency says. Sentencing looms Nam Hyun Lee, who is in his sixties, looked tired but calm at a recent court hearing over Zoom. Dressed in an orange prison jumpsuit, he held a listening device to his ear, straining to hear a Korean interpreter relay information from the hearing.

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His sentencing is scheduled today (Feb. 9). “We will change the name on the product label to make it easier to pass the USA customs.” — a Chinese seller. Lee was not the first to sell adulterated sex pills in the U.S., but prosecutors say he was the first to market rhino pills specifically. The distinctive design of a holographic rhino staring back at buyers has made the pills synonymous with over-the-counter sex pills. The agency has issued a warning to consumers about the unapproved sexual products that are sometimes sold at gas stations.

• The marketing of "man up pills" targets insecurities and societal expectations.
• Many products claim to boost testosterone naturally within days.
• Some "man up" pills are combined with other supplements for enhanced effects.
• It is essential to check for quality certifications before purchasing.
• The impact of "man up" pills on actual testosterone levels varies.
• These pills are often taken in conjunction with fitness routines.
• The cost of "man up" pills can range from affordable to premium pricing.
• Consumers should be wary of exaggerated claims and quick-fix promises.
• Psychological factors like confidence can influence perceived effectiveness.
• Scientific evidence supporting the claims of "man up" pills remains limited.

Rolling up to your local corner store and trying out one of their dubious, but inexpensive, male enhancement products might seem like a bit of fun.

Advancing Effective Research Policy

supplement industry. Sellers can easily register new dietary supplements with the FDA without submitting any safety data. The FDA typically tests products only after getting complaints from consumers or if products are seized by customs agents. Vitamins, minerals, herbs Under federal law, supplements are supposed to contain ingredients such as vitamins, minerals and herbs, but not pharmaceuticals, and can be sold over-the-counter. But after a supplement is flagged by the FDA as being unsafe or containing hidden drugs, sellers can make a slight name change to “create a new pill that is exactly what they were selling before,” said Steve Lipscomb, an attorney handling a lawsuit against Amazon over pills called the “Rhino 50k.” In 2017, Jeffrey Sapp suffered a heart attack and permanent brain damage after taking the pills, according to his lawsuit.

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The suit argues that Amazon is liable for the products it sells and is scheduled for trial in 2022. Amazon, which has denied responsibility, did not respond to a request for comment. In 2019, Walmart agreed to remove one rhino supplement from its website after it was flagged by the FDA as containing hidden drugs and highlighted by a local TV news station. But recently, other sex supplements were still for sale on Walmart.com, including a pill called the Rhino 17 Plus 5000 that retailed for $17.98. Walmart did not respond to a request for comment. But these unregulated supplements pose serious health risks, a recent These products — which are usually marketed under the Rhino brand with names like Krazzy Rhino 25000 and Platinum Rhino 25000 — contain unlisted ingredients that are chemically similar to generic versions of sildenafil (Viagra) and tadalafil (Cialis), along with an unknown array of other hidden compounds. That can make for dangerous interactions with other prescription drugs, especially since consumers don’t know what drugs are contained in these over-the-counter products, FDA officials said. “Consumers should… be on alert for products that offer immediate or quick results and that sound too good to be true,” the FDA statement reads. Claims that sound too good to be true probably are; search for information using noncommercial sites rather than depending on information provided by sellers.” These male enhancement pills are unregulated, illegal, and dangerous. So how exactly do they end up on gas station and convenience store shelves? The answer has to do with the distinction between dietary supplements and drugs. The FDA regulates drugs before they hit store shelves. Dietary supplements are only monitored and reviewed if they’re “adulterated or misbranded” after they come to market, the That gives the supplement market a bit of a Wild West character: Anything can happen, and you don’t always know what you’re going to get.