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NBJ Integrative Medicine Report

Published by: Nutrition Business Journal

Published: Mar. 1, 2009 - 175 Pages


Table of Contents


1. EXECUTIVE SUMMARY

2. ACKNOWLEDGEMENTS & DEFINITIONS

2.1. ACKNOWLEDGEMENTS

2.2. RESEARCH METHODOLOGY

2.2.1. Disclaimer

2.2.2. Copyright

2.3. DEFINITIONS

3. MARKET DATA & OVERVIEW

3.1. U.S. NUTRITION & SUPPLEMENT INDUSTRY

3.1.1. Product Categories & Sales Channels

3.1.2. Growth & Forecast

3.1.3. Regulatory Issues

4. U.S. HEALTHCARE INDUSTRY

4.1. HEALTH CARE EXPENDITURES

4.1.1. CAM Insurance Coverage Is Up, But Still Considered Sorely Inadequate by Many

4.1.1. Paradigm Shifts to Prevention

4.1.2. Integrative Medicine Promoting Federal Healthcare Reform

5. U.S. INTEGRATIVE MEDICINE MARKET

5.1. PRACTITIONER POPULATION

5.1. SUPPLEMENT SALES

5.2. THERAPY/SERVICE REVENUES

5.3. GROWTH & TRENDS

5.3.1. Integrative Medicine Growing in 2007

5.3.2. U.S. Integrative Clinics Face High Failure Rate

5.3.3. Trend: Supplement Use High Among People Looking to Treat or Prevent Cancer

5.3.4. Trend: Acceptance of Integrative Medicine in Hospitals on the Rise

5.3.5. Trend: Complimentary & Alternative Medicine Presence Increasing in Schools

5.3.6. Trend: Nutritional Genomics in Integrative Medicine

5.3.7. Trend: Cost Benefits, Education, Licensure Helping Break Down Barriers

6. INTEGRATIVE MEDICINE MODALITIES

6.1. ACUPUNCTURE

6.1.1. Acupuncture Practitioner Population

6.1.2. Supplement Sales

6.1.3. Therapy/Service Revenues

6.1.4. Trends

6.2. AYURVEDA

6.2.1. Ayurvedic Practitioner Population

6.2.2. Supplement Sales

6.2.3. Therapy/Service Revenues

6.2.4. Trends

6.3. CHIROPRACTIC

6.3.1. Chiropractic Practitioner Population

6.3.2. Supplement Sales

6.3.3. Therapy/Service Revenues

6.3.4. Trends

6.4. HOMEOPATHY

6.4.1. Homeopathic Practitioner Population

6.4.2. Supplement Sales

6.4.3. Therapy/Service Revenues

6.4.4. Trends

6.5. MASSAGE THERAPY

6.5.1. Massage Therapy Practitioner Population

6.5.2. Supplement Sales

6.5.3. Therapy/Service Revenues

6.5.4. Trends

6.6. NATUROPATHY

6.6.1. Naturopathy Practitioner Population

6.6.2. Supplement Sales

6.6.3. Therapy/Service Revenues

6.6.4. Trends

6.7. NURSES/MDS

6.7.1. Nurses & MDs Practicing Integrative Medicine Population

6.7.2. Supplement Sales

6.7.3. Therapy/Service Revenues

6.7.4. Trends

6.8. OSTEOPATHY

6.8.1. Osteopathic Practitioner Population

6.8.2. Supplement Sales

6.8.3. Therapy/Service Revenue

6.8.4. Trends

6.9. TRADITIONAL CHINESE MEDICINE

6.9.1. Traditional Chinese Medicine Practitioner Population

6.9.2. Traditional Chinese Medicine Supplement Sales

6.9.3. Therapy/Service Revenues

6.9.4. Trends

7. CONDITION SPECIFIC MARKETS

7.1. CONDITION SPECIFIC SUPPLEMENT OVERVIEW

7.2. GENERAL HEALTH

7.3. COLD/FLU-IMMUNE

7.4. SPORTS/ENERGY/WEIGHT-LOSS

7.5. BRAIN/MENTAL ACUITY

7.6. INSOMNIA

7.7. MOOD/DEPRESSION

7.8. MENOPAUSE

7.9. CARDIO/HEART HEALTH

7.10. JOINT HEALTH

7.11. SEXUAL HEALTH

7.12. BONE HEALTH

7.13. GASTROINTESTINAL HEALTH

7.14. DIABETES

7.15. CANCER PREVENTION

8. CONSUMERS & INTEGRATIVE MEDICINE

8.1. CONSUMER SUPPLEMENT USAGE & SPENDING

8.2. CHILDREN’S CAM SUPPLEMENT USAGE

8.3. TOP SUPPLEMENTS USED BY ADULTS VIA PRACTITIONERS

9. PRACTITIONER CHANNEL

9.1. PRACTITIONER SALES CHANNEL OVERVIEW

9.2. U.S. PRACTITIONER SUPPLEMENT SALES FORECAST 2008-2018E

9.2.1. Research Fuels Practitioner Sales, Higher Margins

9.2.2. Aging Population & Reports of Unsafe Retail Products Fuel Practitioner Supplement Growth in 2007

10. Q&A WITH INTGRATIVE MEDICINE THOUGHT LEADERS

10.1. NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE MEDICINE DIRECTOR JOSEPHINE BRIGGS, MD

10.2. SCRIPPS CENTER FOR INTEGRATIVE MEDICINE FOUNDER ERMINIA “MIMI” GUARNERI, MD, FACC

10.3. JEFFREY BLAND, PHD, CHIEF SCIENCE OFFICER OF METAGENICS

11. COMPANY PROFILES

11.1. ALLERGY RESEARCH (KI NUTRICARE)

11.2. ATRIUM INNOVATIONS (DOUGLAS LABS)

11.3. DESIGNS FOR HEALTH

11.4. EMERSON ECOLOGICS, INC.

11.5. INTEGRATIVE THERAPEUTICS (ENZYMATIC THERAPY)

11.6. METAGENICS

11.7. NORDIC NATURALS

11.8. PROGRESSIVE LABORATORIES, INC.

11.9. SEROYAL

11.10. STANDARD PROCESS

11.11. THORNE RESEARCH, INC.

11.12. XYMOGEN, INC.

INDEX OF FIGURES

Figure 3-4 U.S. Practitioner Supplement Sales Growth by Modality in 2008

Figure 3-1 U.S. Nutrition Industry Revenues, 2007

Figure 3-2 U.S. Nutrition Industry by Product Sales, 2000-2007

Figure 3-3 U.S. Nutrition Industry by Product Growth, 2000-2007

Figure 3-4 U.S. Supplement and Nutrition Industry Sales Growth by Product, 2007

Figure 3-5 U.S. Nutrition Industry by Product Sales, 2008e-2017e

Figure 3-6 U.S. Nutrition Industry by Product Growth, 2008e-2017e

Figure 3-7 U.S. Nutrition Industry Sales & Annual Growth, 2000-2017e

Figure 3-8 U.S. Supplement vs. Total Nutrition Industry Annual Sales Growth, 2000-2017e

Figure 4-1 U.S. Health Care Expenditures 2001-2007

Figure 5-1 U.S. Integrative Medicine Licensed, Lay, Student & Part-Time Practitioner Population and Growth

1999-2007

Figure 5-2 U.S. Integrative Medicine Licensed, Lay, Student & Part-Time Practitioner Population 1999-2007

Figure 5-3 U.S. Integrative Medicine Supplement Sales 1999-2018e

Figure 5-4 U.S. Integrative Medicine Supplement Sales 1999-2018e

Figure 5-5 U.S. Integrative Medicine Therapy/Service Revenues 1999-2018e

Figure 5-6 U.S. Integrative Medicine Therapy/Service Revenues 1999-2018e

Figure 6-1 U.S. Acupuncture Professional Population 1999-2018e

Figure 6-2 U.S. Acupuncturist Population & Growth 1999-2018e

Figure 6-3 U.S. Acupuncturist Supplement Sales 1999-2018e

Figure 6-4 U.S. Acupuncturist Supplement Sales & Growth 1999-2018e

Figure 6-5 U.S. Acupuncturist Supplement Sales as a Percentage of Total Practitioner Supplement Sales in 2008


Figure 6-6 U.S. Acupuncture Therapy/Service Revenues & Growth 1999-2018e

Figure 6-7 U.S. Acupuncturist Therapy/Service Revenues & Growth 1999-2018e

Figure 6-8 U.S. Ayurvedic Practitioner Population 1999-2018e

Figure 6-9 U.S. Ayurvedic Pracitioner Population & Growth 1999-2018e

Figure 6-10 U.S. Ayurvedic Supplement Sales 1999-2018e

Figure 6-11 U.S. Ayurvedic Supplement Sales & Growth 1999-2018e

Figure 6-12 U.S. Ayurvedic Supplement Sales as a Percentage of Total Practitioner Supplement Sales in 2008 ... 62

Figure 6-13 U.S. Ayurvedic Therapy/Service Revenues & Growth 1999-2018e

Figure 6-14 U.S. Acupuncturist Therapy/Service Revenues & Growth 1999-2018e

Figure 6-15 U.S. Chiropractic Professional Population 1999-2018e

Figure 6-16 U.S. Chiropractic Practitioner Population & Growth 1999-2018e

Figure 6-17 U.S. Chiropractic Supplement Sales 1999-2018e

Figure 6-18 U.S. Chiropractic Supplement Sales & Growth 1999-2018e

Figure 6-19 U.S. Chiropractic Supplement Sales as a Percentage of Total Practitioner Supplement Sales in 2008 66

Figure 6-20 U.S. Chiropractic Therapy/Service Revenues & Growth 1999-2018e

Figure 6-21 U.S. Chiropractic Therapy/Service Revenues & Growth 1999-2018e

Figure 6-22 U.S. Homeopathic Professional Population 1999-2018e

Figure 6-23 U.S. Homeopathic Practitioner Population & Growth 1999-2018e

Figure 6-24 U.S. Homeopathic Supplement Sales 1999-2018e

Figure 6-25 U.S. Homeopathic Supplement Sales & Growth 1999-2018e

Figure 6-26 U.S. Homeopathic Supplement Sales as a Percentage of Total Practitioner Supplement Sales in 2008


Figure 6-27 U.S. Chiropractic Therapy/Service Revenues & Growth 1999-2018e

Figure 6-28 U.S. Homeopathic Therapy/Service Revenues & Growth 1999-2018e

Figure 6-29 U.S. Massage Therapy Professional Population 1999-2018e

Figure 6-30 U.S. Massage Therapy Practitioner Population & Growth 1999-2018e

Figure 6-31 U.S. Massage Therapy Supplement Sales 1999-2018e

Figure 6-32 U.S. Massage Therapy Supplement Sales & Growth 1999-2018e

Figure 6-33 U.S. Massage Therapy Supplement Sales as a Percentage of Total Practitioner Supplement Sales in

2008

Figure 6-34 U.S. Massage Therapy/Service Revenues & Growth 1999-2018e

Figure 6-35 U.S. Massage Therapy/Service Revenues & Growth 1999-2018e

Figure 6-36 U.S. Naturopathy Professional Population 1999-2018e

Figure 6-37 U.S. Naturopathy Practitioner Population & Growth 1999-2018e

Figure 6-38 U.S. Naturopathic Supplement Sales 1999-2018e

Figure 6-39 U.S. Naturopathic Supplement Sales & Growth 1999-2018e

Figure 6-40 U.S. Naturopathy Supplement Sales as a Percentage of Total Practitioner Supplement Sales in 2008


Figure 6-41 U.S. Naturopathy Therapy/Service Revenues & Growth 1999-2018e

Figure 6-42 U.S. Naturopathy Therapy/Service Revenues & Growth 1999-2018e

Figure 6-43 U.S. Nurses & MDs Professional Population 1999-2018e

Figure 6-44 U.S. Nurses/MD Practitioner Population & Growth 1999-2018e

Figure 6-45 U.S. Nurses/MDs Supplement Sales 1999-2018e

Figure 6-46 U.S. Nurse/MD Supplement Sales & Growth 1999-2018e

Figure 6-47 U.S. Nurse/MD Supplement Sales as a Percentage of Total Practitioner Supplement Sales in 2008 .. 82

Figure 6-48 U.S. Nurses/MDs Therapy/Service Revenues & Growth 1999-2018e

Figure 6-49 U.S. Nurse/MD Therapy/Service Revenues & Growth 1999-2018e

Figure 6-50 U.S. Osteopath Professional Population 1999-2018e

Figure 6-51 U.S. Osteopathic Practitioner Population & Growth 1999-2018e

Figure 6-52 U.S. Osteopath Supplement Sales 1999-2018e

Figure 6-53 Osteopath Supplement Sales & Growth 1999-2018e

Figure 6-54 U.S. Osteopath Supplement Sales as a Percentage of Total Practitioner Supplement Sales in 2008 .. 86

Figure 6-55 U.S. Osteopathic Therapy/Service Revenues & Growth 1999-2018e

Figure 6-56 U.S. Osteopathic Therapy/Service Revenues & Growth 1999-2018e

Figure 6-57 U.S. Traditional Chinese Medicine Professional Population 1999-2018e

Figure 6-58 U.S. Traditional Chinese Medicine Practitioner Population & Growth 1999-2018e

Figure 6-59 U.S. Traditional Chinese Medicine Supplement Sales & Growth 1999-2018e

Figure 6-60 Traditional Chinese Medicine Supplement Sales & Growth 1999-2018e

Figure 6-61 U.S. TCM Supplement Sales as a Percentage of Total Practitioner Supplement Sales in 2008

Figure 6-62 U.S. Traditional Chinese Medicine Therapy/Service Revenues & Growth 1999-2018e

Figure 6-63 U.S. Traditional Chinese Medicine Therapy/Service Revenues & Growth 1999-2018e

Figure 7-1 U.S. Sales of Condition Specific Supplements, OTC, Rx in 2007

Figure 7-2 U.S. Condition Specific Supplement Markets & Annual Growth 1999-2017e

Figure 7-3 U.S. Condition Specific Supplement, OTC, Rx Sales 1998-2007

Figure 7-4 U.S. Condition Specific Supplement, OTC, Rx Growth, 2000-2007

Figure 7-5 U.S. Condition Specific OTC Markets Sales 2004-2007

Figure 7-6 U.S. Condition Specific Rx Sales 2004-2007

Figure 7-7 U.S. General Health Condition Specific Supplement Sales and Growth 1999-2017e

Figure 7-8 U.S. Condition Specific General Health Markets Sales 1999-2007

Figure 7-9 NBJ’s Top General Health Supplements in 2007

Figure 7-10 U.S. General Health Condition Specific Supplement Sales 1999-2007

Figure 7-11 U.S. Cold/Flu-Immune Condition Specific Supplement Sales and Growth 1999-2017e

Figure 7-12 U.S. Immune Health Markets Sales 1999-2017e

Figure 7-13 NBJ’s Top Immune Health Supplements in 2007

Figure 7-14 U.S. Immune Health Condition Specific Supplement Sales 1999-2007

Figure 7-15 U.S. Sports/Energy/Weight-Loss Condition Specific Supplement Sales and Growth 1999-2017e .... 108

Figure 7-16 U.S. Sports/Energy/Weight-Loss Markets Sales 1999-2017e

Figure 7-17 NBJ’s Top Sports/Energy/Weight-Loss Supplements in 2007

Figure 7-18 NBJ’s Top Sports/Energy/Weight-Loss Condition Specific Supplement Sales 1999-2007

Figure 7-19 U.S. Brain/Mental Acuity Condition Specific Supplement Sales and Growth 1999-2017e

Figure 7-20 U.S. Brain/Mental Acuity Condition Specific Markets Sales 1999-2017e

Figure 7-21 NBJ’s Top Brain/Mental Acuity Condition Specific Supplements in 2007

Figure 7-22 U.S. Brain/Mental Acuity Supplement Sales 1999-2007

Figure 7-23 U.S. Insomnia Condition Specific Supplement Sales and Growth 1999-2017e

Figure 7-24 U.S. Insomnia Condition Specific Markets Sales 1999-2017e

Figure 7-25 NBJ’s Top Insomnia Condition Specific Supplements in 2007

Figure 7-26 U.S. Insomnia Condition Specific Supplement Sales 1999-2007

Figure 7-27 U.S. Mood/Depression Condition Specific Supplement Sales and Growth 1999-2017e

Figure 7-28 U.S. Mood/Depression Condition Specific Markets Sales 1999-2017e

Figure 7-29 NBJ’s Top Mood/Depression Condition Specific Supplements in 2007

Figure 7-30 U.S. Mood/Depression Condition Specific Supplement Sales 1999-2007

Figure 7-31 U.S. Menopause Condition Specific Supplement Sales and Growth 1999-2017e

Figure 7-32 U.S. Menopause Condition Specific Markets Sales 1999-2017e

Figure 7-33 NBJ’s Top Menopause Condition Specific Supplements in 2007

Figure 7-34 U.S. Menopause Condition Specific Supplement Sales 1999-2007

Figure 7-35 U.S. Cardio/Heart Health Condition Specific Markets Sales 1999-2007

Figure 7-36 NBJ’s Top Cardio/Hearth Health Supplements in 2007

Figure 7-37 U.S. Cardio/Heart Health Condition Specific Supplement Sales 1999-2007

Figure 7-38 U.S. Joint Health Condition Specific Supplement Sales and Growth 1999-2017e

Figure 7-39 U.S. Joint Health Condition Specific Markets Sales 1999-2007

Figure 7-40 NBJ’s Top Joint Health Condition Specific Supplements in 2007

Figure 7-41 U.S. Joint Health Condition Specific Supplement Sales 1999-2007

Figure 7-42 U.S. Sexual Health Condition Specific Supplement Sales and Growth 1999-2017e

Figure 7-43 U.S. Sexual Health Condition Specific Markets Sales 1999-2017e

Figure 7-44 NBJ’s Sexual Health Condition Specific Supplements in 2007

Figure 7-45 U.S. Sexual Health Condition Specific Supplement Sales 1999-2007

Figure 7-46 U.S. Bone Health Condition Specific Supplement Sales and Growth 1999-2007

Figure 7-47 U.S. Bone Health Condition Specific Markets Sales 1999-2017e

Figure 7-48 NBJ’s Bone Health Condition Specific Supplements in 2007

Figure 7-49 U.S. Bone Condition Specific Supplement Sales 1999-2007

Figure 7-50 U.S. Gastrointestinal Health Condition Specific Supplement Sales and Growth 1999-2017e

Figure 7-51 U.S. Gastrointestinal Health Condition Specific Markets Sales 1999-2017e

Figure 7-52 NBJ’s Gastrointestinal Health Condition Specific Supplements in 2007

Figure 7-53 U.S. Gastrointestinal Health Condition Specific Supplement Sales 1999-2007

Figure 7-54 U.S. Diabetes Condition Specific Supplement Sales and Growth 1999-2017e

Figure 7-55 U.S. Diabetes Condition Specific Markets Sales 1999-2017e

Figure 7-56 NBJ’s Top Diabetes Condition Specific Supplements in 2007

Figure 7-57 U.S. Diabetes Condition Specific Supplement Sales 1999-2007

Figure 7-58 U.S. Cancer Prevention Condition Specific Supplement Sales and Growth 1999-2017e

Figure 7-59 U.S. Cancer Prevention Condition Specific Markets Sales 1999-2017e

Figure 7-60 NBJ’s Cancer Prevention Condition Specific Supplements in 2007

Figure 7-61 U.S. Cancer Prevention Condition Specific Supplement Sales 1999-2007

Figure 8-1 U.S. Consumer Total Supplement Use Summary, 2007

Figure 8-2 U.S. Consumer Total Supplement Use as % of Market, 1999-2007

Figure 8-3 U.S. Consumer Total Supplement Use: Number of Users, 1999-2007

Figure 8-4 Supplements Users & Non-Users, 2007

Figure 8-5 Frequencies and age-adjusted percents of children under 18 years of age who used selected types of

nonvitamin, nonmineral, natural products, for health reasons in the past 30 days, by type of product used:

United States, 2007

Figure 8-6 Frequencies and age-adjusted percents of adults 18 years and over who used selected types of

nonvitamin, nonmineral, natural products, for health reasons in the past 30 days, by type of product used:

United States, 2007

Figure 9-1 U.S. Nutrition Industry Practitioner Channel Sales by Product, 2007

Figure 9-2 U.S. Practitioner Supplement Sales & Annual Growth 1997-2007

Figure 9-3 U.S. Nutrition Industry Sales by Channel, 1998-2007

Figure 9-4 U.S. Supplement Sales by Channel, 1998-2007

Figure 9-5 U.S. Practitioner Supplement Sales Growth vs. Total Supplement Growth, 1997-2007

Figure 9-6 U.S. Supplement Sales by Channel in 2007

Figure 9-7 U.S. Practitioner Nutrition Industry Sales by Product in 2007

Figure 9-8 U.S. Practitioner Supplement Sales by Product, 2000-2007

Figure 9-9 U.S. Practitioner Supplement Sales Growth 1998-2007

Figure 9-10 U.S. All Channels Supplement Sales Growth 1998-2007

Figure 9-11 U.S. Practitioner Supplement Sales & Annual Growth Forecast 2008-2018e

Figure 9-12 U.S. Practitioner Supplement Sales & Growth vs. Total Supplement Market, 2008-2017

Figure 9-13 U.S. Practitioner Supplement Sales Growth vs. All Channel Supplement Growth, 1990-2017

Abstract

With a new administration and political party in power, the time for true healthcare reform appears to be more than just a dream in the United States, where millions of people are uninsured and nutrition©\related chronic diseases are ravaging whole swaths of the population. Integrative therapies, including dietary supplement usage, are poised to benefit as a result of the growing push in the United States for a healthcare system that focuses on disease prevention rather than disease treatment.

Recently, a perfect storm of factors has created conditions that have given rise to a national coalescence around the need for the kind of care that integrative medicine delivers. Those factors include out©\of©\control healthcare costs; rising rates of obesity, diabetes and other preventable health problems; a new Democratic administration and Congress poised to change the nation¡¯s healthcare landscape; and increasing acceptance among consumers, doctors and hospitals that integrating the best of conventional and complementary therapies produces tangible benefits, ranging from preventive care to improved patient outcomes to savings on the bottom line.

These and others forces are pushing integrative medicine proponents to forge alliances, not only among practitioners and researchers, but also among large employers, academic institutions, insurers, legislators, healthcare reform advocates and public interest groups. Their goal has evolved far beyond merely promoting integrative medicine practices, such as acupuncture or dietary supplement usage. Instead, this national coalition seeks to reform the bedrock of America¡¯s healthcare system itself by focusing on disease prevention and bringing together allopathic and alternative forms of care.

As Ralph Snyderman, MD, chancellor emeritus for health affairs at Duke University and a physician advisor for the Bravewell Collaborative, stressed during a recent interview with Nutrition Business Journal, the need for such reform is dire. ¡°Despite spending more than any other country on healthcare¡ª$2.3 trillion a year¡ª47 million Americans are uninsured, and those who are insured often don¡¯t have access to any type of coherent, coordinated way to maintain their health,¡± Snyderman said. ¡°Even with individuals who are well insured, when an event occurs, they realize how uncoordinated and uncaring the system is. This is the American healthcare dilemma.¡±

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