What Are Colon Cleanse Supplements | How Do They Work | Benefits | Gut-Brain Axis | Improve Gut Health Naturally | Myths and Misconceptions | Popular Products | Which Should You Try | Warnings And Side Effects | Disclaimer
If you’ve ever experienced digestive discomfort, bloating, or irregular bowel movements, you’re not alone. Gut health plays a pivotal role in our overall well-being, affecting everything from digestion and nutrient absorption to immune function and mental clarity.† At the heart of this journey to better health lies the power of colon cleanse supplements—a natural and effective way to rejuvenate your gut and revitalize your entire body.
In this blog, we dive into the fascinating world of gut health, exploring the benefits of colon cleansing supplements and how popular products compare. Whether you’re seeking relief from chronic constipation, improving nutrient absorption, or simply aiming to be a healthier you, we’ve got you covered.
What Are Colon Cleanse Supplements?
In recent years, the popularity of colon cleansing supplements has been on the rise. This should be no surprise as social media platforms spotlight digestive health issues like bloating. Even so, people continuously seek natural solutions to support their digestive health and overall well-being. But what exactly are these supplements, and how do they work?
Colon cleanse supplements, also known as colon cleansers or bowel cleanse products, are dietary supplements that aim to promote detoxification and cleansing of the colon. The colon, or large intestine, is a vital part of the digestive system responsible for absorbing water and electrolytes while eliminating waste from the body. Over time, waste products, toxins, and undigested food particles can accumulate in the colon, leading to issues such as constipation, bloating, and discomfort.†
These supplements typically come in various forms, including capsules, powders, teas, or liquids, and contain a blend of natural ingredients specifically chosen for their cleansing and detoxifying properties.
How Do Colon Cleanse Supplements Work?
The specific mechanisms may vary depending on the formulation, but some common ways in which these supplements work include:
- Encouraging Bowel Movements: Combining fiber, herbs, and enzymes in colon cleanse supplements can help stimulate bowel movements, easing constipation and promoting regularity. (1,2,3,4,5,6,7)
- Improving Gut Microbiome Balance: If probiotics are in the formula, they can help restore the balance of beneficial bacteria in the gut, supporting overall digestive health.(8,9,10,11,12)
- Supporting Nutrient Absorption: By promoting efficient bowel movements and clearing the colon of waste, these supplements may improve the absorption of nutrients from food. (3,4,5,6,7)
However, it’s crucial to approach colon cleansing supplements cautiously. Consult a healthcare professional before adding them to your wellness routine, especially if you have any pre-existing medical conditions or are taking medications. Additionally, colon cleansing supplements are not intended for long-term use. Therefore, it’s essential to follow the manufacturer’s dosage recommendations and guidelines.
Benefits Of Colon Cleanse Supplements:
Colon cleanse supplements offer a range of potential benefits that can positively impact both digestive health and overall well-being. As we delve into their advantages, it’s important to remember that individual responses to these supplements may vary. Let’s explore some of the potential benefits of incorporating colon cleanse supplements into your wellness routine:
1. Relief from Constipation:
One of the primary reasons people turn to colon cleansing supplements is to find relief from constipation. When these formulas combine fiber and natural laxative ingredients, they can help soften stool, promote regular bowel movements, and reduce the discomfort from constipation. (5,6,7,13,14)
2. Detoxification and Waste Elimination:
Over time, the colon can accumulate waste, toxins, and undigested food particles. Colon cleanse supplements aim to assist the body’s natural detoxification processes, helping to flush out waste and promote a cleaner, healthier colon. (5,6,7)
3. Improved Digestive Regularity:
Irregular bowel movements can disrupt daily life and lead to discomfort. By encouraging regularity, colon cleanse supplements can support a sense of balance and predictability in your digestive routine. (5,6,7,13,14)
4. Enhanced Nutrient Absorption:
A healthy, well-functioning colon is essential for optimal nutrient absorption. By clearing out waste and promoting a clean environment, colon cleansing supplements may enhance the absorption of vital nutrients. (3,4,5,6,7)
5. Support for Weight Management:
Some individuals may find that a cleaner, more efficient digestive system helps with weight management efforts. Colon cleanse supplements can support your weight management journey by promoting regular bowel movements and reducing bloating. (3,4,5,15,16,17)
6. Boosted Energy Levels:
Removing accumulated waste from the colon can support an increase in energy levels and a sense of vitality. (7,15,17)
7. Alleviation of Bloating and Gas:
Bloating and excessive gas can be uncomfortable and embarrassing. Colon cleanse supplements can help alleviate these symptoms by promoting better digestion and reducing gas buildup. (7,18,19)
8. Support for a Balanced Gut Microbiome:
Some colon cleanse supplements include probiotics, which can aid in restoring the balance of beneficial bacteria in the gut. A healthy gut microbiome is essential for digestive health and overall immune function. (8,9,10,11,12)
Understanding The Gut-Brain Axis:
The gut-brain axis is a complex and fascinating communication network connecting the central nervous system (CNS) with the enteric nervous system (ENS) in the gut. Often referred to as the “second brain,” the ENS is a complex network of neurons lining the gastrointestinal tract. This network allows for bidirectional communication to travel back and forth between the brain and the gut. The brain can send signals to the gut that influence its function, such as initiating the release of digestive enzymes and regulating gut motility. At the same time, the gut sends signals to the brain, affecting mood, emotions, and cognitive processes. (20,21)
Notably, the gut produces and releases an array of neurotransmitters, including serotonin, dopamine, and GABA. These neurotransmitters impact digestive processes and play a significant role in mood regulation. In fact, a considerable portion of the body’s serotonin, a key neurotransmitter for emotional well-being, is produced in the gut. Thus, a healthy gut environment and a balanced gut microbiome can help improve mood and reduce the risk of conditions like anxiety and depression. Conversely, disturbances in the gut-brain axis can contribute to mood disorders and cognitive decline. (20,21,22,23)
Understanding the gut-brain axis highlights the significant impact that gut health can have on mental and emotional well-being. Fortunately, nurturing a healthy gut environment with proper nutrition, regular physical activity, and supplements like colon cleanse products can support a balanced gut-brain axis, contributing to better digestive health and overall well-being.†
How To Improve Gut Health Naturally:
Improving gut health naturally is an essential step towards enhancing overall well-being and vitality. By adopting simple yet effective strategies, you can support a balanced gut environment and promote digestive wellness. Here are some natural approaches to enhancing gut health:
- Eat More Dietary Fiber, Probiotic-Rich Foods, and Prebiotic Foods†
- Stay Hydrated†
- Limit Processed Foods and Sugar†
- Manage Stress†
- Regular Exercise†
- Adequate Sleep†
- Avoid Smoking and Excessive Alcohol†
- Chew Your Food Thoroughly†
Everyone’s digestive system is unique, so finding what works best for you is essential. By combining these natural approaches with a balanced diet and a healthy lifestyle, you can cultivate a thriving gut environment and enjoy the benefits of improved digestive health.
Common Myths and Misconceptions:
It’s essential to dispel common misunderstandings to make well-informed decisions about our digestive well-being. Let’s address some common myths surrounding gut health and colon cleanse supplements.
Myth 1: Colon Cleanse Supplements Are Harsh Laxatives |
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One of the most prevalent misconceptions is that all colon cleanse supplements are harsh laxatives that can lead to dependency or electrolyte imbalances. While some supplements may contain natural laxative ingredients, not all colon cleanse products are overly aggressive. Many modern formulations focus on gentle and gradual cleansing to promote digestive health without causing harm.† |
Myth 2: Colon Cleanse Supplements Eliminate Good Bacteria |
Some people worry that colon cleanse supplements may deplete beneficial gut bacteria along with harmful toxins. While certain harsh cleansing methods might disrupt the gut microbiome temporarily, many colon cleanse products contain probiotics and prebiotics to help maintain a balanced gut environment.† |
Myth 3: Fiber Supplements and Colon Cleanse Supplements Are the Same |
Fiber supplements and colon cleansing supplements serve different purposes. While both can aid digestion, fiber supplements primarily focus on adding bulk to the stool to promote regular bowel movements, while colon cleanse supplements support detoxification and cleansing of the colon.† |
Myth 4: Colon Cleanse Supplements Are a Quick Fix for Weight Loss |
While some people may experience temporary weight loss due to reduced waste in the colon, colon cleansing supplements are not a sustainable or healthy method for long-term weight management. The primary goal of these supplements is to improve gut health and digestion.† |
Myth 5: Colon Cleanse Supplements Cause Nutrient Depletion |
Colon cleanse supplements are unlikely to cause significant nutrient depletion when used correctly and for a limited duration. In fact, by promoting better nutrient absorption, they may enhance nutrient utilization.† |
Popular Products:
In this section, we will take an in-depth look at some popular products in gut health and digestive wellness. Each of these products aims to address specific aspects of digestive health, offering unique formulations and potential benefits. Whether you are seeking to detoxify and cleanse your colon, promote regular bowel movements, or support a balanced gut microbiome, these products may be a great option for you.†
The following products will be covered in this section:
ColonBroom:
Ingredients: | Serving Size: 1 Scoop (40 Servings Per Bottle) |
Psyllium Husk Powder
|
3.6g |
Other Ingredients: Natural flavors, citric acid, stevia leaf extract, and others |
ColonBroom, a popular colon cleanse supplement, claims to alleviate digestive issues and support weight management. While it promises a range of benefits, a closer look suggests that its high cost and marketed advantages may not live up to the hype.†
Breakdown:
ColonBroom contains 3.6 grams of Psyllium Husk Powder per serving, with 40 servings per container. Psyllium husk is a well-known dietary fiber, often used for its laxative properties to help with occasional constipation. However, it’s worth noting that psyllium husk powder is widely available at a much lower cost through generic or bulk options. For instance, many fiber supplements on the market contain psyllium and are priced significantly lower, making ColonBroom’s price point difficult to justify for many consumers.†
How To Use ColonBroom:
The recommended usage is to mix one scoop (5.7g) with 12-14 fl oz of water and drink immediately, followed by an additional glass of water, 30-60 minutes before meals. Starting with one serving per day for a week before increasing to two servings is advised.
Inno Supps Inno Cleanse:
Inno Cleanse by Inno Supps is a colon cleanse supplement that aims to support detoxification and promote a healthier colon. Its ingredients are divided into several complexes, each designed to contribute to different aspects of digestive wellness.†
Breakdown:
The first complex in this formula is the Waist Trimming Complex. This complex is a blend of natural ingredients popular for their potential to support bowel movements and promote regularity. This complex features several natural laxatives, including Cascara Sagrada Bark Powder and Senna Leaf Powder. In addition to these ingredients, Aloe Ferox Leaves Extract has a history of supporting gastrointestinal health and digestion. Finally, there is Frangula Bark Powder, another ingredient that may contribute to bowel regularity. (24,26,27,28,29,30,31)
Following the Waist Trimming Complex is the Advanced Digestion Complex. This complex focuses on promoting healthy digestion. It contains Fennel Seed Powder, which has traditional uses for reducing bloating and gas, providing relief from digestive discomfort. Bentonite, a type of clay, is also included in this complex for its potential to aid in detoxification by binding to toxins and waste products. (32,33,34,35)
The next complex in this formula is the Enhanced Detox complex. As the name suggests, this complex may support detoxification and digestive comfort. The first ingredient, Burdock Root Powder, is famous for its antioxidant properties, which may support liver health and detoxification. Additionally, Burdock Roots are rich in dietary fibers with prebiotic activity. Following Burdock Root, Licorice Root Extract and Slippery Elm Bark Powder may have digestive soothing properties. (6,7,36, 37,38,39,40)
The Pro Gut Health Matrix focuses on ingredients that could potentially support overall gut health. Our first ingredient, Capsicum annuum Fruit Powder, may have digestive benefits, while Milk Thistle Seed Powder may support liver health. (41,42,43,44)
How To Take Inno Cleanse:
The manufacturer recommends taking two capsules a day. You may increase your dose to 3 capsules before bedtime for ten days. Do not exceed three capsules per day. Use for up to 14 days once per month or as needed.
Ingredients: | Serving Size: 1 Tea Bag (14 Servings Per Container) |
Sencha Green Tree (leaf), Rooibos (leaf), Garcinia Cambogia Extract (plant part), Oolong (leaf), Pomegranate (plant part), Stevia (plant part), Guarana (plant part), Citric Acid, Sea Salt, Lemon Juice, Honey, Matcha Green Tea (leaf), Ginger (plant part) |
5g |
Fit Tea’s 14-Day Detox Tea is a popular detoxification product that aims to support cleansing and overall wellness. This detox tea contains a thoughtfully curated blend of natural ingredients, each chosen for its potential benefits in promoting detoxification and general well-being. Unlike the other products in this post, Fit Tea also includes natural sources of caffeine, which may provide an energy boost.†
Breakdown:
Fit Tea features a proprietary blend of ingredients, including teas and flavoring/sweetening ingredients, as well as ingredients to support digestion and weight loss management. Our first ingredient, Sencha green tea, features an abundance of antioxidants and may support metabolism. (45,46,47) Following Sencha green tea in this formula is Rooibos, a herbal tea. Rooibos is a popular tea option for its soothing properties and is commonly consumed for relaxation. (48,49,50)
The next ingredient is a common ingredient among fat burners due to its appetite suppression properties, Garcinia Cambogia. Including this ingredient in Fit Tea may help individuals aiming to support digestive health and promote weight loss by reducing cravings. (40,51,52) Next up is another tea, Oolong tea. Oolong tea, being partially oxidized, brings together characteristics of both green and black teas. Thus, there may be benefits relating to both teas. (53,54,55)
Following Oolong tea in the formula is Pomegranate. As pomegranates are rich in antioxidants, including this ingredient may provide additional anti-inflammatory and other health benefits. (56,57,58) Next, we have Stevia, a natural sweetener that provides sweetness to the tea without added calories. (59) Following Stevia, Guarana is a natural source of caffeine. Thus, this ingredient may provide a gentle energy boost. (60,61)
Moreover, the next four ingredients serve as flavor enhancers; these include Citric Acid, Sea Salt, Lemon Juice, and Honey.† Our last tea ingredient in this formula is Matcha Green Tea. Like the other teas, Matcha is high in antioxidants and may support an energy boost and focus. (40,45,46,47) Finally, the last ingredient in Fit Tea is Ginger, which is well-regarded for its potential to support digestion and add a warming flavor. (40,62,63)
How To Take Fit Tea:
The manufacturer recommends taking one bag and steeping in 8oz. of hot water for 5-7 minutes. Drink once or twice daily to kick-start your metabolism.
Ingredients: | Serving Size: 2 Capsules (50 Servings Per Container) |
Cascara Sagrada (Rhamnus purshiana) (bark) | 78mg |
Senna Extract (Cassia angustifolia) (leaf)(contains not less than 8 mg of Sennosides) | 438mg |
Herbal Proprietary Blend (Contains Fennel Seed, Licorice Root, Uva Ursi Leaves) | 456mg |
Puritan’s Pride Herbal Laxative incorporates a combination of natural herbal ingredients recognized for their potential to promote bowel movements and support digestive regularity.
Breakdown:
The first ingredient in this formula is Cascara Sagrada, a popular ingredient for its laxative effects, which has traditional uses in promoting bowel movements. (24,26) Moving on to the next ingredient, Senna Extract, another popular herbal laxative, is frequently used to alleviate constipation. Notably, its active compounds, sennosides, effectively stimulate bowel contractions. (27,28) Following Senna Extract, we have the Herbal Proprietary Blend, which features Fennel Seeds, Licorice Root, and Uva Ursi Leaves. Firstly, Fennel seed may have digestive benefits, including reducing bloating and gas. (32,33,34) While Licorice root has traditional uses to soothe digestive discomfort. (6,38,39) Finally, Uva ursi, or bearberry, is a popular ingredient for weight loss and kidney health because of its potential diuretic effects. (64,65)
How To Take Puritan’s Pride Herbal Laxative:
The manufacturer recommends taking two (2) capsules three times daily or six (6) capsules at night before retiring.
Ingredients: | Serving Size: 2 Capsules (50 Servings Per Container) |
Psyllium Powder | 750mg |
Oat (Avenal sativa) Bran | 710mg |
Apple Pectin Powder | 40mg |
Swanson Tri-Fiber Complex is designed to provide a blend of three different dietary fiber sources, contributing to improved digestive function.
Breakdown:
To begin with, there’s Psyllium Powder, which is derived from plant seed husks and boasts soluble fiber properties. This unique characteristic allows it to absorb water effectively, thereby facilitating regular bowel movements and providing relief from constipation. (66,67) Moving on to the next ingredient, Oat Bran, which features a blend of soluble and insoluble fiber. The soluble fiber component is instrumental in maintaining optimal cholesterol levels and generating a sensation of fullness. On the other hand, the insoluble fiber aspect contributes to regular bowel movements by increasing stool bulk. (68) Lastly, we have Apple Pectin Powder. This form of soluble fiber, sourced from apples, exhibits a remarkable ability to bind with waste products and toxins within the digestive system, potentially aiding in their efficient removal. (7,69,70)
How To Take Swanson Tri-Fiber Complex:
The manufacturer recommends taking two capsules twice daily with 8 ounces of water.
Ingredients: | Serving Size: 1 Capsule (60 Servings Per Container) |
Calcium (as dicalcium phosphate) | 44mg |
Prodigest® Blend:
100 mg Artichoke extract (leaf) [std. caffeoylquinic acids, flavonoids, cynaropicrin]; 20 mg CO2 ginger extract (root) [std. to gingerols and shogaols] |
120mg |
Turmeric (rhizome) [std. to 95% curcuminoids] | 42mg |
Bitter fennel oil (seed) | 25mg |
Life Extension Bloat Relief aims to address gastrointestinal discomfort and bloating through a blend of targeted ingredients.
Breakdown:
The first ingredient in this formula is calcium, which plays a crucial role in serving various functions within the body.† Following calcium is the Prodigest® Blend. This blend incorporates two essential components, each contributing uniquely to digestive wellness. Firstly, there’s artichoke extract, which is abundant in compounds like caffeoylquinic acids and flavonoids. These compounds actively contribute to enhancing digestive comfort and diminishing bloating. (71,72) Secondly, there is CO2 ginger extract, which is rich in gingerols and other bioactive compounds and is popular for its remarkable potential to soothe gastrointestinal distress. (40,62,63) After the Prodigest® Blend, we have Tumeric. This remarkable ingredient houses curcuminoids that have potent anti-inflammatory properties and may support digestive well-being. (7,40,73,74,75) Finally, including bitter fennel oil brings potential carminative properties to the table, with the capability to alleviate gas and bloating, thereby promoting digestive ease. (32,33,34)
How To Take Life Extension Bloat Relief:
The manufacturer recommends taking one (1) softgel twice daily before the heaviest meals or as a healthcare practitioner recommends.
Ingredients: | Serving Size: 2 Capsules (30 Servings Per Container) |
Magnesium (as Magnesium Citrate) | 40mg |
Senna Leaf Powder | 200mg |
Psyllium Husk Powder | 150mg |
Slippery Elm Bark Powder | 150mg |
Cascara Sagrada (bark) | 125mg |
Rhubarb (Rheum palmatum)(root) | 25mg |
Bromelain [from (Ananas comosus)(stem)](2400 GDU/G) | 25mg |
Lactobacillus Acidophilus (2 Billion CFU) | 20mg |
Ginger Root Extract (5% Gingerols) | 10mg |
Nutrex Lipo 6 Black Cleanse and Detox combines multiple ingredients to create a comprehensive formula aimed at promoting colon health and detoxification.
Breakdown:
The first ingredient in this formula is Magnesium, which plays various roles in the body, including supporting muscle and nerve function.† Following Magnesium, we have Senna Leaf Powder, a natural laxative that is popular for promoting bowel movements and countering constipation. (27,28) Working hand in hand with Senna Leaf Powder, Psyllium Husk Powder, with its rich soluble fiber content, supports regular bowel movements and alleviates constipation concerns. (66,67)
Continuing through the formula, we have Slippery Elm Bark Powder. This ingredient may provide soothing properties to relieve gastrointestinal discomfort. (6,7,40) This formula also includes Cascara Sagrada, a natural laxative that aids in bowel movements and maintains digestive regularity. (24,26)
Next, we have Rhubarb root, which is popular for its potential laxative effects and may help promote digestive well-being. (76,77,78) Following Rhubarb, we have Bromelain, an enzyme from pineapple stems that may have anti-inflammatory and digestive benefits. (79,80) Furthermore, this formula features a probiotic, Lactobacillus acidophilus. Including Lactobacillus acidophilus may contribute to a balanced gut microbiome. (7,9,11,12) Finally, the last ingredient in this formula is Ginger root extract, which is may have digestive benefits, including alleviating gas and bloating. (40,62,63)
How To Take Lipo 6 Black Cleanse and Detox:
The manufacturer recommends taking one serving (2 capsules) in the morning with food and 8-10 oz of water. An additional serving (2 capsules) can be taken if a stronger effect is desired. Use as a 7-day quick cleanse and detox system. Do not take longer than seven consecutive days. It can also be used to assist with occasional post-meal discomfort and bloating. Consume at least ten glasses of water daily.
Which Should You Try:
With so many colon cleanse options out there, finding the right one for you might seem tricky. Each product has its own good points, and knowing your health goals can help you choose the best fit. Let’s break down who could benefit from each supplement we’ve talked about and who might want to be careful before trying them:
ColonBroom:
Firstly, we have ColonBroom. While ColonBroom offers a convenient source of psyllium husk, its steep price point does not necessarily translate to superior results, especially when more affordable options are available. For those looking primarily for the benefits of psyllium husk, cheaper alternatives can provide the same digestive support without the high price tag.†
Inno Cleanse:
Next we have Inno Cleanse, which features a comprehensive ingredient blend to support digestive health. So, if you are looking to promote regularity, improve digestion, and elevate gut well-being, Inno Cleanse might be a good choice. However, it’s important to exercise caution if you have any underlying gastrointestinal concerns or sensitivities to certain herbal laxatives. In such cases, consulting with a healthcare professional before usage is best.†
Our next product is Fit Tea, which might be the right choice if you’re looking for a gentle approach to the detoxification process with a blend of teas and natural ingredients. Fit Tea’s 14-Day Detox Tea could benefit those looking to experience antioxidant benefits, promote energy, and explore the potential of herbal ingredients. However, individuals with caffeine sensitivities or those seeking a more intense detox should consider other options.†
Following Fit-Tea, we have Puritan’s Pride Herbal Laxative, which could provide a gentle solution for individuals needing occasional constipation relief. However, individuals with chronic constipation or those taking medications should approach this laxative cautiously and consult a healthcare professional.†
If you want to increase your fiber intake while promoting digestive regularity, this supplement might be the one for you. Individuals new to fiber supplements or with gastrointestinal sensitivities should start with a lower dose and consult a healthcare professional before usage.†
If you experience bloating or digestive discomfort, this product might offer relief. Life Extension Bloat Relief could be suitable for alleviating occasional bloating and supporting gastrointestinal comfort. However, consult a healthcare professional before use if you have a history of or chronic digestive conditions.†
Similarly to Inno Cleanse, Nutrex Lipo 6 Black Cleanse and Detox offers a comprehensive formula to support colon health and promote detoxification. Individuals with existing gastrointestinal conditions, pregnant or breastfeeding individuals, and those taking medications should consult a healthcare professional before using this supplement.†
In your journey to better gut health, remember that no supplement is a substitute for a balanced diet, proper hydration, and a healthy lifestyle. Before incorporating any new supplement into your routine, it’s wise to consult with a healthcare professional, especially if you have underlying health conditions or are taking medications. Finding the right colon cleanse supplement that aligns with your goals and health considerations can lead to improved well-being and a happier digestive system.
Wrapping Up!
And this marks the end of our post on Colon Cleanse Supplements. Thank you for reading! And as always, if there was something that wasn’t clear, another question you might have, or if you have another idea for a blog, Email Us!
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Warnings And Side Effects:
Products mentioned in this post are for use by persons under 18 years old, pregnant, or nursing. Do not use if you have or develop diarrhea, loose stool, or abdominal pain, as the ingredients in this product may intensify these conditions. Consult your doctor prior to use if you are taking any medications or have any medical condition. Products mentioned in this post are for occasional use only; do not use them for more than eight consecutive days. Consume at least ten glasses of water daily. Keep out of reach of children.
Disclaimer:
†Please note the intention of the information provided is for reference only. Furthermore, we are in no way providing medical advice or instruction. Instead, the information provided in this guide/blog utilizes anecdotal information and available studies/reviews. While we aim to maintain and display accurate information, we can’t guarantee it represents the latest product formulation or information. Therefore, please visit the manufacturer’s website if you have any concerns. Also, the information above does not represent our views here at Same Day Supplements. Instead, these are the manufacturers’ and users’ views and information. Additionally, the Food and Drug Administration has not evaluated these statements. Finally, these products aim not to diagnose, treat, cure, or prevent disease or illness.