1 Product identity
Ingredient risk
Contains a high-risk ingredient
Spiru-Tein High Protein Energy Meal Raspberry Royale
BrandNature's Plus→Other Combinations Powder 75 ingredients 1 high-risk 7 caution DSLD #21116Net contents: 1.12 lbs
Target: Adults and Children 4 years and above
DSLD entry: 2013-05-24
2 Ingredients (75)
IngredientGroupSafety
CaloriesCalories—
Calories from FatCalories—
Total FatFat (unspecified)—
Saturated FatSaturated fat—
Trans FatTrans fat—
CholesterolCholesterol—
Total CarbohydratesCarbohydrate—
Dietary FiberFiber (unspecified)—
SugarSugar—
Other CarbohydratesCarbohydrate—
ProteinProtein (unspecified)—
Each serving of SPIRU-TEIN also containsHeader—
Proprietary non-GMO protein blendProprietary Blend (Combination)—
FructoseFructose—
Raspberry flavorFlavor—
Xanthan GumXanthan Gum—
fructooligosaccharidesFructo-Oligosaccharides (FOS)—
freeze-dried raspberry piecesRaspberry—
Guar GumGuar—
PsylliumPsyllium (unspecified)—
MaltodextrinMaltodextrin—
oat branOat Fiber—
Microcrystalline CelluloseCellulose—
Lecithinlecithin—
Lemon BioflavonoidsFlavonoid (mixture)—
PapayaPapaya—
ChlorophyllChlorophyll—
Ingredient amounts require the full DSLD label. View full label at NIH DSLD →
⛔ High-risk ingredient — documented serious harm
Inositol — GDM prevention — 4 g/day from first trimester in high-risk women [2]
⚠️ Use with caution — restricted in some markets
Iron — Iron supplementation in iron-replete patients may increase cardiovascular and cancer risk — always document deficiency before prescribing [1].
Vitamin D — Granulomatous diseases (sarcoidosis, TB) — unregulated extra-renal CYP27B1 can cause life-threatening hypercalcemia even at standard doses [2][21]
Thiamin — Wernicke encephalopathy: classic triad (confusion, ophthalmoplegia, ataxia) is present in only 16% of cases — any ONE element in an at-risk patie…
Vitamin B6 — Sensory neuropathy from chronic high-dose B6 (>200 mg/day) — presents as numbness, ataxia. Can be irreversible. Often self-prescribed by patients…
Vitamin B12 — Nitrous oxide anesthesia in subclinically B12-deficient patients can precipitate acute combined degeneration — always check B12 before elective p…
Magnesium — Severe deficiency (<0.50 mmol/L) causes secondary hypocalcemia and hypokalemia that will not correct until magnesium is repleted first [1].
Zinc — Chronic zinc >40 mg/day without copper causes copper deficiency: anemia, neutropenia, myeloneuropathy [1].
3 Safety cross-reference
Sodium — Conditionally Safe
⚠ Hypertension
⚠ Fluid retention
Potassium — Conditionally Safe
⚠ Hyperkalemia risk
⚠ Dangerous with ACE inhibitors
Vitamin A — Conditionally Safe
⚠ Teratogenic at high doses
⚠ Hepatotoxic with chronic excess
Vitamin C — Generally Safe
⚠ GI distress at high doses
⚠ Kidney stones risk >1g/day
Calcium — Conditionally Safe
⚠ Cardiovascular risk debated >1,000 mg/day
⚠ Kidney stones
Iron — Use with Caution
⚠ GI upset, constipation
⚠ Fatal toxicity in children
Vitamin D — Use with Caution
⚠ Hypercalcemia at >10,000 IU/day
⚠ Vascular calcification risk
Vitamin E — Conditionally Safe
⚠ Increased bleeding risk
⚠ All-cause mortality at >400 IU/day
Thiamin — Use with Caution
⚠ Very low toxicity
Riboflavin — Generally Safe
⚠ Harmless yellow urine
Niacin — Conditionally Safe
⚠ Flushing at >50 mg
⚠ Hepatotoxicity at high doses
Vitamin B6 — Use with Caution
Folate — Conditionally Safe
⚠ May mask B12 deficiency
⚠ Colorectal cancer risk debated
Vitamin B12 — Use with Caution
Biotin — Generally Safe
⚠ Interferes with troponin and thyroid lab assays
Pantothenic Acid — Limited Evidence
⚠ Diarrhea at very high doses
Phosphorus — Generally Safe
⚠ Excess impairs calcium absorption
Iodine — Conditionally Safe
⚠ Thyroid dysfunction at excess
⚠ Kelp: variable content
Magnesium — Use with Caution
⚠ Diarrhea (especially oxide)
⚠ Accumulates in renal impairment
Zinc — Use with Caution
⚠ Copper deficiency at >40 mg/day
⚠ Nausea, metallic taste
Selenium — Conditionally Safe
⚠ Selenosis >400 mcg
⚠ Diabetes risk at high doses
Manganese — Conditionally Safe
⚠ Neurotoxicity with chronic excess
Chromium — Conditionally Safe
⚠ Hypoglycemia with diabetes meds
⚠ Rare renal/hepatic toxicity
Molybdenum — Generally Safe
⚠ Very low toxicity
Inositol — High risk
⚠ GI disturbance at high doses (>12 g)
⚠ May lower blood glucose
Choline — Generally Safe
⚠ Fishy odor at high doses
Spirulina — Limited Evidence
⚠ Contamination risk: microcystins, heavy metals
⚠ Autoimmune stimulation
Apple Pectin — Limited Evidence
⚠ Gas, bloating
⚠ May reduce medication absorption
Bee Pollen — Conditionally Safe
⚠ ALLERGIC REACTIONS — potentially severe/anaphylaxis
⚠ Cross-reacts with pollen allergies
Bromelain — Conditionally Safe
⚠ Increased bleeding risk
⚠ GI upset
4 Label claims
• All Other
• No Claim
5 Data source
DSLD ID21116
Full labelView at NIH DSLD →
SourceOffice of Dietary Supplements, NIH
Market statusOn market
Entry date2013-05-24
6 More from Nature's Plus
View Nature's Plus Safety Scorecard → 26 products
Advanced Therapeutics Glucofit Rx-Blood SugarAdvanced Therapeutics Huperzine Rx-BrainAdvanced Therapeutics Ribose Rx-EnergyAlfalfa 8 1/2 GrainAntioxidant Formula Ultra ActivinApple Pectin 500 mg7 Cite this page
Vancouver
Pkhakadze G. Spiru-Tein High Protein Energy Meal Raspberry Royale — product analysis [Internet]. Tbilisi: Public Health Institute of Georgia; 2026 [cited 2026 Aug 26]. Available from: https://supplement.ge/products/dsld-21116/
CC BY 4.0. Product data from NIH DSLD; safety analysis by SupplementIndex.
GP
Analyzed by SupplementIndex
PHIG · Editor-in-Chief: Prof. Giorgi Pkhakadze, MD, MPH, PhD
Product data sourced from the NIH Dietary Supplement Label Database (DSLD). Safety cross-referencing by SupplementIndex. This analysis is for informational purposes only. For corrections: info@accreditation.ge.
Publisher: PHIG
Publisher: PHIG