1 Product identity
Ingredient risk
Contains a high-risk ingredient
OSP
BrandMannatech→Other Combinations Unknown 81 ingredients 1 high-risk 7 caution DSLD #40682Net contents: 56 Packet(s)
Target: Adults and Children 4 years and above
DSLD entry: 2014-12-29
2 Ingredients (81)
IngredientGroupSafety
CaloriesCalories—
Total CarbohydratesCarbohydrate—
Dietary FiberFiber (unspecified)—
ProteinProtein (unspecified)—
Folic AcidVitamin B9 (folic acid) —
Ambrotose ComplexTBD—
Gum ArabicAcacia—
Xanthan GumXanthan Gum—
Gum TragacanthTragacanth—
Ghatti GumGhatti—
Aloe veraAloe—
ArabinogalactanArabinogalactan—
L-Glutamic AcidGlutamic Acid—
MTech AO Blend(R)Proprietary Blend (Combination)—
Grape skin extractGrape —
Australian Bush PlumBillygoat plum—
Beta-SitosterolBeta Sitosterol—
RutinRutin—
Optimal Support Phyto-BlendBlend (Herb/Botanical)—
Broccoli concentrateBroccoli—
Cranberry juice concentratecranberry—
Grape skin extractGrape —
BroccoliBroccoli—
Brussels SproutBrussel Sprout—
CabbageCabbage—
CarrotCarrot —
CauliflowerCauliflower —
GarlicGarlic—
KaleKale—
Oniononion—
TomatoTomato—
TurnipTurnip—
PapayaPapaya—
Pineapple juice powderPineapple—
Microcrystallline CelluloseCellulose—
MustardMustard (unspecified)—
Red AlgaeRed Algae—
Hydroxpropyl MethylcelluloseHypromellose—
Stearic AcidStearic Acid—
Citric AcidCitric Acid—
DextrinDextrin—
Dextrose MonohydrateGlucose—
Soy Lecithinlecithin—
Medium Chain TriglyceridesMedium chain triglycerides (MCT)—
Ingredient amounts require the full DSLD label. View full label at NIH DSLD →
⛔ High-risk ingredient — documented serious harm
Xylitol — Dog owner not warned about xylitol toxicity — potentially fatal to dogs [1]
⚠️ Use with caution — restricted in some markets
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…
Iron — Iron supplementation in iron-replete patients may increase cardiovascular and cancer risk — always document deficiency before prescribing [1].
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
Vitamin A — Limited Evidence
⚠ Teratogenic at high doses
⚠ Hepatotoxic with chronic excess
Vitamin C — Limited Evidence
⚠ GI distress at high doses
⚠ Kidney stones risk >1g/day
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
Riboflavin — Limited Evidence
⚠ Harmless yellow urine
Niacin — Limited Evidence
⚠ Flushing at >50 mg
⚠ Hepatotoxicity at high doses
Vitamin B6 — Use with Caution
Vitamin B12 — Use with Caution
Biotin — Limited Evidence
⚠ Interferes with troponin and thyroid lab assays
Pantothenic Acid — Limited Evidence
⚠ Diarrhea at very high doses
Calcium — Conditionally Safe
⚠ Cardiovascular risk debated >1,000 mg/day
⚠ Kidney stones
Iron — Use with Caution
⚠ GI upset, constipation
⚠ Fatal toxicity in children
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
Copper — Conditionally Safe
⚠ Hepatotoxicity 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
Sodium — Conditionally Safe
⚠ Hypertension
⚠ Fluid retention
Wild Yam — Conditionally Safe
⚠ Does NOT convert to progesterone in body despite marketing claims
⚠ Estrogenic effects
Glycine — Generally Safe
⚠ Well tolerated
L-Lysine — Limited Evidence
⚠ GI discomfort at high doses
⚠ May increase calcium absorption
L-Arginine — Limited Evidence
⚠ Hypotension
⚠ May worsen herpes outbreaks
Quercetin — Conditionally Safe
⚠ Inhibits CYP3A4
⚠ Affects cyclosporine levels
Green Tea Extract — Limited Evidence
⚠ HEPATOTOXICITY >800 mg EGCG
⚠ Iron absorption inhibition
Boron — Conditionally Safe
⚠ Reproductive toxicity in animals
Vanadium — Limited Evidence
⚠ GI toxicity: nausea, vomiting, diarrhea
⚠ Green tongue
Silicon — Generally Safe
⚠ Very low toxicity
Xylitol — High risk
⚠ GI distress (gas, bloating, diarrhea) dose-dependent
⚠ Cardiovascular risk: 2023 Cleveland Clinic study linked xylitol to increased thrombotic events
4 Label claims
• All Other
• Structure/Function
5 Data source
DSLD ID40682
Full labelView at NIH DSLD →
SourceOffice of Dietary Supplements, NIH
Market statusOn market
Entry date2014-12-29
6 More from Mannatech
View Mannatech Safety Scorecard → 33 products
Advanced AmbroseAdvanced Ambrotose Complex PowderAdvanced Ambrotose Complex PowderAdvanced Ambrotose Complex PowderAmbroStart Orange FlavoredAmbrotose AO7 Cite this page
Vancouver
Pkhakadze G. OSP — product analysis [Internet]. Tbilisi: Public Health Institute of Georgia; 2026 [cited 2026 Aug 27]. Available from: https://academy.gmj.ge/products/dsld-40682/
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