1 Product identity
Ingredient risk
7 ingredients to use with caution
Meal Replacement Chocolate Peanut Butter
BrandMET-Rx→Other Combinations Powder 55 ingredients 7 caution DSLD #33690Net contents: 18 Packet(s)
Target: Adults and Children 4 years and above
DSLD entry: 2014-05-23
2 Ingredients (55)
IngredientGroupSafety
CaloriesCalories—
Calories from FatCalories—
Total FatFat (unspecified)—
Saturated FatSaturated fat—
Trans FatTrans fat—
CholesterolCholesterol—
Total CarbohydratesCarbohydrate—
Dietary FiberFiber (unspecified)—
SugarSugar—
ProteinProtein (unspecified)—
Metamyosyn Protein BlendBlend (Amino Acid/Protein)—
MaltodextrinMaltodextrin—
Cocoacocoa—
Peanut Flourpeanut—
Natural and Artificial flavorsFlavor—
Sunflower OilSunflower Oil—
Cellulose GumCellulose—
Xanthan GumXanthan Gum—
SaltSalt (unspecified)—
Soy Lecithinlecithin—
CarrageenanCarrageenan—
Guar GumGuar—
GelatinGelatin—
Mono- & Di-glyceridesBlend (non-nutrient/non-botanical)—
Ingredient amounts require the full DSLD label. View full label at NIH DSLD →
⚠️ 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]
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…
Zinc — Chronic zinc >40 mg/day without copper causes copper deficiency: anemia, neutropenia, myeloneuropathy [1].
Iron — Iron supplementation in iron-replete patients may increase cardiovascular and cancer risk — always document deficiency before prescribing [1].
Thiamin — Wernicke encephalopathy: classic triad (confusion, ophthalmoplegia, ataxia) is present in only 16% of cases — any ONE element in an at-risk patie…
Magnesium — Severe deficiency (<0.50 mmol/L) causes secondary hypocalcemia and hypokalemia that will not correct until magnesium is repleted first [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
Calcium — Conditionally Safe
⚠ Cardiovascular risk debated >1,000 mg/day
⚠ Kidney stones
Vitamin D — Use with Caution
⚠ Hypercalcemia at >10,000 IU/day
⚠ Vascular calcification risk
Vitamin K — Conditionally Safe
⚠ Critical interaction with warfarin
Riboflavin — Generally Safe
⚠ Harmless yellow urine
Vitamin B6 — Use with Caution
Vitamin B12 — Use with Caution
Pantothenic Acid — Limited Evidence
⚠ Diarrhea at very high doses
Iodine — Conditionally Safe
⚠ Thyroid dysfunction at excess
⚠ Kelp: variable content
Zinc — Use with Caution
⚠ Copper deficiency at >40 mg/day
⚠ Nausea, metallic taste
Copper — Conditionally Safe
⚠ Hepatotoxicity at high doses
Chromium — Conditionally Safe
⚠ Hypoglycemia with diabetes meds
⚠ Rare renal/hepatic toxicity
Chloride — Generally Safe
⚠ Co-ingested with sodium
Vitamin C — Generally Safe
⚠ GI distress at high doses
⚠ Kidney stones risk >1g/day
Iron — Use with Caution
⚠ GI upset, constipation
⚠ Fatal toxicity in children
Vitamin E — Conditionally Safe
⚠ Increased bleeding risk
⚠ All-cause mortality at >400 IU/day
Thiamin — Use with Caution
⚠ Very low toxicity
Niacin — Conditionally Safe
⚠ Flushing at >50 mg
⚠ Hepatotoxicity at high doses
Folate — Conditionally Safe
⚠ May mask B12 deficiency
⚠ Colorectal cancer risk debated
Biotin — Generally Safe
⚠ Interferes with troponin and thyroid lab assays
Phosphorus — Generally Safe
⚠ Excess impairs calcium absorption
Magnesium — Use with Caution
⚠ Diarrhea (especially oxide)
⚠ Accumulates in renal impairment
Selenium — Conditionally Safe
⚠ Selenosis >400 mcg
⚠ Diabetes risk at high doses
Manganese — Conditionally Safe
⚠ Neurotoxicity with chronic excess
Molybdenum — Generally Safe
⚠ Very low toxicity
Casein Protein — Generally Safe
⚠ Hypertension
⚠ Fluid retention
Sucralose — Conditionally Safe
⚠ May affect gut microbiome
⚠ Heating may produce chlorinated compounds
4 Label claims
• Nutrient
• All Other
5 Data source
DSLD ID33690
Full labelView at NIH DSLD →
SourceOffice of Dietary Supplements, NIH
Market statusOn market
Entry date2014-05-23
6 More from MET-Rx
View MET-Rx Safety Scorecard → 82 products
100% Micellar Casein Chocolate100% Micellar Casein VanillaActive Multi PacksAmino 2400 Wild CherryAmped ECN NOS Concentrate Lemon-LimeAmped ECN NOS Grape Bubblegum7 Cite this page
Vancouver
Pkhakadze G. Meal Replacement Chocolate Peanut Butter — product analysis [Internet]. Tbilisi: Public Health Institute of Georgia; 2026 [cited 2026 Aug 25]. Available from: https://supplement.ge/products/meal-replacement-chocolate-peanut-butter-33690/
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