1 Product identity

Ingredient risk

Contains restricted ingredients

Metabolic Management Pack

Name: Metabolic Management Pack
Brand: Douglas Laboratories

BrandDouglas Laboratories→Other Combinations Other (e.g. tea bag) 49 ingredients 1 banned 1 high-risk 4 caution DSLD #9578

Net contents: 30 Pack(s)

Target: Adults and Children 4 years and above

DSLD entry: 2012-06-01

2 Ingredients (49)

IngredientGroupSafety

CaloriesCalories—

Calories from FatCalories—

Total FatFat (unspecified)—

Saturated FatSaturated fat—

Polyunsaturated FatPolyunsaturated Fat—

Vitamin AVitamin AConditionally Safe

ThiamineThiaminUse with Caution

RiboflavinRiboflavinGenerally Safe

NiacinamideNiacinConditionally Safe

Vitamin B6Vitamin B6Use with Caution

Folic AcidFolateConditionally Safe

Vitamin B12Vitamin B12Use with Caution

ChromiumChromiumConditionally Safe

ConjuliteConjugated Linoleic Acid—

Conjugated Linoleic AcidConjugated Linoleic Acid—

Garcinia cambogiaGarcinia—

(-) Hydroxycitric AcidHydroxycitric Acid—

ReloraProprietary Blend (Herb/Botanical)—

Magnolia officinalisMagnolia —

Phellodendron amurensePhellodendron —

Alpha-Linolenic AcidAlpha-Linolenic Acid—

Proprietary Herbal Blend (Herb/Botanical)Proprietary Blend (Herb/Botanical)—

GuaranaGuarana —

Kola NutCola—

Eleutherococcus senticosusEleuthero—

Wood Betony——

Beet powderBeet—

CayenneCayenne Pepper—

American CentauryAmerican Centaury—

Gotu KolaGotu KolaConditionally Safe

Ho Shou WuFo-Ti—

Green Tea extractGreen Tea—

Linoleic AcidLinoleic Acid—

Oleic AcidOleic Acid—

PhosphatidylserinePhosphatidylserineGenerally Safe

Phosphatidylcholinephosphatidylcholine—

Phosphatidyl-EthanolaminePhosphataidyl ethanolamine—

PhosphatidylinositolPhosphatidylinositolHigh risk

Polyphenon 60Polyphenols—

Flax Seed OilFlaxseed OilGenerally Safe

GelatinGelatin—

CelluloseCellulose—

Vegetable StearateMagnesium stearateUse with Caution

GlycerinGlycerol—

SilicaSiliconGenerally Safe

WaterWater—

Carob powderCarob—

Carob extractCarob—

Titanium DioxideTitanium DioxideBanned in ≥1 country

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]

⛔ Contains an ingredient banned in ≥1 country

Titanium Dioxide 🇫🇷 🇪🇺 — France banned TiO₂ in food from January 2020, first EU country.

⚠️ Use with caution — restricted in some markets

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].

3 Safety cross-reference

Vitamin A — Conditionally Safe

⚠ Teratogenic at high doses

⚠ Hepatotoxic with chronic excess

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

Chromium — Conditionally Safe

⚠ Hypoglycemia with diabetes meds

⚠ Rare renal/hepatic toxicity

Garcinia Cambogia — Limited Evidence

⚠ HEPATOTOXICITY — multiple case reports of liver failure

⚠ Mania/psychosis reported

Gotu Kola — Conditionally Safe

⚠ Hepatotoxicity (rare)

⚠ Drowsiness

Green Tea Extract — Limited Evidence

⚠ HEPATOTOXICITY >800 mg EGCG

⚠ Iron absorption inhibition

Phosphatidylserine — Generally Safe

⚠ May enhance anticoagulant effects

⚠ Soy allergy risk (soy-derived)

Choline — Limited Evidence

⚠ Fishy odor at high doses

Inositol — High risk

⚠ GI disturbance at high doses (>12 g)

⚠ May lower blood glucose

Flaxseed Oil — Generally Safe

⚠ High ALA but poor conversion to EPA/DHA

⚠ May increase bleeding risk

Magnesium — Use with Caution

Silicon — Generally Safe

⚠ Very low toxicity

Titanium Dioxide — Banned in ≥1 country

⚠ EFSA: can no longer be considered safe as food additive (2021)

⚠ Genotoxicity concern (nanoparticles)

4 Label claims

• All Other

• Structure/Function

5 Data source

DSLD ID9578

Full labelView at NIH DSLD →

SourceOffice of Dietary Supplements, NIH

Market statusOn market

Entry date2012-06-01

6 More from Douglas Laboratories

View Douglas Laboratories Safety Scorecard → 788 products

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7 Cite this page

Vancouver

Pkhakadze G. Metabolic Management Pack — product analysis [Internet]. Tbilisi: Public Health Institute of Georgia; 2026 [cited 2026 Jun 24]. Available from: https://supplement.ge/products/metabolic-management-pack-9578/

CC BY 4.0. Product data from NIH DSLD; safety analysis by SupplementIndex.

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