1 Product identity
Ingredient risk
Contains a high-risk ingredient
Skin Support Pack
BrandDouglas Laboratories→Other Combinations Other (e.g. tea bag) 104 ingredients 1 high-risk 6 caution DSLD #9594Net contents: 30 Pack(s)
Target: Adults and Children 4 years and above
DSLD entry: 2012-06-01
2 Ingredients (104)
IngredientGroupSafety
CaloriesCalories—
Calories from FatCalories—
Total FatFat (unspecified)—
Saturated FatSaturated fat—
Polyunsaturated FatPolyunsaturated Fat—
Monounsaturated FatMonounsaturated Fat—
Beta and Delta-tocopherolsVitamin E (mixed tocopherols)—
L. AcidophilusLactobacillus acidophilus—
L. rhamnosusLactobacillus rhamnosus—
L. RhamnosusLactobacillus rhamnosus—
S. LactisLactococcus lactis—
B. bifidumBifidobacterium bifidum—
S. thermophilusStreptococcus Thermophilus—
Total Omega-3 Fatty AcidsOmega-3—
Eicosapentaenoic AcidEPA (Eicosapentaenoic Acid)—
Docosahexaenoic AcidDHA (Docosahexaenoic Acid)—
Linoleic AcidLinoleic Acid—
Gamma-Linolenic AcidGamma Linolenic Acid—
Proprietary Blend (Combination)Proprietary Blend (Combination)—
KaleKale—
CarrotCarrot —
RadishRadish—
Celerycelery—
ApricotApricot—
BlackberryBlackberry—
Cranberrycranberry—
FOSFructo-Oligosaccharides—
GrapeGrape —
PineapplePineapple—
L-Cysteine/N-Acetyl L-CysteineBlend (Combination)—
BetaineBetaine—
PycnogenolPycnogenol—
Mixed TocotrienolsVitamin E (mixed tocotrienols)—
BlueberryBlueberry—
GarlicGarlic—
BroccoliBroccoli—
CauliflowerCauliflower —
Green Papaya extractPapaya—
Rose HipsRose (unspecified)—
Lemon BioflavonoidsFlavonoid (mixture)—
sprouted Barley juiceBarley—
Wheat Grass juiceCouch Grass—
Beet extractBeet—
PABAPABA—
HesperidinHesperidin—
RutinRutin—
Glutamic AcidGlutamic Acid—
ZeaxanthinZeaxanthin—
LycopeneLycopene—
Trace ElementsBlend (Combination)—
GelatinGelatin—
L-ThreonineTHREONINE—
GlycerinGlycerol—
WaterWater—
Citric AcidCitric Acid—
Safflower OilSafflower Oil—
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
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
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
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 — Limited Evidence
⚠ 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
Calcium — Conditionally Safe
⚠ Cardiovascular risk debated >1,000 mg/day
⚠ Kidney stones
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
Potassium — Conditionally Safe
⚠ Hyperkalemia risk
⚠ Dangerous with ACE inhibitors
Bifidobacterium — Limited Evidence
⚠ Gas initially
Evening Primrose oil — Conditionally Safe
⚠ May lower seizure threshold
⚠ Increased bleeding risk
L-Lysine — Limited Evidence
⚠ GI discomfort at high doses
⚠ May increase calcium absorption
NAC — Limited Evidence
⚠ GI upset
⚠ Rare bronchospasm
Slippery Elm — Generally Safe
⚠ May slow medication absorption — separate 2h
⚠ GI coating effect
Alpha-Lipoic Acid — Limited Evidence
⚠ May lower blood glucose
⚠ May lower thyroid hormones
L-Proline — Limited Evidence
⚠ Well tolerated
⚠ Important for collagen synthesis
Spirulina — Limited Evidence
⚠ Contamination risk: microcystins, heavy metals
⚠ Autoimmune stimulation
Chlorella — Generally Safe
⚠ Contamination risk
⚠ May affect warfarin (vitamin K content)
Inositol — High risk
⚠ GI disturbance at high doses (>12 g)
⚠ May lower blood glucose
Choline — Generally Safe
⚠ Fishy odor at high doses
Green Tea Extract — Limited Evidence
⚠ HEPATOTOXICITY >800 mg EGCG
⚠ Iron absorption inhibition
Apple Pectin — Limited Evidence
⚠ Gas, bloating
⚠ May reduce medication absorption
Bromelain — Conditionally Safe
⚠ Increased bleeding risk
⚠ GI upset
Pine Bark Extract — Limited Evidence
⚠ Mild GI effects
⚠ May lower blood glucose slightly
Lutein — Generally Safe
⚠ Harmless skin yellowing at very high doses
L-Methionine — Limited Evidence
⚠ Raises homocysteine levels
⚠ May promote tumor growth
Boron — Conditionally Safe
⚠ Reproductive toxicity in animals
Vanadium — Limited Evidence
⚠ GI toxicity: nausea, vomiting, diarrhea
⚠ Green tongue
Silicon — Generally Safe
⚠ Very low toxicity
Rosemary Extract — Limited Evidence
⚠ Seizure risk at very high doses
⚠ May affect blood glucose
4 Label claims
• All Other
5 Data source
DSLD ID9594
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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Vancouver
Pkhakadze G. Skin Support Pack — product analysis [Internet]. Tbilisi: Public Health Institute of Georgia; 2026 [cited 2026 Jun 24]. Available from: https://supplement.ge/products/skin-support-pack-9594/
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