“…Many patients with fatigue often turn to dietary and herbal supplements (DHSs) for symptom relief 5 . DHSs are defined as “products containing naturally occurring substances intended to supplement the diet, and restore or maintain good health,” encompassing vitamins and minerals, herbal remedies, homeopathic medicines, traditional medicines, probiotics, and other products such as amino acids, essential fatty acids, enzymes, organ tissues, and metabolites 6 , 7 , 29 . They are often over-the-counter products which can typically be purchased without a prescription in pharmacies, health food stores, as well as through online retailers 8 .…”