NBJ
NBJ Integrative Medicine Report

NBJ Integrative Medicine Report

With the passage of the Affordable Care Act, integrative medicine received a welcome shot in the arm.  The 2011 Integrative Medicine report, formerly known as the Complementary & Alternative Medicine (CAM) report, features in-depth analysis of the U.S. integrative medicine market.

 

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View Table of Contents and Executive Summary

 

Data presented includes:

  • Statistics on national healthcare expenditures
  • Proprietary data on the practitioner supplement channel
  • Sales figures for condition specific supplements, prescription drugs and over-the-counter drugs
  • Service revenues and analysis of integrative medicine modalities, including acupuncture and osteopathy
  • List of top practitioner channel companies ranked by U.S. supplement sales and 1-page company profiles on the top 12 supplement companies in the practitioner channel

New to the report:

  • SWOT analyses for several leading practitioner supplement companies
  • Profiles of major healthcare organizations within the integrative medicine world
  • History of complementary & alternative medicine and the path to integration
     



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TABLE OF CONTENTS

 

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1. EXECUTIVE SUMMARY 11

2. ACKNOWLEDGEMENTS & DEFINITIONS 13

2.1. ACKNOWLEDGEMENTS 13

2.2. RESEARCH METHODOLOGY 13

2.2.1. Disclaimer 14

2.2.2. Copyright 14

2.3. DEFINITIONS 14

3. MARKET DATA & OVERVIEW 17

3.1. U.S. NUTRITION INDUSTRY 17

3.1.1. Product Categories 17

3.1.2. Channel Sales 18

3.1.3. Growth & Forecast 19

3.2. U.S. SUPPLEMENT INDUSTRY 20

3.2.1. Product Categories 20

3.2.2. Channel Sales 22

3.2.3. Growth & Forecast 24

4. U.S. HEALTHCARE & INTEGRATIVE MEDICINE MARKETS 27

4.1. U.S. HEALTHCARE EXPENDITURES 27

4.2. PRACTITIONER POPULATION 31

4.1. SUPPLEMENT SALES 33

4.2. THERAPY/SERVICE REVENUES 35

4.3. A BRIEF HISTORY OF INTEGRATIVE MEDICINE 37

4.4. TRENDS 41

4.4.1. Nutrition Education Programs Offer Vocational Knowledge in Integrative Medicine 41

4.4.2. Misinformation Abounds about Interactions between Supplements and Drugs 44

4.4.3. One Man’s Quest for Integrated Health 47

4.4.4. Corporate Wellness Programs Sprout Up as Companies Face Higher Healthcare Costs 48

5. INTEGRATIVE MEDICINE MODALITIES 53

5.1. ACUPUNCTURE 53

5.1.1. Acupuncture Practitioner Population 53

5.1.2. Supplement Sales 54

5.1.3. Therapy/Service Revenues 56

5.1.4. Trends 57

5.2. AYURVEDA 58

5.2.1. Ayurvedic Practitioner Population 58

5.2.2. Supplement Sales 59

5.2.3. Therapy/Service Revenues 60

5.2.4. Trends 61

5.3. CHIROPRACTIC 63

5.3.1. Chiropractic Practitioner Population 63

5.3.2. Supplement Sales 64

5.3.3. Therapy/Service Revenues 66

5.3.4. Trends 67

5.4. HOMEOPATHY 70

5.4.1. Homeopathic Practitioner Population 70

5.4.2. Supplement Sales 71

5.4.3. Therapy/Service Revenues 73

5.4.4. Trends 74

5.5. MASSAGE THERAPY 76

5.5.1. Massage Therapy Practitioner Population 76

5.5.2. Supplement Sales 77

5.5.3. Therapy/Service Revenues 79

5.5.4. Trends 80

5.6. NATUROPATHY 81

5.6.1. Naturopathy Practitioner Population 81

5.6.2. Supplement Sales 82

5.6.3. Therapy/Service Revenues 84

5.6.4. Trends 85

5.7. NURSES/MDS 86

5.7.1. Nurses & MDs Practicing Integrative Medicine Population 86

5.7.2. Supplement Sales 87

5.7.3. Therapy/Service Revenues 89

5.7.4. Trends 90

5.8. OSTEOPATHY 91

5.8.1. Osteopathic Practitioner Population 91

5.8.2. Supplement Sales 92

5.8.3. Therapy/Service Revenue 94

5.8.4. Trends 95

5.9. TRADITIONAL CHINESE MEDICINE 97

5.9.1. Traditional Chinese Medicine Practitioner Population 97

5.9.2. Traditional Chinese Medicine Supplement Sales 98

5.9.3. Therapy/Service Revenues 100

5.9.4. Trends 101

6. CONDITION SPECIFIC MARKETS 103

6.1. OVERVIEW 103

6.2. CONDITION-SPECIFIC SEGMENTATION 104

6.3. TRENDS 106

6.3.1. Ingredients Sell Health Condition Solutions 106

6.3.2. Supplements Targeted to Specific Conditions Fuel Industry Growth 107

6.3.3. Broken Health Care Industry Creating Opportunities 108

6.3.4. Condition-Specific Marketing Limited 108

6.3.5. Science Crucial to Success 109

6.4. GENERAL HEALTH 111

6.5. COLD/FLU-IMMUNE 113

6.5.1. Innovation Alive and Well in Immunity 116

6.5.2. FAST-C on the Fast Track 119

6.6. SPORTS/ENERGY/WEIGHT-LOSS 119

6.6.1. Energy Trends in 2011 122

6.7. BRAIN/MENTAL ACUITY 123

6.8. INSOMNIA 125

6.9. MOOD/DEPRESSION 128

6.9.1. Mighty Melatonin 131

6.9.2. One Herb to Watch: Sceletium Tortuosum 132

6.10. MENOPAUSE 132

6.11. CARDIO/HEARTH HEALTH 136

6.12. JOINT HEALTH 139

6.12.1. Supplement Firms Race In To Fill Void Created by Recalled Rx Joint Drugs 141

6.12.2. Primus Pharmaceuticals Takes Medical Food Route to Help Osteoarthritis Sufferers 144

6.13. SEXUAL HEALTH 145

6.14. BONE HEALTH 147
 
6.15. GASTROINTESTINAL HEALTH 150

6.15.1. As Digestive Problems Bloom, So Do Sales of Probiotics And Other Gut Supplements 153

6.15.2. Using Star Power to Broach Gut Health 154

6.15.3. Getting Probiotics Down to a Science 154

6.15.4. Smooth Move Moving Well 155

6.15.5. Enzymes Remain a Digestive-Health Staple 155

6.15.6. Jigsaw Pieces Together Solutions for Chronic Pain Sufferers 156

6.16. DIABETES 157

6.16.1. With Obesity Rates Growing, Nutrition Firms Vie for Their Piece of the Diabetes Pie 160

6.16.2. Chromium Used for Diabetes Treatment 162

6.16.3. DSM Bringing Back Forbidden Foods with InsuVital 163

6.16.4. Promising Diabetes-Specific Supplements 164

6.17. CANCER PREVENTION 165

6.17.1. Supplement Use High Among People Looking to Treat, Prevent Cancer, Study Shows 168

6.18. HAIR/SKIN/NAILS 172

6.19. VISION/EYE HEALTH 175

6.20. ANTI-AGING 176

6.20.1. Adding Life to Your Years 178

6.20.2. LifeVantage Corp. Aims for a Sales Comeback With its Anti-Aging Pill, Protandim 179

7. CONSUMERS & INTEGRATIVE MEDICINE 183

7.1. CONSUMER SUPPLEMENT USAGE & SPENDING 183

7.2. CHILDREN’S SUPPLEMENT USAGE 184

7.3. TOP SUPPLEMENTS USED BY ADULTS VIA PRACTITIONERS 185

7.4. CONSUMER SUPPLEMENT SURVEY 185

7.4.1. Supplement Users 185

7.4.2. Non-Users 191

7.5. TRENDS 192

7.5.1. Recession Makes Wellness a More Urgent Priority for Most Consumer Groups 192

8. PRACTITIONER CHANNEL 197

8.1. NUTRITION INDUSTRY PRACTITIONER SALES 199

8.1.1. Nutrition: Channel Comparison 200

8.1.2. Nutrition: Product Sales 203

8.2. SUPPLEMENT PRACTITIONER SALES 204

8.2.1. Supplements: Channel Comparison 205

8.2.2. Supplements: Product Sales 207

8.2.3. Supplements: Growth and Forecast 209

8.2.4. Top Supplement Companies in the Practitioner Channel 211

8.3. PRACTITIONER SURVEY 212

8.4. PRACTITIONER TRENDS 219

8.4.1. Should Doctors Be Selling Supplements to Patients? 219

8.4.2. Emerson Ecologics Works to Break Down Barriers Separating Practitioners and Dietary Supplements 222

8.4.3. How to Achieve Practitioner Channel Success 225

8.4.4. Whither Goes the Wise Woman 226

8.4.5. Diversified Natural Products Adds Thorne Research to Growth Mix 227

8.4.6. Case Study: Using Practitioner Endorsement to Increase Online Sales 227

9. Q&A WITH INTEGRATIVE MEDICINE THOUGHT LEADERS 231

9.1. WHAT DOES THE FUTURE HOLD FOR INTEGRATIVE MEDICINE? 231

9.2. MULLIN: YOU’RE SEEING A NEW GENERATION OF DOCTORS THAT IS MORE OPEN TO SUPPLEMENTS 236

9.3. HARTMAN GROUP: CONSUMERS EMBRACE HOLISTIC VIEW OF HEALTH AND WELLNESS 237

9.4. METAGENICS CEO: WE NEED ALTICOR’S BACKING TO MAKE A DENT IN CHRONIC ILLNESS EPIDEMIC 239

9.5. GUARNERI: THERE'S A TIME FOR FISH OIL, AND THERE'S A TIME FOR BYPASS SURGERY 242

10. COMPANY & ORGANIZATION PROFILES 247
 

COMPANY PROFILES

 

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10.1.1. Abbott Labs/Ross Products (Ensure, EAS) 247
10.1.2. Alcon Labs 248
10.1.3. Allergy Research (KI NutriCare) 249
10.1.4. Applied Nutrition Inc. (Nature's Secret, Irwin Naturals) 250
10.1.5. Atrium Innovations (Pure Encapsulations, Douglas Labs) 251
10.1.6. Bausch & Lomb 254
10.1.7. Designs for Health 255
10.1.8. Emerson Ecologics, Inc. 257
10.1.9. Enzymedica 259
10.1.10. Futurebiotics 260
10.1.11. Herbalist & Alchemist 261
10.1.12. Martek (Amerifit Brands) 262
10.1.13. Metabolic Maintenance Products 264
10.1.14. Metagenics 266
10.1.15. Mushroom Wisdom, Inc. (formerly Maitake Products) 268
10.1.16. Nordic Naturals 269
10.1.17. Pioneer Nutritional Formulas Inc. 271
10.1.18. Progressive Laboratories, Inc. 272
10.1.19. Real Health Laboratories 273
10.1.20. Schwabe North America (Enzymatic Therapy, Integrative Therapeutics) 274
10.1.21. Standard Process 275
10.1.22. SuperNutrition 277
10.1.23. Theralogix 278
10.1.24. Thorne Research, Inc. 279
10.1.25. Vibrant Health 281
10.1.26. Xymogen, Inc. 282
10.2. INTEGRATIVE HEALTHCARE ORGANIZATIONS 284
10.2.1. Alternative Medicine Integration Group 284
10.2.2. American Association of Acupuncture and Oriental Medicine 284
10.2.3. American Association of Naturopathic Physicians 284
10.2.4. American Chiropractic Association 284
10.2.5. American Dental Association 285
10.2.6. American Massage Therapy Association 285
10.2.7. American Medical Association 285
10.2.8. American Nurses Association 285
10.2.9. American Osteopathic Association 285
10.2.10. National Ayurvedic Medical Association 286
10.2.11. National Center for Complementary and Alternative Medicine 286
10.2.12. National Center for Homeopathy 286
10.2.13. National Certification Commission for Acupuncture and Oriental Medicine 286
10.2.14. North American Society of Homeopaths 286

 

INDEX OF FIGURES

 

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Figure 1 1 U.S. Practitioner Supplement Sales Growth by Modality in 2009 11
Figure 3 1 U.S. Nutrition Industry Sales by Product , 1999-2009 17
Figure 3 2 U.S. Nutrition Industry Sales Growth by Product, 1999-2009 18
Figure 3 3 U.S. Total Nutrition Industry Sales by Channel in 2009 18
Figure 3 4 U.S. Nutrition Industry Sales & Growth by Channel in 2009 19
Figure 3 5 U.S. Nutrition Industry Sales by Product, 2010e-2017e 19
Figure 3 6 U.S. Nutrition Industry Sales Growth by Product, 2010e-2017e 20
Figure 3 7 U.S. Dietary Supplement Sales by Product , 1999-2009 21
Figure 3 8 U.S. Dietary Supplement Sales Growth by Product , 1999-2009 21
Figure 3 9 U.S. Dietary Supplement Sales by Product as % of Total , 1999-2009 22
Figure 3 10 U.S. Dietary Supplement Sales by Channel in 2009 23
Figure 3 11 U.S. Dietary Supplement Sales and Annual Growth by Channel, 2006-2009 23
Figure 3 12 U.S. Dietary Supplements Product Category Sales Growth, 2000-2017e 24
Figure 3 13 U.S. Dietary Supplements vs. Total Nutrition Industry Sales Growth, 2000-2017e 25
Figure 4 1 U.S. Healthcare Industry Expenditures, 2003-2010e 28
Figure 4 2 U.S. Gross Domestic Product vs. National Healthcare Expenditures Growth, 2000-2010e 29
Figure 4 3 U.S. Prescription Drug, OTC and Supplement Product Sales Growth, 2000-2010e 30
Figure 4-4 U.S. Integrative Licensed, Lay, Student & Part-Time Practitioner Population & Growth, 2000-2017e 31
Figure 4 5 U.S. Practitioner Population by Modality , 2000-2009 32
Figure 4 6 U.S. Practitioner Population by Modality , 2010e-2017e 33
Figure 4-7 U.S. Integrative Medicine Supplement Sales & Growth, 2000-2017e 34
Figure 4 8 U.S. Practitioner Supplement Sales by Modality , 2000-2009 34
Figure 4 9 Forecasted U.S. Practitioner Supplement Sales by Modality , 2010e-2017e 35
Figure 4-10 U.S. Integrative Medicine Service Revenues & Growth, 2000-2017e 36
Figure 4 11 U.S. Practitioner Service Revenues by Modality , 2000-2009 36
Figure 4 12 Forecasted U.S. Practitioner Service Revenues by Modality , 2010e-2017e 37
Figure 5-1 U.S. Acupuncture Professional Population & Growth, 2000-2017e 53
Figure 5 2 U.S. Acupuncturist Population, Licensed vs. Lay, 2000-2009 53
Figure 5-3 U.S. Acupuncture Supplement Sales & Growth, 2000-2017e 54
Figure 5 4 U.S. Acupuncturist Supplement Sales & Growth, 2000-2009 54
Figure 5 5 U.S. Acupuncturist Supplement Forecast Sales & Growth, 2010e-2017e 55
Figure 5 6 U.S. Acupuncturist Supplement Sales as a % of Total Practitioner Supplement Sales in 2009 55
Figure 5-7 U.S. Acupuncture Service Revenues & Growth, 2000-2017e 56
Figure 5 8 U.S. Acupuncturist Service Revenues & Growth, 2000-2009 56
Figure 5 9 U.S. Acupuncturist Forecast Service Revenues & Growth, 2010e-2017e 57
Figure 5-10 U.S. Ayurvedic Practitioner Population & Growth, 2000-2017e 58
Figure 5 11 U.S. Ayurvedic Population, Licensed vs. Lay, 2000-2009 58
Figure 5-12 U.S. Ayurveda Supplement Sales & Growth, 2000-2017e 59
Figure 5 13 U.S. Ayurveda Supplement Sales & Growth, 2000-2009 59
Figure 5 14 U.S. Ayurveda Supplement Forecast Sales & Growth, 2010e-2017e 60
Figure 5-15 U.S. Ayurveda Service Revenues & Growth, 2000-2017e 60
Figure 5 16 U.S. Ayurveda Service Revenues & Growth, 2000-2009 61
Figure 5 17 U.S. Ayurveda Forecast Service Revenues & Growth, 2010e-2017e 61
Figure 5-18 U.S. Chiropractic Practitioner Population & Growth, 2000-2017e 63
Figure 5 19 U.S. Chiropractic Practitioner Population, Licensed vs. Lay, 2000-2009 63
Figure 5-20 U.S. Chiropractic Supplement Sales & Growth, 2000-2017e 64
Figure 5 21 U.S. Chiropractic Supplement Sales & Growth, 2000-2009 64
Figure 5 22 U.S. Chiropractic Supplement Forecast Sales & Growth, 2010e-2017e 65
Figure 5 23 U.S. Chiropractic Supplement Sales as a % of Total Practitioner Supplement Sales in 2009 65
Figure 5-24 U.S. Chiropractic Service Revenues & Growth, 2000-2017e 66
Figure 5 25 U.S. Chiropractic Service Revenues & Growth, 2000-2009 66
Figure 5 26 U.S. Chiropractic Forecast Service Revenues & Growth, 2010e-2017e 67
Figure 5-27 U.S. Homeopathic Practitioner Population & Growth, 2000-2017e 70
Figure 5 28 U.S. Homeopathic Practitioner Population, Licensed vs. Lay, 2000-2009 70
Figure 5-29 U.S. Homeopathic Supplement Sales & Growth, 2000-2017e 71
Figure 5 30 U.S. Homeopathic Supplement Sales & Growth, 2000-2009 71
Figure 5 31 U.S. Homeopathic Supplement Forecast Sales & Growth, 2010e-2017e 72
Figure 5 32 U.S. Homeopathic Supplement Sales as a % of Total Practitioner Supplement Sales in 2009 72
Figure 5-33 U.S. Homeopathic Service Revenues & Growth, 2000-2017e 73
Figure 5 34 U.S. Homeopathic Service Revenues & Growth, 2000-2009 73
Figure 5 35 U.S. Homeopathic Forecast Service Revenues & Growth, 2010e-2017e 74
Figure 5-36 U.S. Massage Therapy Practitioner Population & Growth, 2000-2017e 76
Figure 5 37 U.S. Massage Therapy Practitioner Population, Licensed vs. Lay, 2000-2009 76
Figure 5-38 U.S. Massage Therapy Supplement Sales & Growth, 2000-2017e 77
Figure 5 39 U.S. Massage Therapy Supplement Sales & Growth, 2000-2009 77
Figure 5 40 U.S. Massage Therapy Supplement Forecast Sales & Growth, 2010e-2017e 78
Figure 5 41 U.S. Massage Therapy Supplement Sales as a % of Total Practitioner Supplement Sales in 2009 78
Figure 5-42 U.S. Massage Therapy Service Revenues & Growth, 2000-2017e 79
Figure 5 43 U.S. Massage Therapy Service Revenues & Growth, 2000-2009 79
Figure 5 44 U.S. Massage Therapy Forecast Service Revenues & Growth, 2010e-2017e 80
Figure 5-45 U.S. Naturopathy Practitioner Population & Growth, 2000-2017e 81
Figure 5 46 U.S. Naturopathy Practitioner Population, Licensed vs. Lay, 2000-2009 81
Figure 5-47 U.S. Naturopathy Supplement Sales & Growth, 2000-2017e 82
Figure 5 48 U.S. Naturopathy Supplement Sales & Growth, 2000-2009 82
Figure 5 49 U.S. Naturopathy Supplement Forecast Sales & Growth, 2010e-2017e 83
Figure 5 50 U.S. Naturopathy Supplement Sales as a % of Total Practitioner Supplement Sales in 2009 83
Figure 5-51 U.S. Naturopathy Service Revenues & Growth, 2000-2017e 84
Figure 5 52 U.S. Naturopathy Service Revenues & Growth, 2000-2009 84
Figure 5 53 U.S. Naturopathy Forecast Service Revenues & Growth, 2010e-2017e 85
Figure 5-54 U.S. Nurse/MD Practitioner Population & Growth, 2000-2017e 86
Figure 5 55 U.S. Nurse/MD Practitioner Population, Licensed vs. Lay, 2000-2009 86
Figure 5-56 U.S. Nurse/MD Supplement Sales & Growth, 2000-2017e 87
Figure 5 57 U.S. Nurse/MD Supplement Sales & Growth, 2000-2009 87
Figure 5 58 U.S. Nurse/MD Supplement Forecast Sales & Growth, 2010e-2017e 88
Figure 5 59 U.S. Nurse/MD Supplement Sales as a % of Total Practitioner Supplement Sales in 2009 88
Figure 5-60 U.S. Nurse/MD Service Revenues & Growth, 2000-2017e 89
Figure 5 61 U.S. Nurse/MD Service Revenues & Growth, 2000-2009 89
Figure 5 62 U.S. Nurse/MD Forecast Service Revenues & Growth, 2010e-2017e 89
Figure 5-63 U.S. Osteopathic Practitioner Population & Growth, 2000-2017e 91
Figure 5 64 U.S. Osteopathic Practitioner Population, Licensed vs. Lay, 2000-2009 91
Figure 5-65 U.S. Osteopathic Supplement Sales & Growth, 2000-2017e 92
Figure 5 66 U.S. Osteopathic Supplement Sales & Growth, 2000-2009 92
Figure 5 67 U.S. Osteopathic Supplement Forecast Sales & Growth, 2010e-2017e 93
Figure 5 68 U.S. Osteopathic Supplement Sales as a % of Total Practitioner Supplement Sales in 2009 93
Figure 5-69 U.S. Osteopathic Service Revenues & Growth, 2000-2017e 94
Figure 5 70 U.S. Osteopathic Service Revenues & Growth, 2000-2009 94
Figure 5 71 U.S. Osteopathic Forecast Service Revenues & Growth, 2010e-2017e 95
Figure 5-72 U.S. TCM Practitioner Population & Growth, 2000-2017e 97
Figure 5 73 U.S. TCM Practitioner Population, Licensed vs. Lay, 2000-2009 97
Figure 5-74 U.S. TCM Supplement Sales & Growth, 2000-2017e 98
Figure 5 75 U.S. TCM Supplement Sales & Growth, 2000-2009 98
Figure 5 76 U.S. TCM Supplement Forecast Sales & Growth, 2010e-2017e 99
Figure 5 77 U.S. TCM Supplement Sales as a % of Total Practitioner Supplement Sales in 2009 99
Figure 5-78 U.S. TCM Service Revenues & Growth, 2000-2017e 100
Figure 5 79 U.S. TCM Service Revenues & Growth, 2000-2009 100
Figure 5 80 U.S. TCM Forecast Service Revenues & Growth, 2010e-2017e 101
Figure 6 1 U.S. Supplement Sales by Condition in 2009 103
Figure 6 2 U.S. Dietary Supplement Sales & Growth by Condition Specific Market, 2005-2009 104
Figure 6 3 U.S. Healthcare Product Sales by Market, 1999-2009 105
Figure 6 4 U.S. Healthcare Product Sales by Top 17 Conditions, 1999-2009 105
Figure 6 5 U.S. Condition Specific Supplement, OTC and Rx Sales in 2009 106
Figure 6 6 U.S. General Health Condition Specific Supplement Sales by Product in 2009 111
Figure 6-7 U.S. General Health Condition Specific Supplement Sales & Growth, 1999-2009 112
Figure 6 8 U.S. General Health Condition Specific Supplement Sales, 1999-2009 113
Figure 6 9 U.S. Cold/Flu-Immune Condition Specific Supplement Sales by Product in 2009 114
Figure 6-10 U.S. Cold/Flu-Immune Condition Specific Supplement Sales & Growth, 1999-2009 115
Figure 6 11 U.S. Cold/Flu-Immune Condition Specific Sales by Market, 1999-2009 115
Figure 6 12 U.S. Sports/Energy/Weight-Loss Condition Specific Supplement Sales by Product in 2009 120
Figure 6-13 U.S. Sports/Energy/Weight-Loss Condition Specific Supplement Sales & Growth, 1999-2009 121
Figure 6 14 U.S. Sports/Energy/Weight-Loss Condition Specific Sales by Market, 1999-2007 121
Figure 6 15 U.S. Sports/Energy/Weight-Loss Condition Specific Supplement Sales, 1999-2009 122
Figure 6 16 U.S. Brain/Mental Acuity Condition Specific Supplement Sales by Product in 2009 123
Figure 6-17 U.S. Brain/Mental Acuity Condition Specific Supplement Sales & Growth, 1999-2009 124
Figure 6 18 U.S. Brain/Mental Acuity Condition Specific Sales by Market, 2003-2009 125
Figure 6 19 U.S. Brain/Mental Acuity Condition Specific Supplement Sales, 1999-2009 125
Figure 6 20 U.S. Insomnia Condition Specific Supplement Sales by Product in 2009 126
Figure 6-21 U.S. Insomnia Condition Specific Supplement Sales & Growth, 1999-2009 127
Figure 6 22 U.S. Insomnia Condition Specific Sales by Market, 1999-2009 127
Figure 6 23 U.S. Insomnia Condition Specific Supplement Sales, 1999-2009 128
Figure 6 24 U.S. Mood/Depression Condition Specific Supplement Sales by Product in 2009 129
Figure 6-25 U.S. Mood/Depression Condition Specific Supplement Sales & Growth, 1999-2009 130
Figure 7 27 U.S. Mood/Depression Condition Specific Sales by Market, 1999-2009 130
Figure 7 28 U.S. Mood/Depression Condition Specific Supplement Sales, 1999-2009 131
Figure 7 29 U.S. Menopause Condition Specific Supplement Sales by Product in 2009 133
Figure 6-29 U.S. Menopause Condition Specific Supplement Sales & Growth, 1999-2009 134
Figure 6 30 U.S. Menopause Condition Specific Sales by Market, 1999-2009 134
Figure 6 31 U.S. Menopause Condition Specific Supplement Sales, 1999-2009 135
Figure 6 32 U.S. Cardio/Heart Health Condition Specific Supplement Sales by Product in 2009 136
Figure 6-33 U.S. Cardio/Heart Health Condition Specific Supplement Sales & Growth, 1999-2009 137
Figure 6 34 U.S. Cardio/Heart Health Condition Specific Sales by Market, 1999-2009 137
Figure 6 35 U.S. Cardio/Heart Health Condition Specific Supplement Sales, 1999-2009 138
Figure 6 36 U.S. Joint Health Condition Specific Supplement Sales by Product in 2009 139
Figure 7-38 U.S. Joint Health Condition Specific Supplement Sales & Growth, 1999-2009 140
Figure 7 39 U.S. Joint Health Condition Specific Sales by Market, 1999-2009 140
Figure 7 40 U.S. Joint Health Condition Specific Supplement Sales, 1999-2009 141
Figure 6 40 U.S. Sexual Health Condition Specific Supplement Sales by Product in 2009 145
Figure 6-41 U.S. Sexual Health Condition Specific Supplement Sales & Growth, 1999-2009 146
Figure 6 42 U.S. Sexual Health Condition Specific Sales by Market, 1999-2009 146
Figure 6 43 U.S. Sexual Health Condition Specific Supplement Sales, 1999-2009 147
Figure 6 44 U.S. Bone Health Condition Specific Supplement Sales by Product in 2009 148
Figure 6-45 U.S. Bone Health Condition Specific Supplement Sales & Growth, 1999-2009 149
Figure 6 46 U.S. Bone Health Condition Specific Supplement Sales, 1999-2009 149
Figure 6 47 U.S. Gastrointestinal Health Condition Specific Supplement Sales by Product in 2009 150
Figure 6-48 U.S. Gastrointestinal Health Condition Specific Supplement Sales & Growth, 1999-2009 151
Figure 6 49 U.S. Gastrointestinal Health Condition Specific Sales by Market, 1999-2009 152
Figure 6 50 U.S. Gastrointestinal Health Condition Specific Supplement Sales, 1999-2009 153
Figure 6 51 U.S. Diabetes Condition Specific Supplement Sales by Product in 2009 158
Figure 6-52 U.S. Diabetes Condition Specific Supplement Sales & Growth, 1999-2009 159
Figure 6 53 U.S. Diabetes Health Condition Specific Sales by Market, 1999-2009 159
Figure 6 54 U.S. Diabetes Health Condition Specific Supplement Sales, 1999-2009 160
Figure 6 55 U.S. Cancer Prevention Condition Specific Supplement Sales by Product in 2009 165
Figure 6-56 U.S. Cancer Prevention Condition Specific Supplement Sales & Growth, 1999-2009 166
Figure 6 57 U.S. Cancer Prevention Condition Specific Sales by Market, 1999-2009 166
Figure 6 58 U.S. Cancer Prevention Condition Specific Supplement Sales, 1999-2009 167
Figure 6 59 U.S. Hair/Skin/Nails Condition Specific Supplement Sales by Product in 2009 173
Figure 6 60 U.S. Hair/Skin/Nails Condition Specific Supplement Sales, 2006-2009 173
Figure 6 61 U.S. Vision Condition Specific Supplement Sales by Product in 2009 175
Figure 6 62 U.S. Vision Condition Specific Supplement Sales, 2006-2009 176
Figure 6 63 U.S. Anti-Aging Condition Specific Supplement Sales by Product in 2009 177
Figure 6 64 U.S. Anti-Aging Condition Specific Supplement Sales, 2006-2009 178
Figure 7 1 U.S. Consumer Use of Dietary Supplements in 2009 183
Figure 7 2 U.S. Consumer Use of Dietary Supplements in 1999 183
Figure 7 3 U.S. Children’s Nonvitamin, Nonmineral Supplement Usage, 2007 184
Figure 7 4 U.S. Adult Nonvitamin, Nonmineral Supplement Usage, 2007 185
Figure 7-5 NBJ Survey: Top Factors When Choosing Which Supplements to Purchase 186
Figure 7 6 NBJ Survey: Recession’s Effect on Supplement Usage 187
Figure 7-7 NBJ Survey: Top Factors When Choosing Where to Purchase Supplements 188
Figure 7-8 NBJ Survey: Top Children’s Supplements 189
Figure 7 9 U.S. Dietary Supplement Sales by Channel, 1999-2009 190
Figure 7 10 U.S. Dietary Supplement Sales and Annual Growth by Channel, 2006-2009 190
Figure 7-11 NBJ Survey: Reasons for Not Taking Supplements 191
Figure 7-12 NBJ Survey: Convincing Non-Users to Use Supplements Regularly 192
Figure 8 1 U.S. Nutrition Industry Practitioner Channel S.W.O.T. Analysis 197
Figure 8 2 U.S. Nutrition Industry Practitioner Sales & Growth, 1997-2009 199
Figure 8 3 U.S. Nutrition Industry Practitioner Sales as a % of Total Nutrition Industry Sales in 2009 200
Figure 8 4 U.S. Practitioner Nutrition Sales as a % of Direct Nutrition Sales in 2009 200
Figure 8 5 U.S. Nutrition Industry Practitioner vs. Total Direct Sales and Growth, 1999-2009 201
Figure 8 6 U.S. Nutrition Industry Practitioner vs. Total Direct Sales and Growth, 2010e-2017e 201
Figure 8 7 U.S. Nutrition Industry Practitioner Sales & Growth, 2000-2017e 202
Figure 8 8 U.S. Nutrition Industry Practitioner Sales by Product, 1999 vs. 2009 203
Figure 8 9 U.S. Nutrition Practitioner Sales by Product, 1997-2009 204
Figure 8 10 U.S. Practitioner Supplement Sales & Growth, 1999-2009 204
Figure 8 11 U.S. Practitioner Supplement Sales as a % of Total Supplement Sales in 2009 205
Figure 8 12 U.S. Practitioner Supplement Sales as a % of Direct Supplement Sales in 2009 206
Figure 8 13 U.S. Supplement Practitioner vs. Total Direct Sales and Growth, 1999-2009 206
Figure 8 14 U.S. Supplement Practitioner vs. Total Direct Sales and Growth, 2010e-2017e 207
Figure 8 15 U.S Practitioner Supplement Sales by Product, 1999 vs. 2009 207
Figure 8 16 U.S. Practitioner Supplement Sales by Product, 1999-2009 208
Figure 8 17 U.S. Practitioner Supplement Sales Growth by Product, 2000-2009 208
Figure 8 18 U.S. Practitioner Supplement Sales by Product as % of Total, 1999-2009 209
Figure 8 19 U.S. Practitioner Supplement Sales & Growth, 2000-2017e 209
Figure 8 20 U.S. Practitioner Supplement Sales by Product, 2010e-2017e 210
Figure 8 21 U.S. Practitioner Supplement Sales Growth by Product, 2010e-2017e 210 Figure 8 22 U.S. Practitioner Supplement Sales by Product as % of Total, 2010e-2017e 210 Figure 8 23 Top Companies – U.S. Supplement Sales in the Healthcare Practitioner Sales Channel in 2009 211
Figure 8 24 How Knowledgeable Are You About Supplements? 212
Figure 8 25 Do You Sell Supplements in Your Office? 213
Figure 8 26 Where Practitioners Not Selling Supplements Recommend Patients Go to Buy Supplements 214
Figure 8 27 NBJ Practitioner Survey: Percentage of Patients Buying Supplements in Practitioner Office 215
Figure 8 28 NBJ Practitioner Survey: Where Do You Buy the Supplements You Sell Patients? 215
Figure 8 29 NBJ Practitioner Survey: Breakdown of Supplement Sales by Product Category 216
Figure 8 30 NBJ Practitioner Survey: Factors Affecting Which Supplement Brands are Stocked 216
Figure 8 31 NBJ Practitioner Survey: Dollar Amount of Average Supplement Sale 217
Figure 8 32 NBJ Practitioner Survey: Supplement Sales in 2009 vs. 2008 218
Figure 10 1 Atrium Innovations S.W.O.T. Analysis 252
Figure 10 2 Designs for Health S.W.O.T. Analysis 256
Figure 10 3 Emerson Ecologics S.W.O.T. Analysis 258
Figure 10 4 Amerifit Brands S.W.O.T. Analysis 263
Figure 10 5 Metabolic Maintenance S.W.O.T. Analysis 265
Figure 10 6 Metagenics S.W.O.T. Analysis 267
Figure 10 7 Nordic Naturals S.W.O.T. Analysis 270
Figure 10 8 Standard Process S.W.O.T. Analysis 276
Figure 10 9 Thorne S.W.O.T. Analysis 280
Figure 10 10 Xymogen S.W.O.T. Analysis 283

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