Dietary supplements are foods intended to supplement a basic balanced diet. The increasing interest in supplements makes new products appear on the market all the time. According to the Supreme Audit Office, the dietary supplement market is developing very dynamically and it is expected that in the next years, it will grow by approximately 8% per year [1].
On the labels of dietary supplements, there is no information about possible side effects, contraindications, and interactions. This misleads the patient and suggests that a dietary supplement is a safe product. Irrational use of such products affects the human body negatively. This is due to the potential for drug overdose, drug interactions, or the effect on diagnostic tests [21,22,23,24,25,26,27,28,29,30,31,32].
Dietary supplement ingredients can be various substances. A large portion of supplements are vitamin and mineral products. Increasingly, people use products that contain herbal ingredients. The return to herbalism and traditional therapies is on the rise, and among people there is a widespread belief that an herbal product is a healthy one. However, this is a misconception because such products can be a threat to humans, interact with other drugs, and contain heavy metals such as Hg [28, 30, 33].
Mercury occurs naturally in the environment; it is a toxic element and can pose a threat to human health and life. The maximum level of mercury content in dietary supplements is set out in the Commission Regulation of 2 July, 2008, amending Regulation (EC) No. 1881/2006 that sets maximum levels for certain contaminants in foods. According to this regulation, the maximum level of mercury for dietary supplements is 0.1 mg/kg or 100 μg/kg [34]. Among 24 herbal supplements tested, 2 exceeded the permissible standards: No. 23–1806 μg/kg and No. 24 4212 μg/kg.
The number of published work on the content of mercury in herbal dietary supplements is not too big. According to Socha et al. [35] who studied mercury content in dietary supplements available on the Polish pharmaceutical market, none of the tested preparations exceeded the permitted standards. The range of changes was 0.10–47.99 μg/kg and was lower than the results. Korfali et al. [36] examined mercury content in supplements in Lebanon—this element was detected in all preparations but was at a minimum level and did not exceed acceptable standards. Italian researchers also dealt with the content of metals in dietary supplements [37]; in samples of herbal supplements, the mercury content was within the standard values [37]. In dietary supplements available in Croatia, mercury content was not exceeded [38]. However, there are reports of exceeded limits of mercury content, and this concerns herbal dietary supplements originated in Nigeria [39].
Comparing the results obtained with literature data, all are at a very similar level. According to Socha et al. [35], in food supplements containing horsetail and nettle, the average mercury content was 3.25 μg/kg, whereas in the results obtained in own work, 3.59 μg/kg. There are many reports in literature on the high content of Hg in green tea [40]. For mercury content in green tea, the results obtained were different. According to Socha et al. [35], the average mercury content in green tea was 3.25 μg/kg, and in our own work, it was 18.36 μg/kg. These differences may be due to the fact that there is a very large group of supplements with these herbal ingredients.
The studied supplements were in the form of capsules and tablets. Using Mann-Whitney (U) test, significant differences between the occurrences of mercury depending on the pharmaceutical form of the drug were shown. There is no information available in literature that could be of reference.
The last stage of the work was to take into account dosage of the supplement and the weight of a single tablet/capsule and to calculate daily, weekly, monthly, and annual intake of mercury with these preparations. The PTWI for mercury is 4 μg/kg body weight [41]. Two preparations exceeded the recommended standard value. However, it should be noted that on the packaging of the supplement, there is lack of reliable knowledge of the maximum duration of use. Overdosing of products and taking excessive doses is quite common because there is a belief that herbal products do not pose a life threat. In addition, polytherapy and combination of different drugs and supplements poses a risk not only in terms of interactions between preparations but also the maximum limit for mercury.
With regard to the results obtained, it can be stated that herbal supplements from Polish pharmacies mostly do not exceed the acceptable standards for mercury and do not pose a threat to consumers. Nevertheless, it should be kept in mind that there are still no specific regulations on dietary supplements and principles of their control and manufacture. More restrictive laws and the need for more research on dietary supplements are needed due to the health and safety of the entire population.
Consumers should pay more attention to the consumption of supplements. Authorities allowing supplements for human consumption should expand the number of tests before the introduction of the supplement on the market.