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#151RV,=+ .. $’ v # %b,,a < c ~ DEPARTMENT OF HEALTH& HUMAN SERVICES ‘ Food and Drug Administration Washington, DC 20204 OCT-IIW7 B Ms. Eileen Sheets Product Manager Bioforce of America, Ltd. P.O. Box 507 Kinderhook, New York 12106 Public Health Service (35!5 7 ● !% m 24 P2:il Dear Ms. Sheets: This is in response to your letter of August 20, 1997 to the Food and Drug Administration (FDA) pursuant to section 403(r)(6) of the Federal Food, Drug, and Cosmetic Act (the act), Your submission states that Bioforce of America, Ltd. is making the following claims, among others, for “Bio-Strath Original” and “Bio-Strath Drops:” “... fewer headaches” (product insert, section entitled Increased Co ncentration) “.. patients.. presenting with pre-geriatric disorders were treated” (product insert, section entitled Pre-Geriatric Study on B1o-Strath. “Marked improvements were noted in patients from both active treatment groups at the end of the period in terms of virtually all the characteristics of pre-geriatric illness... ” (product insert, as above) “There were significant to highly significant improvements in GEDIS values (GEDIS = Geriatric Diagnosis Scale for evaluation of age-related concomitant disorders) (product insert, as above) Section 403(r)(6) of the act makes clear that a statement included in labeling under the authority of that section may not claim to diagnose, mitigate, treat, cure, or prevent a specific disease or class of diseases. The statements that you are making for this product in the product insert suggest that these products are intended to treat or prevent disease, namely headaches and chronic diseases of aging. These claims do not meet the requirements of section 403(r)(6) of the act. These claims suggest that these products are intended for use as a drug within the meaning of section 201(g)(l)(B) of the act, and that they are subject to regulation under the drug provisions of the act. If you intend to make claims of this nature, you should contact FDA’s Center for Drug Evaluation and Research (CDER), Office of Compliance, HFD-3 10,7520 Standish Place, Rockville, Maryland 20855. ● ● Page 2- Ms. Eileen Sheets @ Please contact us if we may be of further assistance. Sincerely yours, James T. Tanner, Ph.D. Acting Director Division of Programs and Enforcement Policy Office of Special Nutritional Center for Food Safety and Applied Nutrition Copies: FDA, Center for Drug Evaluation and Research, Office of Compliance, HFD-300 FDA, Office of the Associate Commissioner for Regulatory Affairs, OffIce of Enforcement, HFC-200 FDA, Buffalo District Office, Domestic Operations Branch, HFR-NE350 .,. :., . a “%$ cc: HFA-224 (w/incoming) HFA-305 (docket 97S-01 63) HFS-22 (CCO, KCarson) HFS-456 (r/f, Moore) HFS-450 (r/i_) HFD-310 (BWilliams) HFD-314 (Aronson) HFS-600 (Reynolds) r/d: HFS-456:RMoore:9/23 /97 Init:GCF-1 :PDerfler:9/25/97 f/t: HFS-456:rjm:9/25 /97:54475 &54476 .adv:disc22 / “. ,“ Bioforc~ . of America, Ltd. ~ @ August 26, 1997 Dr. Victor Fratelli Office of Special Nutritional Center for Food Safety and Applied Nutrition Food and Drug Administration 200 “C” Street, S.W/.(HFS-445) Washington, DC 20204 Dear Dr. Tanner: Enclosed please find sample box and insert for a dietary supplement BioStrath Drops. I am also attaching mock ups of the label, as I do not have any sample labels. The copy without the picture is the final version, which has the Iatin binominal names. The copy is of poor quality and I have attached a good copy of the previous version without the Iatin binomial names. Sincerely yours, BIOFORCE OF AMERICA, LTD. &JLz’ Eileen Sheets Product Manager EMS. tlifib ~Oforce of America, P.O. Box 507 KINDERHOOK, NY. TEL: (518) 758-6060 FAX: (51 8) 758-9500 Ltd. ma 12106 BIOFORCE AG CH-9325 ROGGWILL TG TEL.: 41714546161 TELEFAX: 41714546162 @2pRl~O~RECVCLEDPAPE.WW AMNLM.MOF25SPOST. W.MEmWfiE .. .. _&K-’ ‘ .? ‘----- . –..==,a~.. . ,op’@;,@@——” BIO-STRATH@ BIO-STRATHQ DROPS DROPS Ingredients: Flasmolysed YeastSaccharornycs If+ and the following herbs Angelica (mot), Basil (herb), Chamomile (flowers), Cinnamon (bark), Caraway (fruit), Eider (flowers), Fennel (fruit), Horseradish (root), HyssoI (leaves), Lavender (flowers), Lemon Balm (leaves: Lmrice (root), Parsley (herb), Peppermint 0eave5, Sage (leaves) and Thyme (herb). cttrevisiae) a. COntainS naturally OCCUflng alcoholzs~o WI Directions: 3 times daily, 30 drops. Manufactured by: BiO-STRATH AG - ZURiCH SWITZERLAND I \ NET 3.4 FL.OZ. (100 ml) 1007. Natural Dietay Supplement —..-. .. ... call: 1-800445-8802 NY .—.. 12108 . . . . . . . . ..- .._. _.. - ------------------ Kinderhook, Use before -.. —.. ... ... 1 12 mm / ----- .-. .—..-. ..---- .. I Facts see outer box or impotid and distributed by: BIOFORCE OF AMERICA, LTD. Enhances concentration and short term memory in persons of all ages. This statmsnt has not bssn waluatsd by the Food and Drug Adndnistratlon. This product is not intendsd to diagnose, treat, curs or prsvsnt any diseass. ForSupplement ,.----- .. .. ... ... :Ipa JO xoq IOWO ees 8&od luautalddns XOA HWflZ mwnElzLIMs HIVU1!XW -W *q pemvqatm~ Sdotla tEOHIV&llS-OlfI Sdol!la QHIVlllS-OIU 7 ii L+ . BIO-STRATH@ ORIGINAL and short-term ● Enhances concentration ● Enhances physical endurance ● Helps recover from physical exertion memoty in person of all ages . BIO-STRATH AND INCREASED PERFORMANCE Prof. E Dorling, Hamburg, Germany “Swiss Pharma J.”, 1981, No. 11. A marked success Published in for Bio-Strath: Of 1,260 possible statements (fatigue, nervousness, concentration, resistance, physical and mental capacity, vitality), a 10% improvement was reported by the placebo group and a 64% improvement by the BioStrath group. Even the results of the interviews alone suggest the positive action of the Elixir. A comparison of the selfas$essments by the test subjects in the Bio-Strath group prior to the start of the study and after 12 weeks clearly illustrates this. The data is reinforced by the results of the interviews after 2, 4, 6, 8, 10 and 12 weeks and by the results of the objective technical measurements. Specific observations made in the Bio-Strath group were as follows: greater energy and enterprise, less tiredness, improved sleep, improved digestion, fewer headaches, less brittle nails, fresher skin. INCREASED CONCENTRATION A school trial by M. Neukomm, Summary Berne of the results: Once agaih, it has been possible to furnish proof that Bio-Strath helps to improve performance in cases of school fatigue, weakness in school and poor concentration. The effect is achieved, among other things, by increasing concentration and endurance and by reducing restlessness and weakness of memory. There is a considerable concurrent increase in the bodv’s resistance to infection and an improvement in gen&al well-being. This is indicated by the subsidiary results and demonstrated by medical trials and investigations in this context, these improvements having a positive effect on performance. PRE-GERIATRIC STUDY ON BIO-STRATH Rainer B. Pelka et. al. Published in notabene medici Nr. 3: 122-125, Nr. 4196-201, 1990. Summary: In a controlled study, 184 patients between men and 66% women) prethe ages of 45 and 75 (34%. senting with pre-geriatric disorders were treated over a period of three months with a yeast preparation manufactured according to a special process, in the form of a syrup (placebo group nl =60, active treatment group n2=62), and also in tablet form (n3=62). Of the 218 patients included in the study, treatment was discontinued in three cases for medically unconfirmed reasons relating to the therapy, whereas, in the other cases where treatment was discontinued, the reasons were unrelated to the therapy. Marked improvements were noted in patients from both active treatment groups at the end of the test period in terms of virtually all the characteristics of pregeriatric illness which had been investigated. These improvements came out significantly in favor of the ,. i. y !! :. — L j, k ~\ -, .,.. . 4 active treatment groups compared situation in the placebo group. 1)y IY Ie n Y ;a n with the initial There were significant to highly significant improvements in GEDIS values (GEDIS = Geriatric Diagnosis Scale for evaluation of age-related concomitant disorders), objective and subjective patient condition (more or less equally in terms of somatic, mental and emotional states), and, finally, mental and physical performance as measured in the psychometric and ergometric tests, The mean test values deviated only slightly from the standard ranges. Where improvements did occur, they came out in favor of the active treatment preparations. At the start of the treatment, older patients presented on average with more severe geriatric conditions than younger patients. At the end of the study, their geriatric symptoms – compared with the initial situation had decreased more markedly than those of the younger patients. EFFECTS OF SUBCLINICAL NUTRITIONAL DEFICIENCIES IN HIGH-PERFORMANCE 3p0RTs By Fritz Hans Schwarzenbach (originally published in German in “Jugend und Sport,” June 1976 had certain beneficial effects. Apart from a positive effect on performance in the 12-min endurance run, there was statistically significant evidence of improved sleep patterns (based on personal assessment). The product could also be shown to have a general stabilizing action, evident from the scores of personal assessments particularly with regard to “appetite”, “bowels”, and “concentration” (reduced scatter of individual values above and below the mean). Furthermore, the sportsmen given Bio-Strath during the first trial period were definitely better able to stand up to the stress of the test march than those who had not been given Bio-Strath beforehand. For a number of reasons, top-level sportsmen are particularly liable to reach a crisis of exhaustion because of nutritional deficiency. Nutritional deficiencies in topIevel sportsmen maybe due to increased utilization as well as to decreased intake of essential nutrients. It is not possible at present to establish which pafilcuIar constituents of the yeast plasmolysate Bio-Strath are responsible for the effects observed in the trial. There was clear evidence, however, that with the basic diet given, some of the sportsmen suffered from nutritional deficiencies. Those deficiencies were evident predominantly in the subjective assessments, and they may be made good, at least in part, by the dietary supplement (Bio-Strath). DISCUSSION OF RESULTS Preface: Excerpts of this interim report summarizes the results of a broadly based nutritional study on topclass sportsmen in Finland, BIOFORCE OF AMERICA, Kinderhook NY 12106 Evaluation of nutritional studies requires the skillful application of mathematical and statistical techniques of analysis, so that differences in scatter and mean values may be clearly demonstrable as due to certain factors. In the present trial, it was shown that the yeast plasmolysate Bio-Strath, given as a dietary supplement, For copies of the complete studies, please call: 1-800-445-8802 Imported and distributed by LTD . LIQUID 100% Natural - Only goodness goes in ● Enhances concentration and short-term ● Memory in persons of all ages Enhances physical endurance ● Helps recover from physical exertion These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease. In a modern laboratory, overlooking Lake Zurich in Switzerland, the greatest possible care is taken to ensure that only goodness goes into BIO-STRATH. In a unique biological Strath Process an especially cul. tivated Good Food Yeast of the type Saccharomyces cerevisiae is combined with a variety of selected herbs. This Herbal Yeast is - without heat - liquefied (plasmolysed) by fermentation. The valuable nutritive contents are slowly released from the cell walls by osmosis. In this form the Herbal Yeast is easily digested by the body. After fermentation natural honey, malt and the pure juice of oranges are added to the Liquid, not however to the Tablets or Drops. The finished product is automatically bottled and packed under the conditions of hygiene and cleanliness demanded in Switzerland. BIO-STRATH is a special herbal yeast dietary Food Supplement which is available in over 30 countries in all 5 continents. INGREDIENTS Plasmolysed Yeast (Saccharomyces cerevisiae), Malt, Honey, Orange juice and the following herbs: Angelica (Angelica Archangelica) (root), Basil (Ocimum BasiIicum) (herb), Chamomile (Matricaria Chamomilla) (flowers), Cinnamon (Cinnamomum) (bark), Caraway (Carum carvi) (fruit), Elder (Sambucus nigra) (flowers), Fennel (Foeniculum vulgare) (fruit), Horseradish (Cochlearia armoracia) (root), HYSSOP(HYssoPus officinalis) (leaves), Lavender (Lavandula officinalis) (flowers), Lemon Balm (Melissa ollcinalis) (leaves), Licorice (Glycyrrhiza glabra) (root), Parsley (Petroselinum sativum) (herb), Peppermint (Mentha piperita) (leaves), Sage (Salvia officinalis) (leaves) and Thyme (Thymus vulgaris) (herb). Naturally occurring alcohol from yeast fermentation 2.5 Y. Wlw. DIRECTIONS Three times daily, 1 teaspoonful. BIO-STRATH is suitable for the whole family, professional people and athletes. STORAGE Do not expose the liquid product to direct sun or heat. It contains yeast and may expand under extreme heat which could cause the bottle to rupture. CONTENTS 3.4 FI.OZ. (100 ml) 8.4 FI.OZ. (250 ml) Supplement Facts Serving Size1teaspoonful BIO-STRATH is free from all artificial colorings, flavorings, preservatives and synthetic chemicals. 60800C6 US APATRT 696 Servinm Der container 50 . . DROPS TABLETS 4 INGREDIENTS It, ;a .. >1a) ? ;h fi. NriIm s), us INGREDIENTS Plasmolysed Yeast (Saccharomyces cerevisiae) and the following herbs: Angelica (Angelica Archangelica) (root), Basil (Ocimum Basilicum) (herb), Chamomile (Matricaria Chamomilla) (flowers), Cinnamon (Cinnamomum) (bark), Caraway (Carum carvi) (fruit), Elder (Sambucus nigra) (flowers), Fennel (Foeniculum VUL gare) (fruit), Horseradish (Cochlearia armoracia) (root), Hyssop (Hyssopus officinalis) (leaves), Lavender (Lavandula officinalis) (flowers), Lemon Balm (Melissa officinalis) (leaves), Licorice (Glycyrrhiza glabra) (root), Parsley (Petroselinum sativum) (herb), Peppermint (Mentha piperita) (leaves), Sage (Salvia officinalis) (leaves) and Thyme (Thymus vulgaris) (herb). Contains alcohol 25~0 w/w. Yeast (Saccharomyces cerevisiae), Cellulose, Pectin (from apples) and the following herbs: Angelica (AngeIica Archangelica) (root), Basil (Ocimum Basilicum) (herb), Chamomile (Matricaria Chamomilla) (flowers), Cinnamon (Cinnamomum) (bark), Caraway (Carum carvi) (fruit), Elder (Sambucus nigra) (flowers), Fennel (Foeniculum vulgare) (fruit), Horseradish (Cochlearia armoracia) (root), Hyssop (Hyssopus officinalis) (leaves), Lavender (Lavandula officinalis) (flowers), Lemon Balm (Melissa officinalis) (leaves), Licorice (Glycyrrhiza glabra) (root), Parsley (Petroselinum sativum) (herb), Peppermint (Mentha piperita) (leaves), Sage (Salvia officinalis) (leaves) and Thyme (Thymus vulgaris) (herb). on DIRECTIONS Three times daily, 30 drops )~- at. +at ,. DIRECTIONS Three times daily, 2 tablets. BIO-STRATH is suitable for the whole family, professional people and athletes. CONTENTS 3.4 FI.OZ. (100 ml) BIO-STRATH is suitable for the whole family, professional people and athletes. CONTENTS 100 Tablets/7.7 grains each j Supplement Serving Size 2 Tablets Serwngs per container Facts] 50 Am.,,.,. . . . . ...”. o Calorles Day Rwcm, ..,”,, are based 0. a mm dorle ,!* Calories 5 Total Carbohydrates Og PercemDa,IyValuesare based0“ a ZOQD ,,,O”,, Manufactured and packaged in Switzerland BIO-STRATH AG, Zurich/Switzerland Imported and distributed 1-800-445-8802 by by BIOFORCE OF AMERICA, LTD, Kinderhook, NY 12106 >,, / ,’7 ‘i‘9 Bioforck i of America, Ltd. August 20, 1997 Dr. Victor Fratelli Office of Special Nutritional Center for Food Safety and Applied Nutrition Food and Drug Administration 200 “C” Streetr S.W. (HFS-455) Washington, DC 20204 Dear Dr. Tanner Attached is a sample label, box and insert for a dietary supplement - BioStrath Original (8.4 OZ) entered into commerce recently. At the next printingthe Latin binomial nameswillbe included. Sincerely yours, BIOFORCE OF AMERICA, LTD. &JdEileen Sheets Product Manager Encs + ,$ Bioforce of America, PO. Box 507 KrNDERHOOK, N.Y. 12106 TEL (5 I 8) 758-6o6o FAX. (51S) 758-9500 Ltd. BIOFORCE AG CH-9325 ROGGWILL TEL.: 41714546161 TG I I .. P *._,. . . —.. !-r-r -- !,.. NkmLm’:]” .oNmN, 3KWJU7Y Omlluu The Original Formula Swiss Herbal Yeast Whatever our age, there are timeswhen life demands that little bit extra, particularly when we are under pressure, feeling tired and rundown or recovering from illness. Fati ue and tiredness can affect our daily 7wes and that’s when BIO- STRATHOriginal can help! Butyou don’t have to feel rundown be fore taking Bic-Strath. Many athletes, sportsmenand womentake it regularlyas part of their fitnessregimento help when they need that little bit extra. Only Goodness Goes In In a modern laboratory, overlooking !-ake Zurich in Switzerland, the greatest possible care is taken to ensure that only goodness goes into Bi&trath. This sp~ cial herbal yeast Dietary Supplement is available in over 40 countrieson all 5 continents. Manufactured BIO-STRATH AG SWITZERLAND by ZURICH Imported and distributed by BIOFORCE OF AMERICA, Kinderhook, NY 12106 1-800445-8802 lTD $!l . ——_—. —...--— . Use before: .:7? — mmi m’mrm from physica exertion Enhances physical enduranc Nutrition Facts Helps recover Serving Size 1 teaspoonful Servincss t3er container 50 I ] Amount Per Serving Calaries 20 - Enhances concentration and short term memory in perso of all ages. % Doily Vol”e’ @!E!&&! “ PercentDaily Values are bed Studies have shown that 6imStrath been helpfulfor enhanced physical p formanceand recoveryafter exhaust In addition, studies have demonstr that Bia-Strath im roves Short te memoryabilitiesancfhelpsenhancec centration.Far more information, see on a 2.0s0 calorie diet. lngredents Plasmolysed Yeast [Saccharomyces cerevisiae), Malt, Honey, Orange Juice and the following herbs: An elica root, ~asil [~erb], lemon Balm (leaves), Chamomile (flowers , Cinnamon (bark), Caraway (fruit , Elc1er (flowers), Fennel (fruit], Horsera i ish [root], Hyssop (leaves], Lavender (flowers), Licorice (root], Parsley (herb], Peppermint [leaves], Sage [leaves) and Thyme (herb). Contains naturally occuring alcohol 2.5% w/w, No Artificial Colors No Artificial Sweeteners No Preservatives Only Goodness &ses In Directions: One or more teaspoonfuls doily as required. Slerage Do not expose this product to direct sun or extreme heat. BicAtrath contains active yeast and may expand under extreme heat which could cause the bottle to break. enclosed insert, ar call us, These statements have not bee evaluoted by the Food and Dru Administration. This product is n intended to dia nose, treatt cu or prevent any 3 mease. Specially cultured food yeasts [Sacch rom ces cerevisiae] are nourished in broi i of 16 helpful herbs, The Herb Yeast is then liquefied (plasmolyzed) fermentation withaut heat. The valuabl nutritive contents are slowly released an are then easily digested. Persons susce tible to candida infections can take B Strath without worry. The Yeast in B Strath is the Good Food Yeast, and unrelated to the candida yeast. ; —.-, —-- package ,T aw Jo ~oAe4 u! 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