19. Dr. Jones has investigated a nutritional supplement known as “LifeJuice,” and believes it has benefits for her patients. She sells the product at a 25% profit through her office.
#	Response Date	Comment
1.	Wed, 3/14/07 12:53 PM	on if there is full disclosure and other choices made available
2.	Wed, 3/14/07 5:23 PM	should be disclosed first
3.	Wed, 3/14/07 10:22 PM	If there is full disclosure to patients regarding efficacy and conflict of interest, probably OK.
4.	Fri, 3/16/07 11:29 AM	On if the patients have alternative sources that are made available and how the office price compares to outside price
5.	Mon, 3/19/07 4:58 PM	Yes, a serious COI. How much Life Juice payolla is she also receiving on the side? Professional ethics would permit her to recommend the supplement without financially benefitting from that recommendation.
6.	Mon, 3/19/07 5:30 PM	A rather high mark-up for a product offered for the convenience and benefit of the patient.
7.	Mon, 4/23/07 1:29 PM	This sounds like a very serious COI. Dr. Jones needs to be certain that "LifeJuice" represents standard of care and has shown benefit in reproduced studies. He also needs to provide patients with the other locations where they may purchase the supplement.
8.	Tue, 4/24/07 1:52 PM	As long as disclosure is made and patients are not required to purchase, it is okay to offer a voluntary service.
9.	Thu, 4/26/07 9:19 PM	would need to disclose relationship to patients
10.	Thu, 4/26/07 9:22 PM	No COI if "evidence based medicine" supports the value of this supplement and Dr Jones always give every patient a choice of where to by this product.
11.	Fri, 4/27/07 11:59 AM	Dr. JOnes needs to be honest with patients about his/her profits from the supplement, as well as its benefits.
12.	Tue, 5/8/07 3:29 PM	....