The U.S. Food and Drug Administration is ringing alarm bells over a potent, opioid-like substance that’s being sold in plain sight—often next to energy drinks, supplements, or flavored vapes. It’s called 7-hydroxymitragynine, or 7-OH, and it’s a concentrated compound derived from the kratom plant.

You’ll find it in gummies, powdered drink mixes, flavored shots, and even ice cream cones. Sold mostly in gas stations, corner stores, and vape shops, these products look benign—but they’re not. According to the FDA, 7-OH has a high potential for abuse and no approved medical use. And now, after a sweeping scientific review, the agency is recommending that 7-OH products be added to the Controlled Substances Act (CSA)—in the same category as heroin and LSD.

Here’s what this means, why it’s happening now, and what consumers should understand before they reach for that "all-natural" stress-relief gummy at the checkout counter.

What Is 7-OH?

Kratom is a tropical tree that grows natively in Southeast Asia. Leaves of the tree were used for centuries as a traditional herbal medicine. In the United States, kratom has become popular as an unapproved pain, anxiety treatment, and even opioid withdrawal alternative therapy. Some 1.7 million Americans age 12 and up used kratom in 2021, federal data suggest.

Kratom has two major chemical constituents: mitragynine and 7-hydroxymitragynine (7-OH). The more prevalent and weakly active of these is mitragynine, whereas 7-OH is significantly stronger—directly affecting the brain's mu-opioid receptors, just like morphine or codeine.

Some manufacturers have started isolating and concentrating 7-OH into high doses and selling it separately, completely bypassing the “natural” kratom leaf. These concentrated forms are not regulated, not approved, and far more dangerous than the kratom plant itself.

Why Has FDA Issued A Warning?

Unlike prescription opioids, 7-OH products are sold without a prescription or medical oversight, often labeled as supplements or energy enhancers. The FDA has found them being sold in brightly packaged gummies, fruity drinks, tablets, and “wellness shots,” frequently marketed to young people. Many of these items aren’t clearly labeled and may not disclose the amount of 7-OH they contain—or even that it’s included.

In June, the agency sent warning letters to seven companies for illegally selling 7-OH products in violation of federal law. These companies were selling 7-OH in various forms and often making unverified health claims, such as pain relief, anxiety treatment, or arthritis relief—without any scientific evidence to back them up.

According to FDA Commissioner Dr. Marty Makary, “7-OH is an opioid that can be more potent than morphine. We need regulation and public education to prevent another wave of the opioid epidemic.”

The FDA’s latest report includes a clear recommendation: Schedule 7-OH as a controlled substance under the CSA. If accepted, this would make it illegal to sell, distribute, or possess 7-OH without special DEA approval. It would also allow for criminal penalties for unauthorized use.

The Drug Enforcement Administration (DEA) is now reviewing the recommendation. Before any action is finalized, a public comment period will be held, as required by federal law.

The agency made it clear that this action targets only 7-OH, not natural kratom leaf products. However, the distinction is critical, as 7-OH is not lawful in any food or dietary supplement in the United States. It has no FDA-approved uses, and when concentrated, it poses a high risk of abuse, addiction, and overdose.

What Makes 7-OH So Risky?

7-OH mimics the action of opioids in the brain by binding to the same mu-opioid receptors. While users may experience temporary relief from pain or anxiety, the effects can quickly lead to physical dependence, tolerance, and withdrawal symptoms—all hallmarks of substance use disorder (SUD). Some individuals using 7-OH have reported:

• Cravings and compulsive use
• Needing higher doses over time to feel the same effects
• Withdrawal symptoms when trying to stop
• Continued use despite serious personal or physical consequences

In rare cases, deaths have been reported in connection with kratom and 7-OH use, though many involved polydrug interactions, making it hard to isolate the role of 7-OH alone. Still, the FDA is not waiting for a full-blown crisis before acting.

Why Kratom Isn’t Safe Either?

While the FDA’s current push is focused on 7-OH, kratom as a whole remains under scrutiny. The agency has not approved any kratom-based drug for treating any condition, and it cannot legally be sold as a dietary supplement or added to food. Products containing kratom are considered “adulterated” under the Food, Drug, and Cosmetic Act.

That’s because, according to FDA analysis, there is insufficient evidence to guarantee that kratom—or its active compounds—can be safely used by consumers. The agency has linked kratom use to liver toxicity, seizures, and interactions with other medications.

The U.S. is still recovering from a devastating opioid crisis, and regulators are keen to avoid repeating history with a new, under-the-radar substance. 7-OH’s legal gray zone, paired with its accessibility and potent opioid-like effects, makes it especially dangerous.

The rise of vape shops and convenience store supplements has allowed these products to proliferate with minimal oversight. In many cases, they’re marketed using the same language as CBD or herbal wellness products—confusing consumers and bypassing safety checks.

“This isn’t just about one compound,” said HHS Secretary Robert F. Kennedy, Jr. “It’s about building a framework that protects youth and families from unregulated, addictive substances dressed up as wellness solutions.”

What You Should Do as a Consumer?

The FDA is urging consumers to read labels carefully, avoid products that claim to contain kratom or 7-OH, and report adverse events. The agency is also encouraging healthcare professionals to speak openly with patients about supplement use—especially those purchased outside of pharmacies.

Until thorough research proves safety and effectiveness, the risks of 7-OH far outweigh any perceived benefits. Consumers looking for help with pain, anxiety, or substance use disorders should consult licensed medical professionals—not convenience store counters.

The push to regulate 7-OH underscores a growing challenge in public health: the intersection of wellness marketing, legal loopholes, and addictive substances. As agencies like the FDA and DEA step in, the public’s awareness and skepticism of “natural” supplements needs to catch up. Just because something is sold on a shelf doesn’t mean it’s safe.

In what is being hailed as a groundbreaking moment in global transfusion medicine, a 38-year-old woman from Karnataka, India, has been identified as the first known carrier of a previously undocumented human blood group, now officially named CRIB. This unprecedented finding came to light when she was admitted to R.L. Jalappa Hospital in Kolar for heart surgery in 2023.

Though she was originally typed as O-positive, her blood didn’t behave like it. It reacted with every test sample available in the lab—something known as being panreactive. That raised immediate red flags among her physicians. No compatible donor could be found, even among 20 of her closest family members. Despite the risk, the surgical team completed her cardiac procedure without a transfusion—a decision that would later prove critical in her survival and in medical history.

What followed was a medical investigation that spanned continents. Her blood sample was sent to the International Blood Group Reference Laboratory (IBGRL) in Bristol, UK—one of the world’s leading institutions in blood group identification. There, a team of transfusion scientists spent 10 months conducting molecular and serological analyses to crack the case.

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Finally, they concluded that her blood carried an unknown antigen—a marker on red blood cells that typically determines compatibility for transfusions. The antigen didn’t match anything in the 43 existing blood group systems recognized by the International Society of Blood Transfusion (ISBT).

A new antigen was identified within the Cromer blood group system, which involves proteins called decay-accelerating factor (DAF) on red cells. To honor the origin of the discovery, scientists named the antigen CRIB, an acronym combining Cromer, India, and Bengaluru.

What Is the CRIB Blood Group?

The CRIB blood group represents a rare antigen profile within the Cromer system. In most people, antigens in this group are present on DAF proteins. But in the CRIB case, the woman lacked a high-prevalence antigen commonly found in the general population, causing her immune system to react to every available donor blood type—even O-positive.

This made the woman’s blood functionally unique. Anyone with this blood type would need extremely rare, CRIB-negative blood in the case of transfusion—currently, there’s no known matching donor worldwide.

This isn’t just a medical oddity—it has far-reaching consequences for how we approach blood donation, transfusion safety, and immunogenetics.

The CRIB blood group challenges conventional systems used for blood typing and compatibility. It underscores how standard blood typing is still incomplete, and how gaps in our understanding can be dangerous—especially in emergency surgeries or during pregnancy.

How Is This Blood Type Discovery Affect Pregnancy and Fetal Health?

The discovery of CRIB has serious implications for fetal medicine. Similar to how Rh incompatibility can lead to Hemolytic Disease of the Fetus and Newborn (HDFN), CRIB-positive mothers might develop antibodies that attack the fetus’s red blood cells—if the baby inherits incompatible antigens.

Detecting CRIB in expectant mothers could therefore become critical in preventing miscarriage or fetal complications.

India’s diverse gene pool has previously produced rare blood group discoveries, including INRA (Indian Rare Antigen), first identified in 2017. With CRIB now officially recognised by ISBT, it marks India’s second major contribution to global transfusion science in under a decade.

This elevates the importance of developing a national rare blood registry, and investing in genetic blood screening—not just for patients, but for potential donors.

What Is The Science Behind the Cromer Group?

The Cromer blood group system is one of the more obscure and less commonly tested classifications in blood science. It involves antigens located on the DAF (decay-accelerating factor), which protects blood cells from immune destruction. Variants in these antigens can cause unexpected immune reactions during transfusions.

CRIB appears to represent a novel Cromer antigen—meaning it doesn’t behave like any of the previously documented ones. This puts it in a category of what transfusion scientists call high-prevalence antigen absences, where even a single unit of compatible blood can be hard—or impossible—to find.

In an effort to find a compatible blood donor, doctors collected samples from 20 of her family members. None matched. This confirmed that the antigen pattern was not only rare—it was potentially unique.

The case was handled with meticulous care. According to Dr. Ankit Mathur from the Rotary Bangalore TTK Blood Centre, “Her blood was panreactive, incompatible with all test samples. Recognising this as a possible case of a rare or unknown blood type, we worked closely with international experts and managed the case without transfusion.” Now that CRIB has been added to the official ISBT database, transfusion scientists across the world are advocating for:

• Development of CRIB-specific antibody screening kits
• International rare blood registries to flag potential future donors
• Greater investment in genetic blood typing, especially in populations with diverse ancestry
• Training healthcare professionals to recognise and manage panreactive or atypical cases earlier

The discovery of CRIB is more than a scientific milestone—it’s a reminder of how individual cases can rewrite medical textbooks. One woman’s unusual blood has now become a catalyst for change in how we view transfusion safety, genetics, and global healthcare cooperation.

For now, she remains the only known person in the world with the CRIB blood group but her case has opened the door to more discoveries and potentially, more lives saved.

James Van Der Beek says his life will never be the same again. Diagnosed with stage 3 colorectal cancer in August 2023, the Dawson’s Creek and Varsity Blues actor is now facing the kind of life transformation that goes far beyond Hollywood scripts.

“I’m just on the journey,” the 48-year-old told Today.com in a candid interview. “It's a process. It'll probably be a process for the rest of my life."

For Van Der Beek, living with cancer isn’t just about treatment. It’s become a full-time job, one that’s required a complete overhaul of his lifestyle. From modifying his diet to rethinking how he exercises and rests, the actor has embraced a slower, more intentional way of living.

Finding Peace in Slowing Down

“The most important thing,” Van Der Beek shared, “is to find the beauty of just taking things a little bit more slowly and prioritizing rest, and really allowing that to be the job.”

His perspective is reflective of someone who has been forced to confront mortality. In an emotional Instagram post in March, the actor said, “I had to come nose to nose with death.”

During treatment, he had to step back from his role as a father and husband. “I could no longer be a father who could pick up his kids and put them to bed... I could not be a provider because I wasn't working."

Yet in the quiet moments of stillness, he found something unexpected: spiritual clarity. “I meditated and the answer came through. I am worthy of God's love, simply because I exist. And if I'm worthy of God's love, shouldn't I also be worthy of my own?”

Encouraging Others to Get Screened

Van Der Beek, who was screened at age 46, is now encouraging others to get checked earlier. He admitted he was unaware that the recommended age for colorectal cancer screenings had been lowered to 45.

“I thought I was way ahead of the game,” he said. “I ate as well as I could. I was healthy. I was in amazing cardiovascular shape. There was no reason in my mind that I should have gotten a positive diagnosis.”

His message is clear: even those who feel and look healthy aren’t immune, and early detection can be life-saving.

Back on Set and Grateful for It

Despite everything, Van Der Beek has been finding joy and even normalcy through work. He recently filmed for the upcoming Legally Blonde prequel series Elle, calling the experience a much-needed escape.

"The greatest thing about work is cancer doesn't exist between action and cut," he said. “It was fun to drop in and just have a blast… It’s such a great cast, a great production, and everybody out there is really talented.”

A Healing Phase and a Family Anchor

In March, he gave Extra an update from his Texas ranch, where he lives with his wife Kimberly and their six children, Olivia (14), Joshua (13), Annabel (11), Emilia (9), Gwendolyn (7), and Jeremiah (3). Van Der Beek said he’s now in a “healing portal,” adding, “I feel like I can see the finish line.”

Earlier that month, he made his debut as the Griffin on The Masked Singer, a role that offered unexpected emotional catharsis. “To be able to put on the mask and connect with an audience without [my diagnosis] being a part of the equation was actually a really beautiful thing,” he said.

Last month, 17 top public health experts were abruptly removed from the U.S. Advisory Committee on Immunization Practices (ACIP), the group historically responsible for setting national vaccine guidelines. The move came directly from U.S. Health Secretary Robert F. Kennedy Jr., who dismissed the entire panel, accusing them of being too closely tied to vaccine manufacturers and too quick to approve vaccines without scrutiny.

In their place, Kennedy appointed several individuals known for their skepticism toward vaccines, a controversial decision that has sparked concern among the medical community.

READ MORE ON: RFK Jr. Removes Entire CDC Vaccine Advisory Committee

Kennedy Names New Vaccine Advisers Among Whom Are Anti-Vaxxers And Those Who Spread Misinformation

“A Travesty” of a First Meeting

In a strongly worded commentary published in the New England Journal of Medicine this week, the ousted experts criticized what they say is a dangerous shift in how vaccine policy is being handled. According to the former committee members, the new ACIP lacks rigorous scientific review and open discussion.

They pointed to the new committee’s first meeting in June as a troubling example.

The session included a presentation from a known anti-vaccine advocate warning against thimerosal, a preservative used in some flu vaccines, despite longstanding studies showing no link between thimerosal and neurodevelopmental disorders. Strikingly, the new panel did not hear from Centers for Disease Control and Prevention (CDC) scientists who could have presented data debunking the concerns.

Despite acknowledging the lack of evidence against thimerosal, the committee still voted to recommend removing it from vaccines.

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“That meeting was a travesty, honestly,” said Dr. Yvonne Maldonado, a pediatric infectious disease expert from Stanford University and a former ACIP member, as reported by AP.

A Pattern of Destabilization

This isn’t the first time Kennedy’s decisions have raised eyebrows.

In May, he made headlines for halting the federal recommendation of COVID-19 vaccines for healthy children and pregnant women. The fired experts addressed this in an earlier essay published in the Journal of the American Medical Association, calling Kennedy’s choices “destabilizing.”

Now, their latest commentary goes further, warning that the current path could lead to long-term damage to public health. They argue that Kennedy and his newly selected panel are dismantling a once-trusted system that upheld science-based, unbiased vaccine guidance for decades.

Proposing a Way Forward

Recognizing the challenge of restoring the former ACIP structure, the ousted experts proposed new ideas for preserving trustworthy vaccine policy. They suggest forming an alternative committee, potentially independent from the federal government, to provide reliable recommendations.

“No viable pathway exists to fully replace the prior trusted and unbiased ACIP structure and process,” they wrote. “Instead, the alternatives must focus on limiting the damage to vaccination policy in the United States.”

Other suggestions included encouraging leading professional health organizations to collaborate on unified recommendations, or establishing an external group to audit ACIP’s guidance. However, the experts admitted that such efforts face major hurdles, especially regarding access to government-held data.

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Insurance Coverage and Access at Risk

Noel Brewer, a former committee member from the University of North Carolina, warned that insurers might selectively cover vaccines based on short-term cost savings. For example, the flu shot, which helps avoid immediate healthcare expenses, might be approved, while longer-term preventive vaccines, like the HPV shot, could be left out.

“That’s the danger,” Brewer said. “Vaccines that prevent future cancers might not make the cut.”

A Growing Controversy

Kennedy’s actions have not gone unnoticed in Congress. During a recent House hearing, Democratic lawmakers grilled him about his rapid and sweeping changes to national vaccine policy. So far, the U.S. Department of Health and Human Services has not responded to media inquiries regarding the criticism or the experts’ proposed solutions.

READ MORE: RFK Jr.’s Vaccine Panel Votes Against Flu Shot Preservative: All About The Controversial Thimerosal Ingredient