While more and more IV hydration spas are coming up in the US, a new study published on October 6 in JAMA Internal Medicine found that IV hydration industry operates with almost no regulation and little medical evidence to support its supposed health benefits. The co-author of the study Dr Peter Lurie, who is the president of the Center for Science in the Public Interest told the NBC News that these businesses are operating "almost completely without evidence. As a result there is a real danger to consumers". In the US, out of the 50 states, or 32 have some kind of rule or policy related to IV hydration services, however, only four states: Alabama, North Carolina, South Caroline and Vermont have a comprehensive oversight. These hydration spas offer pricey vitamin infusions that promise energy, detox or immune support. Apart from the lack of evidence to sustain its claim on the benefits IV hydration supposedly offers, it is also an expensive process. According to the American Med Spa Association, this industry has exploded into a $15 billion wellness industry. Is it really worth it?Here is what the doctors say about IV hydration:Dr Shrey Kumar Srivastav, Senior Consultant, Internal Medicine at Sharda Hospital told Health and Me that while there is no standard frequency for IV therapy in healthy individuals, "frequent or routine use can cause vitamin toxicity or electrolyte imbalances."Dr Prashant Sinha, Head of Emergency and Internal Medicine at PSRI Hospital, Delhi, said that for a healthy person with no diagnosed deficiency, there is generally no medical reason to receive IV supplements regularly. "Getting them too frequently can lead to nutrient overload or dependency, where the body becomes less efficient at natural nutrient absorption," he pointed out.Both the doctors also debunk the claim that IV supplements are better than the vitamins one consumes through food. "Supplements taken orally or through food are typically safer, more sustainable, and sufficient for most people," explained Dr Srivastava.Dr Sinha also clarified that IV supplements are in most cases not better than supplements consumed through food or medicines. "Whole foods provide not only individual nutrients but also fiber, antioxidants, and enzymes that support overall health. Oral supplements, when taken as prescribed and for medically confirmed deficiencies, are also effective for most people and pose far fewer risks than IV therapy," he points out.Dr Srivastava further added that IV supplements are not superior to food or oral supplements for general wellness or weight loss. "The growing trend of using IV injections for cosmetic or slimming purposes is risky, unregulated, and can be fatal."Lurie also said, "This is a medical system that exists largely outside of conventional medicine. We are also worried that there will be adverse effects related to this."Alex Thiersch, the CEO of the American Med Spa Association said that many of the owners of these businesses do not realize that they are practicing medicine, however he notes, "If you are putting a needle in someone's vein, that's 100% medical practice."