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Insights and Expertise



                                                                     com/kp26ez9u). The FDA has also noted that 7-OH is
                 Red flags in digital health commerce                far more potent than morphine (see  https://tinyurl.
                                                                     com/yc26k82r).
          Here are several warning signs payment providers and
          platforms should watch for:                           Because there is currently no federal ban in the United
              • "For research purposes only" disclaimers on     States, 7-OH products remain widely available online,
                consumer-facing products                        often sold as inexpensive tablets and gummies.
              • Social media-driven spikes in demand for niche   (End indent)
                compounds                                       What ecommerce platforms must do now
              • Bundled supplement offerings with inconsistent   The  reality  for  ecommerce  platforms  and  professionals
                labeling                                        is that healthcare-related risks are now embedded across
              • Merchants offering "worldwide shipping" without   wellness, beauty, supplements, and lifestyle commerce.
                jurisdiction controls                           The use cases aren't always obvious. In fact, bad actors will
              • Frequent domain changes or mirrored storefronts  go great lengths to hide illicit online sales, disappearing
                                                                and reappearing across platforms, and using sophisticated
              • High-risk product categories (weight loss, sexual   techniques such as front sites and transaction laundering.
                enhancement, biohacking)
                                                                Digital commerce platforms and payment providers sit on
             merchant on a large marketplace or bundled into a   the front lines. They see merchants before regulators do,
             site that otherwise falls within acceptable risk toler-  which means they have both the power and responsibility
                                                                to cut off access to dangerous products and protect
             ance.                                              consumers.
             This makes it less an isolated product problem and
             more a pattern-recognition challenge. It requires e-  Practical steps to take include:
             commerce platforms and service providers to detect
             more sophisticated risk signals, even beyond product   •  Gain deeper visibility into your merchants. Risk
                                                                     evaluation can't be static or superficial. After a
             names.
                                                                     comprehensive risk assessment at onboarding,
          •  Cross-border complexity: A major challenge in on-       merchants must be regularly reassessed. Businesses
             line health commerce is variability of regulation:      that were low-risk years ago may now ship products
                                                                     that materially change their (and your) risk exposure.
             what's  legal  in  one  jurisdiction  can  be  a  controlled
             substance or prescription-only drug in another. The   •  Monitor warning signals. Effective risk management
             risk calculus changes dramatically based on a prod-     requires continuous monitoring. Things like bundled
             uct's destination.                                      products, red-flag phrases, and social media-driven
             Merchants offering "worldwide shipping" on large        demand spikes can reveal potential violations long
                                                                     before regulators intervene.
             supplement inventories are potentially selling prod-
             ucts restricted somewhere in their shipping range.   •  Evaluate cross-border shipping practices. Platforms
             Ingredients common in U.S. supplements, such as         must understand not just what is being sold, but where
             DHEA, yohimbine and melatonin, require prescrip-        it is being shipped, and whether those products are
             tions in multiple countries.                            lawful in destination jurisdictions.
             Ecommerce platforms and payment providers must     A front-line responsibility
             account for these differing regulations when assess-
             ing risk for cross-border merchants. The US is a ma-  The online wellness commerce landscape is evolving
             jor global supplement producer, but ingredients com-  faster than any single regulatory body can address.
             monly sold in U.S. supplements may be prohibited in   Consumer demand is creating enormous market pressure,
             other jurisdictions.                               while fragmented global regulation creates gaps that can
          •  Emerging compounds and psychoactive substances:    be exploited. If that weren't enough, the speed of digital
                                                                transactions allows bad actors to move products faster
             Emerging and psychoactive  compounds  are  areas
             where future risk is likely to intensify—and it's   than traditional enforcement can respond.
             moving fast. Compounds such as 7-OH, kratom, and
             psychoactive mushrooms have caught the attention   As the risks continue to migrate into mainstream
                                                                ecommerce, platforms and payment providers increasingly
             of  regulators  for  the  potential  risks  to  consumer
             health, but they are still actively sold online.   serve as the first line of defense. They often see emerging
                                                                threats before regulators do. It's no longer a niche concern,
             7-hydroxymitragynine (7-OH)  has  become  a        but a core commerce risk that demands proactive oversight
             particularly hot topic recently. On July 29, 2025, the   and informed action.
             FDA recommended a scheduling action to control
             7-OH under the Controlled Substances Act, warning   Niamh Lewis is the vice president of compliance operations at G2 Risk
             of the potential for abuse and harm (see https://tinyurl.  Solutions. Contact her at niamh.lewis@g2risksolutions.com.
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