The FDA serves as a crucial regulatory body for 20% of the U.S. economy, overseeing a wide array of products ranging from medical devices and drugs to food and tobacco.

“it we have offices in 50 countries and it oversees everything from mangoes coming across the border to cosmetics to MRI machines and microwave ovens to tobacco and vape products to wearables and devices and of course drugs.”

The current FDA drug approval process is overly burdensome, expensive, and influenced by pharmaceutical industry interests, limiting patient access to innovative therapies.

“That whole ecosystem and structure was built around big pharma and the pharmaceutical cartels and their attempt to control what hits the market and to protect their patents and their technologies. And so that cost prohibitive process limits uh innovation and accessibility”

Dr. Tiller advocates for improved regulation of off-label drug prescriptions to ensure consistent standards of scientific evidence.

“it probably needs some better regulation because the FDA of course they regulate the availability of new drugs they don't regulate medical practice so the FDA are very much hands off when it comes to off leap”

The FDA's decision to treat certain compounds like NAC and NMN as pharmaceutical drugs rather than dietary supplements is flawed because they occur in nature and were already in the marketplace.

“if you find a minor component of broccoli right that no one found before and let's say someone develops it and it works against prostate cancer and it works well great but let's say lower levels of that ingredient have a function that you know helps you with urinary tract infections right which you ”

The current legal framework allows supplement manufacturers to make health claims without proving their products work or are safe.

“There's just a disconnect between how supplements can be promoted and the proven benefits. And that's because the law basically gives manufacturers a pathway to communicate just about any health benefit to consumers without having to demonstrate anything that their product actually works”

The FDA acted improperly by failing to publicly report a death that occurred during the Moderna clinical trial for children.

“in January of 2025 there was a death in the Madna clinical trial of a four-year-old that they basically never reported. Okay? They put it on one very very obscure European website”