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Gastrointestinal Remedies - US - November 2013

“Despite the prevalence of gastrointestinal issues, the market of branded gastrointestinal remedies is up against several challenges. Sales of private label brands are eroding national brand sales, and consumers are taking a more proactive approach to their health. Creating a relationship with consumers could help to increase brand loyalty and usage.”

– Emily Krol, Health and Wellness Analyst

This report looks at the following areas:

  • The American diet is changing, which could impact the need for OTC gastrointestinal remedies
  • Most people who suffer gastrointestinal issues do not prepare for them
  • Sales of private label brands overtaking branded products

Sales of gastrointestinal (GI) remedies continue to decline, and are down 1.2% from 2012-13. A very large percentage of the population experienced some type of gastrointestinal issue during the past year, suggesting that sales should be increasing. A few factors contributed to the decline, such as people eating healthier diets and being more proactive by taking fiber supplements and probiotics. Additionally, consumers continue to switch over to less expensive private label brands, driving sales of name brand products down. Rather than stocking up, consumers tend to purchase gastrointestinal remedies for a specific need, and marketers that understand this and other consumer shopping behaviors are likely to be more successful.

This report will provide information on what types of digestive issues people suffer from—and how they treat them. Also discussed will be the various ways people manage their digestive health, and whether they take a proactive or reactive approach. This can help marketers determine how to target messaging toward particular users.

This report covers products that are used to treat gastrointestinal disorders, including GERD (gastroesophageal reflux disease), IBS (irritable bowel syndrome), constipation, as well as other ailments. For the purposes of this report, Mintel has used the following definitions.

The report analyzes the market for all types of indigestion and stomach remedies available over-the-counter (OTC), including:

  • Antacids: Products that neutralize excess stomach acid and relieve heartburn, sour stomach, or acid indigestion
  • Laxatives: Products that relieve constipation and work in one of several ways, either by introducing fiber to the bowel, stimulating the bowel, or softening stools
  • Stomach remedies: Products that relieve general nausea and settle the stomach
  • Antidiarrheals: Products that slow spasms of the intestine and thicken stool

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Table of contents

  1. Scope and Themes

    • What you need to know
      • Definition
        • Data sources
          • Sales data
            • Consumer survey data
              • Abbreviations and terms
                • Abbreviations
                • Executive Summary

                    • The market
                      • Figure 1: Total US sales and fan chart forecast of gastrointestinal remedies, at current prices, 2008-18
                    • Segment performance
                      • Key players
                        • Figure 2: MULO manufacturer share of gastrointestinal remedies, rolling 52 weeks 2012 and 2013
                      • Retailers
                        • Market drivers
                          • US population aging
                            • US population becoming more diverse
                              • High rates of obesity indicate need for gastrointestinal remedies
                                • Barriers to usage
                                  • The consumer
                                    • Suffering from ailments
                                      • Figure 3: Experience gastrointestinal issue, by gender, August 2013
                                    • Treating ailments
                                      • Figure 4: Ways treated gastrointestinal ailments, August 2013
                                    • Attitudes toward purchasing
                                      • Formats interested in purchasing
                                        • Figure 5: Usage of and interest in gastrointestinal remedy formats, August 2013
                                      • Managing digestive issues
                                        • Figure 6: Agreement with select attitudes toward gastrointestinal issues, by gender and age, August 2013
                                      • What we think
                                      • Issues and Insights

                                          • The American diet is changing, which could impact the need for OTC gastrointestinal remedies
                                            • The issues
                                              • The implications
                                                • Most people who suffer gastrointestinal issues do not prepare for them
                                                  • The issues
                                                    • The implications
                                                      • Sales of private label brands overtaking branded products
                                                        • The issues
                                                          • The implications
                                                          • Trend Applications

                                                              • Trend: Open Diary
                                                                • Trend: Extend My Brand
                                                                  • Mintel Futures: East Meets West
                                                                  • Market Size and Forecast

                                                                    • Key points
                                                                      • OTC gastrointestinal remedies struggle to grow
                                                                        • Figure 7: Usage of heartburn, indigestion aids, antinausea, upset stomach, diarrhea remedies, and laxatives, April 2007-June 2013
                                                                      • Sales and forecast of gastrointestinal remedies
                                                                        • Figure 8: Total US retail sales and forecast of gastrointestinal remedies, at current prices, 2008-18
                                                                        • Figure 9: Total US retail sales and forecast of gastrointestinal remedies, at inflation-adjusted prices, 2008-18
                                                                      • Fan chart forecast
                                                                          • Figure 10: Total US sales and fan chart forecast of gastrointestinal remedies, at current prices, 2008-18
                                                                      • Market Drivers

                                                                        • Key points
                                                                          • US population is aging
                                                                            • Figure 11: Frequency used heartburn, indigestion aids, antinausea, upset stomach, and diarrhea remedies, by age, May 2012-June 2013
                                                                            • Figure 12: US population, by age, 2008-18
                                                                          • Population of every other race and ethnicity outgrowing Whites
                                                                            • Figure 13: US population, by race and Hispanic origin, 2008, 2013, and 2018
                                                                          • High rates of obesity increase need for gastrointestinal remedies
                                                                            • Figure 14: American adults, by weight category as determined by body mass index (BMI), 2008-June 20, 2013
                                                                          • Childhood and teen obesity
                                                                            • Figure 15: Prevalence of obesity among children and adolescents aged 2-19, 1971-2010
                                                                          • Americans eating healthier diets
                                                                            • Figure 16: Attitudes/Opinions About Food; diet and health, April 2007-June 2013
                                                                        • Competitive Context

                                                                          • Key points
                                                                            • Ways to treat gastrointestinal remedies
                                                                              • Figure 17: Alternative ways to manage digestive/gastrointestinal issues, by gender and age, August 2013
                                                                            • Not treating ailments
                                                                              • Managing with diet
                                                                                • Using a natural remedy
                                                                                  • Using a prescription remedy
                                                                                    • Figure 18: Ways treated gastrointestinal ailments, August 2013
                                                                                  • Usage of fiber and probiotics
                                                                                    • Figure 19: Attitudes and opinions about health and medicine/food, by gender, May 2012 - June 2013
                                                                                    • Figure 20: Select claims across new food launches, 2008-13
                                                                                • Segment Performance

                                                                                  • Key points
                                                                                    • Stomach remedies and antidiarrheals bright spot in declining market
                                                                                      • Sales of gastrointestinal remedies, by segment
                                                                                        • Figure 21: Total US retail sales of gastrointestinal remedies, by segment, at current prices, 2011 and 2013
                                                                                    • Segment Performance – Antacids

                                                                                      • Key points
                                                                                        • Sales of antacids down
                                                                                          • Figure 22: Brands of heartburn, indigestion aids, antinausea, upset stomach, and diarrhea remedies used most often, by ailment experienced, May 2012-June 2013
                                                                                          • Figure 23: Brands of heartburn, indigestion aids, antinausea, upset stomach, and diarrhea remedies used most often, by ailment experienced, May 2012-June 2013 (continued)
                                                                                        • Minimal growth in the category expected
                                                                                          • Sales and forecast of antacids
                                                                                            • Figure 24: Total US retail sales and forecast of antacids, at current prices, 2008-18
                                                                                        • Segment Performance – Laxatives

                                                                                          • Key points
                                                                                            • Sales of laxatives down
                                                                                              • Sales and forecast of laxatives
                                                                                                • Figure 25: Total US retail sales and forecast of laxatives, at current prices, 2008-18
                                                                                            • Segment Performance – Stomach Remedies

                                                                                              • Key points
                                                                                                • Stomach pain good news for remedies
                                                                                                  • Sales and forecast of stomach remedies
                                                                                                    • Figure 26: Total US sales and forecast of stomach remedies, at current prices, 2008-18
                                                                                                • Segment Performance – Antidiarrheals

                                                                                                  • Key points
                                                                                                    • Sales of antidiarrheals up
                                                                                                      • Sales and forecast of antidiarrheals
                                                                                                        • Figure 27: Total US retail sales and forecast of antidiarrheals, at current prices, 2008-18
                                                                                                    • Retail Channels

                                                                                                      • Key points
                                                                                                        • Sales at other channels continue to make up nearly half of retail sales
                                                                                                          • Drug stores set for growth
                                                                                                            • Sales at supermarkets continue to decline
                                                                                                              • Sales of gastrointestinal remedies, by retail channel
                                                                                                                • Figure 28: US sales of gastrointestinal remedies, at current prices, by retail channel, 2008-13
                                                                                                              • Boosting retail sales
                                                                                                              • Leading Companies

                                                                                                                • Key points
                                                                                                                  • Sales of private label brands overtake name brands
                                                                                                                    • Brand sales down
                                                                                                                      • Manufacturer sales of gastrointestinal remedies
                                                                                                                        • Figure 29: MULO manufacturer sales of gastrointestinal remedies, rolling 52 weeks 2012 and 2013
                                                                                                                    • Brand Share – Antacids

                                                                                                                      • Key points
                                                                                                                        • Sales declines for PPIs
                                                                                                                          • Sales of antacids up
                                                                                                                            • H2 Blockers faring well
                                                                                                                              • Private label sales contribute to growth
                                                                                                                                • Manufacturer sales of antacids
                                                                                                                                  • Figure 30: MULO manufacturer sales of antacids, rolling 52 weeks 2012 and 2013
                                                                                                                                  • Figure 31: Brands of heartburn, indigestion aids, anti-nausea, upset stomach, and diarrhea remedies used most often, April 2007-June 2013
                                                                                                                              • Brand Share – Laxatives

                                                                                                                                • Key points
                                                                                                                                  • Overall sales of laxatives down, but MiraLAX remains segment leader
                                                                                                                                    • Other constipation relievers
                                                                                                                                      • Decline for fiber products
                                                                                                                                        • Private label brands
                                                                                                                                          • Manufacturer sales of laxatives
                                                                                                                                            • Figure 32: MULO manufacturer sales of laxatives, rolling 52 weeks 2012 and 2013
                                                                                                                                            • Figure 33: Brands of laxatives used most often, by gender and age, May 2012-June 2013
                                                                                                                                        • Brand Share – Stomach Remedies

                                                                                                                                          • Key points
                                                                                                                                            • Pepto-Bismol still dominating the category
                                                                                                                                              • Manufacturer sales of stomach remedies
                                                                                                                                                • Figure 34: MULO sales of stomach remedies, by leading companies, rolling 52 weeks 2012 and 2013
                                                                                                                                            • Brand Share – Antidiarrheals

                                                                                                                                              • Key points
                                                                                                                                                • Imodium becomes segment leader
                                                                                                                                                  • Manufacturer sales of antidiarrheals
                                                                                                                                                    • Figure 35: MULO manufacturer sales of antidiarrheals, by leading companies, rolling 52 weeks 2012 and 2013
                                                                                                                                                • Innovations and Innovators

                                                                                                                                                  • Product innovations down
                                                                                                                                                    • Figure 36: Digestive and detoxifying treatment product introductions and share of branded/private label launches, 2007-13
                                                                                                                                                  • Antacids
                                                                                                                                                    • Laxatives
                                                                                                                                                      • Stomach Remedies
                                                                                                                                                        • Antidiarrheals
                                                                                                                                                          • Formats
                                                                                                                                                            • Figure 37: Digestive and detoxifying treatment product introductions by format, 2007-13
                                                                                                                                                          • Flavors
                                                                                                                                                            • Urgent Rx new player in OTC space
                                                                                                                                                            • Marketing Strategies

                                                                                                                                                              • Overview of the brand landscape
                                                                                                                                                                • Theme: Dr. Recommended
                                                                                                                                                                  • Figure 38: Prilosec OTC, picnic commercial, 2013
                                                                                                                                                                  • Figure 39: Prilosec OTC, website screenshot, 2013
                                                                                                                                                                  • Figure 40: Dulcolax print ad, 2013
                                                                                                                                                                • Theme: Preventing issues
                                                                                                                                                                  • Figure 41: Prilosec OTC print ad, 2013
                                                                                                                                                                • Theme: Comparison
                                                                                                                                                                  • Figure 42: Pepcid, “Burns family wisdom: heartburn relief,” 2013
                                                                                                                                                                • Theme: Indulgence…on the go
                                                                                                                                                                  • Figure 43: Pepto-Bismol, 2013
                                                                                                                                                                • Theme: Fighting symptoms
                                                                                                                                                                  • Figure 44: Tums, “meatball,” 2013
                                                                                                                                                                • Theme: Part of a healthy lifestyle
                                                                                                                                                                • Gastrointestinal and Digestive Issues Experienced

                                                                                                                                                                  • Key points
                                                                                                                                                                    • Gastrointestinal issues common
                                                                                                                                                                      • Women are a prime target for OTC gastrointestinal remedies
                                                                                                                                                                        • Figure 45: Experience gastrointestinal issue, by gender, August 2013
                                                                                                                                                                      • Younger consumers experience more issues
                                                                                                                                                                        • Figure 46: Experience gastrointestinal issue, by age, August 2013
                                                                                                                                                                    • Treating Gastrointestinal Issues

                                                                                                                                                                      • Key points
                                                                                                                                                                        • Room to grow usage of OTC remedies
                                                                                                                                                                          • Women more likely than men to use OTC remedies
                                                                                                                                                                            • Figure 47: Ways treated gastrointestinal ailments—over-the-counter remedy (ie, antacid, laxative, etc.), by gender, August 2013
                                                                                                                                                                            • Figure 48: Types of gastrointestinal remedies used, by gender, August 2013
                                                                                                                                                                          • Young adults a key target for remedies
                                                                                                                                                                            • Figure 49: Ways treated gastrointestinal ailments—over-the-counter remedy (ie, antacid, laxative, etc.), by age, August 2013
                                                                                                                                                                            • Figure 50: Types of gastrointestinal remedies used, by age, August 2013
                                                                                                                                                                          • Barriers to usage
                                                                                                                                                                            • Figure 51: Agreement with attitudes toward using gastrointestinal remedies, by gender and age, August 2013
                                                                                                                                                                        • Purchasing Gastrointestinal Remedies

                                                                                                                                                                          • Key points
                                                                                                                                                                            • Treating issues more reactive than proactive
                                                                                                                                                                              • Private label brands resonate with women
                                                                                                                                                                                • Figure 52: Attitudes toward purchasing gastrointestinal remedies, by gender, August 2013
                                                                                                                                                                              • Older consumers more brand loyal
                                                                                                                                                                                • Figure 53: Attitudes toward purchasing gastrointestinal remedies, by age, August 2013
                                                                                                                                                                              • Market product introductions to proactive purchasers
                                                                                                                                                                                • Figure 54: Attitudes toward purchasing gastrointestinal remedies, by anyone who prepares by purchasing for vacation or holiday, August 2013
                                                                                                                                                                            • Product Format Usage and Interest

                                                                                                                                                                              • Key points
                                                                                                                                                                                • Dissolvable formats generate interest
                                                                                                                                                                                  • Figure 55: Nutriworks Patch it detoxifying treatment
                                                                                                                                                                                  • Figure 56: Usage of and interest in gastrointestinal remedy formats, August 2013
                                                                                                                                                                                • Younger, women interested in a variety of remedy formats
                                                                                                                                                                                  • Figure 57: Metamucil MultiGrain wafer
                                                                                                                                                                                  • Figure 58: Usage of and interest in gastrointestinal remedy formats—have not used but would be interested in trying, by gender and age, August 2013
                                                                                                                                                                              • Attitudes toward Gastrointestinal Issues and Managing Digestive Health

                                                                                                                                                                                • Key points
                                                                                                                                                                                  • Using remedies when necessary
                                                                                                                                                                                    • Figure 59: Ways to manage digestive/gastrointestinal issues through product use, by gender and age, August 2013
                                                                                                                                                                                  • Changes to diet and exercise
                                                                                                                                                                                    • Figure 60: Ways to manage digestive/gastrointestinal issues though exercise and diet, by gender and age, August 2013
                                                                                                                                                                                  • Gastrointestinal issues get in the way of activities
                                                                                                                                                                                    • Figure 61: Agreement with attitudes/frustrations toward gastrointestinal issues, by gender and age, August 2013
                                                                                                                                                                                  • Relying on medication
                                                                                                                                                                                    • Figure 62: Agreement with attitudes toward gastrointestinal issues, by gender and age, August 2013
                                                                                                                                                                                • Race and Hispanic Origin

                                                                                                                                                                                  • Key points
                                                                                                                                                                                    • Gastrointestinal issues common among all
                                                                                                                                                                                      • Figure 63: Experience gastrointestinal issue, by race/Hispanic origin, August 2013
                                                                                                                                                                                    • Black gastrointestinal sufferers more brand loyal
                                                                                                                                                                                      • Figure 64: Attitudes toward purchasing gastrointestinal remedies, by race/Hispanic origin, August 2013
                                                                                                                                                                                    • OTC remedies popular among Blacks, Hispanics
                                                                                                                                                                                      • Figure 65: Ways to manage digestive/gastrointestinal issues, by race/Hispanic origin, August 2013
                                                                                                                                                                                    • Relieving pain
                                                                                                                                                                                      • Figure 66: Agreement with attitudes toward gastrointestinal issues, by race/Hispanic origin, August 2013
                                                                                                                                                                                  • Key Household Purchase Measures – Information Resources Inc. Builders Panel Data

                                                                                                                                                                                      • Overview of gastrointestinal tablets
                                                                                                                                                                                        • Antacid tablets
                                                                                                                                                                                          • Consumer insights on key purchase measures
                                                                                                                                                                                            • Brand map
                                                                                                                                                                                              • Figure 67: Brand map, selected brands of antacid tablets buying rate, by household penetration, 52 weeks ending June 24, 2012
                                                                                                                                                                                            • Brand leader characteristics
                                                                                                                                                                                              • Key purchase measures
                                                                                                                                                                                                • Figure 68: Key purchase measures for the top brands of antacid tablets, by household penetration, 52 weeks ending June 24, 2012
                                                                                                                                                                                              • Laxative tablets
                                                                                                                                                                                                • Consumer insights on key purchase measures
                                                                                                                                                                                                  • Brand map
                                                                                                                                                                                                    • Figure 69: Brand map, selected brands of laxative tablets buying rate, by household penetration, 52 weeks ending June 24, 2012
                                                                                                                                                                                                  • Brand leader characteristics
                                                                                                                                                                                                    • Key purchase measures
                                                                                                                                                                                                      • Figure 70: Key purchase measures for the top brands of laxative tablets, by household penetration, 52 weeks ending June 24, 2012
                                                                                                                                                                                                    • Overview of gastrointestinal liquid
                                                                                                                                                                                                      • Laxative/stimulant liquid/powder/oil
                                                                                                                                                                                                        • Consumer insights on key purchase measures
                                                                                                                                                                                                          • Brand map
                                                                                                                                                                                                            • Figure 71: Brand map, selected brands of laxative/stimulant liquid/powder/oil buying rate, by household penetration, 52 weeks ending June 24, 2012
                                                                                                                                                                                                          • Brand leader characteristics
                                                                                                                                                                                                            • Key purchase measures
                                                                                                                                                                                                              • Figure 72: Key purchase measures for the top brands of laxative/stimulant liquid/powder/oil, by household penetration, 52 weeks ending June 24, 2012
                                                                                                                                                                                                          • Appendix – Other Useful Consumer Tables

                                                                                                                                                                                                            • Experience ailments
                                                                                                                                                                                                              • Figure 73: Experience gastrointestinal issue, by gender and age, August 2013
                                                                                                                                                                                                              • Figure 74: Experience gastrointestinal issue, by presence of children in household, August 2013
                                                                                                                                                                                                              • Figure 75: Experience gastrointestinal issue, by experience issues, August 2013
                                                                                                                                                                                                              • Figure 76: Experience gastrointestinal issue, by experience issues, August 2013 (continued)
                                                                                                                                                                                                            • Treating gastrointestinal/digestive Issues
                                                                                                                                                                                                              • Figure 77: Experience gastrointestinal issue, by repertoire of gastrointestinal remedies used, August 2013
                                                                                                                                                                                                              • Figure 78: Ways treated gastrointestinal ailments—over-the-counter remedy (ie, antacid, laxative, etc.), by gender and age, August 2013
                                                                                                                                                                                                              • Figure 79: Types of gastrointestinal remedies used, by gender and age, August 2013
                                                                                                                                                                                                              • Figure 80: Types of gastrointestinal remedies used, by over-the-counter remedy (ie, antacid, laxative, etc.), August 2013
                                                                                                                                                                                                              • Figure 81: Types of gastrointestinal remedies used, by over-the-counter remedy (ie, antacid, laxative, etc.), August 2013 (continued)
                                                                                                                                                                                                            • Purchasing gastrointestinal remedies
                                                                                                                                                                                                              • Figure 82: Attitudes toward purchasing gastrointestinal remedies, by gender and age, August 2013
                                                                                                                                                                                                              • Figure 83: Attitudes toward purchasing gastrointestinal remedies, by ways to manage digestive/gastrointestinal issues, August 2013
                                                                                                                                                                                                              • Figure 84: Attitudes toward purchasing gastrointestinal remedies, by ways to manage digestive/gastrointestinal issues, August 2013 (continued)
                                                                                                                                                                                                              • Figure 85: Attitudes toward purchasing gastrointestinal remedies, by ways to manage digestive/gastrointestinal issues, August 2013 (continued)
                                                                                                                                                                                                              • Figure 86: Attitudes toward purchasing gastrointestinal remedies, by ways to manage digestive/gastrointestinal issues, August 2013 (continued)
                                                                                                                                                                                                              • Figure 87: Usage of and interest in gastrointestinal remedy formats—have not used but would be interested in trying, by gastrointestinal remedies used, August 2013
                                                                                                                                                                                                              • Figure 88: Attitudes toward purchasing gastrointestinal remedies, by repertoire of gastrointestinal remedies used, August 2013
                                                                                                                                                                                                              • Figure 89: Attitudes toward purchasing gastrointestinal remedies, by I take probiotics regularly to manage my digestive health, August 2013
                                                                                                                                                                                                              • Figure 90: Attitudes toward health, by race/Hispanic origin, April 2013
                                                                                                                                                                                                            • Product format
                                                                                                                                                                                                              • Figure 91: Usage of and interest in gastrointestinal remedy formats—have not used but would be interested in trying, by gastrointestinal remedies used, August 2013
                                                                                                                                                                                                              • Figure 92: Kinds of heartburn, indigestion aids, antinausea, upset stomach, and diarrhea remedies used most often, April 2007-June 2013
                                                                                                                                                                                                              • Figure 93: Types/kinds of heartburn, indigestion aids, antinausea, upset stomach, and diarrhea remedies used most often, by gender and age, May 2012-June 2013
                                                                                                                                                                                                              • Figure 94: Types of laxatives used most often, by gender and age, May 2012-June 2013
                                                                                                                                                                                                            • Managing digestive health
                                                                                                                                                                                                              • Figure 95: Ways to manage digestive/gastrointestinal issues, by gender, August 2013
                                                                                                                                                                                                              • Figure 96: Ways to manage digestive/gastrointestinal issues, by age, August 2013
                                                                                                                                                                                                              • Figure 97: Agreement with attitudes toward gastrointestinal issues, by gender, August 2013
                                                                                                                                                                                                              • Figure 98: Agreement with attitudes toward gastrointestinal issues, by age, August 2013
                                                                                                                                                                                                              • Figure 99: Ways to manage digestive/gastrointestinal issues, by experience issues, August 2013
                                                                                                                                                                                                              • Figure 100: Ways to manage digestive/gastrointestinal issues, by experience issues, August 2013 (continued)
                                                                                                                                                                                                              • Figure 101: Agreement with attitudes toward gastrointestinal issues, by anyone who prepares by purchasing for vacation or holiday, August 2013
                                                                                                                                                                                                            • Brand usage
                                                                                                                                                                                                              • Figure 102: Brands of laxatives used most often, April 2007-June 2013
                                                                                                                                                                                                              • Figure 103: Brands of heartburn, Indigestion aids, anti-nausea, upset stomach and diarrhea remedies used most often, by gender and age, May 2012-June 2013
                                                                                                                                                                                                            • Life events
                                                                                                                                                                                                              • Figure 104: Select life events, by age, May 2012 - June 2013
                                                                                                                                                                                                            • Retail channels
                                                                                                                                                                                                              • Figure 105: Total US retail sales of gastrointestinal remedies, by channel, at current prices, 2011 and 13
                                                                                                                                                                                                            • Innovations and innovators
                                                                                                                                                                                                              • Figure 106: Digestive and detoxifying treatment product introductions in Asia Pacific, 2007-13
                                                                                                                                                                                                          • Appendix – Market Drivers

                                                                                                                                                                                                            • Patient Protection and Affordable Care Act
                                                                                                                                                                                                              • Consumer confidence
                                                                                                                                                                                                                • Figure 107: University of Michigan’s index of consumer sentiment (ICS), 2007-13
                                                                                                                                                                                                              • Unemployment
                                                                                                                                                                                                                • Figure 108: US Unemployment Rate, by month, 2002-13
                                                                                                                                                                                                                • Figure 109: US unemployment and underemployment rates, 2007-13
                                                                                                                                                                                                                • Figure 110: Number of employed civilians in US, in thousands, 2007-13
                                                                                                                                                                                                              • Obesity
                                                                                                                                                                                                                • Childhood and teen obesity—highest in decades
                                                                                                                                                                                                                  • Racial, ethnic population growth
                                                                                                                                                                                                                      • Figure 111: Households with children, by race and Hispanic origin of householder, 2012
                                                                                                                                                                                                                    • Shifting US demographics
                                                                                                                                                                                                                      • Figure 112: US population, by age, 2008-18
                                                                                                                                                                                                                      • Figure 113: US households, by presence of own children, 2002-12
                                                                                                                                                                                                                  • Appendix – Information Resources Inc. Builders Panel Data Definitions

                                                                                                                                                                                                                      • Information Resources Inc. Consumer Network Metrics
                                                                                                                                                                                                                      • Appendix – Trade Associations

                                                                                                                                                                                                                        Companies Covered

                                                                                                                                                                                                                        • American College of Gastroenterology (ACG)
                                                                                                                                                                                                                        • American Gastroenterological Association (AGA)
                                                                                                                                                                                                                        • American Pharmacists Association (APhA)
                                                                                                                                                                                                                        • Consumer Healthcare Products Association (CHPA)
                                                                                                                                                                                                                        • Food and Drug Administration
                                                                                                                                                                                                                        • Walmart Stores (USA)

                                                                                                                                                                                                                        Gastrointestinal Remedies - US - November 2013

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