📐 Grammar Structure Analysis
Natural Does Not Mean Safe: The Supplement Debate Social Media Cannot Settle
Present Perfect Passive — reporting and recent developments
CEFR: B1/B2
Form
have/has + been + past participleUses & Functions
Examples from the Text
High-dose turmeric supplements have been linked to liver injury.
the rules are widely seen as easy to get around.
Healthcare professionals are increasingly concerned that misinformation is spreading faster than the evidence needed to challenge it.
🇮🇹 Italian Speaker Notes
Challenge: Italian learners often use the active past simple instead of the passive: *Researchers linked turmeric to liver injury* rather than the impersonal passive form preferred in formal English reporting
Tip: When the agent (who did it) is unknown or unimportant, use have/has been + past participle. Ask: ‘Do I need to say who did this?’ If no, use the passive.
⚖️ Contrasts & Comparisons
✏️ Practice: Present Perfect Passive — reporting and recent developments
Complete the sentences using the correct present perfect passive form of the verb in brackets.
High-dose iron supplements _____ (link) to serious digestive problems in several clinical studies.
The health claims on many supplement labels _____ (not / verify) by any independent regulatory body.
Several popular wellness influencers _____ (criticise) by medical professionals for promoting unproven treatments.
The connection between vitamin D deficiency and immune function _____ (establish) in numerous peer-reviewed studies.
_____ the long-term safety of these supplements _____ (test) in large-scale human trials?
Passive Voice — present simple for general truths and regulations
CEFR: B1
Form
am/is/are + past participleUses & Functions
Examples from the Text
all are freely available over the counter
the rules are widely seen as easy to get around
EU legislation prohibits manufacturers from claiming that supplements treat disease
🇮🇹 Italian Speaker Notes
Challenge: Italian uses impersonal ‘si’ constructions (si dice, si vede) where English uses the passive. Learners may produce *One sees the rules as easy to avoid* instead of *The rules are widely seen as easy to get around*
Tip: When English says ‘it is believed / seen / known’, use is/are + past participle. Do not translate Italian ‘si’ directly.
⚖️ Contrasts & Comparisons
✏️ Practice: Passive Voice — present simple for general truths and regulations
Complete the sentences using the correct present simple passive form of the verb in brackets.
In many countries, dietary supplements _____ (not / regulate) as strictly as prescription medicines.
Manufacturers _____ (prohibit) from claiming that their products can treat or cure disease.
The term ‘natural’ _____ (widely / see) as a guarantee of safety, even though this is not always the case.
Most supplements _____ (sell) over the counter without any requirement for a prescription.
_____ online health influencers _____ (require) to disclose their financial relationships with supplement brands?
Subordinate ‘that’ clauses after reporting and hedging verbs
CEFR: B1/B2
Form
verb + (that) + subject + verbUses & Functions
Examples from the Text
Research suggests that over half of adults aged 18 to 34 seek health information on Instagram or TikTok.
Others warn that too much regulation risks becoming paternalism.
A UK survey found that four in ten clinicians encountered misleading supplement claims at least once a week.
🇮🇹 Italian Speaker Notes
Challenge: Italian uses ‘che’ after reporting verbs naturally, so the structure itself is familiar. However, Italian learners often omit backshift in reported statements or keep the original tense: *The survey found that four in ten clinicians encounter* (present) instead of *encountered* (backshifted past)
Tip: After past reporting verbs (found, suggested, warned), shift the tense back: present → past, will → would. After present reporting verbs (suggests, argues), no shift is needed.
⚖️ Contrasts & Comparisons
✏️ Practice: Subordinate ‘that’ clauses after reporting and hedging verbs
Complete the sentences by choosing the correct verb form in the ‘that’ clause. Pay attention to whether the reporting verb is in the present or past tense.
A recent survey found that nearly half of respondents _____ (believe) supplements were completely safe without any side effects.
The World Health Organisation warns that misinformation about supplements _____ (spread) faster than evidence-based corrections.
Researchers argued that the existing regulatory framework _____ (not / provide) adequate consumer protection.
The article suggests that consumers _____ (need) better tools to evaluate health claims they encounter online.
Healthcare professionals warned that some patients _____ (stop) taking prescribed medication in favour of supplements.
Concessive connectors — However, And yet, While/Whereas
CEFR: B1/B2
Form
sentence. However, sentence. | And yet + sentence. | While/Whereas + clause, main clause.Uses & Functions
Examples from the Text
However, this is not a simple story of irresponsible influencers versus responsible medicine.
And yet the counter-argument deserves equal weight.
The idea that supplements are uniquely dangerous while pharmaceuticals are reliably safe is a false binary.
🇮🇹 Italian Speaker Notes
Challenge: Italian learners default to ‘ma’ (but) for all contrast, producing flat opposition. They rarely use ‘however’ correctly as a sentence connector and often write *However supplements can be useful, they can also be dangerous* — treating it like a subordinator
Tip: ‘However’ connects two separate sentences with a full stop or semicolon before it: *Supplements can be dangerous. However, some have real benefits.* It cannot join two clauses with a comma alone.
⚖️ Contrasts & Comparisons
✏️ Practice: Concessive connectors — However, And yet, While/Whereas
Choose the correct concessive connector (However / And yet / While / Whereas) and insert it correctly into the sentence. Some questions also test punctuation.
Some supplements have genuine clinical evidence behind them. _____, the majority have never been tested in rigorous trials.
_____ pharmaceutical drugs must pass years of safety testing before approval, supplements can reach shelves with far less scrutiny.
The evidence against high-dose supplements is growing. _____, millions of people continue to buy them without consulting a doctor.
_____ some influencers genuinely believe in the products they promote, others are primarily motivated by commercial relationships.
Regulation alone cannot solve the problem of misinformation. _____, it is a necessary starting point.
Gerund as object after verbs and prepositions
CEFR: B1
Form
verb + verb-ing | preposition + verb-ingUses & Functions
Examples from the Text
Healthcare workers report spending a significant amount of appointment time dealing with supplement-related questions.
The answer will not come from demonising supplements or silencing online health voices.
Consumer groups advocate for clearer labelling, mandatory disclosure of commercial relationships, and greater platform-level accountability.
🇮🇹 Italian Speaker Notes
Challenge: Italian uses the infinitive after most verbs and prepositions (rischiare di fare, evitare di fare). Learners transfer this pattern: *The answer will not come from to demonise* or *They risk to ignore the evidence* instead of *from demonising* and *risk ignoring*
Tip: After prepositions in English, always use verb-ing, never to + infinitive. Key prepositions to watch: from, of, for, about, without, by. After ‘risk’, ‘report’, ‘avoid’, ‘recommend’ — use verb-ing.
⚖️ Contrasts & Comparisons
✏️ Practice: Gerund as object after verbs and prepositions
Complete the sentences using the correct gerund (-ing) form of the verb in brackets. All gaps follow either a verb that takes a gerund or a preposition.
Many doctors report _____ (spend) a significant part of their consultations addressing supplement-related questions.
The solution to health misinformation will not come from _____ (ban) influencers from discussing medical topics.
Consumer advocacy groups recommend _____ (check) whether a supplement has been reviewed by an independent body before purchasing it.
Dismissing all online health content as misinformation risks _____ (alienate) the very patients that doctors want to reach.
Patients should be encouraged to speak to a professional before _____ (start) any new supplement regimen.