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Out-of-pocket supplement spending varies widely across the country, shaped by income, age structure, and wellness culture. Mountain West and Pacific Coast households tend to allocate the largest share of discretionary health budgets to vitamins, protein powders, and specialty formulas, while several Southern states report markedly lower per-capita outlays. The pattern tracks closely with median household income and the local density of natural-foods retailers rather than with measured nutrient deficiencies.
Out-of-pocket supplement spending varies widely across the country, shaped by income, age structure, and wellness culture. Mountain West and Pacific Coast households tend to allocate the largest share of discretionary health budgets to vitamins, protein powders, and specialty formulas, while several Southern states report markedly lower per-capita outlays. The pattern tracks closely with median household income and the local density of natural-foods retailers rather than with measured nutrient deficiencies.