This form is not designed for on-line completion. It is simply a text-based form that can be acquired, inserted into your text editor or word processor, completed, printed out on your printer, and then mailed out. Certified mail to the FDA, plain mail to Mr. Betty Martini (as a proof copy to verify how many reports are not being counted by the FDA). ************************************ Text version follows Aspartame Reaction Report Form (Send CERTIFIED MAIL to:) Commissioner of the FDA Date:______________ Food and Drug Administration 5600 Fishers Lane Rockville, Maryland 20857 Dear Commissioner: For the past ______________________ I have been plagued by the following health problems: (Use this space for generalizations. Use back of letter or other pages for in-depth and supporting information) I recently learned that aspartame, the packaged sweetening agent called Equal, NutraSweet, and other names, is in fact a dangerous toxic substance unfit for human consumption. After the total elimination of this substance from my diet the symptoms listed above have either disappeared, or are greatly diminished. According to your MISSION statement, the FDA must: 1. Base regulatory decisions on a strong scientific and analytical base and the law; and understand, conduct and apply excellent science and research. 2. Be honest, fair and accountable in all of our actions and decisions. The above stated mission characteristics were not applied to this toxic drug. I understand that your predecessor, Dr. Arthur Hull Hayes, disregarded the fraudulent nature of test documentation submitted by Searle, and then overruled his own FDA Board of Inquiry to allow this substance on the open market. The FDA action of 27 June, 1996, allowing aspartame to be use in everything, including in heated foodstuffs, greatly compounds the gravity of this tragic action. Those actions were not in keeping with the stated FDA mission, and were taken with total disregard to human health and safety. Aspartame is a Pandora's box of nightmarish effects that strikes men, women, and children with confusing and un-correctable symptoms. It strikes especially hard at those who are most diet conscious for they are the ones most prone to use this drug. It is time to end a growing World-Wide epidemic by recognizing aspartame for what it is, a slow- acting poison now in over 7000 foodstuffs in over 90 countries. As a United States Citizen, one who helps pay your salary and provide you with facilities, I expect you to perform your duties according to the letter of the law and the Food and Drug Administration charter. To this end, I demand that aspartame be reclassified as a dangerous toxin, a drug that is unfit for human consumption, and be banned from all foodstuffs. Copy to: Betty Martini Mission Possible 9270 River Club Parkway Duluth GA 30097 USA ---------------------------- Snip and remove ------------------------ ***** Please consider sending a copy to your doctor, insurance company, your elected officials, and your state health authority. ***** The above form is "better than nothing". Please note that the preferred form must be obtained from the FDA: For information on FDA's MEDLINE and THEIR COMPLAINT FORM visit... http://www.fda.gov/medwatch/report/consumer/consumer.htm and download the form or do it on-line: https://www.accessdata.fda.gov/scripts/medwatch/ MedWatch fax number:(800) 332-0178 Second best: or call (888) 463-6332 and get a postage-paid MedWatch form that will be sent by mail or fax