Elevated blood pressure and cholesterol, the signs and symptoms of syndrome X and type II diabetes are on the increase within all population segments in Canada. There are conventional medical treatments for hypercholesterolemia and elevated serum glucose, but many patients want to try a “natural” approach before they accept these treatments. This question and answer session will address many of the common natural health products available in Canada that are regulated by Health Canada, Natural Health Products Directorate. We will review the research that has been conducted, most appropriate dosing strategy, and real or potential interactions with conventional medications. While not a natural health product the role of diet and exercise will also be reviewed given that they are a critical component of the successful treatment of the pre-diabetic and diabetic patient. The goal is to help each individual to become more informed about the seriousness of these conditions and the treatment options available to them.