There has been a very large increase in nutraceutical innovations, particul
arly in the US regulatory marketplace. This article reviews the therapeutic
potential of a group of nutraceuticals that share common biochemical pathw
ays, and have shown spectacular marketplace success. These are energy metab
olites and precursor molecules involved in the metabolic mechanisms of cart
ilage replacement and cellular energy functions. The commercial nutraceutic
als are glucosamine, ribose and their derivatives. These compounds are cons
idered required nutrients for the repair of cartilage and connective tissue
s and optimal cellular energy maintenance in active, middle aged individual
s. The recent scientific and patent literature in this segment of the nutra
ceutical marketplace is reviewed.