The term hormesis refers to beneficial effects from low doses of potentiall
y harmful substances. Although there are many laboratory examples of this p
henomenon, it remains controversial and has never become widely accepted by
the health community. This review goes beyond the laboratory and describes
many clinical and common sense, real-world examples of hormesis that often
go unrecognized. Many vitamins and minerals are essential for life at low
doses but toxic at higher ones. Similarly, exercise, caloric restriction, a
nd alcohol consumption are examples of processes that are harmful in the ex
treme but beneficial in moderation. This review also highlights possible re
asons why acceptance of the hermetic paradigm has lagged. These include hig
h-dose toxicologic testing that precludes the demonstration of low-level ef
fects and the threat posed by hormesis to the currently accepted precaution
ary principle, which assumes that any dose of a chemical is potentially har
mful.