Chromium is an ingredient in total parenteral nutrition (TPN), because deficiency can occur after months of intravenous feeding with chromium-free TPN. It is also added to nutritional products for preterm infants. Although the mechanism of action in biological roles for chromium is unclear, in the United States chromium-containing products are sold as non-prescription dietary supplements in amounts ranging from 50 to 1,000 μg. Lower amounts of chromium are also often incorporated into multi-vitamin/mineral supplements consumed by an estimated 31% of adults in the United States. Chemical compounds used in dietary supplements include chromium chloride, chromium citrate, chromium(III) picolinate, chromium(III) polynicotinate, and other chemical compositions. The benefit of supplements has not been proven.