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[PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT
________________________
No. 17-13884
________________________
D.C. Docket No. 1:16-cv-01783-TCB
HI-TECH PHARMACEUTICALS, INC.,
Plaintiff-Appellant,
versus
HBS INTERNATIONAL CORP.,
Defendant-Appellee.
________________________
Appeal from the United States District Court
for the Northern District of Georgia
_______________________
(December 4, 2018)
Before TJOFLAT and WILLIAM PRYOR, Circuit Judges, and MURPHY, *
District Judge.
WILLIAM PRYOR, Circuit Judge:
*
Honorable Stephen Joseph Murphy III, United States District Judge for the Eastern District of
Michigan, sitting by designation.
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This appeal from the dismissal of a complaint raises questions about the
relationship between the labeling requirements of the Food, Drug, and Cosmetic
Act, 21 U.S.C. § 301 et seq., and state and federal laws against deceptive
advertising. Hi-Tech Pharmaceuticals, Inc., filed a complaint that the label of a
protein-powder supplement distributed by HBS International Corp. misleads
customers about the quantity and quality of protein in each serving, violating both
the Georgia Uniform Deceptive Trade Practices Act, O.C.G.A. § 10-1-372(a), and
the federal Lanham Act, 15 U.S.C. § 1125(a). The district court dismissed the
complaint on the grounds that the state-law claim is preempted by the Food, Drug,
and Cosmetic Act and that the complaint fails to state a claim under the Lanham
Act because it is not plausible that the label is misleading. We agree that the state-
law claim is preempted, but we disagree that the label is not plausibly misleading.
And we reject HBS’s arguments that the Food, Drug, and Cosmetic Act bars the
claim under the Lanham Act. We affirm in part, reverse in part, and remand.
I. BACKGROUND
Hi-Tech Pharmaceuticals, Inc., is a Georgia-based firm that manufactures,
markets, distributes, and sells dietary-supplement products. HBS International
Corp. is a Canadian firm that distributes throughout the United States and Canada
bodybuilding and sports-nutrition supplements supplied by its wholly owned
subsidiary, Allmax Nutrition, Inc. One of the Allmax products HBS distributes, the
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“Ultra-Premium 6-Protein Blend Hexa[P]ro,” is a protein-powder drink mix
marketed as a bodybuilding and workout-recovery aid.
Because this appeal arises from the dismissal of a complaint, “we accept as
true the facts alleged in the complaint, drawing all reasonable inferences in [the]
plaintiff’s favor.” Bailey v. Wheeler, 843 F.3d 473, 480 (11th Cir. 2016). Under the
doctrine of incorporation by reference, we may also consider documents attached
to the motion to dismiss if they are referred to in the complaint, central to the
plaintiff’s claim, and of undisputed authenticity. See Horsley v. Feldt, 304 F.3d
1125, 1134 (11th Cir. 2002); Brooks v. Blue Cross & Blue Shield of Fla., Inc., 116
F.3d 1364, 1369 (11th Cir. 1997). In particular, we consider the undisputed
HexaPro marketing label attached to the motion to dismiss by HBS.
Hi-Tech filed a complaint against HBS and other defendants not involved in
this appeal. As relevant here, the complaint alleges that the following HexaPro
marketing label violates the Georgia Uniform Deceptive Trade Practices Act,
O.C.G.A. § 10-1-372(a), and the Lanham Act, 15 U.S.C. § 1125(a):
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For ease of inspection, we provide close-up images of the three sections of
the label. The front of the panel identifies the product as an “Ultra-Premium 6-
Protein Blend” with “25 G[rams] Protein Per Serving,” and it touts the product’s
“6 Ultra-High Quality Proteins” and “5 Amino Acid Blend with BCAAs [Branch-
Chain Amino Acids]”:
The left side of the label again identifies HexaPro as “an Ultra-Premium,
Ultra-Satisfying Blend of 6 High-Quality Proteins.” It elaborates on that claim by
identifying the six whole-protein sources that HexaPro contains: whey protein
concentrate, milk protein concentrate, whey protein isolate, micellar casein, egg
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albumin, and hydrolyzed whey. And it states that the product “is also fortified with
5 Amino Acids to enhance recovery”:
Finally, the right side of the label features the nutrition-facts table, which
states that HexaPro contains 25 grams of protein per serving, and the list of
ingredients. This side also provides a table labeled “Amino Acid Profile.”
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Although the heading of the table indicates that HexaPro contains 44 grams of
amino acids per serving, the table itemizes only 25,000 milligrams, or 25 grams:
In its complaint, Hi-Tech alleges that HexaPro’s label misleads consumers in
three distinct but related ways. The first concerns the quantity of protein in a
serving of HexaPro. Although HexaPro contains whole proteins, it also contains
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free-form amino acids and other non-protein ingredients. Hi-Tech alleges that that
an analysis that excludes these “spiking agents” and counts only “total bonded
amino acids”—which alone are molecularly complete proteins—yields an “actual
protein content” of “17.914 grams per serving,” not 25 grams per serving. But Hi-
Tech does not allege that the HexaPro label is inconsistent with the applicable
regulation of the Food and Drug Administration, which permits “[p]rotein content
[to] be calculated on the basis of the factor 6.25 times the nitrogen content of the
food,” 21 C.F.R. § 101.9(c)(7), even if not all of a product’s nitrogen content
derives from whole-protein sources.
Second, Hi-Tech alleges that the label is misleading about the source of the
protein content. In Hi-Tech’s view, the label suggests that the product’s entire
stated protein content derives from the whole-protein sources identified on the left
side of the panel. Observing that the front label identifies HexaPro as an “Ultra-
Premium 6-Protein Blend,” Hi-Tech alleges that this “statement of identity is
intended to lead consumers to believe that the Product contains protein derived
exclusively from the ‘Ultra-Premium 6-Protein Blend.”
Third, Hi-Tech alleges that the front of the label is misleading about both the
quantity and the source of the product’s protein content. Hi-Tech alleges that the
proximity of the phrase “Ultra-Premium 6-Protein Blend” to the phrase “25 G
Protein Per Serving” on the front of the label misleads consumers into believing
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that HexaPro “contains 25 grams of the ‘Ultra-Premium 6-Protein Blend’-type
protein per serving,” that is, the six whole-protein sources. This representation is
untrue because the product is “spike[d] . . . with free form amino acids and non-
protein ingredients” and, in fact, “contains only 17.914 grams of the ‘Blend’-type
protein per serving.”
HBS moved to dismiss the complaint for failure to state a claim, see Fed. R.
Civ. P. 12(b)(6), and the district court granted the motion. The district court ruled
that Hi-Tech’s claim under the Georgia Uniform Deceptive Trade Practices Act
was preempted by the federal Food, Drug, and Cosmetic Act for two reasons: first,
Hi-Tech’s claim fell within the ambit of the federal Act’s express preemption
clause, which prohibits state-law “claim[s] seek[ing] to impose food labeling
requirements that differ from the applicable federal regulation”; and second, Hi-
Tech failed to allege that it had established the true protein content of HexaPro
using a test that complies with the protein-testing requirements of the Food and
Drug Administration, see 21 C.F.R. § 101.9(g). And the district court ruled that Hi-
Tech failed to state a claim under the Lanham Act because HexaPro’s label
“provides a detailed breakdown of all . . . ingredients, including the mix of amino
acids.” The district court stated that “[t]hese statements indicate to consumers that
the product is not made solely of the ultra-premium protein blend, but contains
other ingredients as well.”
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II. STANDARD OF REVIEW
“We review de novo the district court’s grant of a Rule 12(b)(6) motion to
dismiss for failure to state a claim, accepting the complaint’s allegations as true
and construing them in the light most favorable to the plaintiff.” Chaparro v.
Carnival Corp., 693 F.3d 1333, 1335 (11th Cir. 2012) (quoting Cinotto v. Delta
Air Lines Inc., 674 F.3d 1285, 1291 (11th Cir. 2012)).
III. DISCUSSION
We divide our discussion in three parts. First, we reject HBS’s contention
that Hi-Tech “waived” or forfeited dispositive arguments by failing to challenge
them in the district court when HBS raised them in its motion to dismiss. Second,
we explain that federal law preempts Hi-Tech’s state-law claim. Third, we explain
that federal law does not bar Hi-Tech’s theory that the HexaPro label is false or
misleading under the Lanham Act, and we conclude that Hi-Tech has stated a
plausible claim for relief. We affirm in part and reverse in part.
A. Hi-Tech Has Not “Waived” or Forfeited Dispositive Arguments.
HBS contends that we need not reach the merits of this appeal because Hi-
Tech “waived”—HBS’s word, although “forfeited” would be more appropriate, see
United States v. Phillips, 834 F.3d 1176, 1183 (11th Cir. 2016)—three dispositive
arguments by failing to respond to them in the district court when HBS raised them
in its motion to dismiss. First, HBS argued that Hi-Tech failed to plead a plausible
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claim for relief because it did not attach test results to its complaint to support its
allegation that the HexaPro label overstates its protein content. Second, HBS
argued that Hi-Tech could not allege a plausible claim for relief because the
HexaPro label “prominently disclosed the presence of amino acids on both the
principal display and information panels of the label.” Third, HBS argued that Hi-
Tech’s claim under the Lanham Act is precluded because there is a “genuinely
irreconcilable conflict,” POM Wonderful LLC v. Coca-Cola Co., 134 S. Ct. 2228,
2237 (2014), between the Food and Drug Administration’s regulations and the
labeling that Hi-Tech claims the Lanham Act requires.
HBS “misunderstand[s] the law. Parties can most assuredly waive [or
forfeit] positions and issues on appeal, but not individual arguments . . . .” Sec’y,
U.S. Dep’t of Labor v. Preston, 873 F.3d 877, 883 n.5 (11th Cir. 2017). Indeed, in
Preston, we rejected the theory that a plaintiff “waived various arguments . . . by
failing to make . . . them in response to the defendants’ motion to dismiss in the
district court,” the very theory HBS raises in this appeal. Id. (alteration adopted)
(internal quotation marks omitted). In the district court, Hi-Tech defended the
sufficiency of its complaint and disputed HBS’s reading of POM Wonderful. Even
if HBS were correct that Hi-Tech failed to respond in the district court to each
individual argument that HBS made in its motion to dismiss, that failure would not
amount to a waiver or forfeiture of Hi-Tech’s position that its complaint stated a
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plausible claim under the Lanham Act. And, after the district court considered the
merits of at least two of HBS’s three arguments and relied on them in granting the
motion to dismiss, Hi-Tech was entitled to challenge those arguments on appeal
whether or not it had done so in the district court. See United States v. Clariot, 655
F.3d 550, 556 (6th Cir. 2011) (“[T]here can be no forfeiture ‘where the district
court nevertheless addressed the merits of the issue.’ . . . When a district court
resolves an issue, the losing party can challenge it.” (quoting Blackmon-Malloy v.
U.S. Capitol Police Bd., 575 F.3d 699, 707 (D.C. Cir. 2009))).
HBS compares this appeal to Sapuppo v. Allstate Floridian Insurance Co.,
739 F.3d 678 (11th Cir. 2014), but Sapuppo is inapposite. In Sapuppo, we
explained that “[w]hen an appellant fails to challenge properly on appeal one of the
grounds on which the district court based its judgment, he is deemed to have
abandoned any challenge of that ground, and it follows that the judgment is due to
be affirmed.” Id. at 680. And we explained that an appellant must directly
challenge each of the district court’s grounds in his initial brief; challenges that are
merely hinted at or that first appear in a reply brief do not merit consideration. See
id. at 681–83.
Hi-Tech has satisfied the standards for our appellate review. Its initial brief
directly challenges each ground on which the district court dismissed the
complaint. We turn to its arguments on the merits.
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B. Federal Law Preempts Hi-Tech’s Claim Under the Georgia Uniform
Deceptive Trade Practices Act.
The district court ruled that federal law preempts Hi-Tech’s claim under the
Georgia Uniform Deceptive Trade Practices Act for two reasons. First, the district
court concluded that the federal Food, Drug, and Cosmetic Act’s express-
preemption provision bars the claim because the claim would impose liability for
conduct that does not violate the Act. Second, the district court determined that the
claim is preempted because Hi-Tech did not allege that it had established the true
protein content of HexaPro using a test that complies with certain regulatory
protein-testing requirements, see 21 C.F.R. § 101.9(g). We agree that the Act’s
express-preemption provision bars the claim, so we need not and do not reach the
district court’s second ground.
The Act expressly preempts state laws that “directly or indirectly establish
. . . any requirement for nutrition labeling of food that is not identical to the
requirement of section 343(q) of this title, except [for sales of food at some
restaurants], or . . . any requirement respecting any claim of the type described in
section 343(r)(1) of this title made in the label or labeling of food that is not
identical to the requirement of section 343(r) of this title.” 21 U.S.C. § 343-
1(a)(4)–(5). Section 343(q) regulates “nutrition information” that must be disclosed
about certain nutrients in food products, including the “total protein contained in
each serving size or other unit of measure.” Id. § 343(q)(1)(D). Section 343(r)
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governs all other statements about nutrient content that “expressly or by
implication” “characterize[] the level of any nutrient.” Id. § 343(r)(1)(A). A state-
law requirement is “not identical to” federal requirements if “the State requirement
directly or indirectly imposes obligations or contains provisions concerning the
composition or labeling of food that are not imposed by or contained in the
applicable federal regulation or differ from those specifically imposed by or
contained in the applicable federal regulation.” Lilly v. ConAgra Foods, Inc., 743
F.3d 662, 665 (9th Cir. 2014) (alterations adopted) (quoting 21 C.F.R.
§ 100.1(c)(4)).
Hi-Tech’s state-law claim is preempted because it would impose liability for
labeling that does not violate the Food, Drug, and Cosmetic Act or the regulations
that carry it into effect. A federal regulation expressly allows “[p]rotein content
[to] be calculated on the basis of the factor 6.25 times the nitrogen content of the
food,” 21 C.F.R. § 101.9(c)(7), and Hi-Tech does not dispute that HexaPro’s
labeling complies with this regulation. Instead, Hi-Tech alleges that HexaPro’s
labeling misleads consumers about the nature, source, and quality of the whole
proteins, free-form amino acids, and other ingredients that make up HexaPro’s
advertised 25 grams of protein per serving. Assuming that Hi-Tech is right that the
labeling is misleading, HBS could remedy the misrepresentation only by reducing
the advertised amount of protein per serving or by redesigning its label to itemize
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by amount each source of “protein” that contributes to the advertised 25 grams.
But Hi-Tech has identified no provision of the Food, Drug, and Cosmetic Act or
the relevant federal regulations that requires HBS to do either of those things.
Hi-Tech contends that its state-law claim “seeks to enforce the requirement
that a food not be labeled in such a way as to lead consumers to believe that it is
made solely of one ingredient when it is made of multiple ingredients,” but this
argument is unpersuasive. True, a regulation provides that “[t]he labeling of a food
which contains two or more ingredients may be misleading by reason . . . of the
designation of such food in such labeling by a name which includes or suggests the
name of one or more but not all such ingredients, even though the names of all
such ingredients are stated elsewhere in the labeling.” 21 C.F.R. § 101.18(b). But
HexaPro’s name does not include the name of any of the product’s ingredients, so
the object of Hi-Tech’s state-law claim cannot be to enforce this regulation. And,
to the extent that Hi-Tech’s claim is that the labeling suggests that HexaPro’s only
ingredient is the “Ultra-Premium 6-Protein Blend,” it is too implausible to survive
a motion to dismiss for failure to state a claim. As the district court rightly stated,
the label prominently discloses the presence of amino acids and other non-protein
ingredients, and those disclosures would clearly “indicate to consumers that the
product is not made solely of the ultra-premium protein blend, but contains other
ingredients as well.”
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Hi-Tech elsewhere retreats from the argument that its state-law claim would
enforce federal law and contends instead that its state-law claim is “consistent”
with the federal requirements. But to avoid preemption, Hi-Tech’s state-law claim
must be identical, not merely consistent, with federal requirements. To the extent
that the Georgia Uniform Deceptive Trade Practices Act would require changes to
HexaPro’s labeling, it would “directly or indirectly establish” requirements that are
“not identical to” federal requirements, 21 U.S.C. § 343-1(a)(4)–(5). The district
court did not err when it ruled that Hi-Tech’s state-law claim is expressly
preempted.
C. The District Court Erred When It Dismissed Hi-Tech’s Claim Under the
Lanham Act.
Although we agree with the district court that Hi-Tech’s state-law claim is
preempted, we agree with Hi-Tech that the district court erred in dismissing its
claim under the Lanham Act. Hi-Tech has pleaded facts to support a plausible
inference that a reasonable consumer would find HexaPro’s label misleading. And
HBS is mistaken to argue that the Food, Drug, and Cosmetic Act bars Hi-Tech’s
claim under the Lanham Act.
“To survive a motion to dismiss [for failure to state a claim], a complaint
must contain sufficient factual matter, accepted as true, to ‘state a claim for relief
that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting
Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). In other words, the
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complaint must contain “factual content that allows the court to draw the
reasonable inference that the defendant is liable for the misconduct alleged.” Id. A
defendant is liable for false advertising under the Lanham Act if “(1) the
defendant’s statements were false or misleading; (2) the statements deceived, or
had the capacity to deceive, consumers; (3) the deception had a material effect on
the consumers’ purchasing decision; (4) the misrepresented service affects
interstate commerce; and (5) [the plaintiff] has been, or likely will be, injured as a
result of the false or misleading statement.” Sovereign Military Hospitaller Order
v. Fla. Priory of Knights Hospitallers, 702 F.3d 1279, 1294 (11th Cir. 2012).
To establish the “false or misleading statement” element of the claim, the
plaintiff must prove that “the statements at issue were either ‘(1) commercial
claims that are literally false as a factual matter,’ or ‘(2) claims that may be
literally true or ambiguous but which implicitly convey a false impression, are
misleading in context, or are likely to deceive consumers.” Hickson Corp. v. N.
Crossarm Co., 357 F.3d 1256, 1261 (11th Cir. 2004) (quoting United Indus. Corp.
v. Clorox Co., 140 F.3d 1175, 1180 (8th Cir. 1998)). “When determining whether
an advertisement is literally false or misleading, courts ‘must analyze the message
conveyed in full context,’ and ‘must view the face of the statement in its entirety.’”
Osmose, Inc. v. Viance, LLC, 612 F.3d 1298, 1308 (11th Cir. 2010) (alterations
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adopted) (quoting Johnson & Johnson Vision Care, Inc. v. 1-800 Contacts, Inc.,
299 F.3d 1242, 1248 (11th Cir. 2002)).
The district court concluded that the complaint does not allow a plausible
inference that HexaPro’s label is misleading, which is the only ground on which
HBS challenged the facial sufficiency of the complaint. We disagree with that
ruling and reverse the dismissal of Hi-Tech’s claim of false advertising under the
Lanham Act. Because HBS has not argued that the complaint is insufficient based
on any other element of the claim, we do not consider whether such arguments
might have prevailed if HBS had raised them.
As an initial matter, we reject HBS’s contention that we may disregard the
supposedly “conclusory” allegation of the true whole-protein content of HexaPro
when assessing the sufficiency of the complaint. In Twombly and Iqbal, the
Supreme Court made clear that “legal conclusions” are not entitled to be assumed
true, and this tenet extends to “[t]hreadbare recitals of the elements of a cause of
action, supported by mere conclusory statements.” Iqbal, 556 U.S. at 678; accord
Twombly, 550 U.S. at 555. But Hi-Tech’s allegation that a serving of HexaPro
contains “17.914 grams” of bonded amino acids—that is, molecularly complete
proteins—is not in any sense a “legal conclusion[]”; instead, it is a specific
assertion about physical and chemical fact that is either true or false, no matter
what legal conclusions it may or may not support. The only sense in which it is
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“conclusory”—and what HBS’s argument boils down to—is that the complaint
does not itself prove HexaPro’s chemical composition. But no part of the
Twombly-Iqbal pleading standard requires a plaintiff to provide evidence for the
factual allegations in a complaint before they are “entitled to the assumption of
truth” at the motion-to-dismiss stage, Iqbal, 556 U.S. at 679.
With that in mind, we conclude that the allegations in the complaint and the
undisputed product label allow the plausible inference that HexaPro’s labeling is
misleading. The front of the label identifies HexaPro as an “Ultra-Premium 6-
Protein Blend” that contains “25 G Protein Per Serving,” and the left side of the
label declares that HexaPro “is an Ultra-Premium, Ultra-Satisfying Blend of 6
High-Quality Proteins,” which are enumerated. The nutrition-facts panel on the
right side of the label represents that each serving of HexaPro contains 25 grams of
protein. Despite these representations, HexaPro—taking the facts alleged as true,
as we must—“does not contain 25 grams of the ‘Ultra-Premium 6-Protein Blend’-
type protein per serving,” that is, the six whole-protein sources listed on the left
side of the panel. “Rather, because [HBS] spike[s] [HexaPro] with free form amino
acids and non-protein ingredients, [HexaPro] contains only 17.914 grams of the
‘Blend’-type protein per serving.” Considering the label as a whole and taking its
statements in context, we find it plausible that a reasonable consumer would be
misled to believe that a serving of HexaPro contains 25 grams of protein derived
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from the “6-Protein Blend” comprising the “6 High-Quality Proteins” listed on the
label.
In ruling otherwise, the district court adopted the reasoning of Gubala v.
Allmax Nutrition, Inc., No. 14-cv-9299, 2015 WL 6460086 (N.D. Ill. Oct. 26,
2015), a case that dealt with nearly identical allegations about the HexaPro label.
Following Gubala, the district court reasoned that HexaPro’s label is not
misleading “because it clearly states that in addition to the ‘6 ultra-high quality
proteins,’ it contains a ‘5 Amino Acid Blend with BCAAs’” and because this
statement is “prominently located on the front of the label directly beneath the
name of the product, ‘Hexa[P]ro.’” Id. at *6. The district court also faulted Hi-
Tech for “fail[ing] to explain how a label can be misleading when it provides a
detailed breakdown of all [of] HexaPro’s ingredients, including the mix of amino
acids.” And the district court reasoned that the ingredient breakdown on the label
“indicate[s] to consumers that the product is not made solely of the ultra-premium
protein blend, but contains other ingredients as well.”
This reasoning is unpersuasive. The district court—and the Gubala court—
apparently assumed that Hi-Tech’s theory is that the HexaPro label would mislead
consumers into believing that the only ingredient in the product is the “Ultra-
Premium 6-Protein Blend.” But that is not Hi-Tech’s contention. Instead, Hi-Tech
argues that the label would induce a reasonable consumer to believe that the
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protein in HexaPro derives exclusively from the six-protein blend. And we agree
that Hi-Tech’s theory, stated this way, is at least plausible.
HexaPro’s label provides no suggestion that the claimed 25 grams of protein
per serving derives from any source other than the whole-protein ingredients that
make up the “Ultra-Premium 6-Protein Blend.” Not counting the 25-grams figure,
the label never uses the word “protein” to refer to anything other than those six
ingredients. The label never explains that the figure of 25 grams includes free-form
amino acids or other non-protein ingredients. Indeed, the label appears consistently
to treat “amino acids” as separate from and providing distinct nutritional benefits
from “protein.” For example, the front of the label lists the product’s “6 Ultra-High
Quality Proteins” and its “5 Amino Acid Blend with BCAAs” in separate bullet
points. On the left side of the label, two sentences touting the product’s “6 highly-
bioavailable proteins” are followed by a third stating that HexaPro “is also fortified
with 5 Amino Acids to enhance recovery” (emphasis added). And, although the
“Amino Acid Profile” on the right side of the label lists 25 grams of amino acids,
the label provides no explanation of how this figure relates either to the product’s
25 grams of protein per serving or the 44 grams of amino acids per serving
advertised at the top of the “Amino Acid Profile” table.
Based on the total impression given by the label, it is plausible that only
sophisticated consumers schooled in federal regulations or nutrition science would
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understand or even suspect that free-form amino acids or other non-protein
ingredients form any part of HexaPro’s stated 25 grams of protein per serving. Of
course, the Food and Drug Administration permits protein calculations based on
free-form amino acids and other nitrogen-containing non-protein ingredients. See
21 C.F.R. § 101.9(c)(7). But, as the Supreme Court made clear in POM Wonderful,
the Food, Drug, and Cosmetic Act does not generally bar claims of false
advertising of food under the Lanham Act. See POM Wonderful, 134 S. Ct. at
2237–41.
Despite this general rule, HBS argues that Hi-Tech’s claim is barred for two
specific reasons, but neither is persuasive. First, drawing on dicta in POM
Wonderful, HBS argues that application of the Lanham Act would create “a
genuinely irreconcilable conflict” with the federal regulation governing protein
calculations. See id. at 2237 (declining to decide whether “the Court’s task is to
reconcile or harmonize [potentially divergent] statutes” or instead “to enforce both
statutes in full unless there is a genuinely irreconcilable conflict”). HBS contends
that “HexaPro cannot simultaneously comply with both the FDA’s regulations and
Plaintiff’s demand. It cannot disclose both 25 grams to satisfy the requirements of
the [Administration] and 17.914 grams to satisfy Plaintiff.” But HBS need not
abandon the 25-grams-per-serving figure to cure the misrepresentation alleged by
Hi-Tech. Among other possible solutions, it would suffice to clarify on the
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HexaPro label how much protein in each serving derives from the six-protein blend
and how much derives from free-form amino acids and other non-protein
ingredients. No federal law prevents HBS from doing so.
Second, HBS argues that a claim under the Lanham Act is barred “if
determining the truth or falsity of the [challenged] statement would require a court
to interpret FDA regulations, which is generally left to the FDA itself.” To support
this contention, HBS cites Hi-Tech Pharmaceuticals, Inc. v. Hodges Consulting,
Inc., 230 F. Supp. 3d 1323 (N.D. Ga. 2016), for the proposition that the Food,
Drug, and Cosmetic Act bars Lanham Act claims when they “would require a court
to make determinations about the safety, legality, and classification of new drugs
that are more properly within the exclusive purview of the FDA.” Id. at 1330. And
HBS argues that Hi-Tech’s claim falls within the scope of this bar because “it asks
this Court to substitute its own judgment regarding the most appropriate way to
measure protein for the FDA’s judgment.”
Again, HBS is mistaken. The rule in Hodges Consulting applies only to
claims that would “circumvent the FDA’s exclusive enforcement authority by
seeking to prove that [d]efendants violated the FDCA, when the FDA did not reach
that conclusion.” PhotoMedex, Inc. v. Irwin, 601 F.3d 919, 928 (9th Cir. 2010); see
also Sandoz Pharms. Corp. v. Richardson-Vicks, Inc., 902 F.2d 222, 231 (3d Cir.
1990) (holding that the Food, Drug, and Cosmetic Act precluded claims under the
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Lanham Act related to labeling an ingredient “inactive” when the Food and Drug
Administration had not yet determined whether the ingredient was active or
inactive). In other words, the rule bars only “private actions under the Lanham Act
premised on enforcement determinations that the FDA and other regulatory
agencies did not themselves make,” PhotoMedex, 601 F.3d at 928, such as an
action that would require an original determination “whether a drug is ‘new,’ and
whether it can be lawfully marketed under the FDCA,” Hodges Consulting, 230 F.
Supp. 3d at 1331 (quoting JHP Pharms., LLC v. Hospira, Inc., 52 F. Supp. 3d 992,
1004 (C.D. Cal. 2014)).
Hi-Tech’s claim under the Lanham Act would not require a court to question
the regulatory determination that “[p]rotein content may be calculated on the basis
of the factor 6.25 times the nitrogen content of the food.” 21 C.F.R. § 101.9(c)(7).
Instead, it would require a court to determine only whether the protein-content
representations on the HexaPro label are misleading to consumers in the context of
the label’s failure to specify the sources of the nitrogen measured by the federal
test. Because this inquiry would not require a court “to interpret or apply the
FDCA to determine whether or not the marketing of the supplement was
deceptive,” resolving Hi-Tech’s claim under the Lanham Act would not “step on
the FDCA’s toes,” Hodges Consulting, 230 F. Supp. 3d at 1331.
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IV. CONCLUSION
We AFFIRM the dismissal of Hi-Tech’s claim under the Georgia Uniform
Deceptive Trade Practices Act but REVERSE the dismissal of its claim under the
Lanham Act and REMAND for further proceedings consistent with this opinion.
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