              Case: 17-15695    Date Filed: 09/18/2019    Page: 1 of 27


                                                           [DO NOT PUBLISH]



                IN THE UNITED STATES COURT OF APPEALS

                         FOR THE ELEVENTH CIRCUIT
                           ________________________

                                 No. 17-15695
                           ________________________

                       D.C. Docket No. 1:04-cv-03294-CAP



FEDERAL TRADE COMMISSION,

                                           Plaintiff - Counter Defendant - Appellee,

CERTUSBANK, N.A.,

                                           Plaintiff,

versus

NATIONAL UROLOGICAL GROUP, INC.,
d.b.a. Warner Laboratories, et al.,

                                           Defendants - Counter Claimants,

HI-TECH PHARMACEUTICALS, INC.,
corporations,
JARED WHEAT,
individually and as officers of the corporations,
STEPHEN SMITH,
individually and as officers of National Urological Group,
Inc., and National Institute for Clinical Weight Loss, Inc.,

                                           Defendants - Appellants,
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THOMASZ HOLDA,
individually and as officers of the corporations, et al.,

                                                 Defendants.

                                 ________________________

                          Appeal from the United States District Court
                             for the Northern District of Georgia
                                ________________________

                                     (September 18, 2019)

Before MARTIN, ROSENBAUM, Circuit Judges, and MARTINEZ,∗ District
Judge.

PER CURIAM:

       The defendants in this case were enjoined from making certain claims about

health products without “competent and reliable scientific evidence” to substantiate

those claims. The Federal Trade Commission (“FTC”) alleged that they violated the

injunction when they publicized the weight- and fat-loss benefits of the four products

at issue in this case. After a bench trial, the district court agreed with the FTC and

found the defendant in civil contempt. The district court consequently imposed

approximately $40 million in sanctions.

       Upon review, we conclude that the defendants have waived their challenge to

the facial clarity of the injunction and that the district court committed no abuse of




       ∗ Honorable Jose Martinez, United States District Judge for the Southern District of Florida,

sitting by designation.
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discretion. Accordingly, we affirm the district court’s order of contempt and entry

of sanctions.

                                 I. BACKGROUND

      A. Initial Entry of the Injunction at Issue

      Hi-Tech Pharmaceuticals, its chief executive officer (“CEO”), Jared Wheat,

and its head of sales, Stephen Smith (collectively, “the defendants”), sold dietary

supplements that advertised weight- and fat-loss benefits. They promised that one

of their products, Thermalean, would help consumers lose “as much as 30 pounds in

two months,” and that another product, Lipodrene, was “clinically proven to enable

users to lose up to 42% of total body fat.” In 2004, the FTC charged the defendants

with falsely advertising those products, in violation of Sections 5 and 12 of the FTC

Act, 15 U.S.C. §§ 45(a) and 52.

      The district court granted summary judgment for the FTC. F.T.C. v. Nat’l

Urological Grp., Inc., 645 F. Supp. 2d 1167, 1215 (N.D. Ga. 2008), aff’d, 356 F.

App’x 358 (11th Cir. 2009). Claims about the safety and efficacy of dietary

supplements, the district court noted, “must be substantiated with competent and

reliable scientific evidence.” Id. at 1202. The FTC’s guide for advertisers defined

“competent and reliable scientific evidence” as “tests, analyses, research, studies, or

other evidence based on the expertise of professionals in the relevant area, that have

been conducted and evaluated in an objective manner by persons qualified to do so,


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using procedures generally accepted in the profession to yield accurate and reliable

results.” Id. at 1190 (citation and quotation marks omitted).

      The district court agreed with the FTC’s expert, Dr. Louis Aronne, that to

satisfy the FTC’s definition of “competent and reliable scientific evidence”

supporting weight- and fat-loss claims regarding any product, randomized clinical

trials (“RCTs”) on the advertised products are necessary. See id. at 1202. As the

defendants had not conducted any RCTs on Thermalean or Lipodrene, the district

court concluded that the defendants’ weight- and fat-loss claims about those

products were unfounded.

      In its motion for summary judgment, the FTC had attached the proposed text

of a permanent injunction against the appellants. Sections II and VII of the proposed

injunction banned the defendants from making unsubstantiated claims, meaning they

were to refrain from making any representation about the safety, efficacy, or health

or weight-loss benefits of dietary supplements unless, “at the time the representation

is made, [they] possess and rely upon competent and reliable scientific evidence that

substantiates the representation.” (emphasis added). The proposed injunction

adopted the definition for “competent and reliable scientific evidence” from the

FTC’s advertising guide.

      Complaining of “space limitations,” the defendants indicated that they would

not object to the proposed injunction in their opposition to summary judgment. They


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instead requested “that they be given further opportunity” to voice their objections

later. The district court granted the defendants’ request. Nat’l Urological Grp., Inc.,

645 F. Supp. 2d at 1215.

      And the defendants took advantage of their second chance. They objected to

several provisions in the proposed injunction, including the definition of several

terms, like “[c]overed product or service,” “drug,” or “manufacturing.” Notably,

though, they did not object to the use of the phrase “competent and reliable scientific

evidence.”

      After overruling the defendants’ objections, the district court entered a

permanent injunction against them. Just as the proposed injunction had, Sections II

and VII of the final injunction prohibited the defendants from making fat- and

weight-loss claims about covered products unless, at the time of the representation,

the defendants relied on “competent and reliable scientific evidence that

substantiates the representation.” That phrase was defined by reference to the FTC’s

advertising guide, as it had been during the litigation.

      The defendants appealed to this Court, raising a host of arguments. But again,

significantly, they did not argue that the phrase “competent and reliable scientific

evidence” was unclear. A different panel of this Court rejected the defendants’

arguments and affirmed the district court. F.T.C. v. Nat’l Urological Grp., Inc., 356

F. App’x 358, 359 (11th Cir. 2009).


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      B. Contempt

      The ink had hardly dried on filings from the first injunction case when the

defendants started a new marketing campaign in 2009. This time, they touted the

fat- and weight-loss benefits of four products—a reformulated version of Lipodrene,

Fastin, Benzedrine, and Stimerex-ES. For example, advertisements for Lipodrene

warned users not to consume the product unless “fat loss and weight loss are your

intended result”; advertisements for Fastin boasted that it was an “Extreme Fat

Burner”; those for Benzedrine claimed that it would “annihilate . . . fat”; and

advertisements for Stimerex-ES told users that this was a product “for those who

want their fat-burner to light them up all day as their pounds melt away.”

      The FTC moved for an order to show cause why the defendants should not be

held in contempt for marketing those four products without proper substantiation, in

violation of their injunction. F.T.C. v. Nat’l Urological Grp., Inc., 785 F.3d 477,

479-80 (11th Cir. 2015). In response, the defendants argued that they had fully

complied with the injunction. Id. at 481. Contending that RCTs on the products at

issue were not required, the defendants offered other types of evidence that they

claimed were competent and reliable scientific evidence to support their claims.

      The FTC disagreed and pointed to several communications that revealed the

defendants’ knowledge that the injunction could require them to conduct RCTs on




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the advertised products.1 In one email, Hi-Tech’s attorneys informed Wheat that

“competent and reliable scientific evidence,” as used in the injunction, meant RCTs

on the marked product:

               [I]t is safe to say that Judge Pannell did not then and would
               not now find this form of ingredient specific substantiation
               to be consistent with the express language in the FTC
               Injunction requiring “competent and reliable scientific
               evidence.” Rather, based upon Judge Pannell’s previous
               findings, it is reasonable to assume that he would take a
               position consistent with the FTC that double-blind,
               clinical trials of the products were necessary to
               substantiate the representation. Although we certainly
               have not and do not now agree with this position, at
               present, it is the premise upon which the FTC Injunction
               is based.
Wheat certainly heard his attorneys’ advice, telling another Hi-Tech employee that

“[his attorney’s] opinion is anything short of a double-blind study on each product

leaves [Hi-Tech] open to exposure to FTC.” But, Wheat said, “[he] s[i]mply [could]

not quit advertising.”

       The district court agreed with the FTC. Observing that the issue of what

constituted “competent and reliable scientific evidence” in this context had already

been determined to be RCTs on the products themselves, the district court held that,

under the doctrine of collateral estoppel, only RCTs on the marketed products could



       1
        Wheat was incarcerated from March 16, 2009, to September 15, 2010. The FTC acquired
communications sent between Wheat and other parties while he was in jail. The district court ruled
that those communications were admissible, and the defendants do not challenge their
admissibility on appeal.
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count. Thus, the district court refused to consider the defendants’ proffered evidence

and granted the FTC’s motion to show cause. Nat’l Urological Grp., Inc., 785 F.3d

481.

       After the defendants could not produce RCTs to support their claims, the

district court found them in contempt for violating the injunction.           Id.   It

consequently held the defendants jointly and severally liable for about $40 million

of sanctions, which reflected the defendants’ total gross receipts from the sales of

Fastin, Lipodrene, Benzedrine, and Stimerex-ES. Id.

       The defendants then appealed to this Court, arguing that nothing within the

four corners of the injunction automatically equated “competent and reliable

scientific evidence” with RCTs. They clarified that they were not arguing that the

“competent and reliable scientific evidence” standard was so facially unclear as to

render the injunction unenforceable. Rather, they disputed only the notion that

“competent and reliable scientific evidence” had to mean RCTs:

             [T]he Contempt Defendants do not argue that the
             substantiation standard is, in and of itself, impermissibly
             vague. They do contend, however, that it is not
             sufficiently specific—without resort to documents beyond
             the four corners of the injunction—to require Contempt
             Defendants to produce double-blind, placebo-controlled
             clinical trials of their products to substantiate all future
             weight-loss claims.




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Brief of Appellants at 39, F.T.C. v. Nat’l Urological Grp., Inc., 785 F.3d 477 (11th

Cir. 2015) (No. 14-13131).2

       And when the FTC nonetheless pointed out that any challenge to the facial

clarity of the injunction had been waived, the defendants criticized the FTC for

missing the point. The defendants repeated that they were not challenging the facial

validity of the injunction, only the notion that “competent and reliable scientific

evidence,” without any discussion, had to mean RCTs:

              [T]he FTC opens its brief by arguing that the injunction
              contains “reasonable detail” and that the competent-and-
              reliable-scientific-evidence standard “is sufficiently clear
              to enforce” and impose the unwritten randomized-clinical-
              trials requirement on Contempt Defendants. Contempt
              Defendants, the FTC says, have “already litigated and
              lost” a challenge to the vagueness of the injunction.

              That argument is beside the point. The Contempt
              Defendants, as they explained in their opening brief (at
              39), are not arguing that the “the ‘context specific’
              substantiation standard may create unreasonable
              ambiguity on the face of the injunction.” Instead, they
              argue that the FTC cannot carry its burden to show that the
              competent-and-reliable-scientific-evidence        standard
              clearly and unambiguously requires them to have
              randomized, double-blind, placebo-controlled clinical
              studies to substantiate their claims.
Reply Brief of Appellants at 7, F.T.C. v. Nat’l Urological Grp., Inc., 785 F.3d 477

(11th Cir. 2015) (No. 14-13131) (citations omitted).


       2
          Smith adopted Wheat and Hi-Tech’s arguments here. Opening Brief for Appellant Smith
at 5, F.T.C. v. Nat’l Urological Grp., Inc., 785 F.3d 477 (11th Cir. 2015) (No. 14-13131).
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      We determined that the district court had erred when it applied the doctrine of

collateral estoppel to hold that the “competent and reliable scientific evidence”

standard automatically required RCTs. Nat’l Urological Grp., Inc., 785 F.3d at 482.

We remanded to the district court with instructions to “make findings about whether

any evidence of substantiation, if admissible, satisfies the standard of the injunctions

for ‘competent and reliable scientific evidence.’” Id. at 483. Before concluding, we

emphasized that our holding was “only that the district court misapplied collateral

estoppel when it barred [the defendants] from presenting evidence to prove their

compliance with the injunctions.” Id.

      C. Bench Trial on Remand

      After conducting a bench trial, the district court determined that the FTC had

shown by clear and convincing evidence that the defendants lacked competent and

reliable scientific evidence to substantiate their claims.         The district court

consequently found the defendants in contempt and re-imposed the sanction of

approximately $40 million on the defendants.

        The defendants appealed. Wheat and Hi-Tech filed their own appeal,

primarily to challenge the facial validity of the injunction. Alternatively, Wheat and

Hi-Tech argue that the district court’s finding that they lacked competent and reliable

scientific evidence was clearly erroneous. Smith filed a separate appeal, adopting




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Wheat and Hi-Tech’s arguments but also arguing that he lacked the ability to comply

with the injunction.

      We hold that the defendants have waived their challenge to the clarity of the

injunction. We also conclude that the district court did not abuse its discretion in

finding that the defendants lacked competent and reliable scientific evidence to

substantiate the relevant claims and in imposing the order of contempt. Accordingly,

we affirm the district court.

                           II. STANDARD OF REVIEW

      We must affirm the district court’s judgment of civil contempt unless we find

that the court abused its discretion. Howard Johnson Co. v. Khimani, 892 F.2d 1512,

1516 (11th Cir. 1990). We review any underlying factual findings for clear error,

Jove Eng’g, Inc. v. I.R.S., 92 F.3d 1539, 1545 (11th Cir. 1996), and we review any

legal rulings de novo, Ala. v. Ctrs. For Medicare & Medicaid Servs., 674 F.3d 1241,

1244 n.2 (11th Cir. 2012).

                                III. DISCUSSION

      The petitioning party has the initial burden in a civil-contempt case to clearly

and convincingly show the district court that (1) the injunction was valid and lawful;

(2) the order was clear, definite, and unambiguous; and (3) the contempt defendant

had the ability to comply with the order (but did not do so). McGregor v. Chierico,

206 F.3d 1378, 1383 (11th Cir. 2000). Once this prima facie showing is made in the


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district court, the burden shifts to the defendants to explain their noncompliance. See

F.T.C. v. Leshin, 618 F.3d 1221, 1232 (11th Cir. 2010). In the civil-contempt

context, “substantial, diligent, or good faith efforts are not enough; the only issue is

compliance.” Id.

      With these principles in mind, we examine the defendants’ arguments that the

district court abused its discretion by holding them in contempt.

      A. The defendants have waived any objection to the clarity of the
         injunction.

      The defendants’ chief argument on appeal is that the injunction is too

ambiguous to be enforced. They contend that that the “competent and reliable

scientific evidence” standard and its accompanying definition are unclear, in

violation of Fed. R. Civ. P. 65(d), which states that an injunction should “describe

in reasonable detail” what is required without referring to another document. Fed.

R. Civ. P. 65. Their argument, however, has been squarely foreclosed by McComb

v. Jacksonville Paper Co., 336 U.S. 187 (1949), where the Supreme Court illustrated

the common-sense lesson that a defendant cannot defeat an injunction by employing

the following formula:       (1) staying silent about purported ambiguities; (2)

deliberately engaging in activities that risk violating the injunction; and (3) pleading

ignorance after those risky activities are indeed found to violate the injunction.

      McComb was a civil-contempt case. McComb, 336 U.S. at 189. In 1943, the

district court entered a decree ordering the defendants there to comply with the Fair

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Labor Standards Act (“FLSA”) by (1) paying certain employees a minimum wage,

(2) paying overtime compensation to certain employees, and (3) keeping certain

records about hours worked and wages paid. Id. The contempt defendants did not

appeal from the district court’s order. Id.

      Three years after the district court entered its order, the government instituted

contempt proceedings against the defendants, and the district court found that the

defendants had violated the decree. Id. at 189-90. Among other things, the

defendants had set up a “false and fictitious” method of calculating compensation,

provided employees wage increases in the guise of bonuses to reduce the amount of

overtime pay they had to give, and misclassified some employees. Id. Despite these

findings, however, the district court did not hold the defendants in contempt, and the

court of appeals upheld that decision. Id. According to the court of appeals, there

was no “willful contempt” because “neither the [FLSA] nor the injunction

specifically referred to or condemned the [defendants’] practices.” Id. at 191

(emphasis added).

      The Supreme Court reversed, and its discussion applies forcefully in this case.

First, the Court explained that “[t]he absence of wil[l]fulness does not relieve from

civil contempt.” Id. This is because “the purpose [of civil contempt] is remedial,

[so] it matters not with what intent the defendant did the prohibited act.” Id. The

Supreme Court went on to explain that injunctions of some generality “are often


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necessary to prevent further violations where a proclivity for unlawful conduct has

been shown.” Id. at 192.

        Significantly, the Court continued, if the contempt defendants had a problem

with the injunction, they could have done a number of things, like appeal or ask the

district court for “a modification, clarification[,] or construction of the order.” Id.

But the defendants did none of those things, opting instead to “make their own

determination of what the decree meant.” Id. Thus, the Court explained, the

defendants “knew they acted at their peril.” Id.

        To excuse the defendants years later, after they already took the questionable

actions, the Court explained, would basically render the injunction useless and “give

tremendous impetus to the program of experimentation with disobedience of the

law”:

              The instant case is an excellent illustration of how it could
              operate to prevent accountability for persistent
              contumacy. Civil contempt is avoided today by showing
              that the specific plan adopted by respondents was not
              enjoined. Hence a new decree is entered enjoining that
              particular plan. Thereafter the defendants work out a plan
              that was not specifically enjoined. Immunity is once more
              obtained because the new plan was not specifically
              enjoined. And so a whole series of wrongs is perpetrated
              and a decree of enforcement goes for naught.

Id. at 192-93. The Supreme Court refused to allow this never-ending cycle of

violations, ruling that the defendants “knew full well the risk of crossing the

forbidden line” and “took a calculated risk when under the threat of contempt they
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adopted measures designed to avoid the legal consequences of the [FLSA].” Id. at

193. They were not, the Supreme Court said, “unwitting victims of the law” and

could not escape punishment now. Id.

      The McComb Court might as well have been talking about this case. The

defendants here were likewise not “unwitting victims of the law” but were instead

calculating actors who stayed silent concerning the purported ambiguity about which

they now complain. Then they deliberately engaged in self-serving activities they

knew seriously risked violating the injunction.

      As we have recounted, during the original injunction proceedings, at the

defendants’ request, the district court gave the defendants an opportunity to object

to a draft version of the injunction that was ultimately entered. The defendants did

not object that the phrase “competent and reliable scientific evidence” or its

accompanying definition were unduly ambiguous. The district court then entered

the injunction. The defendants also did not make a Rule 65 objection to the clarity

of the injunction when they appealed to this Court (and even if they had, this Court

affirmed the entry of the injunction).

      They had, after all, just litigated what that phrase meant in the context of

dietary supplements that touted weight- and fat-loss benefits, and the district court

had explained that only RCTs on the products themselves would suffice. So they

likely understood that, in the future, to make claims about weight- and fat-loss


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benefits for dietary supplements, they would need RCTs. And even if they didn’t,

the defendants’ attorneys expressly advised them on multiple occasions that only

RCTs would satisfy the standard.

      Wheat understood what his attorneys were telling him, as he conceded in an

email to other Hi-Tech employees: “If the FTC verdict stands there is nothing we

can say without doing a double-blind placebo study . . . .” But as Wheat expressed

repeatedly, the RCT requirement put a heavy strain on his business. So knowing the

risk, the defendants made a choice to continue to market products, relying largely on

supporting evidentiary material the district court previously rejected and their own

attorneys repeatedly advised Wheat was insufficient.

      As McComb explained, injunctions sometimes need to be phrased with some

generality, to give flexibility to cover the endless derivations of a specific kind of

prohibited conduct. McComb, 336 U.S. at 192. And although Rule 65 specifies that

the injunction should be self-contained, it is also impossible to spell out every

imaginable detail. So those subject to an injunction can timely ask questions, seek

modification or clarification, or object. That way, if some detail needs to be

articulated more specifically, it will be. But a person facing an injunction cannot

stay silent, take actions he has reason to believe are prohibited, and then complain

about alleged “ambiguity” later.




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      Here, though, the defendants did precisely that. They stayed silent about the

supposed ambiguity of which they now complain, were repeatedly informed by

counsel that they risked contempt for using anything other than RCTs to substantiate

their claims, knowingly proceeded anyway in the face of that risk—and reaped $40

million in gross receipts—and now plead ignorance after being held in contempt.

Injunctions are not so easily circumvented.

      The defendants offer some theories about why they have not waived their

ambiguity argument. We dismiss each in turn.

      First, the defendants point out that the FTC bears the initial burden of making

a prima facie showing that an injunction is valid and clear before the Hi-Tech

defendants can be held in contempt. To the extent that the defendants make this

argument to suggest that ambiguity objections can never be waived, we find that

contention to be meritless. See McComb, 336 U.S. at 191-94. As for the injunction’s

definition of “competent and reliable scientific evidence”—“tests, analyses,

research, studies, or other evidence based on the expertise of professionals in the

relevant area, that ha[ve] been conducted and evaluated in an objective manner by

persons qualified to do so, using procedures generally accepted in the profession to

yield accurate and reliable results”—that appears on its face to be reasonable,

particularly when we consider that the defendants did not object to the phrase,

despite conceding it was the “operative command” in the substantiation requirement.


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In short, we are satisfied that the FTC has carried its prima facie burden of showing

the clarity of the injunction.

       Next, the defendants note that in rejecting their claim that the injunction was

not sufficiently clear, the district court discussed the defendants’ assertions that the

injunction was ambiguous and that it did no more than require them to obey the law. 3

Because the district court addressed these arguments, the defendants contend, they

had a right to address those grounds on appeal. We don’t disagree. But nothing

about the district court’s discussion of those issues absolves the defendants’ waiver

problem.

       District courts can offer multiple rationales, sometimes in the alternative, for

their decisions, and we can affirm on any basis. Here, before discussing the

defendants’ ambiguity arguments, the district court expressed doubt that those

arguments were properly before it. Indeed, the court said that “the defendants were

given an opportunity to object to the scope of the injunctions before they were

entered, but they did not object to any of the provisions they ostensibly challenge




       3
         We have explained that an injunction that simply tells a defendant to obey the law can be
too ambiguous to be enforced. But aside from concerns about clarity, there is nothing inherently
wrong with an injunction that instructs a party to comply with a specific law. S.E.C. v. Goble, 682
F.3d 934, 950-51 (11th Cir. 2012) (explaining that obey-the-law injunctions often suffer from lack
of specificity, but that “an injunction that orders a defendant to comply with a statute may be
appropriate” when the enjoined activity remains clear). Thus, the defendants’ complaint that the
injunction tells them only to obey the law is just another way of voicing their ambiguity argument.
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now.” (emphasis added). So there can be no doubt that the district court in fact

concluded that the defendants had waived their ambiguity arguments.

      Finally, the defendants contend that they did not have a fair opportunity to

object to the “competent and reliable evidence” standard, since, according to them,

they “could not reasonably have been expected to know in 2008 that the FTC would

later seek to hold them in contempt for failing to substantiate different advertising

claims with a product-specific RCTs standard not in the injunction.” We agree

generally that, in some instances, a person subject to an injunction cannot fairly be

expected to object to an ambiguity that becomes apparent only when, for example,

a court evinces an unexpected interpretation of certain terms. But that’s not the case

here, since the defendants’ attorneys literally told them that “it is reasonable to

assume” that competent and reliable scientific evidence means RCTs on the

marketed products. (emphasis added.) At the very least, then, the defendants were

on notice that RCTs were likely to be required, and they were not permitted to

assume the risk without accepting the consequences. See McComb, 336 U.S. at 192

(“They undertook to make their own determination of what the decree meant. They

knew they acted at their peril.”).

      B. The defendants cannot show that the district court clearly erred when
         it found that they lacked competent and reliable scientific evidence to
         substantiate the claims at issue.




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       As explained, we remanded to the district court with instructions to determine

whether any admissible evidence presented by the defendants constituted

“competent and reliable scientific evidence.” Nat’l Urological Grp., Inc., 785 F.3d

at 483. On remand, the district court conducted a bench trial, after which it

determined that the defendants did not have competent and reliable scientific

evidence that substantiated the claims at issue.4 The defendants allege that the

district court clearly erred in making this finding. We disagree.

       The district court’s finding that the defendants’ evidence did not amount to

competent and reliable scientific evidence to substantiate the relevant claims is a

factual determination, which we review for clear error. Jove, 92 F.3d at 1545. On

clear-error review, “[i]f the district court’s account of the evidence is plausible in

light of the record viewed in its entirety, the court of appeals may not reverse it even

though convinced that had it been sitting as the trier of fact, it would have weighed

the evidence differently.” Anderson v. City of Bessemer City, N.C., 470 U.S. 564,

573-74 (1985). And when a district judge’s factual finding “is based on his decision

to credit the testimony of one of two or more witnesses, each of whom has told a

coherent and facially plausible story that is not contradicted by extrinsic evidence,




       4
          The district court clarified that even if what the defendants presented could be “competent
and reliable scientific evidence” that would suffice in other contexts, it was not “competent and
reliable scientific evidence” that could substantiate the claims at issue here.
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that finding, if not internally inconsistent, can virtually never be clear error.” Id. at

575.

       Here, the district court detailed its extensive reasoning as to why the

defendants’ evidence was inadequate and why protections offered by tests like RCTs

would be necessary for the claims at issue. The district court considered the

qualifications of the FTC’s experts, Dr. Aronne and Dr. Richard van Breemen, who

urged that protections offered by RCTs were necessary. It considered all the

beneficial characteristics of RCTs that are run on humans and on the specific

products: they factor in the unique biochemical properties of humans; there are

placebo controls and double blinding; 5 there is randomization; 6 the studies would be

large enough to produce reliable results; the studies would be long enough to

produce reliable results; the products and dosages tested would be the ones about

which the company makes claims; the studies would measure the endpoints the

company makes claims about; and the results would be statistically significant, so

there is less of a chance that the outcome is a fluke.

       The district court also explained why not having those beneficial properties

would cause a study to be less reliable: results in animals or results in vitro would



       5
         A double-blind test is one where the test subjects do not know whether they are in the
placebo group (first blind), and the researchers do not know which group is the placebo one, either
(second blind).
       6
         Randomization is the process by which test subjects are randomly assigned to either the
treatment or the placebo group.
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have to be extrapolated to humans (but certain biochemical reactions that occur

outside the human body may not repeat in the same way inside the body); there

would be no way to know whether any placebo effect contributed to the results; it

would have to be assumed that different ingredients in other products did not affect

the outcome; it would have to be assumed that different dosages of the ingredients

in other products did not affect the outcome; and there would be no way to determine

whether selection bias had occurred. Notably, many of the defendants’ experts

agreed with the district court’s points here. And the district court noted that the

defendants’ evidence, which primarily consisted of studies on ingredients in the

marketed products—as opposed to studies on the marketed products themselves—

and RCTs of other products—as opposed to RCTs on the marketed products—

lacked many of the safeguards of reliability mentioned above.

      The district court also considered the credentials of the defendants’ experts

and found them lacking in many cases. Worse yet, the district court illuminated

disturbing facts about the credibility of some of the defendants’ experts. For

example, one of their experts, Dr. Wright, was repeatedly reprimanded by the

Georgia Composite Medical Board and, in a 2003 civil case, may have lied to the

district court in the Northern District of Georgia when he said that Wheat was in

Belize to recuperate from an illness when Wheat was actually there to illegally

further a conspiracy to manufacture, import, and distribute drugs in the United


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States. Another of the defendants’ experts, Dr. Jacobs, admitted that he broke the

blind7 and re-administered dosages when one of the RCTs he was conducting on

another Hi-Tech product was not turning out the way he expected—that is, he

deliberately influenced the experiment’s results.

      It should come as no surprise, then, that in the end, the district court concluded

that the FTC had shown, by clear and convincing evidence, that the defendants’

collection of ingredient-specific studies and RCTs of other products (some of which

were run by Dr. Jacobs) did not constitute competent and reliable scientific evidence

to substantiate their claims. Far from clear error, the district court’s findings were

supported by the evidence.

      The defendants’ attempts to show that the district court committed clear error

all fall flat. First, the defendants allege that the district court’s “cursory analysis

never explains what standard the Hi-Tech defendants somehow failed to meet in the

alternative” if RCTs were not required. In this respect, the defendants argue,

“Having failed to identify precisely what substantiation standard it would apply in

the alternative,” “the court surely could not objectively evaluate substantiation under

that unarticulated standard.” But the district court did not necessarily need to

articulate a standard to recognize that what the defendants presented did not amount

to competent or reliable scientific evidence. Moreover, it should be clear from the


      7
          To break the blind is to uncover the placebo group in an experiment.
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district court’s analysis that it used as the standard the level of reliability and

competency afforded by RCTs on the advertised products. Put differently, what

evidence the defendants presented had to be as reliable and as competent as results

derived from RCTs on the marketed products.

      Second, the defendants argue that “the district court impermissibly shifted the

burden to [them] to disprove contempt in the first instance by proving that their

product claims were substantiated.” Not so. The FTC met its prima facie burden of

clearly and convincingly showing that the injunction was violated, when it pointed

out that the defendants were again making weight- and fat-loss claims about products

without having RCTs on the products themselves, even though the court had held

that only RCTs on the products themselves could be “competent and reliable

scientific evidence” the last time. So the burden shifted to the defendants to explain

why RCTs were not necessary and why they had evidence that carried the same

reliability and competency as the RCTs that were required the first time. Howard,

892 F.2d at 1516. Then at the bench trial, the FTC demonstrated by clear and

convincing evidence that the evidence the defendants presented was not as reliable

or as competent as RCTs on the marketed products would have been.

      Finally, the defendants argue that “when experts reasonably disagree over

whether representations are supported by competent and reliable scientific evidence,

as they did here, the FTC has not carried its burden to establish contempt by clear


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and convincing evidence.” This argument does not save the day for the defendants

for two reasons. First, we have already explained the problems the district court

found with the defendants’ experts—problems the district court reasonably could

rely on to discount those experts’ views. And second, even setting aside the

defendants’ experts’ deficiencies, a battle of the experts does not necessarily

paralyze the district court and exonerate the defendant. Rather, a district court can

decide for one side or the other even when both present plausible stories. Anderson,

470 U.S. at 573-74 (“If the district court’s account of the evidence is plausible in

light of the record viewed in its entirety, the court of appeals may not reverse it even

though convinced that had it been sitting as the trier of fact, it would have weighed

the evidence differently.”).

      The mere fact that a battle of experts exists goes more directly to the potential

good faith of the defendant in attempting to comply with the injunction than to the

defendant’s actual compliance. But as we have noted, good faith—even when it is

demonstrated—is not enough, in and of itself, to escape civil contempt. Leshin, 618

F.3d at 1232 (explaining that in a civil contempt proceeding, “substantial, diligent,

or good faith efforts are not enough; the only issue is compliance.”).

      C. Smith had the ability to comply with the injunction.

      Smith adopted the arguments we have already discussed, but he also made a

separate argument: that he did not have the ability to comply with the injunction.


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Smith claims he was merely “a salesman for Hi-Tech” who “never held a position

with decision-making authority over Hi-Tech’s advertising, its product labels, or its

testing of products.” According to Smith, “[t]he district court’s finding with respect

to [him] is based on the actions of others . . . and must be reversed.” Specifically,

“[r]ather than consider him individually, the district court effectively imputed the

actions of Hi-Tech and Mr. Wheat to Mr. Smith.” We disagree.

      The district court did not have to rely on imputing others’ actions to Smith.

In laying out the findings that supported holding him in contempt, the district court

explained why Smith took actions that were integral to Hi-Tech’s violation of the

injunction. Smith was the senior vice president in charge of sales at Hi-Tech, as well

as the head of the “Food, Drug, and Mass” division there. In that capacity, he was

responsible for landing retail accounts, including advertising and promoting Hi-Tech

products at trade shows. The district court found that Smith “oversaw the sales force

that marketed Hi-Tech products to retailers and had the authority to decide which

retailers sold their products.”

      Smith protests that it was Wheat who designed the advertisements and that he

had no power to order RCTs. “There was simply nothing [he] could have done to

effect compliance,” he said, “because he did not have the power to change the

advertising or the labels or to order double-blind, placebo-controlled clinical trials.”

But Smith’s liability did not arise from his failure to order RCTs or design compliant


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advertisements.   His liability stemmed instead from his decisions to continue

marketing and selling Hi-Tech’s products without regard to his responsibility to

ensure that those products did not carry unsubstantiated claims. Smith could have

complied with the injunction simply by not participating in the infringing activities.

That he chose to continue facilitating those prohibited activities sufficiently

supported the district court’s conclusion finding him liable.

                                IV. CONCLUSION

      For the foregoing reasons, we affirm the district court.

      AFFIRMED.




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