Joshua Debernardis v. IQ Formulations, LLC ( 2019 )


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  •               Case: 18-11778    Date Filed: 11/14/2019       Page: 1 of 27
    [PUBLISH]
    IN THE UNITED STATES COURT OF APPEALS
    FOR THE ELEVENTH CIRCUIT
    ________________________
    No. 18-11778
    ________________________
    D.C. Docket No. 1:17-cv-21562-DPG
    JOSHUA DEBERNARDIS,
    on behalf of themselves and all others similarly situated,
    CHRISTINA DAMORE,
    on behalf of themselves and all others similarly situated,
    Plaintiffs - Appellants,
    versus
    IQ FORMULATIONS, LLC,
    a Florida limited liability company,
    EUROPA SPORTS PRODUCTS, INC.,
    Defendants - Appellees.
    ________________________
    Appeal from the United States District Court
    for the Southern District of Florida
    ________________________
    (November 14, 2019)
    Case: 18-11778        Date Filed: 11/14/2019       Page: 2 of 27
    Before WILSON, JILL PRYOR, and SUTTON,∗ Circuit Judges.
    JILL PRYOR, Circuit Judge:
    Plaintiffs Joshua Debernardis and Christina Damore appeal the district
    court’s dismissal of their claims against defendants IQ Formulations, LLC and
    Europa Sports Products, Inc. The plaintiffs argue that the district court erred in
    concluding they suffered no injury in fact and thus lacked standing. Their
    allegations that they purchased from the defendants dietary supplements that the
    Federal Food, Drug, and Cosmetic Act (“FDCA”), 21 U.S.C. § 301 et seq, banned
    from sale are sufficient, they contend, to establish that they suffered an injury in
    fact. After careful consideration and with the benefit of oral argument, we
    conclude that the plaintiffs plausibly alleged that they suffered an economic loss
    when they purchased supplements that were worthless because the FDCA
    prohibited sale of the supplements. Because the plaintiffs have standing to pursue
    their claims, we vacate and remand.
    I.     FEDERAL REGULATION OF DIETARY SUPPLEMENTS
    The plaintiffs’ theory of standing rests on the premise that federal law
    prohibited the defendants from selling the supplements the plaintiffs purchased.
    ∗ Honorable Jeffrey S. Sutton, United States Circuit Judge for the Sixth Circuit, sitting by
    designation.
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    To explain why the supplements could not lawfully be sold, we begin with a brief
    overview of the law regulating the sale of dietary supplements.
    The FDCA authorizes the Food and Drug Administration (“FDA”) to
    regulate a variety of products—including food, drugs, and cosmetics—to “protect
    the public health.” 21 U.S.C. § 393(b)(2); see POM Wonderful LLC v. Coca-Cola
    Co., 
    573 U.S. 102
    , 108 (2014) (“The FDCA statutory regime is designed primarily
    to protect the health and safety of the public at large.”); Medtronic, Inc. v. Lohr,
    
    518 U.S. 470
    , 475 (1996). In 1994, Congress amended the FDCA, through the
    Dietary Supplement Health and Education Act (“DSHEA”), to set guidelines
    governing the FDA’s regulation of dietary supplements. 1 See Pub. L. No. 103-417,
    108 Stat. 4325 (1994). Congress intended the DSHEA to “protect[] the right of
    access of consumers to safe dietary supplements . . . to promote wellness.” 
    Id. § 2(15)(A)
    (emphasis added). And Congress expressly imposed a duty on the FDA
    to “take swift action” to keep “unsafe or adulterated” dietary supplements off the
    market. 
    Id. § 2(13).
    1
    A “dietary supplement” is a product “intended to supplement the diet” that contains one
    of the following ingredients: a vitamin; a mineral; an herb or other botanical; an amino acid; a
    dietary substance used to supplement the diet by increasing the total dietary intake; or a
    concentrate, metabolite, extract, or combination of any such ingredient. 21 U.S.C. § 321(ff)(1).
    The product also must be intended for ingestion in tablet, capsule, powder, soft gel, gelcap, or
    liquid form or, if not in such a form, the product must not be represented as “conventional food”
    or the “sole item of a meal or . . . diet.” See 
    id. §§ 321(ff)(2),
    350(c)(1)(B).
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    The sale of “adulterated” dietary supplements is expressly banned by the
    FDCA and the DSHEA. See 21 U.S.C. §§ 331(a) (prohibiting the sale of
    adulterated foods), 342(f) (setting forth when a dietary supplement is deemed an
    adulterated food). A supplement is adulterated if: (1) it “presents a significant or
    unreasonable risk of illness or injury” when taken as directed by its label; (2) it
    contains a “new dietary ingredient”; (3) the Secretary of Health and Human
    Services declares it to “pose an imminent hazard to public health or safety”; or
    (4) it contains a poisonous substance that renders it injurious to health. See 
    id. § 342(f)(1).
    The plaintiffs in this case alleged that the dietary supplements they
    purchased were adulterated because they contained “new dietary ingredients.” A
    “new dietary ingredient” is one that was not marketed in the United States before
    October 15, 1994. See 
    id. §§ 342(f)(1)(B);
    350b. 2 Congress created a presumption
    that supplements containing new dietary ingredients generally should not be sold.
    See 
    id. §§ 342(f)(1)(B);
    350b. The presumption reflected Congress’s
    determination that when a dietary ingredient had no history of use in the United
    States, there was “inadequate information to provide reasonable assurance that
    2
    With this definition, Congress effectively grandfathered in any dietary supplements that
    were on the market when the DSHEA was enacted in October 1994. See DSHEA, Pub. L. No.
    103-417, 108 Stat. 4325 (1994) (reflecting that the DSHEA was enacted on October 25, 1994).
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    [the] ingredient does not present a significant or unreasonable risk of illness or
    injury.” 
    Id. § 342(f)(1)(B).
    The presumption that a supplement containing a new dietary ingredient is
    unsafe may be overcome with sufficient proof. There are two ways to establish
    that a supplement containing a new dietary ingredient is safe enough to be sold.
    Under the first exception, a supplement containing a new dietary ingredient may be
    sold if it contains “only dietary ingredients which have been present in the food
    supply as an article used for food in a form in which the food has not been
    chemically altered.” 
    Id. § 350b(a)(1).
    Under the second exception, such a
    supplement may be sold if there is “a history of use or other evidence of safety
    establishing” that when the dietary ingredient is used as recommended or
    suggested by its labeling it is “reasonably [] expected to be safe” and at least 75
    days before beginning to sell the supplement, the manufacturer or distributor
    provided the FDA with the information that was the basis for the conclusion that
    the supplement is reasonably expected to be safe. 
    Id. § 350b(a)(2).
    Viewed as a whole, the FDCA, as amended by the DSHEA, demonstrates
    that Congress intended to bar the sale of dietary supplements that included
    ingredients posing too great a risk to public health. With this background about
    Congress’s regulation of dietary supplements in mind, we now discuss the
    plaintiffs’ allegations to determine whether standing has been established.
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    II.     FACTUAL BACKGROUND AND PROCEDURAL HISTORY
    This case arises out of the plaintiffs’ purchase of the dietary supplement
    Metabolic Nutrition Synedrex (“Synedrex”). 3 Since 2013, IQ has manufactured
    and sold Synedrex and another dietary supplement, Metabolic Nutrition E.S.P.
    (together, the “supplements”). Marketed to consumers as energy stimulants, both
    supplements contain the ingredient MethylPentane Citrate, which is more
    commonly known as “DMBA.”
    Consumers could purchase the supplements directly from IQ through its
    website or from Europa, IQ’s exclusive distributor for the supplements. In
    addition to selling the supplements directly to consumers, Europa sold them to
    retailers throughout the United States, including Walgreens and
    NaturalBodyInc.com, which in turn sold the supplements in their retail stores
    and/or online.
    Each plaintiff purchased and used Synedrex. Debernardis purchased
    Synedrex from Walgreens.com in September 2015. Damore purchased Synedrex
    from websites including NaturalBodyInc.com and eBay.com in June 2015,
    February 2016, and August 2016.
    3
    In reviewing whether the district court erroneously dismissed the complaint for lack of
    standing, we look to the facts as they are alleged in the plaintiffs’ complaint. See Bell Atl. Corp.
    v. Twombly, 
    550 U.S. 544
    , 570 (2007); Church v. City of Huntsville, 
    30 F.3d 1332
    , 1336 (11th
    Cir. 1994).
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    After purchasing Synedrex, the plaintiffs sued IQ and Europa in federal
    court, bringing a putative class action. They sought to represent three potential
    classes: (1) both plaintiffs sought to represent a class of all persons in the United
    States who purchased the supplements, (2) Debernardis sought to represent a class
    of all persons in Illinois who purchased the supplements, and (3) Damore sought to
    represent a class of all persons in New York who purchased the supplements. The
    plaintiffs brought claims against IQ under the Florida Deceptive and Unfair Trade
    Practices Act, Fla. Stat. § 501.201 et seq.; against both defendants under the
    Illinois Consumer Fraud and Deceptive Business Practices Act, 815 ILCS 505/1, et
    seq; against both defendants under New York General Business Law § 349, et seq;
    and against both defendants for common law fraud and unjust enrichment. As the
    basis for all the claims, the plaintiffs alleged that the defendants had engaged in
    unlawful, deceptive, and unjust conduct when they sold the supplements and failed
    to disclose that sale of the supplements was illegal in the United States.
    According to the complaint, the FDCA prohibited the sale of the
    supplements because the supplements were “adulterated” and unsafe for human
    consumption. Specifically, DMBA, one of the ingredients in the supplements,
    qualified as a “new dietary ingredient.” Because the supplements contained a new
    dietary ingredient, the plaintiffs alleged, they were adulterated for purposes of the
    FDCA and presumed to be unsafe for human consumption unless there were
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    sufficient indicia that the new dietary ingredient was safe. Here, neither party has
    alleged or argued that the first exception—that the supplements contained only
    dietary ingredients that had been present in the food supply—applied. And the
    plaintiffs alleged that the supplements did not meet the second exception because
    the defendants failed to provide the FDA with premarket information showing that
    DMBA had a history of harmless use or other evidence of its safety.
    To further support their allegations that the FDCA banned the sale of the
    supplements, the plaintiffs alleged facts showing that the FDA had determined that
    DMBA was a new dietary ingredient and that other dietary supplements containing
    DMBA were adulterated. In April 2015—before the plaintiffs purchased their
    supplements—the FDA sent warning letters to 14 companies that sold supplements
    containing DMBA. The FDA warned each company that its product was
    adulterated because DMBA qualified as a new dietary ingredient and the company
    had failed to provide the FDA with the appropriate premarket notice demonstrating
    DMBA’s safety.
    The complaint further alleged that each plaintiff was harmed as a result of
    purchasing the supplements. Each plaintiff suffered an injury by purchasing
    supplements that could not be “legally sold or possessed” and had “no economic or
    legal value.” Doc. 1 at ¶ 50. Because the supplements had no economic value,
    each plaintiff paid an “unwarranted amount” to purchase the supplements. 
    Id. 8 Case:
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    Both defendants moved to dismiss the complaint, raising, among other
    arguments, that the plaintiffs lacked standing because their complaint failed to
    establish that they suffered an injury in fact. The defendants argued that the
    plaintiffs suffered no injury because the plaintiffs received the benefit of the
    bargain they made when purchasing the supplements. In particular, the defendants
    pointed out the lack of any allegation that the supplements failed to work as
    intended or that the plaintiffs paid a premium for the supplements. In response, the
    plaintiffs argued that they adequately alleged an economic injury by alleging that
    the supplements they purchased were worthless because the FDCA prohibited their
    sale.
    The district court granted the defendants’ motions to dismiss, concluding
    that the plaintiffs lacked standing because they failed to allege an injury in fact.
    The court acknowledged that an economic harm would qualify as a concrete injury
    but determined that the plaintiffs alleged no economic harm. The court explained
    that even if the supplements could not legally be sold, the plaintiffs received the
    benefit of their bargain because there was no allegation that the supplements failed
    to perform as advertised, that the supplements caused any adverse health effects, or
    that the plaintiffs paid a premium for the supplements. After concluding that the
    plaintiffs suffered no injury in fact and lacked standing, the court did not address
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    the defendants’ other arguments about why the claims should be dismissed. The
    plaintiffs appeal the dismissal of their claims for lack of standing.
    III.   STANDARD OF REVIEW
    Whether the plaintiffs have standing to bring suit is a threshold jurisdictional
    issue subject to de novo review. London v. Wal-Mart Stores, Inc., 
    340 F.3d 1246
    ,
    1251 (11th Cir. 2003).
    IV.   ANALYSIS
    The Constitution limits the power of the judiciary to “Cases” and
    “Controversies.” U.S. Const. art. III, § 2. To satisfy the case-or-controversy
    requirement, a plaintiff must have standing to sue. See Spokeo, Inc. v. Robins,
    
    136 S. Ct. 1540
    , 1547 (2016). The standing doctrine has “developed in our case
    law to ensure that federal courts do not exceed their authority as it has been
    traditionally understood.” 
    Id. The doctrine
    “limits the category of litigants
    empowered to maintain a lawsuit in federal court to seek redress for a legal
    wrong.” 
    Id. To satisfy
    the standing requirement, a “plaintiff must have (1) suffered an
    injury in fact, (2) that is fairly traceable to the challenged conduct of the defendant,
    and (3) that is likely to be redressed by a favorable judicial decision.” 
    Id. As the
    parties invoking federal court jurisdiction, the plaintiffs bear the burden of
    establishing these elements. 
    Id. “Where, as
    here, a case is at the pleading stage,
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    the plaintiff must clearly allege facts demonstrating each element.” 
    Id. (alteration adopted)
    (internal quotation marks omitted).
    The primary standing issue in this appeal is whether the plaintiffs
    sufficiently alleged that they suffered an injury in fact. Europa also raises a
    second, separate standing issue: whether the plaintiffs’ allegations were sufficient
    to establish that their injuries were fairly traceable to Europa’s conduct. We
    address both arguments below.
    A.    The Plaintiffs Alleged Sufficient Facts to Establish that Each Suffered
    an Injury in Fact.
    We begin with the question of whether the plaintiffs’ allegations were
    sufficient to establish that they suffered an injury in fact. To establish an injury in
    fact, a plaintiff must allege that he suffered “‘an invasion of a legally protected
    interest’ that is ‘concrete and particularized’ and ‘actual or imminent, not
    conjectural or hypothetical.’” 
    Spokeo, 136 S. Ct. at 1548
    (quoting Lujan v.
    Defenders of the Wildlife, 
    504 U.S. 555
    , 560 (1992)). For an injury to be concrete,
    it “must be de facto; that is, it must actually exist.” 
    Id. (internal quotation
    marks
    omitted). The Supreme Court has explained that the injury must be “real, and not
    abstract.” 
    Id. (internal quotation
    marks omitted). In many cases, the question of
    whether the plaintiff “has a cognizable injury sufficient to confer standing is
    closely bound up with the question of whether and how the law will grant him
    relief.” Braden v. Wal-Mart Stores, Inc., 
    588 F.3d 585
    , 591 (8th Cir. 2009). Yet
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    we must “not . . . conflate Article III’s requirement of injury in fact with a
    plaintiff’s potential causes of action, for the concepts are not coextensive.” 
    Id. In this
    case, the plaintiffs argue that they experienced a concrete injury
    because they incurred an economic loss when they purchased the supplements.
    Certainly, an economic injury qualifies as a concrete injury. See Clinton v. New
    York, 
    524 U.S. 417
    , 432-33 (1998); MSPA Claims 1, LLC v. Tenet Fla., Inc.,
    
    918 F.3d 1312
    , 1318 (11th Cir. 2019) (explaining that an economic injury is the
    “epitome” of a concrete injury). A person experiences an economic injury when,
    as a result of a deceptive act or an unfair practice, he is deprived of the benefit of
    his bargain. See Carriuolo v. Gen. Motors Co., 
    823 F.3d 977
    , 986-87 (11th Cir.
    2016) (holding that class members bringing Florida Deceptive and Unfair Trade
    Practices Act claims were denied the benefit of their bargain and thus injured when
    they purchased vehicles that were represented as having three perfect safety ratings
    but actually had no safety ratings). A plaintiff’s damages under a benefit of the
    bargain theory are calculated based on “the difference in the market value of the
    product or service in the condition in which it was delivered and its market value in
    the condition in which it should have been delivered according to the contract of
    the parties.” Rollins, Inc. v. Heller, 
    454 So. 2d 580
    , 585 (Fla. Dist. Ct. App. 1984)
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    (internal quotation marks omitted).4 Ordinarily, when a plaintiff purchases a
    product with a defect, the product retains some value, meaning her benefit-of-the-
    bargain damages are less than the entire purchase price of the product. See 
    id. But “[a]
    notable exception” to this general rule applies when the “product is
    rendered valueless as a result of a defect.” 
    Id. When a
    plaintiff receives a
    worthless product, his benefit of the bargain damages will be equal to the entire
    purchase price of the product. 
    Id. The benefit-of-the-bargain
    theory thus
    recognizes that a purchaser who acquires a product with significant defects may
    effectively receive nothing of value. See 
    id. The plaintiffs,
    relying on a benefit-of-the-bargain theory, argue that they
    have standing to press their claims because they experienced an economic loss
    when they paid money to purchase the supplements and in return received
    adulterated supplements that could not lawfully be sold and thus were worthless.
    To evaluate the plaintiffs’ benefit-of-the-bargain theory, we must consider two
    questions: (1) does a purchaser acquire a worthless product when he purchases an
    adulterated supplement? And, if so, (2) did the plaintiffs adequately allege that the
    supplements they purchased were adulterated?
    4
    In discussing the nature of an injury under a benefit of the bargain theory, we rely on
    Florida cases because the parties looked to Florida law and thus waived any argument that we
    should look to some other state’s law or that Florida law was inconsistent with general benefit-
    of-the-bargain contract principles.
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    Beginning with the first question, we accept, at least at the motion to dismiss
    stage, that a dietary supplement that is deemed adulterated and cannot lawfully be
    sold has no value. Through the FDCA, as amended by the DSHEA, Congress
    banned the sale of adulterated dietary supplements because of its concern that such
    substances could not safely be ingested. See 21 U.S.C. §§ 331(a), 342(f)(1)(B),
    393(b)(2). A person who purchased an adulterated dietary supplement thus
    received a product that Congress judged insufficiently safe for human ingestion.
    Given Congress’s judgment, we conclude that the purchaser of such a supplement
    received a defective product that had no value. This conclusion is consistent with
    the well-established benefit-of-the-bargain theory of contract damages, which
    recognizes that some defects so fundamentally affect the intended use of a product
    as to render it valueless. See 
    Rollins, 454 So. 2d at 585
    .
    Turning to the second question, we conclude that the complaint plausibly
    alleged that the supplements the plaintiffs purchased were adulterated. According
    to the complaint, the supplements contained DMBA.5 The complaint further
    alleged that DMBA was not marketed in the U.S. before 1994, and therefore it
    qualified as a new dietary ingredient.6 Because the supplements contained a new
    5
    The defendants argue that MethylPentane Citrate, the relevant ingredient in the
    supplements, is not the same as DMBA. But at the motion to dismiss stage, we must accept as
    true the plaintiffs’ allegation that the supplements contained DMBA.
    6
    Other allegations in the complaint establish the plausibility of the plaintiffs’ allegation
    that DMBA is a new dietary ingredient. For example, before the plaintiffs purchased the
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    dietary ingredient, they were presumed to be adulterated. 21 U.S.C. §§ 342(f),
    350b. And accepting the complaint’s allegations as true, this presumption was not
    overcome. Neither party contends that the supplements contained only dietary
    ingredients that were present in the food supply. See 21 U.S.C. § 350b(a)(1). And
    the complaint alleged that before selling the supplements, neither IQ nor Europa
    provided any notice to the FDA showing that DMBA had a history of harmless use
    in food products or supplements or containing other evidence of DMBA’s safety.
    Therefore, the plaintiffs adequately alleged that the supplements that they
    purchased were adulterated, meaning the FDCA banned their sale.
    The district court held, and the defendants argue, that the plaintiffs’
    allegations were insufficient to establish standing because the complaint included
    no allegation that the supplements failed to perform as advertised or were
    purchased at a premium due to a misrepresentation about the product. To support
    this argument, the defendants cite a string of cases holding that plaintiffs had
    standing when they alleged that a product failed to perform as advertised or was
    supplements, the FDA had warned more than a dozen other companies that sold products
    containing DMBA that their products were adulterated because they contained a new dietary
    ingredient.
    At oral argument, the defendants argued that these warning letters carried little
    significance because they were sent after the plaintiffs purchased the products. But the
    complaint alleged that the FDA sent the warning letters about DMBA on April 28, 2015 and that
    Debernardis purchased supplements in September 2015 and Damore purchased supplements in
    June 2015, February 2016, and August 2016. We need not decide and express no opinion
    whether the warning letters would be relevant if they were sent after the plaintiffs made their
    purchases.
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    purchased at a premium. 7 See, e.g., James v. Yamaha Motor Corp., No. 15-23750,
    
    2016 WL 3083378
    (S.D. Fla. May 31, 2016) (concluding that boat purchasers
    alleged a financial injury in the form of diminution of value by alleging that they
    purchased boats advertised as having “fully operational, safe, and reliable motors”
    but received boats with engines subject to premature failure); Marty v. Anheuser-
    Busch Cos., 
    43 F. Supp. 3d 1333
    , 1352 (S.D. Fla. 2014) (concluding that plaintiffs
    adequately alleged that they suffered an economic harm when they paid a premium
    to purchase imported beer but received beer that was brewed domestically). But
    none of the defendants’ cases involved allegations that the plaintiff had acquired a
    product that could not lawfully be sold. These cases found standing where the
    products did not work as advertised or where the plaintiffs had paid a premium—
    meaning these allegations were sufficient to establish standing—but they did not
    hold that such allegations were necessary to establish standing.
    In contrast, our conclusion—that the plaintiffs have standing because they
    allegedly experienced an economic loss when they purchased a product that the
    FDCA banned from sale because it was presumptively unsafe—is consistent with
    7
    The district court and defendants acknowledge that a plaintiff also has standing if she
    alleges that she was physically injured by the product. Of course, physical injuries are distinct
    from economic injuries. There is no requirement that a plaintiff have experienced physical harm
    to have an economic injury. See Adinolfe v. United Techs. Corp., 
    768 F.3d 1161
    , 1172 (11th Cir.
    2014) (recognizing that economic harm and physical injury are distinct types of injury that can
    give rise to standing). So the fact that the plaintiffs experienced no physical injury does not
    mean that they experienced no economic injury.
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    the only decision from another circuit to have addressed standing in this context.
    The Ninth Circuit, albeit in an unpublished opinion, held that a consumer in a
    similar situation adequately alleged that she suffered an injury in fact. See Franz v.
    Beiersdorf, Inc., 745 F. App’x 47 (9th Cir. 2018) (unpublished). In Franz, a
    consumer purchased a skin lotion that was advertised as improving skin firmness.
    
    Id. at 48.
    She sued the manufacturer under California’s unfair competition law,
    claiming that she was injured by purchasing a lotion that qualified as a “drug”
    under the FDCA but had not been approved by the FDA. 
    Id. at 48-49.
    After the
    district court dismissed the complaint for lack of standing, the Ninth Circuit
    reversed, holding that the consumer had standing. 
    Id. The court
    explained that the
    consumer suffered an injury in fact when she allegedly spent money to purchase a
    product that “should not have been sold” because it was illegal to sell the product.
    
    Id. at 49.
    Like the plaintiff in Franz, here the plaintiffs established an injury in fact
    for standing purposes by alleging that they purchased such a product.
    In addition, at least one other circuit has recognized that under a benefit-of-
    the-bargain theory an economic injury occurs when the purchaser acquires a
    worthless product, even if there is no indication that she was physically harmed by
    the product, the product failed to work as intended, or she paid a premium for the
    product. See In re Aqua Dots Products Liability Litig., 
    654 F.3d 748
    (7th Cir.
    2011). In Aqua Dots, the Seventh Circuit considered whether parents who
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    purchased a defective toy had standing to sue even though their children were not
    injured by the toy’s defect. The toy consisted of small beads that could be fused
    together with an adhesive to create designs. 
    Id. at 749-50.
    Some of the toys were
    manufactured using a substitute adhesive, which when swallowed metabolized into
    gamma-hydroxybutyric acid, commonly known as the “date rape” drug. 
    Id. at 749.
    Some children were injured after playing with the toy when they swallowed the
    beads and ingested the drug. 
    Id. at 749-50.
    A group of parents whose children
    were not injured sued the manufacturer, distributors, and retailers of the toy. 
    Id. at 750.
    After the district court refused to certify a class, the parents brought an
    interlocutory appeal to the Seventh Circuit. 
    Id. The Seventh
    Circuit addressed as a threshold matter whether the parents had
    standing. The court concluded that the parents had standing because they
    experienced a loss when “they paid more for the toys than they would have, had
    they known the risks the beads posed to children.” 
    Id. at 751.
    Because the
    Seventh Circuit found standing where the parents sought a refund of the entire
    purchase price, the court necessarily accepted the parents’ theory that a toy that
    could poison their children had no value. See 
    id. at 750.
    The court expressly
    rejected the argument that the parents lacked standing because their children had
    not been physically injured. 
    Id. at 750-51.
    Just like the parents in Aqua Dots, the
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    plaintiffs in this case alleged that they experienced an economic injury when they
    paid to purchase an unsafe and therefore worthless product.
    The defendants try to distinguish Aqua Dots by arguing that the Seventh
    Circuit concluded there was standing because the parents alleged that they paid a
    premium to purchase the toys. We disagree with this characterization of the
    Seventh Circuit’s decision, which does not indicate that the parents alleged they
    paid a premium to purchase this particular brand as compared to similar toys. The
    parents in Aqua Dots instead relied on a different theory, alleging that they paid
    more for the toy than they would have if they had known about the risk that it
    would poison children (in which case it would have been worthless to them). See
    
    id. at 750-51.
    We acknowledge that a district court reached the opposite result in a dietary
    supplement case. See Hubert v. Gen. Nutrition Corp., No. 15-cv-1391, 
    2017 WL 3971912
    (W.D. Penn. Sept. 8, 2017). The plaintiffs in Hubert purchased
    nutritional supplements containing the ingredients picamilon, BMPEA, or acadia
    rigidula. 
    Id. at *1.
    They sued the retailer who sold the supplements, alleging that
    they would not have purchased the supplements if they had known about the
    dangers of ingesting picamilon, BMPEA, and acadia rigidula or if they had known
    that FDCA banned the sale of products with these ingredients. See 
    id. at *7
    (explaining that the plaintiffs alleged they would not have purchased the
    19
    Case: 18-11778     Date Filed: 11/14/2019   Page: 20 of 27
    supplements if the seller had disclosed that they “contained mislabeled ingredients
    which supposedly pose serious health risks or were unlawful”). The district court
    concluded that the plaintiffs lacked standing because they failed to allege an injury
    in fact. The court explained that the plaintiffs had not been deprived of the benefit
    of the bargain because they consumed the supplements and alleged no adverse
    health consequences nor that the products failed to work for their intended purpose
    or to deliver the promised benefits. 
    Id. at *8.
    The district court in Hubert acknowledged the plaintiffs’ allegations that
    they were deprived of the benefit of the bargain when they purchased supplements
    that could not lawfully be sold under the FDCA, but it failed to analyze whether
    these allegations established that the plaintiffs purchased a worthless product and
    thus suffered an economic injury. See 
    id. at *7
    -9. Given the court’s failure to
    grapple with the plaintiff’s argument that the products were worthless because they
    could not lawfully be sold, we are unpersuaded by Hubert.
    The defendants contend our decision will mean that any consumer who
    purchased a product that could not legally be sold for any reason will have
    acquired a worthless product and thus have standing to sue. But we are not
    deciding today whether a consumer who alleges he purchased a product that could
    not legally be sold under a different statutory scheme acquired a worthless product.
    We caution that our decision is limited to the specific facts alleged in this case—
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    Case: 18-11778       Date Filed: 11/14/2019       Page: 21 of 27
    that the plaintiffs purchased dietary supplements that Congress, through the FDCA
    and the DSHEA, had banned from sale with the purpose of preventing consumers
    from ingesting an unsafe product.8
    To sum up, Congress through the FDCA and the DSHEA banned adulterated
    supplements to protect consumers from ingesting products that Congress judged to
    be insufficiently safe. The complaint’s allegations establish that the plaintiffs
    purchased adulterated dietary supplements that they would not have purchased had
    they known that sale of the supplements was banned. Because the plaintiffs were
    deprived of the entire benefit of their bargain, we conclude they adequately alleged
    that they experienced economic loss.
    B.     The Plaintiffs Alleged Sufficient Facts to Show That Their Injuries Are
    Fairly Traceable to Europa.
    We now consider Europa’s argument that the plaintiffs lack standing
    because as alleged, their injuries were not fairly traceable to Europa’s conduct. 9
    8
    Nor are we addressing whether a plaintiff would have standing if she allegedly
    purchased a product that lawfully could be sold but came with inadequate warnings, see In re
    Johnson & Johnson Talcum Powder Prods. Mktg., Sales Practices & Liability Litig., 
    903 F.3d 278
    , 281-82 (3d Cir. 2018), or a product that was lawfully sold at the time of purchase but whose
    sale later was prohibited, see O’Neil v. Simplicity, Inc., 
    574 F.3d 501
    , 504 (8th Cir. 2009)
    (holding that grandparents were not deprived of the benefit of their bargain when they purchased
    a drop-side crib but the crib later was subject to a recall by its manufacturer and the Consumer
    Product Safety Commission warned consumers not to use the crib).
    9
    Europa raised this argument for the first time at oral argument. We nonetheless
    consider the argument because standing is “a threshold jurisdictional question which must be
    addressed.” AT&T Mobility, LLC v. NASCAR, 
    494 F.3d 1356
    , 1359 (11th Cir. 2007) (internal
    quotation marks omitted).
    21
    Case: 18-11778      Date Filed: 11/14/2019    Page: 22 of 27
    To establish standing, a plaintiff must allege that her injury is “fairly traceable to
    the challenged conduct of the defendant.” 
    Spokeo, 136 S. Ct. at 1547
    . Under this
    requirement, the “line of causation” between the alleged conduct and the injury
    must not be “too attenuated.” Allen v. Wright, 
    468 U.S. 737
    , 752 (1984),
    abrogated on other grounds by Lexmark Int’l, Inc. v. Static Control Components,
    Inc., 
    572 U.S. 118
    (2014).
    Europa argues that the line of causation is too attenuated because the
    plaintiffs never directly alleged that it distributed any of the supplements they
    purchased. We conclude that the plaintiffs’ economic losses were fairly traceable
    to Europa’s conduct because their factual allegations support an inference that
    Europa distributed the supplements each plaintiff purchased. The complaint
    alleged that only two entities supplied the supplements to consumers: IQ and
    Europa. IQ, the manufacturer, never distributed supplements to retailers, although
    it did sell supplements directly to consumers through its website. IQ relied on
    Europa to deliver its supplements to retailers, who sold the products to consumers.
    According to the complaint, the retailers that Europa supplied included Walgreens
    and NaturalBodyInc.com. The plaintiffs alleged that that Debernardis purchased
    IQ’s supplements from Walgreens through its website and Damore purchased IQ’s
    22
    Case: 18-11778        Date Filed: 11/14/2019        Page: 23 of 27
    supplements from NaturalBodyInc.com.10 As the sole distributor that supplied
    supplements to retailers, only Europa could have provided the supplements the
    plaintiffs bought.11
    V.      CONCLUSION
    The district court erred in concluding that the plaintiffs lacked standing. The
    defendants raised in the district court a number of other arguments about why the
    plaintiffs’ claims should be dismissed. But “[b]ecause none of these issues were
    decided initially, we decline to address them for the first time on appeal.” Leal v.
    Ga. Dep’t of Corrs., 
    254 F.3d 1276
    , 1280-81 (11th Cir. 2001). We thus vacate the
    district court’s order granting the motion to dismiss and remand for further
    proceedings consistent with this opinion.
    VACATED and REMANDED.
    10
    The complaint also alleged that Damore purchased supplements through the website
    eBay.com from a vendor named BF Nutrition but did not address how BF Nutrition acquired the
    supplements it sold. We need not decide, though, whether the complaint supports an inference
    that Europa distributed the supplements sold by BF Nutrition. The plaintiffs alleged that Damore
    purchased supplements multiple times, and their allegations are sufficient to support the
    conclusion that Europa distributed at least some of the supplements Damore purchased.
    11
    We emphasize that we are deciding only that the complaint’s allegations sufficiently
    established that the plaintiffs’ injuries were fairly traceable to Europa for purposes of the motion
    to dismiss. At the summary judgment stage, the plaintiffs will be required to come forward with
    evidence to support their allegations that Debernardis purchased Synedrex from Walgreens,
    Damore purchased Synedrex from NaturalBodyInc.com, and Europa supplied Synedrex to
    Walgreens and NaturalBodyInc.com. See 
    Lujan, 504 U.S. at 561
    (explaining that standing is an
    “indispensable part of the plaintiff’s case” and “must be supported in the same way as any other
    matter on which the plaintiff bears the burden of proof, i.e., with the manner and degree of
    evidence required at the successive stages of the litigation”).
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    Case: 18-11778     Date Filed: 11/14/2019    Page: 24 of 27
    SUTTON, Circuit Judge, concurring. In joining the court’s opinion, I wish to add a
    few words about the razor’s edge of Article III jurisdiction.
    Just as Congress and the state legislatures do not have the final say over
    whether a law satisfies the First Amendment, they do not have the final say over
    whether something is an injury under Article III. Spokeo, Inc. v. Robins, 
    136 S. Ct. 1540
    , 1548–50 (2016). And just as there is not “an anything-hurts-so-long-as-
    Congress-says-it-hurts theory of Article III injury,” Hagy v. Demers & Adams, 
    882 F.3d 616
    , 622 (6th Cir. 2018), there is not an anything-hurts-so-long-as-the-plaintiff-
    says-it-hurts theory of Article III injury, Lujan v. Defs. of Wildlife, 
    504 U.S. 555
    ,
    563 (1992). Article III sets a judicially enforceable baseline that a claimant suffer
    genuine harm or risk of harm, one that requires at a minimum that the injury “exist”
    in the real world independent of a legislature’s choice to confer the right to sue and
    independent of the plaintiff’s claim to be hurt. 
    Spokeo, 136 S. Ct. at 1548
    –49.
    What makes today’s case difficult is that the plaintiffs rest a seemingly
    concrete injury (dollars-and-cents economic harm) on a purely procedural violation
    (the defendant’s failure to file a notice with the federal Food and Drug
    Administration). Joshua Debernardis and Christine Damore say they were injured
    when IQ Formulations sold them dietary supplements that were illegal under federal
    law, a defect they say made the supplements worthless. They hang their injury in
    fact on what made the supplements illegal to sell—IQ Formulations’ failure to notify
    24
    Case: 18-11778     Date Filed: 11/14/2019   Page: 25 of 27
    the Food and Drug Administration that it was adding a “new dietary ingredient” to
    two of its products and to provide the government with evidence that the new
    ingredient would be safe. See 21 U.S.C. §§ 342(f)(1)(B), 350b(a)(2). But neither
    claimant alleges any traditional injuries from buying or using IQ Formulations
    supplements, say that the products made them sick or did not work as advertised.
    Nor do they claim that the allegedly new ingredient posed any real risk of future
    injury, say that consumption of the product would increase the likelihood of
    obtaining this or that disease. Cf. In re Aqua Dots Prods. Liab. Litig., 
    654 F.3d 748
    ,
    750–51 (7th Cir. 2011). All Debernardis and Damore say is that they would not
    have bought the supplements had they known that IQ Formulations failed to comply
    with federal law.
    Debernardis and Damore nonetheless plausibly allege an injury in fact—that
    they paid more for IQ Formulations’ dietary supplements than they would have paid
    had they known the company did not follow the law. This difference in price states
    a concrete economic harm that satisfies Article III standing’s injury in fact element,
    no matter the label we give it. Clinton v. New York, 
    524 U.S. 417
    , 432–33 (1998);
    Dubuisson v. Stonebridge Life Ins. Co., 
    887 F.3d 567
    , 575 (2d Cir. 2018); Aqua
    
    Dots, 654 F.3d at 751
    ; Mazza v. Am. Honda Motor Co., 
    666 F.3d 581
    , 595 (9th Cir.
    2012). Without the benefit of discovery, we are not in a position to second guess the
    harm they allege. And that suffices to permit the case to proceed.
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    Case: 18-11778    Date Filed: 11/14/2019    Page: 26 of 27
    That conclusion comes with two qualifications and one reminder.            The
    discovery process may unearth facts that undermine Debernardis and Damore’s
    standing to bring this claim. We reverse today in part because it is plausible for a
    consumer to allege that he relies on strict compliance with Food and Drug
    Administration regulations when making choices about what products to buy. At
    summary judgment, each claimant will need evidence to back the point up. Why
    was the product worthless to each of them? How did it deliver less than expected?
    Did each of them use the product even after they knew of the labeling deficiency?
    The answers to these questions and others will determine whether the case may
    proceed further and, if so, how.
    At the next stages of the case, it’s also a good idea to keep in mind the easy-
    to-miss distinctions between (1) injury in fact (a constitutional imperative),
    (2) statutory injury (an element of the plaintiff’s cause of action), and (3) damages
    (a remedies calculation). Nothing guarantees that the Article III injury that gets
    Debernardis and Damore in the courthouse door is compensable under their legal
    theory or, if it is, that a jury will agree that the supplements they bought were
    worthless as opposed to worth less than the full purchase price.
    Even if the plaintiffs’ state-law claims eventually fail for lack of Article III
    standing at the summary judgment stage, they may be able to vindicate them in state
    court. The States, it’s well to remember, take a variety of approaches to standing,
    26
    Case: 18-11778     Date Filed: 11/14/2019   Page: 27 of 27
    with many of them having no case-or-controversy requirement at all. ASARCO, Inc.
    v. Kadish, 
    490 U.S. 605
    , 617 (1989). In some States, a claimant might even be able
    to get an advisory opinion about whether a plaintiff alleging this kind of claim has
    standing to bring it. Cf. In re Advisory Op. to the Governor, 
    483 A.2d 1078
    , 1079
    (R.I. 1984); Duncan v. FedEx Office & Print Servs., Inc., 
    123 N.E.3d 1249
    , 1256–
    57 (Ill. App. Ct. 2019). So long as the plaintiffs choose to proceed in federal court,
    however, they must play by the federal rules. See Nicklaw v. Citimortgage, Inc., 
    839 F.3d 998
    , 1003 (11th Cir. 2016).
    27