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Fresh Nutrition Inc was cited for selling eight unapproved drug products (Berberine, Echinacea, European Elderberry, Milk Thistle, Lion's Mane Mushroom, Turmeric Curcumin, Fish Oil, and Green Lipped Mussels) through their website and Amazon storefront without FDA approval. The company violated the Federal Food, Drug, and Cosmetic Act by making disease claims on product pages—such as stating Berberine has "antibacterial, antimicrobial and anti-inflammatory properties" and that Echinacea could "prevent the common cold" and "relieve symptoms of anxiety and depression"—thereby establishing these products as drugs intended for diagnosis, cure, mitigation, treatment, or prevention of disease. These marketing claims rendered the products both unapproved new drugs and misbranded drugs under federal law.