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It is also possible she is taking a drug like phentermine or tenuate dospan, both of which are popular on the black market and are frequently manufactured in south east Asia for import to the West. They have been associated with heart and lung problems when used to promote rapid weight loss, though they were popular 10 years ago. There are also herbal aids to weight loss which are available over the counter or over the internet, some which claim to be natural but contain orlistat or sibutramine..

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12(b)(6), arguing relators failed to plead the elements of a “false certification” claim, they failed to plead any anti kickback violations, and failed to adequately plead a conspiracy. Relators alleged that because United Health entered into a contract expressly certifying that it agreed with all “terms and conditions of payment,” they made a false claim when they submitted claims despite any one of the 11 purported regulatory violations alleged in the amended complaint. Rejecting relators’ express false certification claim,lida daidaihua customer reviews, the court found “[not once in the Amended Complaint have Relators identified even a single claim for payment to the Government.”The court also held relators’ implied false certification claim failed.