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No. 9451729
United States Court of Appeals for the Ninth Circuit
Bruce Horti v. Nestle Healthcare Nutrition, Inc.
No. 9451729 · Decided December 13, 2023
No. 9451729·Ninth Circuit · 2023·
FlawFinder last updated this page Apr. 2, 2026
Case Details
Court
United States Court of Appeals for the Ninth Circuit
Decided
December 13, 2023
Citation
No. 9451729
Disposition
See opinion text.
Full Opinion
NOT FOR PUBLICATION FILED
UNITED STATES COURT OF APPEALS DEC 13 2023
MOLLY C. DWYER, CLERK
U.S. COURT OF APPEALS
FOR THE NINTH CIRCUIT
BRUCE HORTI; et al., No. 22-16832
Plaintiffs-Appellants, D.C. No. 4:21-cv-09812-PJH
v.
MEMORANDUM*
NESTLE HEALTHCARE NUTRITION,
INC.,
Defendant-Appellee.
Appeal from the United States District Court
for the Northern District of California
Phyllis J. Hamilton, District Judge, Presiding
Argued and Submitted December 6, 2023
San Francisco, California
Before: S.R. THOMAS, BRESS, and JOHNSTONE, Circuit Judges.
Plaintiffs appeal the district court’s dismissal of their putative class action
against Nestle Healthcare Nutrition, Inc., which alleges violations of state consumer
protection laws based on Nestle’s allegedly deceptive labeling and marketing of
BOOST Glucose Control products. We have jurisdiction under 28 U.S.C. § 1291.
We review de novo the district court’s dismissal under Federal Rule of Civil
*
This disposition is not appropriate for publication and is not precedent
except as provided by Ninth Circuit Rule 36-3.
Procedure 12(b)(6). Nguyen v. Endologix, Inc., 962 F.3d 405, 413 (9th Cir. 2020).
We reverse and remand for further proceedings.
1. Plaintiffs have pleaded an injury sufficient to support Article III standing.
To show Article III standing, a plaintiff must demonstrate “(i) that he suffered an
injury in fact that is concrete, particularized, and actual or imminent; (ii) that the
injury was likely caused by the defendant; and (iii) that the injury would likely be
redressed by judicial relief.” TransUnion LLC v. Ramirez, 141 S. Ct. 2190, 2203
(2021). At the pleading stage, plaintiffs’ complaint must sufficiently allege facts
demonstrating each required element of Article III standing. Spokeo, Inc. v. Robins,
578 U.S. 330, 338 (2016).
Plaintiffs allege that they purchased a product they otherwise would not have
bought but for defendant’s alleged misrepresentations. The purchase price itself is
therefore a “tangible economic injury” and is sufficient at the pleading stage to show
the plaintiffs “suffered actual, discrete, and direct injury in fact in the form of
financial losses . . . .” Nat’l Audubon Soc’y, Inc. v. Davis, 307 F.3d 835, 855–56
(9th Cir. 2002). Because the plaintiffs claim that they “spent money that, absent
defendant[’s] actions, they would not have spent,” they have pleaded “a
quintessential injury-in-fact” to support Article III standing. Maya v. Centex Corp.,
658 F.3d 1060, 1069 (9th Cir. 2011). In addition, plaintiffs sufficiently alleged an
injury in fact at the pleading stage through their price premium allegations. Plaintiffs
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fairly alleged that BOOST Glucose Control has a higher price than other comparable
products and that plaintiffs chose to pay the premium based on Nestle’s alleged
misrepresentations.
2. Plaintiffs have sufficiently alleged that the representations on the BOOST
Glucose Control label are likely to mislead a reasonable consumer. We evaluate the
plaintiffs’ theory of product deception under the reasonable consumer test, which
requires plaintiffs to “demonstrate that a ‘reasonable consumer’ is likely to be misled
by the representation.” Moore v. Trader Joe’s Co., 4 F.4th 874, 881 (9th Cir. 2021).
This standard “requires a probability ‘that a significant portion of the general
consuming public or of targeted consumers, acting reasonably in the circumstances,
could be misled.’” Ebner v. Fresh, Inc., 838 F.3d 958, 965 (9th Cir. 2016) (quoting
Lavie v. Procter & Gamble Co., 129 Cal. Rptr. 2d 486, 495 (Ct. App. 2003)).
Nestle’s product labels contain three relevant representations: the name
“Glucose Control,” the statement that the product is “designed for people with
diabetes,” and the claim that the product “helps manage blood sugar.” We conclude
that, at the pleading stage, these representations are sufficient to show that a
reasonable consumer could expect the product to exert some benefit on the control
and regulation of blood sugar. The labels specifically reference the disease of
diabetes and claim to help consumers “control” glucose and “manage” blood sugar.
A reasonable consumer could understand these representations to indicate that the
3
product will have a positive effect on diabetes and blood sugar levels. Nestle offers
contrary interpretations of the product labels, but that disagreement is not
appropriate for resolution on a motion to dismiss.
Further supporting the plausibility of plaintiffs’ allegations and their claimed
understanding of the product label is the fact that the product was placed in stores
and on websites alongside legitimate diabetes treatments and other health and
nutritional supplement products. Although Nestle argues that it did not control
product placement in stores, that issue cannot be resolved on a motion to dismiss.
Nestle’s control over product placement is also irrelevant to the reasonableness of
consumer perceptions, as alleged in the operative complaint. The products’
placement in stores alongside legitimate diabetes treatments may create a
“contextual inference[]” that the product may have a positive effect on the regulation
of blood sugar. Moore, 4 F.4th at 882. Nor, at the pleading stage, can we draw
conclusions as to whether the consumers who purchased BOOST Glucose Control
were more knowledgeable about its potential health benefits or lack thereof.
REVERSED AND REMANDED.
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Plain English Summary
NOT FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS DEC 13 2023 MOLLY C.
Key Points
01NOT FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS DEC 13 2023 MOLLY C.
02COURT OF APPEALS FOR THE NINTH CIRCUIT BRUCE HORTI; et al., No.