I've met some of the people featured in the TV ads (and radio ads) and can tell you they are real customers. Dr. Howard is a medical doctor. He received his medical degree in Russia. The FDA letter refers to their ads and labeling, both of which were changed as a result. I've toured the headquarters and been shown the correspondence. The FDA confirmed they were compliant. I'm not sure why the entire correspondence isn't shown online by the FDA but I've seen it and Balance of Nature is doing everything asked of them.