United States v. Ovimmune Inc. ( 2007 )


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  •                             RECOMMENDED FOR FULL-TEXT PUBLICATION
    Pursuant to Sixth Circuit Rule 206
    File Name: 07a0356p.06
    UNITED STATES COURT OF APPEALS
    FOR THE SIXTH CIRCUIT
    _________________
    X
    Plaintiff - Appellee, -
    UNITED STATES OF AMERICA,
    -
    -
    -
    Nos. 05-3823/3826/4509
    v.
    ,
    >
    MITCHELL V. KAMINSKI (05-3823); MARILYN A.            -
    -
    -
    COLEMAN (05-3826); and OVIMMUNE, INC.
    Defendants-Appellants. -
    (05-4509),
    -
    N
    Appeal from the United States District Court
    for the Southern District of Ohio at Columbus.
    No. 02-00130—Algenon L. Marbley, District Judge.
    Argued: July 27, 2007
    Decided and Filed: August 31, 2007
    Before: KEITH, MOORE, and COLE, Circuit Judges.
    _________________
    COUNSEL
    ARGUED: Dana M. Pesha, Chicago, Illinois, Ronald E. Laymon, LAW OFFICE, Columbus, Ohio,
    for Appellants. Deborah A. Solove, ASSISTANT UNITED STATES ATTORNEY, Columbus,
    Ohio, for Appellee. ON BRIEF: William J. Harte, WILLIAM J. HARTE, LTD., Chicago, Illinois,
    Ronald E. Laymon, LAW OFFICE, Columbus, Ohio, Mark A. Whitt, JONES DAY, Columbus,
    Ohio, for Appellants. Deborah A. Solove, ASSISTANT UNITED STATES ATTORNEY,
    Columbus, Ohio, for Appellee.
    _________________
    OPINION
    _________________
    KAREN NELSON MOORE, Circuit Judge. Defendants-Appellants Mitchell V. Kaminski
    (“Kaminski”); Marilyn A. Coleman (“Coleman”); and Ovimmune, Inc. (“Ovimmune”) (collectively,
    “Appellants”) were each convicted under the Food, Drug, and Cosmetic Act (“FDCA”), 21 U.S.C.
    § 321 et seq., on fifteen misdemeanor counts of introduction into interstate commerce of unapproved
    new drugs without intent to defraud or mislead; introduction into interstate commerce of misbranded
    drugs without intent to defraud or mislead; failure to register a drug manufacturing facility without
    intent to defraud or mislead; misbranding drugs while held for sale after shipment in interstate
    commerce without intent to defraud or mislead; and adulterating drugs while held for sale after
    1
    Nos. 05-3823/3826/4509                 United States v. Kaminski et al.                                    Page 2
    shipment in interstate commerce. Kaminski and Ovimmune appeal their convictions, and Coleman
    and Kaminski appeal the district court’s calculation of their sentences. For the reasons set forth
    below, we VACATE Kaminski’s sentence and REMAND his case for resentencing, and in all other
    respects AFFIRM the judgment of the district court.
    I. BACKGROUND
    A. Factual Background
    Coleman and Kaminski were the sole owners and operators of Ovimmune, a for-profit
    corporation. Kaminski is a medical doctor and board-certified surgeon, while Coleman has a
    Bachelor of Science (“B.S.”) degree in Biology from the University of South Carolina and a Doctor
    of Philosophy (“Ph.D.”) degree in an unspecified subject from Auburn University, but is not a
    medical doctor. Coleman and Kaminski theorized that chickens immunized against various diseases
    would produce antibodies to those diseases, that those antibodies would be transmitted to the yolks
    of the chickens’ eggs, and that humans could then treat or prevent the diseases by eating the egg
    yolks. Accordingly, they formed Ovimmune for the purpose of “produc[ing] antibodies from
    hyperimmune hens for administration to man and animals to modify gut/organism or act as biologic
    response modifiers for the prevention and/or treatment of disease.” Joint Appendix (“J.A.”) at 1047
    (Articles of Incorporation at 1).
    On March 17, 1998, Coleman requested a ruling from the United States Department of
    Agriculture (“USDA”) regarding whether “hyperimmune” eggs are approved for human
    consumption. On March 25, 1998, the USDA notified Coleman that such eggs are “generally
    recognized as safe (GRAS)” for human consumption when produced in accordance with relevant
    regulations and, therefore, may be freely marketed as food products in the United States. J.A. at
    1075 (USDA Letter).
    Coleman and Kaminski then proceeded to acquire a brood of hens, which they inoculated
    for various diseases, including chlamydia and candida (a type of yeast that causes, inter alia, thrush).
    The eggs from the candida-inoculated hens were shipped to a processing plant, where their yolks
    were pasteurized and reduced to powder. The yolks of the eggs obtained from the chlamydia-
    immunized hens were collected in Coleman’s basement and shipped to Ohio State University
    (“OSU”), where they were freeze-dried.
    Ovimmune sold the candida powder to retailer For Your Health, Inc. (“FYH”), which was
    owned by Ray Suen (“Suen”), for resale as a treatment for yeast infections.1 Coleman gave away
    and sold the chlamydia eggs and chlamydia and candida egg powders to individuals for treatment
    of various diseases and infections, including rheumatoid arthritis and toenail fungus.
    On January 17, 2001, The Richwood (Ohio) Gazette published a front-page article about
    Coleman, titled “World-Famous Doctor Conducts Avian Antibody Research.” J.A. at 1094. The
    article quoted Coleman as stating, “Immunized chickens produce eggs rich in antibodies which can
    cure mastitis, toenail fungus, rheumatoid arthritis, etc. We’ve also had proven success with patients
    suffering from Chronic Fatigue Syndrome, Fibromyalgia and similar chronic ailments.” 
    Id. (internal quotation
    marks omitted). The article reported that Coleman’s and Kaminski’s research was
    sponsored by the American Medical Association (“AMA”). It continued:
    The doctors have been involved in medical research for a number of years.
    Many of their current products can be found on the shelves of health[-]food stores
    1
    Suen and FYH subsequently pleaded guilty, in a related case, to felony conspiracy to distribute unapproved
    new and misbranded drugs.
    Nos. 05-3823/3826/4509                  United States v. Kaminski et al.                                     Page 3
    throughout the world. One specific formula, CandidaTx, is an affordable, very
    effective formula which controls vaginitis, toenail fungus and candidiasis.
    These older successes help underwrite the expense of the new technology,
    allowing the doctors to serve patients at a more affordable level.
    Ovimmune is planning clinical trials for Lupus, Multiple Sclerosis and
    patients suffering from Khrone’s [sic] Disease. According to Coleman, at least 13
    volunteers will be needed per disease. Their treatment will be conducted in
    cooperation with each person’s general physician. “We’ll be ready as soon as we
    have the people lined up,” she commented. In all their studies, Coleman and
    Kaminski work closely with hospitals, universities, medical schools and physicians.
    As Coleman explained, the treatment is fairly simple. The only “medication”
    involved is eating an egg or even a portion of an egg.
    
    Id. Another published
    article,2 titled “Researcher Offers Hope to ADD Patients/Parents,”
    asserted that Coleman and Kaminski had treated “a good number of patients suffering from
    Fibromyalgia, Chronic Fatigue Syndrome, Crohn’s Disease, Lupus and MS” and that the
    hyperimmune egg products were also effective in treating “systemic candidiasis, candida vaginitis,
    toe nail fungus, athlete’s food, ‘jock’ itch, etc.,” as well as “behavioral disorders in children such
    as ADD [attention deficit disorder], ADHD [attention deficit-hyperactivity disorder] and in one case,
    autism.” J.A. at 1133. The author noted Coleman’s insistence “that the products produced are
    considered food and not a drug. The egg products are approved by the USDA and FDA as GRAS
    (generally regarded as safe).” 
    Id. The article
    provided details concerning an upcoming meeting at
    which individuals could volunteer to participate in a clinical trial to determine whether the egg yolks
    could alleviate the symptoms of ADD.
    During the early part of 2001, Coleman also contacted Sally Wiley (“Wiley”), a school nurse
    who worked for the Union County, Ohio, schools, and inquired about the possibility of using the
    district’s students as subjects in a study to determine the effectiveness of the egg products in treating
    yeast-caused and other ailments. Coleman invited Wiley to attend the volunteer meeting.
    On March 30, 2001, a teleconference took place among Coleman and Kaminski, representing
    Ovimmune, and officials of the FDA. During that teleconference, the FDA officials informed
    Coleman and Kaminski that FDA authorization was required before Ovimmune could conduct
    clinical trials involving human subjects or administer the egg products to humans for the purpose
    of treating diseases. Coleman and Kaminski agreed not to conduct any clinical trials and represented
    that they had given the eggs only to Kaminski’s family members (though they also conceded that
    they had contracted with FYH for distribution of the candida product and that they had no control
    over the advertising of that product).
    Notwithstanding the FDA’s instructions and her own representations during the
    teleconference, Coleman went ahead the very next day with the previously arranged volunteer
    meeting, at which she passed out egg samples and suggested that participants collect data for her
    concerning the eggs’ efficacy. Wiley, the school nurse, attended the meeting and took notes. She
    later provided the FDA with those notes and signed a sworn affidavit describing the meeting.
    In May 2001, Coleman and Kaminski submitted an article to the American College of
    Nutrition in which they represented that they had distributed candida eggs free of charge to local
    2
    Though a copy of this article appears in the Joint Appendix, there is no indication on that copy of where or
    when it was published. See J.A. at 1133. Other evidence suggests that it appeared in the Richwood Gazette. J.A. at
    1077 (FDA Teleconference Summary at 1).
    Nos. 05-3823/3826/4509              United States v. Kaminski et al.                                 Page 4
    residents over a seven-month period and collected data that suggested that consumption of the eggs
    lowered the incidence of toenail fungus. During a June 25, 2001, interview on the show “Well
    Being With Cindy Bryant,” Coleman again described the Ovimmune egg products as effective in
    treating various human ailments, including “mastitis, toenail fungus, rheumatoid arthritis, CFS or
    chronic fatigue syndrome, fibromyalgia, . . . ADD, ADHD and autism” as well as “vaginitis . . . and
    candidiasis.” J.A. at 363-64 (Trial Tr. at II79-II80), 1092-93 (Broadcast Recording Labels). At trial,
    the interviewer for the program testified that she knew that medical claims could only be made by
    a licensed physician and that she had asked Coleman on-air questions that she would only have
    asked of a physician.
    On July 23, 2001, Coleman sold eight plastic bags of the chlamydia product and one bag of
    the candida product to an undercover FDA case agent, who covertly made an audio recording of the
    transaction. During that transaction, Coleman stated that she possessed one M.D. and two Ph.D.
    degrees and that the egg products that the agent purchased had been tested and proven to be effective
    in treating rheumatoid arthritis and toenail fungus. She also told the agent that the candida powder
    would cure toenail fungus.
    Coleman gave the agent a tour of her office, which was located in her home. In her basement
    “research lab,” she showed the agent boxes of unrefrigerated eggs. Gov’t Ex. 21.2 (July 23, 2001
    Tape Tr.) at 16. When volunteers began arriving to open the eggs and collect the yolks, the agent
    agreed to help them. The tape transcript reveals that all of the participants, including Coleman, were
    aware that many of the eggs were rotten and contaminated with mold. Coleman twice admitted that
    “[i]f we weren’t so desperate for eggs, we’d throw out the whole thing, but we don’t have any.” 
    Id. at 47.
    Upon leaving the Coleman residence, the undercover agent stated into the tape recorder:
    I can’t believe they’re shelling rotten eggs for the yolks are disintegrated
    black mold in them. Some of them are dried all clumped up it[’s] like they’re almost
    dehydrated. It’s absolutely disgusting. To think they’re freeze-drying that stuff and
    feeding it to people. I wouldn’t feed rotten eggs to my chickens, cooked or
    otherwise.
    
    Id. at 49.
           The agent went on to describe the process by and circumstances under which the egg yolks
    were collected:
    Right in that room were I would suggest a dozen pieces of 96 dozen eggs.
    There were insects, weevils, I saw a centipede, dozens of small spiders[,] several
    different varieties of species crawling all over the room. In it she’s got the final
    product which she gave me some stuff from the egg for my wife for her toenail
    fungus which is stuff that she sells commercially to other people. It comes out of the
    dehydrating plant in Zanesville. The other bag is from the stuff we were shucking
    eggs on tonight. Those eggs[,] you break them open the egg yolks were either
    already broken or as soon as you jarred them in the least they fractured unless they
    had started to dehydrate. They looked like they were partially soft[-]cooked even
    though the yolk and the egg white was fully intact. So I don’t know[,] it could have
    been fungus. A lot of the eggs had black spots from bacteria growing in them and
    if they weren’t solid or if they didn’t stick to the shell they went in the stuff to go to
    Ohio State to make the stuff for pain with my arthritis and all the other problems.
    That is the product she was desperate for.
    
    Id. at 50.
    Nos. 05-3823/3826/4509            United States v. Kaminski et al.                            Page 5
    On July 31, 2001, a team led by FDA Special Agent Douglas Loveland (“Loveland”)
    executed a search warrant at Coleman’s home, where they seized egg products. Loveland also
    seized egg products, belonging to Coleman, that were stored at OSU. The products were
    subsequently tested and found to contain yeast, mold, and bacteria, including several forms of
    staphylococcus and at least one bacterium that produced a diarrheal endotoxin. Coleman sent a mass
    e-mail message following the raid, telling her friends and customers that the FDA had searched her
    house at gunpoint and intended to do the same to anyone who had purchased her egg products.
    Several of her associates began inquiring into Loveland’s background, seeking his Social Security
    number, credit report, and information concerning his military service.
    On November 30, 2001, Coleman filed a report with the Union County Sheriff’s Office,
    alleging that the FDA was somehow preventing her e-mail and postal mail from reaching her.
    Coleman filed a second report on January 28, 2002, this time claiming that she had received several
    telephone calls from an anonymous caller who threatened her with bodily harm if she were to file
    “that suit.” J.A. at 1266-71 (Jan. 28, 2002 Police Report & Attachments).
    Coleman did in fact file a civil suit in the Union County Court of Common Pleas on February
    21, 2002, naming Wiley (the Union County school nurse), John Doe, and Jane Doe as defendants.
    The complaint alleged that Wiley had made false statements to Loveland about the informed-consent
    form that Coleman had distributed at the March 31, 2001 volunteer meeting. Coleman sought
    damages in the amount of $15 million. The lawsuit was the subject of a front-page article in the
    local newspaper.
    One week after Coleman filed her suit, Loveland tried to interview Connie Davis (“Davis”),
    a participant in the volunteer meeting held by Coleman on March 31, 2001. According to Loveland,
    Davis was nervous about assisting in the investigation and agreed only to answer very general
    questions. Wiley testified at the sentencing hearing that at least one other person who had attended
    the meeting had expressed reluctance to speak to authorities for fear of becoming a subject of
    publicity relating to the lawsuit.
    On March 8, 2002, Coleman called the FDA’s Office of Internal Affairs (“OIA”) to complain
    that Loveland had purposely delayed her receipt of the warning letter that would otherwise have
    informed her in advance of the raid on her home; that the search warrant authorizing that raid was
    comprised of “38 pages of lies”: that Loveland “pistol whipped” people to get them to tell those lies
    about Coleman in order “to harm her personally and professionally”; and that Loveland had refused
    to return some of the seized items despite a court order commanding him to do so. J.A. at 1283-84
    (Mar. 8, 2002 Mem.) (internal quotation marks omitted). The OIA advised Coleman that “she
    and/or her attorney have recourse through the courts if she feels that the FDA is acting
    inappropriately” and decided to take no further action regarding the matter. J.A. at 1284 (Mar. 8,
    2002 Mem. at 2).
    On March 13, 2002, Coleman forwarded to the OIA a copy of a document purporting to be
    a motion to hold the FDA in contempt of court for refusing to return the seized items. J.A. at 1286-
    1311 (Mar. 13, 2002 Letter & Attachments). Coleman’s letter mentioned that an OIA official had
    discussed the motion with Kaminski the previous week. The letter noted that the motion was only
    a draft and promised to “fax you the court[-]stamped copy when it is available.” J.A. at 1286 (Mar.
    13, 2002 Letter). It is undisputed that the motion was never filed.
    Coleman filed a third report with the Union County Sheriff’s Office on May 6, 2002, this
    time alleging that Loveland had poisoned Coleman’s well with magnesium. Eight days later,
    Coleman reported a break-in at her home and a gas leak that she suspected was the result of
    deliberate tampering. A report completed by Detective Jeff Stiers (“Stiers”) the following month
    Nos. 05-3823/3826/4509                    United States v. Kaminski et al.                                      Page 6
    reflects that the case arising from the alleged well contamination and gas leak was closed due to
    insufficient evidence of any wrongdoing.
    In July and August 2002, Coleman’s customers and associates mounted a letter-writing
    campaign directed to Tommy Thompson (“Thompson”), the Secretary of the United States
    Department of Health and Human Services, which oversees the FDA. The letters were nearly
    identical in tone and content, each complaining of the FDA’s poor treatment of Coleman and
    warning that such actions were likely to result in scandal and embarrassment for the administration.
    One individual sent a similar letter to Lester Crawford (“Crawford”), the Director of the FDA;
    another wrote to United States Representative Deborah Pryce. Several of these letters mentioned
    Loveland by name and speculated that he was acting in collusion with Coleman’s competitors or was
    otherwise corrupt. In September 2002, Kaminski sent a similar letter to the OIA.
    Coleman filed yet another police report on September 3, 2002, alleging that someone had
    broken into her home, removed paper and computer files, and deactivated her computer firewall
    while she was attending court proceedings. She told the police that “the only people that knew she
    was going to be away from home and at court were her attorney and the Federal Government.” J.A.
    at 1374 (Sept. 3, 2002 Narrative Supplement). The following week, at Coleman’s request, Detective
    Stiers swept her house for electronic listening devices but found nothing. Stiers noted that this case,
    too, was closed for a lack of evidence.
    B. Procedural Background
    On July 31, 2002, Appellants were indicted in the United States District Court for the
    Southern District of Ohio and charged with conspiracy to introduce into interstate commerce an
    unapproved and misbranded drug and to defraud (one count per defendant); mail fraud (seven counts
    per defendant); introduction into interstate commerce of unapproved new drugs (five counts per
    defendant); introduction of misbranded drugs into interstate commerce (four counts per defendant);
    failure to register a drug manufacturing facility (one count per defendant); misbranding drugs while
    held for sale after shipment in interstate commerce (three counts per defendant); and holding and
    causing to be held for sale adulterated drugs (two counts per defendant). Appellants’ trial began on
    June 23, 2003, and lasted a month. On July 23, 2003, the jury found each of the Appellants guilty
    on five counts of introduction into interstate commerce of unapproved new drugs; four counts each
    of introduction of misbranded drugs into interstate commerce; one count each of failure to register
    a drug manufacturing facility; three counts each of misbranding drugs while held for sale after
    shipment in interstate commerce; and two counts of holding and causing to be held for sale
    adulterated drugs.
    The district court pronounced sentences for Coleman and Kaminski on4April 29, 20053 and
    issued a supplementary sentencing memorandum as to them on May 24, 2005. The court grouped
    each of the two individual Appellants’ convictions into a single count for purposes of sentencing,
    “because all of the crimes . . . are strict liability and had the same victim: society at large.” J.A. at
    316-17 (Sentencing Mem. at 27-28); see also U.S. SENTENCING GUIDELINES (“U.S.S.G.”)
    § 3D1.2(b). The court applied the preponderance-of-the-evidence standard to facts regarding
    enhancements suggested by the probation office, except to the extent that an enhancement was
    3
    The district court’s docket sheet reflects that each of the Appellants moved for a new trial and a judgment of
    acquittal following the verdict. The district court denied the motions on December 15, 2003. The Appellants
    subsequently moved for additional time to respond to the Presentence Investigation Report (“PSR”) and for an extension
    of the sentencing date. This procedural history accounts for the unusually long period that elapsed between the verdict
    and the sentencing hearing.
    4
    On June 30, 2005, the district court sentenced Ovimmune, which does not appeal its sentence.
    Nos. 05-3823/3826/4509                   United States v. Kaminski et al.                                      Page 7
    premised upon conduct of which Coleman or Kaminski was acquitted, which conduct the court
    required to be proven beyond a reasonable doubt.5
    The district court found that Coleman had abused a position of trust to facilitate the
    commission of the underlying offenses “by portraying herself as a physician in addition to a Ph.D.,”
    rejecting Coleman’s contention that an enhancement of her offense level on this ground was not
    appropriate “because posing as a physician does not by itself mean that she occupied a position of
    trust, which is defined as a position ‘characterized by professional or managerial discretion (i.e.,
    substantial discretionary judgment that is ordinarily given considerable deference).’” J.A. at 309
    (Sentencing Mem. at 20) (quoting United States v. McCollister, 96 F. App’x 974, 976 (6th Cir.
    2004) (per curiam) (internal quotation marks omitted)). The court concluded that Coleman need not
    actually be a medical doctor to avail herself of the discretion normally afforded one.
    Similarly, the district court found that Kaminski, as “a medical doctor, occupied a position
    of trust.” J.A. at 310 (Sentencing Mem. at 21) (citing McCollister, 94 F. App’x at 976 (“A
    practicing physician enjoys perhaps the highest level of discretion afforded any professional.”)).
    Kaminski abused that position, according to the court, by providing patients (several of whom
    testified at trial) with Ovimmune egg products for the treatment of ailments. Accordingly, the
    government enhanced Coleman’s and Kaminski’s offense levels by two points each.
    The court went on to find, pursuant to § 3C1.1 of the Guidelines, that both Coleman and
    Kaminski had obstructed justice. Although “the primary foundation of its finding [was the district
    court’s] recollection of the facts set forth at trial,” the court also enumerated several specific
    findings. J.A. at 311 (Sentencing Mem. at 22). First, the court found that Coleman’s suit against
    Wiley and complaints (and solicitation of the complaints of others) concerning Loveland constituted
    attempts to impede the investigation and prosecution of Coleman’s crimes. Coleman does not
    appeal that determination.
    The court also found that Kaminski had obstructed justice, a finding that Kaminski appeals.
    At the sentencing hearing, the district court initially indicated that it would impose the obstruction
    enhancement against Kaminski on the basis of Coleman’s actions:
    Based on the testimony, the Court’s review of the documents, but more
    importantly and most importantly, the Court’s recollection of the testimony and
    knowledge of the facts adduced at trial, the Court finds that under all of these
    circumstances present in this case that there was an obstruction, including the lawsuit
    filed against Sally Wiley, the complaint filed against Agent Loveland and the reports
    filed with the Union County Sheriff’s Office.
    With respect to Dr. Kaminski, the same essentially holds true and the Court
    agrees with the probation officer’s analysis under 3C1.1 and finds that Dr. Kaminski
    is equally culpable as far as obstruction is concerned.
    J.A. at 1011 (Sentencing Tr. at S161). Both the prosecution and Kaminski’s defense counsel,
    however, indicated to the district court that they wished to present additional evidence regarding the
    proposed obstruction enhancement as it applied to Kaminski, and the court accordingly withdrew
    its finding. J.A. at 1012 (Sentencing Tr. at S162).
    5
    The district court went on to explain at length its conclusion that acquitted conduct may never be considered
    at all for sentencing purposes. Because, however, the district court determined as a threshold matter that the
    government’s evidence satisfied neither of the potentially applicable standards, we do not address its broader
    pronouncement concerning acquitted conduct.
    Nos. 05-3823/3826/4509             United States v. Kaminski et al.                            Page 8
    Later in the course of the same hearing, the parties addressed the issue more fully, with
    counsel for Kaminski arguing that the evidence presented at trial established that Kaminski had not
    obstructed justice. In particular, Kaminski’s counsel argued that Suen had conceded having
    knowledge of the negative results of efficacy tests conducted on the egg powders, thus proving that
    Kaminski had testified truthfully in stating that he had told Suen’s agent about the test results. J.A.
    at 1020-24 (Sentencing Tr. at S170-S174). Kaminski’s attorney went on to argue that Kaminski
    could not be found to have obstructed justice by sending the September 10, 2002 letter to the FDA,
    because Loveland had testified that the letter had no impact on the investigation. J.A. at 1023
    (Sentencing Tr. at S173). The prosecution, however, contended that Suen’s testimony that he
    himself had known of the results of the efficacy tests was irrelevant to the truthfulness, or lack
    thereof, of Kaminski’s testimony that he (Kaminski) had informed not Suen but Suen’s agent of the
    test results. J.A. at 1025-26 (Sentencing Tr. at S174-S175). At the conclusion of this argument, the
    district court imposed the obstruction enhancement upon Kaminski on the basis of a finding of
    perjury: “The Court has heard the evidence at trial. I agree with the probation officer, I agree with
    the government that Dr. Kaminski did obstruct justice by providing false testimony. Therefore, I am
    going to overrule Kaminski Objection No. 5.” J.A. at 1026 (Sentencing Tr. at S175) (emphasis
    added).
    In its subsequently issued sentencing memorandum, however, the court did not mention the
    perjury question. Instead, after engaging in a lengthy discussion of Coleman’s actions (including
    her defamation suit against Wiley, her complaint to the FDA concerning Loveland’s activities, and
    her solicitation of others to investigate and complain to authorities about Loveland), the court issued
    the following finding regarding Kaminski’s alleged obstruction:
    This Court also finds that the government proved by a preponderance of the
    evidence that Defendant Kaminski obstructed justice. First, on September 10, 2002,
    Defendant Kaminski attempted to impede the FDA’s investigation by sending a
    report to Internal Affairs, titled: “OCI Special Agent Douglas Loveland . . . This
    addendum reports subsequent break-ins, attempted murder and computer crimes.”
    See Ex. 23 of government Binder DL-1. Defendant Kaminski participated in
    petitions to the Acting Commissioner of the FDA, the Secretary of Health and
    Human Services, and Congresswoman Deborah Pryce. [Presentence Report
    (“PSR”)] at ¶ 39. The Court finds that the government proved by a preponderance
    of the evidence that Dr. Kaminski’s actions were performed in a willful attempt to
    impede the FDA’s investigation by throwing up roadblocks, including leveling
    malicious personal attacks against SA Loveland. Accordingly, the actions of both
    Defendants warrant a two-point enhancement for obstruction of justice.
    J.A. at 314 (Sentencing Mem. at 25).
    After the application of the various enhancements, both Coleman and Kaminski fell into
    Criminal History Category I, and each had a total offense level of 10, giving rise to an advisory
    Guidelines range of six to twelve months’ imprisonment. After noting that the Guidelines dictate
    a sentence of imprisonment or of probation with conditions of intermittent or community
    confinement or home probation, the court imposed a sentence of five years’ probation, “substituting
    imprisonment with six months of ‘community confinement’ and six months of ‘home detention’”
    for both Coleman and Kaminski. J.A. at 321-22 (Sentencing Mem. at 32-33) (quoting U.S.S.G.
    § 5C1.1(c)(3)).
    In explaining its choice of sentence, the court stated as follows:
    The Court finds that the nature and circumstances of the offense and the
    history and characteristics of Defendants are such that five years of probation, with
    Nos. 05-3823/3826/4509             United States v. Kaminski et al.                              Page 9
    special conditions of community confinement and home detention, are appropriate.
    It appears to the Court that profit was exhorted over science and that Ovimmune
    products were distributed to the public without proper regard for any ensuing
    negative health effects. It is compelling to the Court that notwithstanding the March
    30, 2001 conference call with the Food and Drug Administration, during which FDA
    representatives told Coleman and Kaminski that they needed an investigational new
    drug application (“IND”) in effect before beginning human testing, Defendant
    Coleman, the very next day, held a meeting in a local church and gave away
    Ovimmune products. Indeed, the evidence showed that Defendants consistently
    circulated this product, touting it as a talisman for whatever ails one. Yet, while
    Defendants may have believed in their products’ effectiveness as an immune booster
    and healer, evidence at trial, including corroborating photographs, demonstrated that
    the conditions in which at least some of the eggs were kept were unsanitary. The
    evidence included such details as rotten, moldy eggs; a dead cat stored less than three
    feet from raw eggs; live cats running around the basement; egg residue on surfaces;
    raw eggs remaining unrefrigerated for long periods; and raw eggs covered with blood
    and manure. This sentence balances the nature and circumstances of the offense with
    the Defendants’ lack of any prior criminal history. Moreover, it allows Defendants,
    who are well-educated and very connected to their communities and families, to
    maintain these bonds throughout the period of confinement.
    J.A. at 322-23 (Sentencing Mem. at 33-34). The district court further stated that the confinement
    component of the sentences “reflects the seriousness of the offenses and accomplishes the goals
    associated with both specific and general deterrence.” J.A. at 323 (Sentencing Mem. at 34).
    Pursuant to 18 U.S.C. § 3563(b)(2), the district court imposed restitution as a condition of
    both defendants’ probation. “Although Defendants’ strict liability offenses victimized society at
    large, the Court [found that] restitution to purchasers of Ovimmune products [would] compensate
    for any harm wrought on the consuming public.” J.A. at 319 (Sentencing Mem. at 30). At the
    sentencing hearing, counsel for Coleman argued that the maximum amount of restitution that could
    be awarded (assuming, arguendo, that restitution was permissible at all) was $20,138, the sum total
    of all retail sales made by the defendants except for sales to retail distributors and sales to Suen and
    FYH. In the sentencing memorandum, however, the court ordered restitution in the amount of
    $33,604.12, the total retail sales less sales to Suen (but including sales to other retailers).
    Ovimmune and Kaminski now appeal their convictions. Coleman and Kaminski appeal their
    sentences.
    II. JURISDICTION
    The district court possessed subject matter jurisdiction over this federal criminal prosecution
    pursuant to 18 U.S.C. § 3231. We possess appellate jurisdiction pursuant to 28 U.S.C. § 1291 and
    18 U.S.C. § 3742.
    III. ANALYSIS
    A. Standard of Review
    “We review ‘a district court’s legal conclusions regarding the Sentencing Guidelines de
    novo’ and ‘a district court’s factual findings in applying the Sentencing Guidelines for clear error.’”
    United States v. Galvan, 
    453 F.3d 738
    , 739 (6th Cir. 2006) (quoting United States v. Galloway, 
    439 F.3d 320
    , 322 (6th Cir. 2006)). “We apply de novo review to the district court’s interpretation of
    the Guidelines.” 
    Id. Nos. 05-3823/3826/4509
                        United States v. Kaminski et al.                                       Page 10
    B. Appellant Coleman
    1. The Abuse-of-Trust Enhancement
    The Guidelines provide for a two-level upward adjustment, or enhancement, of the offense
    level of a defendant who has abused a position of trust. U.S.S.G. § 3B1.3. Coleman claims that the
    district court erred in applying this enhancement to her sentence, because she was convicted only
    of strict-liability offenses, none of which required proof of mens rea. She argues that the erroneous
    offense-level enhancement, in turn, resulted in the district court’s improperly calculating the
    applicable Guidelines range. “Even though the Supreme Court declared the guidelines advisory in
    United States v. Booker, 
    543 U.S. 220
    , 
    125 S. Ct. 738
    , 
    160 L. Ed. 2d 621
    (2005), we are still
    required to remand for resentencing if the district court misapplies the guidelines.” United States
    v. Davist, 
    481 F.3d 425
    , 427 (6th Cir. 2007).
    In the PSR that it submitted in advance of Coleman’s sentencing, the probation office
    recommended the abuse-of-trust enhancement on the ground that Coleman falsely portrayed herself
    as a medical doctor in order to promote the egg products as medical cures. J.A. at 1502 (Coleman
    PSR at 11 ¶ 54). In response, Coleman filed a sentencing memorandum in which she argued, inter
    alia, that the fact that she posed as a physician did not mean that she occupied a position of trust vis-
    a-vis the victims. J.A. at 247-49 (Coleman Sentencing Mem. II at 15-17). Her memorandum asserts
    that the jury, in acquitting Coleman of the fraud charge, implicitly found that she had not abused a
    position of trust. 
    Id. Coleman argued
    that the strict-liability nature of the offense of which she was
    convicted precluded the application of the enhancement. 
    Id. While Coleman’s
    counsel did once state, during the sentencing hearing, that Coleman did
    not occupy a position of trust,6 that statement was supported by no argument and was not the thrust
    of Coleman’s objection. The true gravamen of Coleman’s challenge to the enhancement, as set forth
    in her sentencing brief in the district court, was that the only issue determined at trial—that the egg
    powder is a drug under federal law—did not support an application of the enhancement, particularly
    in light of the fact that the jury acquitted Coleman of fraud. J.A. at 248 (Coleman Sentencing Mem.
    II at 16).
    In its Sentencing Memorandum, the district court rejected Coleman’s argument, ruling that
    Coleman had, by holding herself out as a physician, assumed a position of trust that significantly
    facilitated her offense. J.A. at 309-11 (Sentencing Mem. at 20-22). The district court noted
    specifically that Coleman made the false representations in the course of convincing the undercover
    agent to purchase the chlamydia and candida products. J.A. at 310 (Sentencing Mem. at 21). The
    district court expressly stated that Coleman’s belief in the efficacy of her product (i.e., her innocence
    of fraud) did not alter that finding. 
    Id. On appeal,
    Coleman reiterates her contention that the abuse-of-trust enhancement is
    inapplicable to strict-liability crimes. She points out that, according to the Commentary to the
    Guidelines, “[f]or this [abuse-of-trust] enhancement to apply, the position of public or private trust
    must have contributed in some significant way to facilitating the commission or concealment of the
    offense (e.g., by making the detection of the offense 7or the defendant’s responsibility for the offense
    more difficult).” U.S.S.G. § 3B1.3 cmt. n.1 (2000). The note provides the following illustrations:
    6
    Counsel’s verbatim statement was, “To the extent that someone understood Dr. Coleman as a physician rather
    than a Ph.D. did not significantly facilitate the offense nor did she occupy a position of trust of physicians.” J.A. at 958-
    59 (Sentencing Tr. at S66-S67).
    7
    Appellants were sentenced under the 2000 edition of the United States Sentencing Guidelines Manual.
    Nos. 05-3823/3826/4509             United States v. Kaminski et al.                           Page 11
    This adjustment, for example, applies in the case of an embezzlement of a client’s
    funds by an attorney serving as a guardian, a bank executive’s fraudulent loan
    scheme, or the criminal sexual abuse of a patient by a physician under the guise of
    an examination. This adjustment does not apply in the case of an embezzlement or
    theft by an ordinary bank teller or hotel clerk because such positions are not
    characterized by the above-described factors.
    
    Id. Coleman relies
    on the fact that all of the enumerated examples are specific-intent crimes
    requiring proof of mens rea.
    Neither party has submitted, and we have been unable to find, any decision by any federal
    court precisely on point. Perhaps the most analogous case is the Ninth Circuit’s unpublished opinion
    in United States v. Merz, No. 97-30176, 
    1999 WL 50880
    (9th Cir. 1999) (unpublished). In Merz,
    the defendant “did not argue at sentencing whether he occupied a position of trust. He argued
    instead that he lacked the mens rea to abuse the position of trust that he enjoyed.” 
    Id. at *2.
    The
    Ninth Circuit affirmed the district court’s application of the enhancement, holding that “the record
    shows that Merz abused a position of trust. He created a business and placed himself into a position
    of trust that provided him the freedom to commit a difficult-to-detect wrong.” 
    Id. (internal quotation
    marks omitted). Merz’s business was that of a car courier to whom clients entrusted money with
    which he was to procure cars for them. And while Merz, unlike Coleman, was convicted of fraud,
    the Ninth Circuit’s rationale for applying the enhancement was not the nature of the crime but,
    rather, the nature of the relationship between the defendant and his victims, which—consistent with
    the Guidelines language—significantly facilitated the offense.
    Indeed, the cases cited by Coleman herself support the application of the enhancement, as
    they indicate that it is appropriately imposed where the conduct on which the enhancement is based
    (rather than the underlying offense conduct) is of a similar character as the examples given in the
    Application Notes. See United States v. Peters, 
    394 F.3d 1103
    , 1106-07 (8th Cir. 2005)
    (“Application Note 4 to U.S.S.G. § 3C1.1 lists examples of conduct that may constitute obstruction
    of justice. Each example represents conduct substantially more egregious than that of Peters.”);
    United States v. Strachan, 5 F. App’x 169, 173 (4th Cir.) (“Although these examples are not
    exhaustive, they do provide insight into the nature of the activity by the defendant contemplated by
    [§ 3C1.1]. In reviewing them we find these illustrations to involve conduct actually much more
    egregious in character than [that engaged in by the defendant].”), cert. denied, 
    534 U.S. 931
    (2001).
    In this case, Coleman assumed the mantle of trust accorded to a medical doctor—and there
    is no question that she did so deliberately—by affirmatively misrepresenting her professional
    credentials. Moreover, the evidence indicates that she did so in connection with her marketing and
    sale of the egg powders, as the misrepresentations were invariably made to consumers of the
    powders or during interviews about the products. This conduct is similar in nature to the examples
    in the Application Notes: misconduct by an attorney, a bank executive, or a physician while serving
    in the role of a trusted fiduciary. In short, Coleman violated the law, and she assumed a position of
    trust in relation to her victims while doing so. This behavior was not substantially less egregious
    than that contemplated by the enhancement provision.
    Coleman next argues that her assumption of a position of trust did not significantly facilitate
    her crime. In support of this contention, she asserts that her action in claiming to be a medical
    doctor was irrelevant to the only issue that the jury decided in convicting her—namely, whether or
    not the egg powders were drugs. While the proper characterization of the powders was the only
    Nos. 05-3823/3826/4509                  United States v. Kaminski et al.                                    Page 12
    undecided issue, however, it is not the only element of the offense.8 Coleman was convicted, inter
    alia, of introducing unapproved new drugs and misbranded drugs into interstate commerce, and9
    holding and causing to be held for sale adulterated drugs. These crimes—the marketing and selling
    of the egg powders—were, in turn, significantly facilitated by the consumers’ belief that Coleman
    was a physician.
    Indeed, Coleman’s desire to persuade others to consume her products was obviously the very
    reason that she made the misrepresentations, the efficacy of which was shown at the sentencing
    hearing via the testimony of Rebecca Keller (“Keller”), which demonstrated conclusively that
    consumers of the powder consulted Coleman for medical advice. After becoming ill upon taking
    the egg powder, Keller called Coleman for instructions, which Coleman gave and Keller followed.
    J.A. at 960 (Sentencing Tr. at S74).
    As we held in United States v. Gilliam, a “position of trust arises almost as if by implication
    when a person or organization intentionally makes himself or itself vulnerable to someone in a
    particular position, ceding to the other’s presumed better judgment some control over their affairs.”
    
    315 F.3d 614
    , 618 (6th Cir.) (internal quotation marks omitted), cert. denied, 
    540 U.S. 1155
    (2004).
    We stated, in Gilliam, that the Guidelines’ examples of situations in which the enhancement is
    properly applied “translate directly to the types of relationships where a ‘fiduciary duty’ exists by
    implication (e.g., physician-patient, lawyer-client, officer-organization, etc.).” 
    Id. Coleman created
    such relationships when she held herself out to be a medical doctor in connection with her offering
    of the egg powders as treatments for disease, and her customers relied on those relationships in
    consuming the powders.
    Coleman’s final argument on this point is that an enhancement under these circumstances
    is inconsistent with the rule that a court, when imposing a sentence for a strict-liability crime, may
    not depart downward from the Guidelines range on the ground that the defendant lacked mens rea.
    The cases that she cites for this proposition, however, all involve “lesser-harm” departures, which
    a district court may utilize to impose a below-Guidelines sentence upon a defendant who inflicted
    less harm on his or her victims than that sought to be prevented by the statute. Each of these
    immigration cases did involve the strict-liability offense of illegal reentry after deportation, but our
    sister circuits held lesser-harm departures impermissible not due to the strict-liability nature of the
    crimes but, rather, because the defendants had not actually perpetrated less harm than that
    contemplated by the statute prohibiting such reentry; because the statute prohibited illegal reentry,
    the motives of the defendants for their illegal reentry were irrelevant. See United States v.
    Hernandez-Baide, 
    392 F.3d 1153
    , 1155-56 (10th Cir. 2004), vacated & remanded, 
    544 U.S. 1015
    (2005); United States v. Saucedo-Patino, 
    358 F.3d 790
    , 794-95 (11th Cir. 2004); United States v.
    Dyck, 
    334 F.3d 736
    , 741-42 (8th Cir. 2003); United States v. Carrasco, 
    313 F.3d 750
    , 755-56 (2d
    Cir. 2002).
    In this case, the district court imposed the enhancement not because Coleman had committed
    a more egregious harm than that sought to be prevented by the statute but, instead, because the
    offenses that she did commit were facilitated by the trust that she enjoyed as a putative doctor. See
    U.S.S.G. § 3B1.3. In other words, the victims of Coleman’s crime were individuals who were
    rendered particularly vulnerable by the trust that they reposed in Coleman. Accordingly, we hold
    that the district court did not err in finding that Coleman occupied a position of trust and concluding
    that her abuse of that position significantly facilitated the commission of the offense.
    8
    Again, we refer to a single “offense” because the district court grouped Coleman’s convictions for purposes
    of sentencing.
    9
    The Supreme Court has characterized the FDCA as regulating “drug manufacturing, marketing, and
    distribution.” Thompson v. Western States Med. Ctr., 
    535 U.S. 357
    , 361 (2002).
    Nos. 05-3823/3826/4509                     United States v. Kaminski et al.                                       Page 13
    2. Restitution
    When the law authorizes a restitution order, “we . . . review the amount ordered under the
    abuse of discretion standard.” United States v. Comer, 
    93 F.3d 1271
    , 1278 (6th Cir.) (internal
    quotation marks omitted), cert. denied, 
    519 U.S. 1033
    (1996). The district court ordered restitution
    pursuant to 18 U.S.C. § 3563(b)(2), which provides a sentencing court with discretion to order
    restitution to victims as a condition of probation. Coleman concedes that the district court possessed
    such discretion under § 3563(b)(2), but contends on appeal that the court erroneously failed, in
    calculating the amount of the restitution award, to account for the benefits received by retailers and
    consumers of the egg products.
    Coleman did not, however, make this argument before the trial court. Rather, she contended
    in her sentencing memorandum and at the sentencing hearing that the distributors and individual
    recipients of the egg products were not properly characterized as victims, because all had indicated
    satisfaction with the products and requested more. Coleman did not, in other words, dispute the
    amount of restitution awarded or argue that that amount should be calculated with reference to
    benefits gained by the victims. Instead, she focused on the identities of the victims, as 10
    determined
    by ascertaining whether any of the egg-powder recipients had suffered a financial loss. Because
    her contention that the district court improperly calculated the amount of restitution owed to each
    victim is raised for the first time on appeal, we decline to consider that argument. See, e.g., Pinney
    Dock &11Transp. Co. v. Penn Cent. Corp., 
    838 F.2d 1445
    , 1461 (6th Cir.), cert. denied, 
    488 U.S. 880
    (1988).
    Coleman also contends that the district court erred in finding that society at large was the
    victim of her crimes. The statute defines a “victim,” for the purposes of restitution, as “a person
    directly and proximately harmed as a result of the commission of an offense for which restitution
    may be ordered . . . .” 18 U.S.C. § 3663(a)(2).12 In arguing that society suffered no direct and
    proximate harm, Coleman again reiterates her contention that recipients of her products experienced
    benefits.
    We rejected a similar argument in United States v. Universal Management Services, Inc., 
    191 F.3d 750
    (6th Cir. 1999), cert. denied, 
    530 U.S. 1274
    (2000). In Universal, the defendants appealed
    the district court’s award of restitution on the ground that the FDA charge against them was based
    only upon their failure to secure approval of their product and not upon any allegation that it was
    ineffective, and thus no detriment to consumers had been shown. 
    Id. at 763.
    We held, however, that
    restitution to consumers of the product was an appropriate remedy for the harm to the general public,
    because the purpose of the approval requirement is “to protect consumers’ health and their
    pocketbooks.” 
    Id. (emphasis added).
    Consumers purchase such products upon the mistaken
    assumption that the products are produced in compliance with federal regulations; the “economic
    10
    To the extent that Coleman means to argue on appeal that there is no evidence to support the amounts
    attributed to each recipient by the district court, that objection has been waived.
    11
    In any event, Coleman offers no evidence that might prove useful in quantifying the benefits, if any,
    conferred upon the victims.
    12
    The district court ordered restitution as a condition of probation, pursuant to 18 U.S.C. § 3563(b)(2), which
    provides for restitution to the victim of the offense “under section 3556.” Section 3556, in turn, states that the sentencing
    court “may order restitution in accordance with section 3663.”
    Nos. 05-3823/3826/4509                   United States v. Kaminski et al.                                    Page 14
    harm to consumers contemplated by the FDCA” is, thus, that consumers who are deceived in this
    manner do not get what they pay for. Id.13
    Here, as in Universal, Appellants sold unapproved drugs to members of the public even after
    being notified that FDA approval was required. In so doing, they inflicted economic harm on the
    consumers of their products. Accordingly, the district court did not abuse its discretion by ordering
    restitution.
    C. Appellant Kaminski
    1. The Conviction14
    a. The FDA’s Compliance With Its Own Rule
    Kaminski contends that his prosecution was impermissible due to the FDA’s failure (1) to
    abide by its own final rule15 providing manufacturers of dietary supplements an eighteen-month
    grace period within which to comply with new labeling requirements and (2) to provide Kaminski
    with notice and an opportunity to correct his alleged violation. As the United States points out,
    however, Kaminski never raised these arguments before the district court, and they are accordingly
    forfeited unless this court finds plain error. See FED. R. CRIM. P. 52(b) (“A plain error that affects
    substantial rights may be considered even though it was not brought to the court’s attention.”);
    United States v. Young, 
    470 U.S. 1
    , 15 (1985) (holding that Rule 52(b) “authorizes the Courts of
    Appeals to correct only particularly egregious errors, those errors that seriously affect the fairness,
    integrity or public reputation of judicial proceedings” (internal quotation marks and citation
    omitted)).
    Moreover, Kaminski’s argument appears to be completely irrelevant to this case, both
    because (as the jury found) the egg powders are not dietary supplements but drugs and because the
    charges against him were not based solely on labeling violations. In any event, Kaminski cites no
    case law to support his assertion that the FDA’s alleged failure to follow its own rule or to provide
    him with notice and an opportunity to be heard by an agency official precluded the United States
    from prosecuting him for violations of the FDCA. Moreover, he concedes that (1) the notice
    provision contains several exceptions, and (2) the FDA did not begin enforcement procedures
    against him or any other Appellant until after the eighteen-month period had undisputedly expired.
    See 21 C.F.R. § 7.84(a). Accordingly, Kaminski has failed to show that the district court’s judgment
    constituted plain error.
    b. Sufficiency of the Evidence
    Kaminski also contends that the egg products constituted foods, not drugs, under applicable
    FDA regulations. The United States correctly characterizes this argument as a challenge to the
    sufficiency of the evidence supporting Kaminski’s convictions, as a finding that the egg products
    were drugs was a necessary element of each crime with which he was charged. Pursuant to long-
    13
    Universal arose, in fact, from violations of one of the very FDCA provisions at issue here, which prohibits
    the introduction into interstate commerce of misbranded foods, drugs, or devices. 21 U.S.C. § 331.
    14
    Because the resolution of Ovimmune’s challenge to its conviction turns on precisely the same issues
    implicated by Kaminski’s appeal on the issue, both challenges are resolved in this section, in which, for the sake of
    brevity, we refer only to Kaminski.
    15
    Regulations on Statements Made for Dietary Supplements Concerning the Effect of the Product on the
    Structure or Function of the Body, 65 Fed. Reg. 1000-01 (Jan. 6, 2000) (codified at 21 C.F.R. pt. 101).
    Nos. 05-3823/3826/4509             United States v. Kaminski et al.                            Page 15
    standing Supreme Court precedent, we determine “whether, after viewing the evidence in the light
    most favorable to the prosecution, any rational trier of fact could have found the essential elements
    of the crime beyond a reasonable doubt.” Jackson v. 
    Virginia, 443 U.S. at 319
    .
    The relevant provision of the FDCA defines the term “drug” as
    (A) articles recognized in the official United States Pharmacopoeia, official
    Homeopathic Pharmacopoeia of the United States, or official National Formulary,
    or any supplement to any of them; and (B) articles intended for use in the diagnosis,
    cure, mitigation, treatment, or prevention of disease in man or other animals; and
    (C) articles (other than food) intended to affect the structure or any function of the
    body of man or other animals; and (D) articles intended for use as a component of
    any article specified in clause (A), (B), or (C).
    21 U.S.C. § 321(g)(1) (emphasis added).
    Kaminski contends that the egg products are more accurately characterized as dietary
    supplements. He points to language in § 321(g) providing that a “dietary supplement for which a
    truthful and not misleading statement is made in accordance with section 343(r)(6) of this title is not
    a drug under clause (C) solely because the label or the labeling contains such a statement.” Section
    343(r)(6), in turn, sets forth the circumstances under which a dietary supplement may bear a label
    that (1) “claims a benefit related to a classical nutrient deficiency disease”; (2) “describes the role
    of a nutrient or dietary ingredient intended to affect the structure or function in humans”; or
    (3) “describes general well-being from consumption of a nutrient or dietary ingredient.” 21 U.S.C.
    § 343(r)(6)(A). The statute requires that any such label include a disclaimer of any intent “to
    diagnose, treat, cure, or prevent any disease.” 21 U.S.C. § 343(r)(6)(C). Moreover, § 343(r)(6)
    requires the supplement’s manufacturer to notify the FDA, within thirty days, of the placement of
    any such statement on the label of a marketed product. 21 U.S.C. § 343(r)(6).
    Kaminski’s reliance upon this statutory scheme is unavailing. The egg powders are drugs
    not because their labels state that they ameliorate nutrient deficiencies, “affect the structure or
    function in humans,” or promote general health but, rather, because Kaminski and Coleman
    distributed them to consumers for the express purpose of treating and/or preventing diseases. The
    pattern of statements made by the defendants, and particularly by Coleman, along with the methods
    of sale and distribution of the products, conclusively demonstrate this fact. Contrary to Kaminski’s
    contentions, the FDA’s investigation and the United States’s prosecution were not based solely on
    “newspaper articles that generally discussed Dr. Coleman’s research and the language of the label,”
    Kaminski Br. at 26; as explained above, the evidence in this case included not only newspaper
    articles and labeling materials but also the testimony of consumers who purchased the products for
    the express purpose of curing illnesses. Accordingly, the evidence was sufficient to lead a
    reasonable jury to find that the egg products were drugs.
    2. The Sentencing Enhancement
    Finally, Kaminski argues that the district court erred in enhancing his base offense level by
    two levels pursuant to § 3C1.1 of the Guidelines, on the ground that his conduct impeded the
    investigation and prosecution of Appellants’ crimes. “We review for clear error a district court’s
    factual findings underlying its decision to impose an obstruction-of-justice enhancement under
    § 3C1.1. Conclusions as to what facts constitute obstruction of justice are then reviewed de novo.”
    
    Davist, 481 F.3d at 427
    (internal citation omitted).
    At the sentencing hearing, the district court found that Kaminski had perjured himself at trial.
    As noted above, however, the subsequently issued sentencing memorandum does not reflect the
    perjury finding, and so the district court presumably did not rely upon that finding. In the sentencing
    Nos. 05-3823/3826/4509                    United States v. Kaminski et al.                                       Page 16
    memorandum, the district court concluded that Kaminski “attempted to impede the FDA’s
    investigation” by sending the September 10, 2002 letter to the OIA and by “participat[ing] in
    petitions to the Acting Commissioner of the FDA, the Secretary of Health and Human Services, and
    Congresswoman Deborah Pryce.” J.A. at 314 (Sentencing Mem. at 25).
    As an initial matter, we note that we cannot find support in the record for the district court’s
    finding that Kaminski participated in any petitions to the government entities listed in the
    memorandum. The only source cited for that finding is paragraph 39 of Kaminski’s PSR, which
    mentions only Kaminski’s trial testimony and the September 2002 letter to the FDA. J.A. at 1453
    (Kaminski PSR at 9 ¶ 39). Accordingly, we cannot accept the finding that Kaminski impeded the
    investigation through communications to the Commissioner, Secretary, or Congresswoman, based
    upon our review of the record. See, e.g., United States v. Stubbs, 
    11 F.3d 632
    , 638-39 (6th Cir.
    1993). The only evidence properly considered by the district    court in imposing the enhancement,
    then, is Kaminski’s September 10, 2002, letter to the FDA.16
    The Application Notes to § 3C1.1 of the Guidelines, pursuant to which the district court
    imposed the obstruction enhancement, provide examples of the types of conduct ordinarily covered
    by § 3C1.1. Note 5(b) provides that “making false statements, not under oath,17to law enforcement
    officers” generally does not constitute obstruction, unless Note 4(g) applies. U.S.S.G. § 3C1.1
    cmt. n.5(b). Note 4(g), in turn, states that “providing a materially false statement to a law
    enforcement officer that significantly obstructed or impeded the official18
    investigation or prosecution
    of the instant offense” will usually be considered obstruction of justice. 
    Id. cmt. n.4(g)
    (emphases
    added).
    Thus, although the language of § 3C1.1 authorizes the imposition of the enhancement for
    attempts to obstruct justice as well as obstruction itself, the Notes, which describe with greater
    specificity types of conduct that do and do not fall within the ambit of § 3C1.1, indicate that an
    attempt that takes the form of a false but unsworn statement to a law-enforcement officer does not
    suffice to trigger the enhancement—or, phrased in another way, that an unsworn statement to a law-
    enforcement officer cannot constitute obstruction of justice under § 3C1.1 unless it significantly
    obstructs or impedes the investigation or prosecution of the offense. See United States v. Jarman,
    
    144 F.3d 912
    , 914 (6th Cir. 1998) (noting that “the Application Notes to the Sentencing Guidelines
    are accorded controlling weight”); United States v. Williams, 
    952 F.2d 1504
    , 1516 (6th Cir. 1991)
    (reversing, as clearly erroneous, the district court’s imposition of a § 3C1.1 enhancement, on the
    ground that the defendant’s unsworn lies to law-enforcement officials did not actually impede the
    investigation), cited in United States v. Obi, 195 F. App’x 335, 339 (6th Cir. 2006).
    The question, then, is whether Kaminski’s September 10, 2002, letter to the FDA contained
    false statements that significantly obstructed the investigation. At the sentencing hearing, Loveland
    testified unequivocally that the letter had no impact whatsoever on the investigation. J.A. at 1009
    (Sentencing Tr. at S159). Indeed, the district court made no finding to the contrary; instead, it
    16
    As Loveland noted during the sentencing hearing, the indictment had already been returned by the time the
    September 10, 2002, letter was sent. J.A. at 1008 (Sentencing Tr. at S158). Loveland testified, however, that the
    investigation continued even after the indictment was handed down. J.A. at 1010 (Sentencing Tr. at S160).
    17
    In the 2000 edition of the Guidelines Manual, Note 5(b) refers to Note 3(g) instead of 4(g). There is,
    however, no Note 3(g). In the 2004 Manual Note 5(b) was corrected to refer to Note 4(g), and the corrected version
    appears in all subsequent editions.
    18
    “‘Material’ evidence, fact, statement, or information, as used in this section, means evidence, fact, statement,
    or information that, if believed, would tend to influence or affect the issue under determination.” U.S.S.G. § 3C1.1 cmt.
    n.6.
    Nos. 05-3823/3826/4509                    United States v. Kaminski et al.                                     Page 17
    imposed the enhancement         on the basis of Kaminski’s “willful attempt to impede the FDA’s
    investigation.”19 J.A. at 314 (Sentencing Mem. at 25) (emphasis added). Because the district
    court’s characterization of the September 10 letter as an attempt at obstruction—and, thus, the
    district court’s application of the § 3C1.1 enhancement on this basis—was erroneous, resulting in
    an improperly calculated Guidelines range, we VACATE Kaminski’s sentence and REMAND his
    case to the district court for resentencing consistent with this opinion. On remand, the district court
    may consider all relevant record evidence in determining whether an application of the § 3C1.1
    enhancement is warranted.
    IV. CONCLUSION
    For the aforementioned reasons, we VACATE Kaminski’s sentence and REMAND his case
    for resentencing, and in all other respects we AFFIRM the judgment of the district court.
    19
    The district court also referred to “malicious personal attacks on SA Loveland,” J.A. at 314 (Sentencing
    Mem. at 25), but provided no citation to the record to support a finding that Kaminski had participated in any such attack
    other than by sending the September 10 letter.