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Many of the FDA advisers and internal staff who oversaw those decisions no longer work for the agency

The following weight-loss items are typically not HSA or FSA-eligible: Diet or organic foods Nutritional counseling, unless used to treat a specific condition diagnosed by a healthcare professional Meal replacement drinks and shakes (SlimFast, Boost, and Herbalife) Spa and health club memberships Swimming or dance lessons for the improvement of general health Personal training for general fitness or weight management without a qualifying diagnosis These expenses are usually considered general wellness and not medical care