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doi: 10.1016/j.peptides.2019.170224 37 McIntoshCHWidenmaierSKimS

5.3 Regulatory and consumer acceptance challenges Hand-in-hand with safety concerns are the regulatory and public acceptance challenges for nanoencapsulated nutraceuticals

Everything else on this list is minor by comparison

Anthem (Indiana, converted) acquired Trigon (Virginia, converted) in 2002