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However, in the case of a specified area or medical topic determined appropriate by the Secretary for which a feasible and practical measure has not been endorsed by the entity with a contract under section 1890(a) of the Act, the Secretary may specify a measure that is not so endorsed as long as due consideration is given to measures that have been endorsed or adopted by a consensus organization identified by the Secretary

That last point matters: according to CosmeticsDesign-Asia, 24% of older Millennials in India avoid cream-based sunscreens specifically because of white cast

These effects have been validated in both in vitro studies and human clinical trials using topical formulations