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Excise Tax for a Nutrition & Diet Clinic in the UAE

Excise tax guide for UAE nutrition and diet clinics: rates on sweetened and energy drinks, registration triggers, stockpiler rules, worked import example.

Excise Tax for a Nutrition & Diet Clinic in the UAE

A UAE nutrition or diet clinic only faces excise tax if it imports, produces or stockpiles excise goods — sweetened drinks, energy drinks or sweetened drink powders it retails. There is no registration threshold — the activity itself triggers it, and the clinic must notify the FTA within 30 days after the month the activity starts. Rates are 100% on energy drinks and, since 1 January 2026, AED 1.09, AED 0.79 or AED 0 per litre on sweetened drinks by sugar content, with 5% VAT on the excise-inclusive price. A consultancy clinic owes no excise.

Basis: Federal Tax Authority

Excise rate — energy drinks
100% of the excise price
Federal Tax Authority — What is Excise Tax?
Excise rate — sweetened drinks
AED 1.09 / 0.79 / 0 per litre by sugar band
Cabinet Decision No. 197 of 2025, from 1 January 2026
Registration threshold
None — registration is triggered by the activity (import, production, stockpiling), not by turnover
FTA Taxable Person Guide for Excise Tax
Notification deadline
Notify the FTA within 30 days of the end of the month in which the activity starts or is intended
FTA Excise Tax Registration service
Return and payment cycle
Excise returns are filed and the tax paid by the 15th day following the end of each tax period
FTA Excise Tax Topics
VAT on excise-inclusive price
5% VAT is calculated on the price including excise tax, so excise compounds into the VAT base
Federal Decree-Law No. 8 of 2017

# Excise tax for a nutrition clinic in the UAE: the direct answer

Excise tax for a nutrition clinic in the UAE is a retail-shelf question, not a consultancy question. A clinic that only sells advice — consultations, meal plans, body-composition assessments — has no excise exposure at all: excise tax in the UAE is levied on specific goods (tobacco, energy drinks, sweetened drinks, e-smoking devices and their liquids), not on services. The exposure starts the moment the clinic's business model extends to the shelf: importing sweetened protein shakes, producing its own branded wellness drinks, or holding a storeroom of excise goods on which excise has not yet been paid.

There is one fact that surprises almost every clinic owner: there is no registration threshold for excise tax. VAT has its AED 375,000 mandatory threshold and corporate tax has its AED 375,000 zero-rate band, but excise registration is triggered by the activity itself. Any person who imports excise goods, produces them, stockpiles them in certain cases, or releases them from a designated zone must register — and must notify the FTA within 30 days of the end of the month in which the activity is carried out or intended. A clinic importing one pallet of sweetened drinks is in the same registration position as a national distributor.

The two-business reality of a modern nutrition clinic

Most UAE nutrition and diet clinics now run two businesses under one licence: a services business (consultations, corporate wellness programmes, diet plans) and a products business (supplements, shakes, juices, snacks). The services side lives in the world of VAT and corporate tax. The products side can live in the world of excise too — and the two sides must be accounted for separately, because excise tax has its own registration, its own monthly return, its own payment deadline and its own record-keeping obligations, entirely distinct from the clinic's VAT and corporate tax filings.

What this page gives you

This guide maps the full excise journey for a nutrition and diet clinic: which products are excisable and at what rate, the three registration triggers that matter for clinics, a worked AED 95,445 import showing how excise compounds into the VAT base, the stockpiler trap that catches clinics holding untaxed inventory, the monthly return cycle, the VAT boundary between consultations and products, and the penalties and dispute ladder if something goes wrong. Figures are worked in full so you can check every dirham.

# Which products pull a nutrition clinic into excise tax

The FTA's official excise goods list is short: tobacco and tobacco products, liquids used in electronic smoking devices and the devices themselves, energy drinks, and sweetened drinks (Cabinet Decision No. 197 of 2025; the separate carbonated-drinks category ended on 1 January 2026). For a nutrition clinic, the list narrows to two realistic touchpoints: sweetened drinks and energy drinks — the products most likely to appear on a wellness retail shelf or in the clinic's own branded range.

Sweetened drinks: the broadest category

Sweetened drinks are defined as any product to which a source of sugar or other sweetener is added and which is produced either as a ready-to-drink beverage, or as concentrates, powders, gels or extracts that can be made into a sweetened drink. Read that definition against a nutrition clinic's shelves and the exposure becomes obvious:

  • Ready-to-drink protein shakes and meal-replacement shakes with added sugar or sweetener are sweetened drinks, taxed per litre by sugar band — unless at least 75% of the drink is milk or a qualifying milk substitute.
  • Sweetened protein and wellness powders — the concentrates-and-powders limb of the definition — are caught even though they are sold dry, banded on the drink they make.
  • Cold-pressed juices and smoothies with added sugar or sweetener are caught per litre by sugar band when packaged (natural fruit sugar then counts toward the band); a juice that is 100% fruit with nothing added is not a sweetened drink, and drinks prepared and served open on the premises are excluded.
  • Pre-workout and "wellness shot" beverages with stimulants such as caffeine or taurine may fall into energy drinks at 100% instead — the categories are mutually exclusive, so classification matters.

Sweetened drinks entered excise at 50% under Cabinet Decision No. 52 of 2019 (effective 1 December 2019). From 1 January 2026, Cabinet Decision No. 197 of 2025 replaced that rate with per-litre bands: AED 1.09 per litre at 8g or more of sugar and other sweeteners per 100ml, AED 0.79 from 5g to under 8g, and AED 0 below 5g or where only artificial sweeteners are used.

The exclusions that protect genuine nutrition products

The sweetened-drinks definition carries exclusions that matter for clinics: ready-to-drink beverages containing at least 75% milk or milk substitutes, baby formula and baby food, foods for special medical purposes, products consumed for special dietary needs, and alcoholic beverages. A high-dairy clinical nutrition shake may fall outside excise on the milk-content exclusion; a product prescribed for a medical condition may fall under the special-medical-purposes exclusion. These are classification questions, not assumptions — the clinic should confirm the position of each product line, because the difference between the AED 1.09 band and AED 0 on a fast-moving product line can be the entire margin.

Practical classification discipline

Excise goods must be registered with the FTA in the excise goods price list before they can be imported or traded compliantly. For a clinic launching its own branded shake or juice line, the sequence is: classify the product against the sweetened-drinks definition and exclusions, register the product and its price with the FTA, and only then import or produce. Launching first and classifying later is how clinics inherit backdated liabilities.

/* Nutrition & diet clinic excise tax: the 100% rate, the per-litre sweetened-drink bands and the excise-inclusive price stack. */
Excise rate tiers and the excise-inclusive price stack for clinic retail products Three product columns compare UAE excise rates: energy drinks at 100 percent, carbonated drinks (no longer a separate category since 2026), and sweetened drinks at AED 1.09 per litre in the top sugar band. Each column stacks the import price beneath the excise amount, and a note records that 5 percent VAT is charged on the excise-inclusive price. Excise rate tiers for a clinic's shelf 100% Energy drinks 6.00 + 6.00 = 12.00 no category Carbonated drinks taxed only if sweetened AED 1.09/L Sweetened drinks 8.00 + 1.09 = 9.09 (1 litre) Import price Excise tax + 5% VAT on the excise-inclusive price One 1-litre high-sugar shake: 8.00 import + 1.09 excise = 9.09 base, + 0.45 VAT = AED 9.54 per unit

# The registration triggers: importer, producer, stockpiler

A nutrition clinic must register for excise tax if it is an importer of excise goods, a producer of excise goods, or a stockpiler of excise goods — and there is no de minimis volume or value that switches the obligation off. The FTA may except a person from registration where the excise due arises only from importing and the person can demonstrate it will not import regularly, but that exception is granted by the FTA, not claimed by the clinic.

Importer: the commonest clinic trigger

A clinic that imports its own branded shakes, sweetened powders or wellness drinks — even one consignment a year — is an importer of excise goods and must register. The customs clearance and the excise registration are separate obligations: the clinic can pay excise at the border through its clearing agent for a single shipment, but a clinic importing repeatedly needs its own excise registration and its own monthly returns.

Producer: the clinic's own brand

Blending, bottling or packaging sweetened drinks in the UAE — including a clinic that white-labels its own protein powder or bottles its own cold-pressed juice line — is production of excise goods. Production outside a designated zone triggers the excise liability at the point of production, in the tax period in which production occurs.

Stockpiler: the trigger clinics miss

A stockpiler is a business that holds excise stock on which excise has not been paid, available for free circulation in the UAE and intended for sale in the UAE, holding "excess excise goods" as the FTA's method defines. A clinic that buys sweetened drinks from a local distributor on which excise was already paid at import is not a stockpiler and does not need excise registration for those goods. A clinic holding imported stock on which excise was never paid may be — the distinction turns entirely on whether excise was paid upstream, which is why purchase documentation matters.

The 30-day notification rule

The person liable to register must apply for registration within 30 days of the end of the month during which the person carries out, or forms the intention to carry out, the relevant activity. Registration runs through EmaraTax and requires the trade licence, incorporation documents, the authorised signatory's Emirates ID and passport, a bank letter, and a signed declaration on letterhead describing the excise activity and its start date. The FTA's published processing time for a completed application is 20 business days — plan launches around it, not through it.

# Worked example: a clinic's AED 95,445 excise-inclusive import

Numbers make excise real. Take a Dubai nutrition clinic importing its own branded sweetened protein shakes for its retail shelf:

  • Consignment: 10,000 cartons of ready-to-drink sweetened protein shakes
  • Import price per carton: AED 8.00, so the goods value is 10,000 × 8.00 = AED 80,000
  • Classification: sweetened drinks — each carton is assumed to hold 1 litre at 10g of sugar per 100ml and less than 75% milk, so the top band of AED 1.09 per litre applies

Step 1 — excise tax

Since 1 January 2026 sweetened drinks are taxed by volume, not price. Excise per carton is 1 litre × AED 1.09 = AED 1.09. For the consignment: 10,000 × 1.09 = AED 10,900 of excise tax.

Step 2 — VAT on the excise-inclusive price

UAE VAT is calculated on the price including excise tax — excise compounds into the VAT base. The VAT base per carton is 8.00 + 1.09 = AED 9.09. VAT at 5% is about 0.45 per carton, or 5% × 90,900 = AED 4,545 for the consignment.

Step 3 — total landed tax cost

| Line | Per carton (AED) | Consignment (AED) | |---|---|---| | Import price | 8.00 | 80,000 | | Excise tax (AED 1.09 per litre) | 1.09 | 10,900 | | VAT base (price + excise) | 9.09 | 90,900 | | VAT (5%) | 0.45 | 4,545 | | Total including taxes | 9.54 | 95,445 |

The clinic's AED 80,000 of shakes carries AED 15,445 of tax — about a 19.3% uplift — before any customs duty or freight. (15,445 ÷ 80,000 = 19.3%.) A reformulation below 5g of sugar per 100ml would take the excise to AED 0. If the clinic prices the shake at AED 18.00 retail, the tax embedded in each unit's cost base is about AED 1.54, and that arithmetic has to be inside the pricing model before the first carton ships, not discovered at the first return.

A second arithmetic: energy drinks at 100%

For contrast, 500 cans of energy drink imported at AED 6.00 per can: goods value 500 × 6.00 = AED 3,000; excise at 100% = AED 3,000; VAT base 6,000; VAT 5% = AED 300; total AED 6,300. The 100% rate doubles the cost base — the reason energy drinks almost never survive on a nutrition clinic's shelf, and the reason a misclassified pre-workout drink is an expensive error.

# How excise is calculated: per-litre bands and the FTA price list

The worked example used the per-litre band for sweetened drinks. For 100%-rated goods such as energy drinks, the tax is instead calculated on an excise price, and those mechanics deserve a section because they decide the per-unit tax.

The designated retail price mechanism

For 100%-rated goods, the taxable value is not simply what the clinic paid the supplier: the excise price is the higher of the FTA's published standard price and the designated retail sales price less the tax included in it (Cabinet Decision No. 197 of 2025, Article 11). The practical consequence for a clinic: the excise per unit on an energy-drink line is driven by the registered retail price, not by a discounted transfer price from a related supplier. For sweetened shakes the driver is volume and the laboratory-certified sugar band, and a product without an accepted lab report is taxed at the top band.

What the clinic controls

The clinic controls three inputs: accurate product registration (correct product, correct price), consistent pricing documentation between the supplier invoice and the FTA registration, and — for its own manufactured lines — production records that tie output quantities to the return. What it cannot control is a retrospective reclassification: if the FTA determines a powder was a sweetened drink all along, the tax for its sugar band applies to past periods too, with penalties. This is the commercial case for classifying before launching, set out in the products section above.

The clearing-agent shortcut and its limits

For occasional imports, an unregistered clinic can settle excise before customs clearance through its clearing agent. That shortcut pays the tax but does not create a registration, does not generate input-tax recovery rights, and does not scale — a clinic importing quarterly is an importer and should hold its own registration rather than renting its agent's.

# The stockpiler trap: shelves full of untaxed drinks

The stockpiler provisions are the least understood part of UAE excise and the likeliest to catch a nutrition clinic. The rule targets a simple avoidance: goods circulating in the UAE on which excise was never paid. If the clinic holds excise goods for business purposes on which excise has not previously been paid in the UAE, and the stock is available for free circulation and intended for sale in the UAE, the clinic can be a stockpiler — with the same registration, return and payment obligations as an importer.

The two storerooms test

Walk the clinic's storeroom with two questions for every excise product line: was excise paid on these goods before they reached us, and can we prove it? Goods bought from a UAE distributor whose invoice shows excise paid upstream: not a stockpiling exposure. Goods imported directly by the clinic through an agent where excise was settled at clearance: paid. Goods sourced from a supplier who cannot evidence the excise position, parallel-imported stock, or promotional stock shipped in outside the normal import flow: potential stockpiler exposure on every unit.

Excess excise goods

The stockpiler obligation attaches to "excess excise goods" — the FTA prescribes the method for calculating what counts as excess and how it is valued. The detail is mechanical and product-specific, but the discipline is simple: a clinic that imports or holds excise goods should reconcile, every month, units in against units sold and units on hand, with the excise-paid evidence filed against each batch. That reconciliation is also the record set an excise audit will ask for first.

Why clinics are exposed

Clinics are exposed because their purchasing is mixed: some lines bought locally with excise embedded, some imported directly, some supplied as promotional stock by brand partners. Mixed sourcing without batch-level excise evidence is exactly the fact pattern the stockpiler provisions were written for. The fix is procurement discipline — every excise product line needs a documented excise-paid trail from the moment it enters the clinic's hands.

# Excise returns, payment deadlines and records

Excise compliance runs on a monthly heartbeat that is completely separate from the clinic's VAT and corporate tax calendars. Once registered, the clinic files an excise tax return and pays the tax due by the 15th day following the end of each tax period — excise tax periods are monthly, so January's return and payment are due by 15 February, and so on through the year.

What goes in the return

The return accounts for excise due on production, imports, releases from designated zones and stockpiled excess goods in the period. A clinic with no excise activity in a month still files — a nil return keeps the registration clean and avoids the late-filing penalty. The return is filed through EmaraTax, and the clinic's VAT return for the same month is a separate filing with its own deadline; the two must reconcile on the excise-inclusive values, since the VAT base includes the excise declared.

Records: five years, batch-level

Tax records must generally be retained for five years, and excise records have to support the return line by line: production records, import declarations, stockpiler reconciliations, the excise goods price-list registrations, and the evidence that excise was paid on goods bought locally. A clinic whose bookkeeper treats excise as "the clearing agent's problem" will fail this test — excise needs its own ledger treatment, with excise tax, customs duty and VAT tracked as separate cost elements on every consignment.

The monthly discipline in practice

The clinics that stay clean run one monthly routine: close the month's excise activity by the 5th, reconcile stock movements by the 10th, file and pay by the 15th. Excise errors compound fast because the rate is 50–100% of the goods value — a two-month delay in spotting a misclassification can exceed the clinic's entire annual excise budget.

# The VAT boundary: consultations versus the products on the shelf

A nutrition clinic's VAT position splits along the same services/products line as its excise position. The products side is straightforward: retail sales of shakes, powders and drinks are standard-rated at 5% VAT, with the VAT base including any excise tax. The services side — consultations, assessments, diet plans — is where the caveat below bites.

The healthcare VAT rewrite: Cabinet Decision 149/2026

Cabinet Decision 149/2026 rewrote the healthcare VAT rules with effect from 1 October 2026. Because nutrition and dietetic consultations sit at the boundary of healthcare services, their VAT treatment must now be assessed under the post-rewrite rules — this page's excise analysis does not determine whether a given consultation is standard-rated, zero-rated or otherwise treated. Clinics should have their VAT adviser re-confirm the treatment of every service line (initial consultations, follow-ups, corporate wellness packages, tele-consultations) against the rules as rewritten, and keep the written analysis with the VAT file.

The practical split for the clinic

Until the position is confirmed in writing, the safe operating model is: charge 5% VAT on all product sales with the excise-inclusive base, keep services and products on separate invoice lines with separate tax codes, and do not assume a consultation inherits any product's treatment or vice versa. The e-invoicing mandate (voluntary pilot from 1 July 2026; mandatory from 1 January 2027 for businesses at AED 50 million in-scope turnover and 1 July 2027 for others) will eventually require this split to be machine-readable anyway — building it now is early compliance, not extra work.

Corporate tax: the quieter line

For completeness: the clinic's product margins, including the excise cost element, feed into corporate tax normally — excise paid is a deductible business cost, and Small Business Relief (revenue at or below AED 3 million, available for tax periods ending on or before 31 December 2029) can shelter the whole clinic from corporate tax while it is small. Excise registration does not block Small Business Relief; the two regimes are independent.

# Penalties and disputes: the 40/20-business-day ladder

Excise penalties follow the UAE's standard tax penalty regime, and the dispute ladder has four distinct rungs that must not be confused with each other.

Late registration and late filing

Late registration for excise tax attracts an administrative penalty — the FTA's penalty table sets AED 10,000 for late tax registration, and clinics should confirm the current published figure before relying on it, since penalty tables are amended. Late filing and late payment carry their own penalties, and because excise periods are monthly, a clinic that ignores excise for a quarter can accumulate three separate late-filing penalties before it even starts.

The dispute ladder — four distinct timelines

  • Tax reconsideration filing: 40 business days. A clinic disputing an excise assessment or penalty first asks the FTA to reconsider, within 40 business days of the disputed decision (Federal Decree-Law No. 28 of 2022, Article 29).
  • FTA reconsideration decision: 40 business days. The FTA then has 40 business days to issue its reconsidered decision — a separate clock from the filing deadline.
  • TDRC objection: 40 business days. If the reconsideration goes against the clinic, the objection to the Tax Disputes Resolution Committee must be filed within 40 business days.
  • TDRC committee decision: 20 business days. The committee's own decision deadline is 20 business days — the shortest clock on the ladder.
  • Voluntary disclosure: 20 business days from discovery. A clinic that discovers its own excise error — a misclassified powder, an unregistered import — discloses it to the FTA within 20 business days of discovery, which is the route that minimises penalties.

The commercial playbook

For a clinic, the playbook is: classify products before launch, register before importing, reconcile stock monthly, file by the 15th, and disclose own errors within 20 business days of finding them. Excise disputes are rarely won on technical cleverness; they are won on the paper trail — product registrations, import declarations, batch reconciliations and the dated record of when the clinic knew what.

# What this page could not verify

This page could not verify the excise classification of any specific nutrition product — whether a particular protein powder, meal-replacement shake or wellness drink is a sweetened drink, an energy drink or outside excise entirely turns on its formulation against the statutory definitions and the FTA's product classification, and the worked per-litre example assumes the classification and sugar content without proving them. It could not verify the current designated retail price of any product in the FTA excise goods price list, which moves the excise-per-unit arithmetic. It could not verify the precise computational method for "excess excise goods" in a stockpiler calculation beyond the framework described, because that turns on the FTA's prescribed method applied to the clinic's facts. It could not verify the post-1-October-2026 VAT treatment of nutrition consultations under Cabinet Decision 149/2026 — that needs a fresh written analysis, as the section above explains. The AED 10,000 late-registration penalty figure should be confirmed against the FTA's currently published penalty table before being relied on. Where this page gives a deadline or a rate, it is the published position as of the review date; clinics should confirm it against the FTA source linked before acting.

Sources and legal basis

Legislation and decisions3

  • Federal Decree-Law No. 7 of 2017 — the UAE Excise Tax Law; imposes excise on specified goods
  • Cabinet Decision No. 197 of 2025 — current excise goods and rates; per-litre sweetened-drink bands from 1 January 2026
  • Federal Decree-Law No. 8 of 2017 — the UAE VAT Law; 5% VAT is charged on the excise-inclusive price

Authorities, systems and registers3

  • Federal Tax Authority (FTA) — administers excise tax registration, returns and the excise goods price list
  • EmaraTax — the FTA's digital tax platform for excise registration and filing
  • Excise price — the value on which the excise rate is applied, by reference to the FTA price list

Terms used2

  • Stockpiler — a person holding excise goods on which excise has not been paid, held for business purposes
  • Designated zone (excise) — an area where excise tax is suspended until goods are released for consumption
  1. What is Excise Tax? — official goods list and rates overviewFederal Tax Authority
  2. Excise Tax Registration — service requirements and 30-day ruleFederal Tax Authority
  3. Federal Decree-Law No. 8 of 2017 on VATUAE Legislation (ELAWS)

Rates, thresholds and deadlines change. Every figure above is linked to the authority that publishes it — if the two ever disagree, the authority is right and this page is out of date. Tell us and we will fix it.

FAQ Answers to the questions people actually ask

Frequently asked questions

Does a nutrition clinic need to register for excise tax in the UAE?

Only if it imports, produces or stockpiles excise goods. A clinic that only provides consultations, meal plans and assessments has no excise exposure. A clinic that imports its own branded shakes, produces wellness drinks, or holds untaxed excise stock for sale must register — there is no turnover threshold, and the FTA must be notified within 30 days of the end of the month the activity starts.

Are protein powders subject to UAE excise tax?

They can be. Sweetened drinks include concentrates, powders, gels and extracts that can be made into a sweetened drink — so a sweetened protein powder is potentially excisable, banded per litre on the drink it makes. Exclusions exist for products with at least 75% milk content, foods for special medical purposes and special dietary needs. Each product must be classified on its formulation; the difference between the AED 1.09 band and AED 0 can be the product's margin.

What is the excise tax rate on sweetened drinks in the UAE?

Since 1 January 2026 (Cabinet Decision No. 197 of 2025) sweetened drinks are taxed per litre: AED 1.09 per litre at 8g or more of sugar and other sweeteners per 100ml, AED 0.79 from 5g to under 8g, and AED 0 below 5g or where only artificial sweeteners are used. The 50% rate that applied from 2019 to 2025 no longer applies, carbonated drinks are no longer a separate category, and energy drinks and tobacco remain at 100%.

Is VAT charged on top of excise tax in the UAE?

Yes. UAE VAT at 5% is calculated on the price including excise tax, so excise compounds into the VAT base. On an AED 8.00 one-litre sweetened shake in the top sugar band, with AED 1.09 of excise, the VAT base is AED 9.09 and the VAT is about AED 0.45. The clinic's VAT return and excise return must reconcile on these excise-inclusive values.

What is the deadline to register for excise tax?

A person liable to register must apply within 30 days of the end of the month during which they carry out, or form the intention to carry out, the excise activity — importing, producing, stockpiling or releasing excise goods from a designated zone. Registration runs through EmaraTax, and the FTA's published processing time for a completed application is 20 business days.

What is a stockpiler under UAE excise rules?

A stockpiler is a business holding excise goods on which excise has not been paid, available for free circulation in the UAE and intended for sale, holding 'excess excise goods' as the FTA's method defines. A clinic buying from a local distributor with excise already paid upstream is not a stockpiler; a clinic holding directly imported stock on which excise was never paid may be.

Does a retailer selling excise goods need to register for excise tax?

Not for goods on which excise was already paid before they reached the retailer — the tax was settled upstream at import or production. But the retailer must be able to prove it: purchase documentation showing the excise-paid position of every product line. Stock on which excise was never paid can trigger the stockpiler registration obligation.

How often are excise tax returns filed in the UAE?

Excise tax periods are monthly. The registered clinic files its excise return and pays the tax due by the 15th day following the end of each tax period — January's return and payment by 15 February, and so on. A month with no excise activity still needs a nil return, filed through EmaraTax separately from the clinic's VAT and corporate tax filings.

What is the penalty for late excise tax registration?

Late tax registration attracts an administrative penalty under the UAE penalty regime — the FTA's published table sets AED 10,000 for late registration, which clinics should confirm against the current table before relying on it. Late filing and late payment carry separate penalties, and because excise periods are monthly, ignored excise can stack multiple penalties in a single quarter.

Does excise tax apply to nutrition consultations?

No. Excise tax is levied on specific goods, never on services — consultations, assessments and diet plans carry no excise whatever the clinic charges for them. The consultations' VAT treatment is a separate question, currently governed by the healthcare VAT rewrite in Cabinet Decision 149/2026 effective 1 October 2026, which must be assessed independently of excise.

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