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There's side effects to everything

The FDA allows the compounding of certain drugs if the commercially available version is in a verified shortage , which they define as a period of time when the demand or projected demand for the drug within the United States exceeds the supply of the drug. Although there is no exact threshold, this decision is usually based on disruptions in manufacturing and distribution as well as unexpected demand surges

Inzucchi SE, Bergenstal RM, Buse JB, et al

Store your fire cider with an airtight lid in a cool place or refrigerate

A: You can pay by bank transfer, USDT, paypal, etc

JAMA 290(19):2549-2555