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The expiration date is not a cliff edge where the medication is perfect on day zero and toxic on day one

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This timeline allows adequate time to obtain necessary documentation from prescribing physicians, research destination country regulations, and arrange appropriate storage solutions

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These pharmacies do not hold FDA approval for compounded drugs themselvesrather, they operate under state pharmacy boards and federal oversight (USP standards)

The side effects are largely similar: nausea, diarrhea, and vomiting occur with both, particularly during the titration phase