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and symptoms like pain and nausea are notoriously subjective and we may subconsciously grade them as a little bit better after paying for something that is supposed to help

GI side effects may worsen, and clearance is unknown

"Patients should only turn to a compounding pharmacy when they cant get the medication they need from a commercial pharmacy," said Steve Simons, MD, medical director in the Department of Medical Affairs at Cedars-Sinai, which oversees medication safety

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However, by late 2024 (pilot cost $1.4M/mo), the state abruptly paused the program ( [37] )