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The FDA has issued warnings about certain mail-order pharmacies, and in this 2022 article, it advises consumers to be extremely wary of sites that: Do not require a prescription (Trustworthy sources will always request a prescription if the medication requires it.) Are unlicensed, whether in the United States, Canada, or any country Sends medications that look different than usual, have incorrect spelling or foreign text on the labels, have no expiration date, or come in broken packaging Sell medicines at exceptionally deep discounts Dont have a licensed pharmacist on staff to offer medical advice Do not explicitly say theyll protect consumers personal and financial information If a site avoids those pitfalls, its typically safe to use

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They don't have any Alzheimer's, they don't have any diabetes, they don't have any cardiovascular risk factors, they don't see any of the prevalence of cancer

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You should discard the vial immediately