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Yes, the medications you receive at Costco are identical to what youd get from your doctor or pharmacy

All ephedra products (including the plant and ephedra alkaloids) are now banned as dietary supplement ingredients today because, as a form of amphetamine, they too cause heart problems and lead to deaths of people regularly taking these ingredients for weight loss or athletic performance

It also circulates in your system longer

Track grams for one week using a food app

Trends in Cardiovascular Medicine