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The generic sells for $20 at CVS, versus $3.90 at Cost Plus
But theres a legal gray area here under FDA regulations, normal compounding is not supposed to allow formulations that are essentially a copy of commercially available products unless there is a documented medical need for whatever the difference in the formulation is
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Slowing the advancement of diseases such as osteoarthritis, rheumatoid arthritis, and gout

Vitamin B12 is also shown to be needed in greater amounts during lactation, and Milk Dust has this in the methylated format as well

Medical supervision ensures your safety and the effectiveness of the treatment