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Consult fees pay for clinical time only and do not guarantee a prescription

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The first and rate-limiting step of GSH synthesis is catalyzed by glutamate-cysteine ligase, which is regulated by cysteine availability at the level of transcription and translation 6

A prescription for a product that is documented as clinically significantly different from the commercial formulation (different dose, different route, medically necessary compound additive) is not treated as essentially a copy, so it falls outside the four-per-month framework entirely

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