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Agave inulin tends to have a slightly higher proportion of short-chain fructans, which can mean faster fermentation and more gas for some people

The FDA allows the compounding of certain drugs if the commercially available version is in a verified shortage , which they define as a period of time when the demand or projected demand for the drug within the United States exceeds the supply of the drug. Although there is no exact threshold, this decision is usually based on disruptions in manufacturing and distribution as well as unexpected demand surges

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It means the formulation had medical input