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Patients in major metropolitan areas including Los Angeles, New York, Houston, and Miami, where concierge medicine, functional medicine, and sports medicine clinics frequently offer cutting-edge supplements and unapproved therapies, are most likely to be targeted with marketing for these compounds once they become more accessible through regulated channels

These arent the same as the active ingredients in the FDA-approved drug and its not clear that these versions would have the same safety or effectiveness

"Potential teratogenic effects of clomiphene citrate." Drug safety 40.9 (2017): 761-769

The combination of powder and solvent allows clinicians full control over concentration and method of administration