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And so this is, I think, the promise

Start with one method and add the second only after establishing tolerance

Drmic et al., 2018

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The truth is that, currently, DSIP is still on the FDAs Category 2 list of restricted drugs as of September 2024.30 So the only way to get a proper pharmaceutical-grade version is to qualify for an exemption from the Federal Food, Drug, and Cosmetic Act, which requires that you:31 Have a prescription from a licensed clinician Need the specified medication (i.e., no other treatment on the market can safely or effectively treat your health condition) Going through a clinic that specializes in these kinds of treatments may help fast-track your way to an exemption, presuming youre a suitable candidate