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Distributed under the brand names Geref and Geref Diagnostic, it gained FDA approval in 1997 as a treatment for growth hormone deficiency but was discontinued in 2008 not out of concern for safety or lack of efficacy, but because of manufacturing difficulties.2 3 Yet it remains available in compounded form with a prescription from a licensed healthcare provider

164 Nattokinase Nattokinase is an enzyme produced by the Bacillus subtilis bacterium through soybean fermentation and extracted from a soy product known as natto

As research continues to evolve, medical professionals must balance patient interest in cutting-edge interventions with the need for evidence-based practice

Their treatment plans are built around lab data, patient goals, and long-term health considerations for their patients