My clinic has been out for a while now. Their standard response every time they aren't able to get something is that the company may be reformulating them and that the FDA has to reapprove them every time that happens.
That, and the high cost is why I placed my first order of alternatives last night. Nashua Nutrition has the Crispy Vanilla Squares, so I am excited for those to get here. Plus, the price was less than half of IP and I can afford more variety. I was getting bored with the same things all the time. My clinic said they sell whole boxes only, to keep the prices down. However, their prices are just as high as the places that let you buy individual packets!
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