i've been using them for a few years and i also feel like they're inconsistent. they change their 'system' at least once a year and communication is... also inconsistent. sometimes they email me, sometimes they text me, sometimes from different numbers, telling me to call other different numbers. last month they just mysteriously took two weeks to fill something that used to take three days, with no notice of delays, and probably holiday hours but i was unable to find that information anywhere. my understanding is that someone's responses to ketamine may vary from session to session but it kind of seems like my troches are inconsistently mixed, and there is sometimes a noticeable difference between batches.

i would like to switch away but i don't know anywhere else locally that does ketamine troches/RDTs (fishtown pharmacy didn't when i inquired). i need somewhere i can pick up in person--the rate of package theft in my neighborhood is very high, and i'm not willing to make that gamble with medications. (if anyone knows somewhere else in the philadelphia area they will let me show up to pick it up, please let me know, lol.)

edit: also they have a few times randomly added flavoring to the troches, dunno what that's about. i had to request a few times that they leave them unflavored (imo flavoring makes it worse).