I am going to tell you honestly (and this is just my personal opinion, so take it with a grain of salt), that American made fish antibiotic products that I have personally seen are visually indistinguishable from those that I have seen coming from pharmacies. That obviously doesn't mean that they are identical, but personally I cannot see any differences, even in the mg strength, color of the capsules, or consistency of the product.

But much more importantly, this is for a TSHTF situation when there are no other options available to the average person.

Sadly many doctors now days are so busy filling out the piles of required government paper work that they often seem to have little time or interest in their patients. Its a pity really, we have lost sight as a nation of what medical care really should be.