I bought some of the toothpaste from Japan and I can't tell any difference. Apagard Premio.
I don't worry about taking it. It is so expensive I can't afford much of it. I think it is easier to get and cheaper in Europe and Scandinavia.
Baltasar is pretty sharp on nutrition. Has been telling his patients to take it for more than 20 years. Claims it is much better than citrate but he knows we can't always find it in the US.