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i was told the problem is an ingredient used to make hysone 4 can not be obtained. if needed you could use cortisone acetate though the hysone 4 is better for growth. i have two kids with swcah, together they take 11.5 tablets a day. i have contacted my endo here in adelaide and she was not aware of a shortage, i am getting some from the womens and childrens hospital.