If you go to Panama or other countries like that, you can get a entirely different level of stem cell therapy and treatment. The US is cautious and the FDA has not approved all components of treatment like you can in a country with little regulation. From what is reported by people that have had both it is night and day down there over how you feel when it is done in the US. Joe Rogan talked about it in a podcast. Same with Mel Gibson, of all people. Doctors that live in Miami have offices and clinics in Panama and fly down there to do the treatments.