In a study of 120 patients conducted in four hospitals in South-East London, found a mean of 9.2 episodes of antipsychotic prescription before clozapine was initiated and the mean delay in using clozapine was 5 years. Treatments that have no evidence base or are regarded as actively harmful are used instead multiple and or high-dose treatment. Racial disparity in the use of clozapine
A general finding in healthcare provision is that minority groups receive inferior treatment; this is a particular finding in the US. In the US a general finding is that compared to their white peers African American people are less likely to be prescribed the second generation antipsychotics, which are more expensive than alternatives and this was even apparent and especially so for clozapine when comparison was made in the Veterans Affairs medical system and when differences regarding socioeconomic factors were taken into account. As well as being less likely to start clozapine black patients are more likely to stop clozapine, possibly on account of benign ethnic neutropenia. Benign ethnic neutropenia
Benign reductions in neutrophils are observed in individuals of all ethnic backgrounds ethnic neutropenia (BEN), neutropenia without immune dysfunction or increased liability to infection is not due to abnormal neutrophil production; although, the exact aetiology of the reduction in circulating cells remains unknown. BEN is associated with several ethnic groups, but in particular those with Black African and West African ancestry. A difficulty with the use of clozapine is that neutrophil counts have been standardised on white populations.
The label must bear the food additive class name (such as "flavor enhancer"), followed by either the name of the food additive (such as "MSG") or its International Numbering System (INS) number (e.g., "621"). Canada
The Canada Food Inspection Agency considers claims of "no MSG" or "MSG free" to be misleading and deceptive when other sources of free glutamates are present. Ingredients
Forms of glutamic acid that can be added to food include:

Monosodium glutamate
Glutamic acid (E620), glutamate (E620)
Monopotassium glutamate (E622)
Calcium glutamate (E623)
Monoammonium glutamate (E624)
Magnesium glutamate (E625)
Sodium glutamate (E621)The following are also rich sources of glutamic acid, and may be added for umami flavor:
Hydrolyzed vegetable protein
Autolyzed yeast, yeast extract, yeast food, and nutritional yeast
Cheese products, e.g. parmesan (1200 mg / 100 g)
Various savory fermented seasonings, including soy sauce and worcestershire sauce
(See § Sources for more examples.) See also
Notes
References
External links
"The Long Fuse". This American Life (Radio broadcast). Episode 668. February 15, 2019. Public Radio Exchange (PRX). WBEZ. Retrieved February 21, 2019. See the segments "Prologue" and "Humor Is Not the Best Medicine" for the story behind "Chinese restaurant syndrome".