I've taken extra cases of Scandishake, and extra bottles of enzymes to my daughter's clinic. Everything was as I received it in the mail, sealed in the original packaging, etc. I know they donate the shakes to families who need it, not sure what they do with the enzymes. I wasn't sure when I took them over, but it seemed like it was worth a try since they'd expire before we got around to them. Anyway, your clinic might have an idea...