is there shellfish in it?

Yes there is crustacean shellfish.

According to the label on it, made in the USA.

Is this is the same product you can get directly from Costco for $22.99 free shipping?

It looks like the same product.

Is this the same as the clinical strength version?

I suppose that would depend on whose, "clinical strength version". My guess is that those would vary, as much as the ones on the shelves.

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