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Missouri cannabis regulators recalled more than 23,000 marijuana products from several brands on Tuesday, saying they were not properly tested by Fulton, Missouri-based lab ClearWater Science.

The Missouri Division of Cannabis Regulation (DCR) said it recalled the products because they were not “compliantly” tested, so the agency could not verify whether they meet state health and safety requirements.

The DCR said it hasn’t received any reports of adverse effects; people who believe they might be having an adverse reaction should seek medical attention.

Patients and consumers should stop using the recalled products and either dispose of them or return them to the dispensary where they were purchased.

About a month ago, the DCR issued a series of recalls for more than 132,000 marijuana products in a move that is believed to be the largest recall in any regulated cannabis market.

The recalls primarily were tied to three operators and involved non-compliant lab testing and improper tracking in the state-mandated Metrc system.

The recalls, combined with stringent plain packaging rules that took effect Sept. 1, are causing a shortage of marijuana products in the state.

The number of stock keeping units (SKUs) sold weekly at Missouri retailers has dropped 20% from 4,200 through most of the summer to 3,400 in late August and early September, according to data from New York-based cannabis wholesale platform LeafLink.

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