I typically take 2 grams of amoxicillin before all dental procedures (and some medical ones, too) due to Mitral Valve Prolapse with regurgition and a PFO in the heart. I am currently taking a round...
The United States government has considered the TPP as the companion agreement to the Transatlantic Trade and Investment Partnership (TTIP), a broadly similar agreement between the United States and the European Union.
All four countries were involved however in the negotiations for the Trans-Pacific Partnership Agreement, about which agreement was reached in 2015 involving 8 additional parties. The TPSEP (and the TPP it grew into) are not APEC initiatives.