This product is a natural clean label supplement made in the USA designed for hemorrhoids with evidence-based, all-natural ingredients free from additives like magnesium stearate, silicon dioxide, and common allergens such as lactose, gluten, and soy. We have no colors, additives, preservatives. We are manufactured in the USA in a GMP facility regulated by the FDA. Efficacy of the products is back through ingredient trial results and products is third party lab tested.