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12/case directions: for adults & children 12 years and above, place lozenge in mouth and let it dissolve, try not to chew or swallow it. Use one (1) lozenge 10 to 15 minutes before each meal. If hungry between meals, take one (1) lozenge as needed up to ten (10) lozenges a day or as directed by physician. Ingredients: avena sativa hpus 3x, 6x berberis vulgaris hpus 6x, 12x calcarea carbonica hpus 6x, 18x capsicum annuum hpus 6x carbo vegetabilis hpus 6x, 12x fucus vesiculosus hpus 6x *** nux vomica hpus 6x, 12x, 18x thyroidinum hpus 18x ""hpus"" indicates the active ingredients are in the homeopathic pharmacopoeia of the united states. Other ingredients: acesulfame potassium, calcium stearate, lactose, natural flavor (spearmint, peppermint, menthol), riboflavin, sorbitol, spirulina extract, sucralose, xylitol. 6/1/16