Keto Enzyme, Take 2 capsules 1-2 times daily, or as directed by a health care practitioner. Take with 1 cup (250 ml) of water before a meal/food. Maintain adequate fluid intake. Take a few hours before or after taking medications.,Each capsule contains: Bile Salts (Bos taurus bile) Ox Bile Extract (45% cholic acids) 50 mg Lipase (Aspergillus niger) (triacylglycerol lipase) 78 mg 800 FCC LU Pancreatic Enzymes (Bos taurus pancreas) Bovine (8x) 50 mg 10,000 USP units Amylase 1,600 USP units Lipase 10,000 USP units Protease Slippery Elm (stem bark inner) (Ulmus rubra) 80 mg Non-Medicinal Ingredients: Gelatin (encapsulating agent), magnesium stearate, microcrystalline cellulose