Menopause Pellets, 3 times a day and reduce intake with improvement or as directed by a healthcare practitioner. To be taken away from meals.,Medicinal Ingredients HPUS: Lachesis mutus 10X Amyl nitrosum 9X Bryonia alba 4X Aurum metallicum 9X Sanguinaria canadensis 9X Non medicinal ingredients: Lactose, saccharose.