12/case — Directions: For Adults, take ten (10) drops or two (2) sprays under the tongue 3 times daily or as directed by your health care professional. For optimal results, swish around mouth for one minute. For onset of acute menopausal symptoms, take every 60 minutes or as needed. It is suggested that you do not consume food or liquid for 20 minutes before & after use. — Ingredients: Homeopathic Recombinant Human Insulin-Like Growth Factor-1 (IGF-1), Cimicifuga Racemosa, Calcarea Carbonica — Other Ingredients: Purified Active Water with 20% Ethyl Alcohol.