I got mine from ip,works very well.just start 30mcg. x 3-times a day and take it from there,JUST REMEMBER WHEN YOU START FEELING ITCHY DOWN THERE(BUTT-HOLE,HEMMOROIDS)-THATS WHEN YOU NEED TO STOP.(FOR ME IT TOOK ABOUT 2-WEEKS @ 75mcg, TWICE A DAY.(I JUST SHOT MY BI'S,TRI'S,DELTS).