The Best Rated HGH Supplements for men in 2024

• Our top pick
• Why You Should Trust Us
• Comparison table
• GenF20 Plus
• HGH-X2
• HyperGH 14x
• GenFX
• Provacyl
• HBULK
• HGH
• How does Work?
• Benefits
• How to Choose?
• Natural HGH Releasers vs. Injections
• Natural Ways to Boost Growth Hormone
• Final Thoughts
• FAQ

Summary of Our Top Picks

As we age, our bodies undergo various changes, including a decrease in growth hormone production. This decline can lead to multiple issues, such as decreased muscle mass, increased body fat, and reduced energy levels. To combat these effects, many people turn to HGH supplements to boost their growth hormone levels naturally.

If you're reading this, then you're probably looking for ways to boost your growth hormone levels and achieve optimal health and fitness. Well, you're not alone! With so many HGH supplements available today, knowing which is the best can be challenging. That's why we've compiled a list of the best HGH supplements worth considering.

The 6 Best-Rated HGH Supplements Available on the Market

1. GenF20 Plus

GenF20 Plus is the first on this list of our top 6 HGH supplements. This supplement encourages the pituitary gland to increase the production of HGH, which slows down the signs of aging.

It is very popular and for a reason. The formula is legal, completely safe, and created from 100% natural ingredients. Astragalus root, L-Ornithine, and L-Arginine are just some of the ingredients used in the formula. They are tested and proven in clinical studies. GenF20 can be taken as a pill or an oral spray.

How it Works and How to Use it for Optimal Results

GenF20 Plus is a natural HGH supplement that stimulates the pituitary gland to produce more growth hormones. It contains a unique blend of natural ingredients such as amino acids, herbs, and peptides that work together to increase HGH levels naturally.

The amino acids in GenF20 Plus, such as L-Arginine, L-Glutamine, and L-Glycine, help to stimulate the pituitary gland to produce more HGH. In addition, the herbs in the formula, such as GABA and Deer Antler Velvet, have been shown to enhance the effects of HGH on the body, leading to increased muscle mass, reduced body fat, improved energy levels, and better sleep.

It is recommended to take two GenF20 Plus capsules in the morning and two capsules in the evening before meals. It's also important to take the supplement consistently and to follow a proper diet and exercise routine to achieve the desired results.

Full list of ingredients:	Amount Per Serving
Gaba	200 mg
Deer Velvet Antler	200 mg
GTF Chromium	400 mcg
L-Ornithine HCI	100 mg
L-Arginine HCI	520 mg
L-Glutamine	460 mg
L-Glycine	460 mg
L-Tyrosine	400 mg
L-Lysine HCI	400 mg
L-Isoleucine	160 mg
L-Valine	160 mg
Tribulus Terrestris	320 mg
Astragalus (Root)	240 mg
Colostrum (10%)	200 mg
Pituitary (Anterior) Powder	120 mg
Phosphatidyl Choline	100 mg

GenF20 Plus stands out from other products due to its dual-delivery system, which includes oral capsules and an oral spray. This two-pronged approach is designed to optimize the absorption and effectiveness of the supplement.

The manufacturer claims that GenF20 Plus:

• Increases muscle mass and muscle tone
• Improves metabolism and helps with fat loss
• Supplies the body with extra energy
• Gives people a youthful look and slows down signs of aging
• Increases libido

GenF20 Plus Key Features

One of the key factors people are most interested in GenF20 Plus is its potential anti-aging benefits, such as reducing wrinkles and improving skin elasticity, boosting energy levels, improving sleep quality, and enhancing overall physical performance.

GenF20 Plus stands out as the only HGH supplement backed by a clinical study that demonstrates its effectiveness. After 12 weeks, the researchers measured insulin-like growth factor 1 (IGF-1) levels in the participants. IGF-1 is a liver hormone closely related to human growth hormone (HGH). The results showed that the treatment group had a 28.57% increase in IGF-1 levels compared to the placebo group, indicating that GenF20 Plus effectively stimulated the production of HGH in the body.

Because of its benefits, it is not hard to see why we chose to put it on top. This HGH supplement is made from tested and proven ingredients, and on top of that, a few doctors endorse it. And a doctor's endorsement for HGH supplements is a rare thing!

Online reviews are very positive among younger and older people. But it's more popular among older people. The biggest drawback is the price of this supplement, and when you account for the fact that you should take 4 pills every day and the spray 6 times every day, it can get pricey for some.

This is why we voted GenF20 Plus to be the best among the best!

2. HGH-X2

HGH-X2 is proven to work, especially for athletes. It helps with losing extra fat, gaining lean muscle mass and allows for a quicker recovery!

It was designed to encourage the pituitary gland to release extra HGH into the blood. While researching, the name HGH-X2 was often mentioned, so no wonder there are so many great reviews online.

Full list of ingredients:	Amount Per Serving
Maca Root (Lepidium meyenii)	200 mg
Hawthorn Berry Extract (Crataegus laevigata)	150 mg
Mucuna Pruriens Extract 4:1 (Velvet beans)	150 mcg
L-Arginine (2-Amino-5-guanidinopentanoic acid)	20 mg
Gelatin
Rice Flour
Rice Concentrate
Maltodextrin
Vegetable Stearate
Silica

Reasons why it's on this list

HGH-X2 is completely safe and completely legal. A prescription is not needed, and there are no injections. It is popular for a reason. It contains a combination of amino acids and plant extracts, such as Mucuna Pruriens and Hawthorn Berry, that work together to enhance the production of HGH.

To use HGH-X2, take two capsules daily with water approximately 20 minutes before breakfast.

This is what HGH-X2 provides:

• Lean muscle growth
• Increased burning of extra fat
• Improved muscle-fat ratio
• Quicker recovery

HGH-X2 KeyFeatures

Improved sprint capacity: With HGH-H2 supplementation, athletes can experience a remarkable boost in their sprinting abilities. They'll witness enhanced speed, power, and overall athletic performance, allowing them to leave competitors in the dust. It empowers athletes to unleash their full potential by generating greater force and power during explosive movements.

HGH-X2 stimulates the body to release more HGH, encouraging muscle mass growth and burning of the extra fat, so if you combine it with a proper workout regimen, you will get amazing results. It also helps with recovery, so you will not be sore after hard work.

The only drawback that we could see is the premium price. However, CrazyBulk offers a discount when you buy their bulk package, which gets you three bottles for the price of two. This product has a good reputation and is popular for a reason!

3. HyperGH 14x

HyperGH 14x helps people to burn extra fat and to build lean muscles. It is an entirely natural supplement used in the world of bodybuilding.

HyperGH 14x is a sure way to strengthen and improve your recovery time! The one thing we did not like so much about HyperGH 14x is its price. It is one of the pricier ones.

But their formula gives them the right to claim such a price. The formula stimulates the pituitary gland, improves the quality of your sleep, etc.

How it Works and How to Use it for Optimal Results

HyperGH 14x contains a unique blend of natural ingredients, including amino acids, herbs, and vitamins, that stimulate the pituitary gland to produce more HGH.

The amino acids in the supplement, such as L-Arginine, L-Glutamine, and L-Glycine, help to increase the production of HGH, while the herbs, such as Tribulus Terrestris and Astragalus Root, have been shown to enhance the effects of HGH on the body.

To use HyperGH 14x, it is recommended to take two capsules in the morning and two in the evening before bed. In addition, it is vital to take the supplement consistently and to combine it with a proper diet and exercise routine to achieve optimal results.

In addition to the capsules, HyperGH 14x also includes an oral spray that contains alpha GPC, a natural compound that can help enhance the capsules' effects. The oral spray should be taken twice a day, once in the morning and once before bed, to further boost HGH levels and improve overall results.

Full list of ingredients:	Amount Per Serving
L-Arginine	520mg
L-Tyrosine	400mg
L-Glutamine	460mg
L-Glycine	460mg
L-Lysine	400mg
Tribulus Terrestris Extract	320mg
Astragalus Root Extract	240mg
Deer Antler Velvet	200mg
GABA	200mg
Colostrum	200mg
L-Valine	160mg
Anterior Pituitary Powder	120mg
Phosphatidyl Choline	100mg
GTF Chromium	0.4 mg

Benefits of Taking HyperGH 14x

This HGH supplement has many benefits for the people that use it. People often use it to get a toned physique and more defined muscles.

It also:

• Increases the synthesis of protein
• Increases muscle mass growth
• Improves the retention of Calcium
• Over time your bones will become stronger
• Better recovery time after a hard-working session
• Improves the immune system

HyperGH 14x Key Features

The HyperGH 14X daily supplement is packed with an impressive lineup of 15 potent HGH precursors, delivering a total of 4,040 MG per day. All that we have found and learned about HyperGH 14x show that this is a good and reliable product. Different studies have shown that increasing the levels of HGH helps men with muscle mass growth, slowing down the effects of aging, etc.

The boost in HGH that you will get from using HyperGH 14x is very high, and on top of that, the product is made from potent ingredients that are 100% natural.

4. GenFX

Our number 4! GenFX can have a very positive influence on men that suffer from low libido. With age, our bodies gradually produce less and less HGH; with low HGH, our libido also decreases. This is true for both men and women. Some men develop erectile dysfunction, and some women simply lose their sex drive. GenFX has been around for a few years now. The online testimonials from users are positive, just like most reviews.

What we think to be the biggest upside of GenFX is the fact that it has ingredients that were clinically tested and proven to raise the levels of HGH. The price is quite reasonable as well. And on top of that, it has endorsements of a few physicians!

So it goes without saying that this is a high-quality, completely safe product. It is often used by people that just want to improve their overall well-being, health and slow down the effects of aging.

Formula of GenFX

The ingredients used in the formula of GenFX were carefully selected, and there are 17. These are some of the most important ingredients: L-Arginine, L-Lysine, L-Glycine, L-Tyrosine, L-Glutamine, etc. Most of the ingredients were clinically tested and proven to increase the levels of HGH a few times over.

Full list of ingredients:	Amount Per Serving
L-Lysine	202.86 mg
L-Arginine	200 mg
L-Glutamine	200 mg
L-Glycine	200 mg
L-Pyroglutamate	200 mg
L-Tyrosine	200 mg
Panax Ginseng Powder	80 mg
Soy Phosphotides Complex	80 mg
Anterior Pituitary	40 mg
Hypothalamus 40	40 mg
Phytosterol Complex	40 mg
L-Isoleucine	2.86 mg
L-Methionine	2.86 mg
L-Phenylalanine	2.86 mg
L-Threonine	2.86 mg
L-Valine	2.86 mg

GenFX Key Features

GenFX helps people maintain weight, improve their libido, improve skin health, slow down the effects of aging, improve their sleep, strengthen their bones, etc.

GenFX has gained a reputation for its remarkable ability to invigorate and revitalize individuals, offering a much-needed boost in energy levels and overall vitality. Users frequently rave about the transformative effects, describing a newfound sense of vigor that permeates their daily lives.

GenFX stands out as one of the most affordable options among similar products. It offers a budget-friendly price without compromising on quality and effectiveness. This affordability makes GenFX an attractive choice for those seeking a cost-effective solution to enhance hormone levels and overall well-being.

So if you are looking for a product that is effective but not as pricey as some other HGH supplements, GenFX is what you are looking for.

5. Provacyl

Provacyl is used to fight andropause. We have all heard about menopause. Well, andropause is its male counterpart.

This supplement is designed to help men that experience the effects of andropause. Its formula contains herbs, amino acids, and vitamins that help men boost their bedroom performance, improving energy levels and stamina.

All ingredients were clinically tested and proven to have many health benefits for slightly older gentlemen.

How it Works and How to Use it for Optimal Results

Provacyl is a natural supplement that contains a blend of amino acids, herbs, and vitamins that work together to stimulate the production of HGH and testosterone in men. The amino acids increase HGH production, while herbs like Muira Puama and Tribulus Terrestris boost testosterone levels.

Taking two capsules in the morning and two in the evening before bed, along with a healthy diet and exercise, can help achieve optimal results. In addition, Provacyl includes GABA and Soy Phosphatides that improve cognitive function, mood, and sleep quality, enhancing energy levels and mental clarity.

Full list of ingredients:	Amount Per Serving
D-Aspartic Acid	2300 mg
Glutamine	60mg
L-Arginine	60mg
L-Lysine	60mg
L-Glycine	60mg
L-Tyrosine	60mg
Gaba	40mg
Muira Puama	150mg
Ginkgo Biloba	125mg
Magnesium	200mg
Acai Fruit 100mg	100mg
Ginseng	100mg
Swedish Flower Pollen	40mg
L-Pyroglutamate	60 mg
Longjack (Tongkat)
Soy Phosphate Complex	25 mg
Anterior Pituitary 20	20 mg
DHEA	20 mg
Hypothalamus	10 mg
Vitamin D3 (Cholecalciferol)	1140 UI
Vitamin K2 (MK4)	20mcg
Zinc (as Zinc Monomethionine Aspartate)	10 mg
Vitamin B6 (Pyrodoxine HCI)	5mg

Benefits of using Provacyl regularly:

• Improves libido
• Higher energy levels
• Getting back your lost confidence

Provacyl Key Features

This is an entirely natural supplement that can have a great positive influence on libido for men over 50. It also increases energy levels and it stimulates testosterone production! Using Provacyl regularly helps men combat the effects of andropause. Even some younger men that have erectile dysfunction could benefit from Provacyl.

6. HBULK Somatropin HGH Alternative

Last but not the least! All the products we listed here are great. However, they are a little different regarding ingredients, price, etc.

HBulk is a natural supplement designed to help increase muscle mass and strength. It is a natural alternative to synthetic steroids, designed to promote muscle growth and strength gains. It contains a blend of natural ingredients that enhance the body's ability to produce and utilize protein, increasing muscle mass and strength.

The manufacturer claims that HBulk can help you achieve significant muscle gains and increased strength without the negative side effects associated with synthetic steroids. They also claim the supplement can improve energy levels, endurance, and overall athletic performance.

Ingredients:	Amount Per Serving
Maca	200mg
L'Arginine	20mg
Hawthorn Berry	150mg
Mucuna pruriens	150mg

HBULK is a natural HGH booster that stimulates the body to produce more human growth hormone. It contains a blend of natural ingredients, such as amino acids and plant extracts that work together to support the production of HGH.

To use HBULK, take two capsules daily with water, ideally 20 minutes before breakfast. It is recommended to take HBULK consistently for a minimum of 2 months, combined with a proper diet and exercise routine for optimal results.

For optimal results, we recommend following a cycle period of at least 8 weeks on and 1.5 weeks off when using any Brutal Force products.

HBULK Key Features

In conclusion, HBULK is a safe and legal alternative to Somatropin, providing similar results without negative side effects. It is suitable for cutting and bulking cycles but particularly effective for cutting and fat loss. 

With fast results within the first 30 days and the ability to stack with other legal steroids, HBULK is a convenient and affordable option for those looking to enhance their physical performance. Additionally, with no injections required and the ability to maintain gains with a proper diet and fitness regime, it is a safe and effective choice for long-term use.

Human Growth Hormone or Simply HGH

How do HGH Supplements Work?

HGH is also known under the name of Somatropin. It is created naturally in the human body. Many studies have been done on older people that were taking HGH supplements. Those studies have shown that HGH had a positive effect in terms of weight loss and aging.

The supplement encourages the pituitary gland to create more HGH. As a result, it raises the level of HGH closer to our natural level in adolescence. Having higher levels of HGH in the body slows down the appearance of the signs of aging, like wrinkles, dry skin, etc.

Some supplements are secretagogues and homeopathic. They contain high levels of HGH or amino acids, which encourage the human body to create more HGH.

When a person has HGH deficiency, they don't suddenly start aging. That is not what causes aging. But that deficiency of HGH makes the body unable to repair cellular damage, and because of that, the signs of aging are significantly more visible and apparent.

The Benefits of Taking HGH Supplements

HGH has many roles in the human body. Some of them include regulation of cholesterol, improving cardiovascular health, muscle mass growth, helping with weight loss and health of the skin.

Anti-aging Properties

An HGH supplement sends signals to our bodies to release hormones. Those hormones improve the function of HGH. Because of that, an HGH supplement contributes to slowing down the signs of aging, and it does so by ensuring that other hormones function optimally and keep the body operating fully.

Things like weight, muscle mass, cholesterol, energy levels, and skin are managed by our hormones. And the better those hormones function, the better the condition of the things mentioned above. Also, HGH improves cell regeneration, which slows down signs of aging, on top of all those things.

Fat Burning and Lean Muscle Growth

Studies have shown that HGH supplements can help people reduce body fat and increase muscle mass. And this is true for all, regardless of age, gender, eating habits and even whether you exercise. Studies showed that people that take HGH supplements can lose weight faster.

People can cut the time needed to lose a certain amount of weight by one-third. This is because HGH improves human metabolism, giving people higher energy levels and better stamina. If you are a person that works out, this fact can do wonders for you in the gym. On top of that, the body starts converting extra fat into energy.

And you can use that energy in the gym to better yourself! Because of this, you don't have to be on a rigorous diet since it is unlikely that your body fat percentage will increase. However, keep in mind that HGH supplements are not magical pills. So if you want to see some real improvements, you should combine an HGH supplement with regular exercise.

Boosting the Libido

With age, we stop growing, our bodies slow down, and the production of HGH lowers. But with lower levels of HGH, people also experience lower libido. Women usually experience a lack of desire, while men experience erectile dysfunction. So increasing the levels of HGH in the body, you should also increase your desire and even performance in the bedroom.

Studies have shown that this is effective for about 70% of people. For men, an HGH supplement will also raise testosterone levels, resulting in stronger erections that are easier to maintain. Since the supplements contain only HGH, which is completely natural, and even our bodies produce it naturally, no negative consequences or side effects exist.

Improved Memory and Improved Focus

As we get older, our brains lose the edge we had when we were young. The neurons start losing the outer cover, and the neurons use their mass. This is considered to be the reason for memory problems that often occur in older people.

It is also considered that an HGH supplement can counteract this by improving the health of neurons and their function. This results in improving a person's memory and focus.

Reducing Wrinkles and Reducing Lines

Hormones in the human body have various functions, like creating proteins and other vital substances for a healthy body! HGH is also very important for aiding hormones in performing their functions, but it is also vital for cellular growth and regeneration.

During this process, collagen and elastin are created. People who care for their skin know about the importance of elastin for beautiful and healthy skin. Elastin makes the skin more flexible. Collagen is what the muscle tissue is made up of, and when there is not enough collagen, the skin starts sagging. So, by increasing the levels of collagen and elastin in the body, your skin will look younger, fuller and springy!

Boosting the Immune System

Once you take an HGH supplement, your white blood cell count will rise over time. That will make it easier for your body to fight infections, bacteria, etc. Also, sentinel cells will become more effective, and the count will be higher, all thanks to HGH.

They also destroy cells that are damaged. That makes room for the creation of new and healthy cells. HGH influences many functions of our bodies, and there will always be more positive changes than just one. It can also improve the state of cardiovascular health.

How to Choose the Right HGH Supplement?

You should understand that an HGH supplement can be very important for your workout regimen. That is why our list contains only 6 supplements to choose from.

The majority of supplements contain the same or at least very similar ingredients, but where they differ is the proportions. The formulas are also different, and the proportions of ingredients they contain.

When choosing for yourself, it is important to start by asking yourself what your goal is.

If your Goal is Strength

If you want to get stronger, and that is your ultimate goal, then you should look for HGH supplements with higher proportions of amino acids than other supplements (l-glutamine, l-arginine, etc.).

Choosing an HGH supplement should always be based on your goals. Do your research and find the one that fits the best to your needs.

How do you sleep?

Athletes usually get around 9 hours of solid sleep so that their bodies can properly recover. If you have trouble sleeping, you will have problems achieving your goals, and your body will have difficulties fully recovering.

In that case, you need to look for a supplement that favors improving the quality of your sleep over other benefits.

About Important Properties

All the ingredients used in HGH supplements could benefit the human body, but the benefits can differ depending on the formula and ingredients. What you should be looking for are the 3 most important properties.

1. Stimulates the pituitary gland
2. Improves your sleep
3. Improves heart health

If the supplement you choose has these 3 properties and you are certain about its ingredients, then you can rest easy knowing that you found the right supplement for yourself.

About the Optimal Use of HGH Supplements

Don't buy the first thing someone recommends to you. Instead, research and look for the best product for your specific goals.

About Resting Periods

A lot of people usually overload their weeks, or they train hard for weeks so they can take a supplement. Now, this is not such a bad thing, but using a supplement on cycles with resting periods will yield better results!

Taking a supplement while you rest will be beneficial because your body will recover, regain your strength, and be full of energy when you go back to the gym.

So, working hard is good but should be combined with resting periods for optimal results.

Natural HGH Releasers vs. Injections: Which is the Better Option?

When it comes to increasing HGH levels in the body, there are two main options: natural HGH releasers and injections.

Natural HGH releasers, such as supplements, contain a blend of natural ingredients that stimulate the pituitary gland to produce more HGH. They are generally safe and affordable, but it may take longer to see significant results.

On the other hand, HGH injections are synthetic forms of the hormone that are administered through a needle. They can produce faster results but are expensive and require a prescription. They also carry a risk of negative side effects.

Here is a short list comparing natural HGH releasers and injections:

Natural HGH Releasers:

• Contain natural ingredients
• Stimulate the pituitary gland to produce more HGH
• Generally safe and affordable
• It may take longer to see significant results
• It can offer numerous benefits, such as increased muscle mass and improved energy levels
• Require no prescription

HGH Injections:

• Synthetic forms of the hormone
• Require a needle injection
• Produce faster results
• Are expensive and require a prescription
• Carry a risk of negative side effects, such as joint pain and increased risk of diabetes
• It may only be prescribed for certain medical conditions

Overall, natural HGH releasers are a safer and more affordable alternative to HGH injections. They can help increase HGH levels naturally and offer numerous benefits, such as increased muscle mass, reduced body fat, and improved energy levels.

Natural Ways to Boost Growth Hormone Levels for Improved Health and Fitness

If you're looking for ways to increase your growth hormone levels without resorting to synthetic supplements or injections, you can try several natural methods. Here are some interesting and effective ways to boost growth hormone levels naturally:

1. Exercise: High-intensity workouts, such as weight lifting and sprints, have been shown to increase growth hormone levels.
2. Get enough sleep: Sleep is essential for growth hormone production, so aim for at least seven hours of quality sleep each night.
3. Reduce sugar intake: High sugar intake can reduce growth hormone levels, so try to limit your consumption of sugary foods and drinks.
4. Eat a balanced diet: A balanced diet that includes protein, healthy fats, and complex carbohydrates can help support growth hormone production.
5. Take supplements: Natural supplements, such as amino acids, herbs, and vitamins, can help stimulate growth hormone production.
6. Reduce stress: Chronic stress can reduce growth hormone production, so finding ways to manage stress, such as meditation or yoga, can be beneficial.
7. Avoid eating before bed: Eating before bed can reduce growth hormone production, so try to avoid late-night snacks.

In conclusion, there are several natural ways to boost growth hormone levels, from exercise and sleep to reducing sugar intake and taking natural supplements. Incorporating these methods into your daily routine can help improve your overall health and well-being.

Final Thoughts

Those are our 6 best-rated HGH supplements. They are all completely safe and legal, and on top of that, they can give people that use them real, visible results.

Some people are more inclined to go with illegal injections. But we urge you to consider this carefully because those injections can have severe side effects. Even the injections of the best quality can still cause them. Think about it carefully!

Many alternatives are legal and, more importantly, completely safe for use. We think it is just not worth it to put your health at risk.

For example, CrazyBulk offers great deals for individual products, and they even offer an HGH stack. So if you want to build muscle mass, lose fat, and gain strength, they already have a full HGH stack ready. And you won't have to worry about nasty side effects. On top of that, they use tested and proven ingredients!

It is all that you could want from an HGH supplement. Their product is popular for a reason, and men keep coming back for more because they have seen what it does!

A supplement will indeed improve your results and recovery time. But you have to put in the work as well. These supplements are not magical, and anyone telling you otherwise is disingenuous. Get a good workout regimen and diet plan, and then find the supplement that fits best with your goals!

FAQ

Reference:

• https://www.dovepress.com/effect-of-genf20-plus-on-serum-igf-1-levels-in-healthy-adults-a-random-peer-reviewed-fulltext-article-OAJCT
• https://pubmed.ncbi.nlm.nih.gov/23075553/
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• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3950920/
• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5442337/
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• https://pubmed.ncbi.nlm.nih.gov/20439575/

The information contained within this site is not intended as a substitute for professional medical advice. If you have, or suspect to have any medical condition you are urged to consult your health care provider. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Medical conditions can only be diagnosed by a licensed medical physician.