12/case directions: massage into inner arms, thighs, chest, or apply to inner forearm & rub arms together until absorbed. Use once or twice daily as desired. For external cosmetic use only. No intended for use by persons under the age of 18. Ingredients: each pump delivers about 5,000 mcg bio-identical estriol. Ultra pure water, vegetable glycerin, aloe vera leaf gel, caprylic/capric triglyceride, stearic acid, micronized estriol usp, olive oil, coconut oil, shea butter, sunflower lecithin, methylsulfonylmethane (msm), stearyl alcohol, isopropyl palmitate, allantoin, carbomer, sodium bicarbonate, blend of essential oils & herbs. Naturally preserved/paraben free 05/17/17