Hem-Relief works to treat hemorrhoids at the source. This proprietary formula is proven to heal and strengthen damaged vascular tissue, treating the actual condition from the inside out. As the condition is eliminated, so too are it’s symptoms. Because Hem-Relief is taken orally, entering the blood stream, it successfully treats both external and internal hemorrhoids with no awkward insertion or messy creams. Hem-Relief is all-natural and uses only the highest quality herbal ingredients available. It is manufactured produce in an FDA certified laboratory, meeting the highest industry standards in the production of each and every bottle. Hem-Relief has no reported side effects or drug interactions, and does not include any caffeine or ephedrine.