Fem-Silver is a menopausal formula safe for long term use. It is indicated where one wants to avoid or get off of hormonal replacement therapy. This powerhouse herbal tincture includes Dong Quai Root, Black Cohosh Root, Dong Quai Root and other herbs used for centuries by humanity for supporting Menopausal symptoms and to ease the change of life process. There are no claims here of a magic bullet but many women have found some success using this herbal tincture. Relief of Menopausal symptoms. May help with water retention, low back discomfort and moodiness. Relief of hot flashes and mood swings. Contains Alcohol, Parve K