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The cream is hand blended using 100% all-natural ingredients including organic apple cider vinegar, witch hazel, and essential oils. Apple cider vinegar is excellent for varicose veins because it improves circulation in the vein walls and is anti-inflammatory, reducing bulging veins, and alleviating that heavy, throbbing associated with long periods of standing and/or varicose and spider veins. Because of the power of these awesome natural ingredients, this versatile product has quickly become a customer favorite, and has been usedfor anything from vein discomfort to fading sunspots and removing warts! Apply to affected area up to two times daily using a gentle massaging motion.