About this item Same trusted quality with a brand new look! Packaging may vary PROMOTES ALERTNESS*: With a full complement of B-vitamins and other cofactors such as chromium, magnesium malate, and carnitine, Energy Extreme delivers what your cells need most to drive energy production.* SUPPORTS OPTIMAL THYROID FUNCTION*: This product also has tyrosine and iodine to support optimal thyroid function, plus a blend of herbal adaptogens to help your body cope with intense activity GMP Quality Assured: NPA A-rated GMP certification means that every aspect of the NOW manufacturing process has been examined, including our laboratory/testing methods (for stability, potency, and product formulation) Packaged in the USA by a family owned and operated company since 1968 During the summer months products may arrive warm but Amazon stores and ships products in accordance with manufacturers' recommendations, when provided.