About this item MULTI-VITAMIN, MULTI-MINERAL: Specially formulated to support healthy carbohydrate metabolism and healthy blood sugar levels already within the normal range* INCLUDES THIAMIN, CHROMIUM, AND VANADIUM: For supporting roles in healthy glucose metabolism* CERTIFICATIONS/CLASSIFICATIONS: Made without Gluten, Dairy Free, Egg Free, Keto Friendly, Kosher 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.