The first SUGAR - FREE Diabetic - Safe Slippery Elm Lozenges updated from our original formula. Sodium - free Gluten - free Since it is menthol - free, it is homeopathic compatible 100 throat lozenges in each bottles. PRIZED BY OPERA SINGERS. Soothes, heals, coats to protect tissues of the throat and mouth. Ingredients- Slippery Elm Bark, (150 mg), in a soothing base of sugar - free sorbitol (a natural sugar - free sweetener derived from plums, pears, berries, and cherries) with vegetable stearate as a binder. Actually helps reduce swelling of the vocal membranes, which reduces hoarseness and raspy qualities in the vocal tone. Sodium - Free, Preservative - Free, Wheat - Free, Menthol - Free, Gluten - Free. Not tested on animals.