They effectively cleanse the body of harmful substances that can cause symptoms associated with premature aging. Each bottle contains 90 pills. Each person finds their own dose by starting with one capsule at mealtime and then increasing by one capsule each day until he or she has 3 bowel movements daily. Many people prefer to take the full number of capsules at one meal. The individual can continue this number of capsules on a daily basis. Dosages vary, as some people only need 1 capsule a day and others may need 10. Most people find they need half as many Extra Strength Vitality Capsules as the gentler regular. In addition, as water and vegetable intake are increased, the number of capsules needed to achieve 3 bowel movements a day decreases. While it is safe to take Vitality Capsules for extended periods of time and many people have safely taken them for years, they are not addictive. Once a person corrects the lifestyle factors that interfere with proper bowel function, their bowel, liver and gallbladder function improve. There is no dependency. Vitality Capsules contain powerful herbs and spices. The herbal blend is balanced so that cleansing does not interfere with your daily routine. The ingredients work together so that desired effects are maximized and discomfort is minimized. Cayenne pepper is an ingredient in Extra Strength Vitality Capsules. CONTAINS Garlic, Ginger, Aloe, Senna, Cascara Sagrada, Barberry, Cayenne Pepper.