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Used for centuries as a medicinal aid, Apple Cider Vinegar's main active compound is Acetic Acid, but it also contains protein strands, enzymes and friendly bacteria (know as "the Mother") which work synergistically to improve health such as improving digestion, blood sugar regulation, anti-bacterial properties, weight loss support, metabolic maintenance, and is a natural detoxifier. Metabolic Nutrition provides a purified, all natural, highly concentrated, Apple Cider Vinegar formula combined with Cayenne Pepper, Chromium Polynicotinate and Black Pepper Extract for maximum effectiveness & absorption...specifically developed for individuals who want to maximize their health and wellness.