Not a miracle cream, but quite good. I have really thin skin, daily cleansing and living in a colder area means my hands are consistently dry no matter what medicated/OTC/homemade creams I try and try. I get quick relief from dry, cracked hands with this cream and I find it to be close to medical grade. I still consider wearing plastic gloves when cleaning and winter gloves outside, drinking plenty of water, exfoliating daily, and using a moisturizer, but this cream is a good try. Given the price and the size of the tube, I don't think I'll be buying it back. I recommend it to people with similar problems.
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