This shampoo is four times stronger than most shampoos on the market and is specially-formulated to be used as part of the Loesch_ Professional treatment. It removes heavy sebaceous buildup loosened by step 1 and penetrates hair to condition and thicken the hair shaft. It cleans so well that you will notice the hair "squeaks" after rinsing. Bio-Med & Pharm is an OEM cosmetics and OTC drugs manufacturer since 1974, with Loesch products since 1951, FDA registered, wholesale available, made in USA. Ship to Continental US 48 states only. This shampoo is four times stronger than most shampoos on the market and is specially-formulated to be used as part of the Loesch_ Professional treatment. It removes heavy sebaceous buildup loosened by step 1 and penetrates hair to condition and thicken the hair shaft. It cleans so well that you will notice the hair "squeaks" after rinsing. Why is it important to use Loesch products one after the other as a kit rather than just a single product by itself? Because there is no single miracle product that can treat all of the causes of hair loss in one bottle. Loesch products work like a chain with sebum at one end and water at the other end. The first link attaches to the sebum just inside the follicle. The next step attaches to the first step. Then the whole chain with a little sebum attached is gently pulled out of the follicle. Do this each day and within a month, the follicle is cleaned out all the way to the bottom and new sebum is removed before it has a chance to oxidize. Ingredients: Purified Water, Ammonium Lauryl Sulfate, Lauramidopropyl Betaine, Hydroxypropyl Bis-Hydroxyethyldimonium Chloride, Propylene Glycol, Hydroxypropyl Methylcellulose, Oleamide MIPA, Menthol, Glycol Distearate, Dead Sea Salt, Diazolidinyl Urea, Peppermint Oil, Panthenol, Fragrance, Steareth-4, Methylparaben, Propylparaben, FD&C Blue #1.