Have previously replied to the person who said they had purchased Garlic, Gingko and Butcher's Broom and after taking found the symptoms to be tolerable. Less pain. I received my order yesterday from Puritan's Pride and have taken immediately and this morning. So far, less pain and less severe outbreaks. However, when I touched something cold, my finger tips became freezing. Good news is that it did not last very long and returned to normal within a few minutes. No problems with my toes. Will continue to report if this relief stays on track. It seems there is no doctor who can prescribe a cure. No one knows why this originated or how to cure it.