ARTEROSIL is only available to patients via registered practitioners to ship within the USA. Dr Bramley is a licensed and registered practitioner with Arterosil. Either pick up ARTEROSIL at our clinic in Hong Kong or order online to a USA address or freight forwarder. Use code "drbramley" to order from the company website https://arterosil.com/. There are also more research studies and updates available on the arterosil website.