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Raffaele Medical Heart contains a broad spectrum of heart-healthy ingredients to support normal cardiovascular function. In addition to d-alpha tocopherol, this formulation contains 250mg of Hawthorn leaf and flower extract, an herbal that has been used to support heart health and vascular function as far back as the first century. High in oligomeric procyanidins, hawthorn provides nutritional support for healthy blood flow, normal blood pressure, and overall circulatory health. Additionally, Raffaele Medical Heart contains CoEnzyme Q10 to support healthy heart muscle and endothelial function as well as alpha lipoic acid to support healthy glucose metabolism. As with all dietary supplements, please consult a physician before taking Raffaele Medical Heart, particularly if you are on blood-thinning medication. *