MedMax Instant Kidney Care Patch works by a transdermal process the active ingredients are delivered across the skin for systemic distribution, & it is absorbed slowly into the body's bloodstream, which accelerates circulation, and detoxifies harmful toxins which affect kidney function. OUR GUARANTEE We are confident that we offer some of the best products on the market. Therefore, we provide a 30-day guarantee. We will make every effort to ensure that you are completely satisfied with your purchase. Online shopping can seem daunting. We want you to know that there is absolutely zero risk of purchasing something. We won't make it difficult if you don't love it. We offer email and ticket support 24 hours a day, 7 days a week. If you require assistance, please contact us. Please contact customer service if you have any problems with your purchase.