I am wondering why this product is only available out of China?With the number of people in the USA with Diabetes, and lactose intolerance is certainly not that uncommon. It has to bee a money maker at over $50 for a very small can. Works ok, but not very cost effective for continued use over an extended period of time. I would like to find a similar product made in USA that is more cost effective.We bought this for my mother-in-law who is diabetic. The seller, ThaiQHerb, shipped out the product within a day or two of the order being placed and even though Amazon said it was likely to be delivered only after a month, the product arrived in a couple of weeks, exceeding my expectations. However, the cost was around $50 for a small tin, so I've deducted one star for the price.We bought this for our older aunt who is unable to eat on a regular basis due to her various stomach issues but she is able to handle this and likes the the flavor. Four stars due to the price.good produceGreat itemI did not taste it because it was not intended for me so it was just okay.Good priceThis product was advertised in English. However, today I received 2 of them all in Thai language. Therefore, I don't know how to read the label for instruction how to use them.