I was going to write a much longer review. But after it started to look like a book I realized I could summarize into three statements.

I chose this rating because I have used it for over 3 years and it is the only product that completely removes the pain. I started out taking 4 times per day. I only take it twice per day now. I have been able to maintain a daily aqua based exercise. I am very thankful for Tylenol Arthritis.. Thanks for asking for a review......

This stuff is as good or better than Jublia which is outrageously priced. If you have been forced into a high deductible healthcare plan by Obamacare, this might be your only alternative since most people cannot afford Jublia. This has the main ingredients of Lactic Acid, Urea, and polypropylene glycol. The urea and lactic acid work in concert to soften the nail and allows the polypropylene glycol to penetrate the nail bed where the fungus lives. You can jumpstart its effectiveness by wet filing the tops of your infected nails using some witch hazel and a heavy duty file. If you get on file out of your toolbox make sure you sterilize it to kill off any tetanus bacteria. Never ever dry file infected nails....as you want to avoid sending the fungus airborne to be inhaled or otherwise contaminate your home. This top filing allows for the Kerasal to get going faster. Daily I also soaked my feet in a solution of white listerine and vinegar in 50/50 solution for 5-10 minutes. This helps kill off topical foot fungus and dissolve dead infected nail material. After soaking, I hit the hardened parts of my feet with a pumice stone to remove the layer of dead fungus impregnated skin. Your feet will foam up and so will the infected nails because the listerine in the white bottle has peroxide in it. Change the solution out every 3 days as the peroxide loses its strength. You can spike it with some regular 3% peroxide if you want. After a week or so, my feet quit foaming when immersed in the solution....the peroxide and pumice stone scrubs had dissolved it all. Before this my heals were hardened and cracked. My nails look pink and are growing. It's also important to treat your shoes. I poured hydrogen peroxide into all my shoes to help oxidize and kill shoe harbored fungus. I will repeat this every week or so. I will also keep soaking my feet once a day for the next month or so....finally I am winning the battle. You've just got to be relentless with your treatment regimen. Always consult with your doctor before getting started!