I rated this item as three stars (neutral) - while Amazon.com shipped my order promptly and it was received as anticipated, it wasn't exactly as I had anticipated. These patches were sealed in a small pouch, but they were inside a cardboard cd-case type sleeve with a label on the front and a label on the back; it seems a bit odd to receive in this type of manner; especially if the product is supposed to be legit. Being that I paid for the patches, I decided that I would still try and use the patches, at least for the next couple of weeks until they are gone - I have only used for a few days, but had not noticed any real difference. I was hoping that I would have some type of decrease in cravings, etc. but have not as of yet. The other problem is that the patches don't really adhere and "stay" for long periods of time, which is disappointing as it says to change every 24-hours, but if they continue to roll-up and fall-off, I will be using more than one of these a day - I did ensure that I was applying the patches properly and to ensure that my skin was dry and clean, no lotion, oil, etc. I will see what happens and update my review if needed once I complete this pack.