Most of the above manufacturers, have factories outside of the US as well.
This supplement really curbs my appetite and cravings throughout the day, which was always my biggest struggle with weight loss. I don't find myself eating because I'm bored anymore. I find that I want to eat only very small portions. The only thing that has been difficult is getting used to my new appetite. I've been throwing out a lot of my food because I physically feel like I cannot eat that much, and if I do eat too much then I don't feel so good.