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The website sho-saiko-to.com has the following in the web page, "The only SST in US market that is made in Japan." I viewed that the website also stated " Original Japanese quality and specifications." They also said " Backed by US clinical trials. Click here to order! Ho-saiko-to SST has been used for decades in Japan as a key alternative health solution to support the liver. Sho-Saiko-To SST is a highly researched herbal solution to maintain a healthy liver function, with over 200 scientific research papers published." The meta header had liver support as the first search term. This keyword is followed by herbs, sho-saiko-to, and bupleurum which isn't as important as liver support. The other words they used was .