An all natural, Chinese herbal formula. Different herbs are used in this formula than those used in the original Rise & Shine. If, by chance, one of these formulas does not work for you, then the other one should. Men respond to different formulas. The advantage of the GOLD formula is that only one capsule is taken at a time, therefore take half as much and it lasts twice as long for the same price. *IMPORTANT* If you have cardiovascular disease or high blood pressure, Rise & Shine Gold should only be taken after consulting your physician.