I was told about this cream by a friend regarding my dry elbows. When I was first introduced to this product, it was only available in the States. So my first purchase of Udderly Smooth was when I made a trip to Buffalo, NY. I had very dry elbows and loved how effective this cream was on the dryness. It worked almost immediately! You barely have to use a lot of it to work. Which is great for making your money go a long way! I would recommend this product to anyone with dry skin!