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I am a pediatrice nurse and we received samples of this product in our office...at first I was taken by the name...you must admit Butt Paste is not your normal everyday name for diaper rash, but we gave it to several parents to use...and lo and behold they LOVED it!!!! We had several comment they were now buying it to use daily. SO...when my daughter had Braylon I bought a tube just to have on hand........we have only used it once when my daughter noticed 2 small red areas around the elastic line at his leg....it cleared them right up and she has had no problems since then. Yes, it is a little more than others, but you get what you pay for....if this clears things that easily and quickly then I will pay whatever is asked....my grandson is worth not having to go through the pain and discomfort of diaper rash.....believe me I have seen children come into our office with diaper rash so bad their bottoms are bleeding and they are miserable. This product worked well for us and we will use it whenever needed.