***For all first-time Green Cream Level 9 orders: Green Cream Level 9 will NOT be shipped until you have completed a one-time, brief phone consultation with us, per the manufacturer's requirements. If you have used Green Cream Level 9 in the past (or a product of similar strength), but have not ordered from Skin Care Pavilion before, we still require a one-time, brief phone consultation before the product will be shipped out. Our toll free number is: 1-866-637-7100. *** Green Cream Level 9 is one of the most active skin care products on the market today without a prescription. We recommend that you start your retinol regimen with Green Cream Level 6. After 3 to 6 months use of Green Cream Level 6 on a daily basis, you should be able to slowly integrate Level 9 into your routine. Green Cream Level 9 makes an excellent alternative to a prescription strength retinoid. It is recommended that you begin using Green Cream Level 9 every other night and gradually advance to daily use as the skin acclimates.