it includes the wrapper ,though it is not an ingredient, it is the first time i have seen this type of wrapper. the foals are typically born alive and well, but soon develop patches of hair and skin loss over points of wear. and they are very good, we love much them. the best way to reach and maintain a healthy weight is to eat a nutritious, balanced diet. this is a great tool if you have your evidence already and you're ready to catch them in the act. here is a fun wearable that only takes a few minutes to make! 