Used: Food Exchange Table for Diabetes Diet Therapy, 5th Edition Food Exchange Table for Diabetes Diet Therapy, 5th Edition Published April 5, 1997, 5th Edition, 21st Printing #Japan Diabetes Society #Bunkodo Diabetes Diet Therapy Hypertension Diet Therapy #Banyu Pharmaceutical Salt Reduction Hypertension Lifestyle Guidance and Management Form Diabetes Diet Guide There appear to be no markings, but there's a possibility of oversight. Please consider purchasing if you are interested. Please understand that this is a personally stored item. There is age-related deterioration, bending, creasing, and brown spots. I have performed simple cleaning with a dry cloth, but there may be remaining dust and dirt. It might be a good deal for those who don't mind. I plan to pack it in plastic/cushioning material/paper (all may be reused) and ship it in a homemade envelope/box. I may secure it inside the box and fill it with cushioning material/paper. Although I will take great care, as there is fundamentally only one item, I kindly ask for your understanding that I cannot be responsible for damage during shipping. Furthermore, this listing is exclusive to Mercari. If you are interested, please search for the product name on Mercari. I generally do not accept price reductions. Other points you should understand are the same as for other products. Thank you for your understanding. Management Number: OS