1 box (24 packets) + 18 packets Regarding item A (see the 3rd image), there are some clumps, but it has been verified that carbon dioxide is generated. Please refrain from purchasing if you are concerned about this. Thank you. Gentle acidity, pet-friendly, fragrance-free, and colorant-free. Carbonation finer than pores reaches every part of your dog's body. Contains moisturizing ingredients (double moisturizing ingredients) such as hyaluronic acid and collagen, providing moisture to dry skin. Contains AHA fruit acids (keratin care ingredients) to gently remove old keratin and smooth the skin.