The book is in Very Good condition. It is missing the first blank page of the book, but in no way interferes with the ability to properly read or the aesthetic of the book. This book teaches an Orthomolecular Approach to Balancing Body Chemistry. Wrote by Carl C. Pfeiffer, Ph.D.,M.D. 1987. ISBN 0-89281-226-5, Bibliography, includes Index, Nutrional aspects, Diet, etiology, Nutrition, Orthomolecular Therapy, Printed and Bound in the United States. Any questions please message.