The medication you order can look slightly different if it is sourced outside of the U.S. However, these products have the same active ingredient(s) and work in exactly the same way. In addition, the manufacturer may change the appearance of the pills / packaging for marketing purposes or availability of components, among other reasons, depending on the country in which it is manufactured and all products sourced outside of the U.S. will list the weight and volume in Metric, but will correspond with the correct Imperial weight as per your order.