Purathick Thin Nectar Beverage Thickener SilverMed ¾ inch padding provides the necessary Size:Size E (Male 8 to 8 1 2 Female 10 to 10 1 2) ¾ inch padding provides the necessary impact attenuation performance requirements tolerance ratio Fits most major brand Fiber Optic Otoscopes on the market and are compatible with most existing instruments There are 30 packets of easy to use organic powder in a box and a dozen boxes in a case 4 Gram Individual Packet Unflavored Powder IDDSI Level 1 Slightly Thick Purathick thickens beverages so they're slightly thick – also sometimes called "thin nectar" consistency – making them easier for those with swallowing difficulties to ingest