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The way they work is simple: A hangover is caused by your liver releasing chemicals to counteract the alcohol, and it is these chemicals that cause the hangover.Prickly pear works by absorbing certain strains of the alcohol so that it isn't processed by your liver. A scientific study published found that people who took a dietary supplement containing extracts of a species of prickly pear cactus before consuming alcohol had reduced symptoms of an alcohol hangover. Fresh Start Capsules main ingredient is Prickly Pear!(Packaging may differ from picture).