Hot Spots and other skin problems can have many causes like bug bites, food allergies, allergies to airborne substances. Regardless of the initial cause, most dogs react by licking and biting the area which only makes things worse. This cream works in two ways. First, it soothes the skin with natural ingredients like CBD oil, raspberry seed oil, coconut oil, and sunflower extract. Just as important, the cream has a super strong, but natural, bittering agent, to discourage licking and biting of the area.