I've been using the BHB urea cream (which I highly recommend, too) for over a year and decided to try the water gel as it is 'lighter'. I like it as it spreads evenly and not heavy. I can't speak to improved skin 'issues' as I mostly have basic aging-skin concerns (i.e. some dryness, some crepiness, etc) and I believe the urea (gel) does improve basic skin texture. It contains a high concentration of urea so I alternate nights, using it for body skincare with retinol-containing ingredients, etc. I've had no adverse affects. My impression of BHB is they are professional and make good products (I plan to try other things; have heard great reports about BHB body oils and washes). In summary, I recommend the urea gel if you are looking for a high concentration of urea in a good formulation!