This product is worth every penny. After 4 years of debilitating chronic lower abdominal and back pain. With no answers from the multitude of medical professionals and invasive testing SPM Active has been my only relief!!!!! It took just a few days to notice a subtle difference but after 3 months the difference is significant. From 5 days in bed to being active again. Pain reduced 80% while the inflammation feels almost completely gone. No more swollen gut, I have lost weight and have more energy. If you have tried everything else give this product a few months, I am really glad I did.