After struggling with chronic pain and constipation, I was very happy with new options presented. After trying Anti-inflama I discarded my $57 a month Celebrex and celebrated discarding an over-priced lower effective product Anti-Inflama as recommended and sold by Sandra. I didn't mark 5 stars since I have only had 1 meeting with Sandra. My constipation problem is 16 Months old and hope she can steer me clear Also, she was articulate and well organized and a focused listener. I would recommend her without hesitation to others.