I cannot rate on the "effectiveness" or "results" of this product just yet until I get the results from my recent liver MRI. I was diagnosed with stage 3 scarring of the liver over a year ago. The doctor (now retired) who told me that I had "fatty liver disease" over 10 years ago, never did any scans or bother to alert me to how serious it could become. I do realize there is nothing that can be done about the scarring (not reversible), but am trying to do what I can to prevent it from going to the next stage. So I am grateful and hopeful for this product availability. Also, I love the fact that it is organic and in extract form and is shipped quickly. Very pleased overall with this company!