You have to take this product over a long period to see results, in my opinion. My wife strongly believes that I have lost quite a bit of my "turkey wattle" over the last year, something that I have had for a long time. You do not lose turkey wattle without surgery, so I believe that the only possible explanation is Active Stem. I only gave a good review instead of excellent because of the taste. They have Active Stem in pill form, but it does not have all of the ingredients of the powder, so I stick with the powder. I can't guarantee how it will work for others, but I will continue to use it. I'm 70.