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When I injured my shoulder a third time and was seeing an acupuncturist she recommended this as better and safer to take. Ran it by my primary care physician and she agreed. These herbs work! An hour or two after taking it I can feel it working on the inflammation wherever it finds it, then a soothing calm occurs after that. My shoulder healed but given all the previous injuries, still flares up from time to time. I do partner dancing for hours, twice a week. If I take just one dose of this before going, it works on the inflammation as soon as it occurs and I'm fine the next morning. Great stuff! Have been using it as needed now for three years with no side effects.