I've had a few orders now, and no complaints. Order enough in advance as it takes a week or two to get. Cannot state anything specific, but ingredients are healthy. I feel more upbeat. I don't see any improvement with my mild cognitive problem. Still forgetting words at times, spelling suffers, and an added item; I occasionally now say a word that has nothing to do with the subject. Dr. said it has a name but didn't have paper or pencil to write it down. Still a good idea for me to get speech therapy.