I started taking this as a gout preventative while in the middle of a severe flare in January of 2026. I started out taking 2 capsules a day. After the first 2 bottles, I went to alternating 2 caps 1 day, 1 cap the next as a "maintenance dose". I can't prove it's keeping my gout flares at bay, but I can say that I have not had a recurrence since the January flare subsided, where I had been having flares every 2 to 3 months. Maybe it's the "placebo effect"; maybe it truly does work. Either way, I'm thankful to currently be free of the flare-ups for the last 10 months, and will continue purchasing and taking Nutricost Tart Cherry Extract 3000mg Equivalent.