Whetheractual or placebo, I feel better for taking Qiara (and getting my family - husband and three kids -to do so also). It's a little dose of goodness daily and given how pivotol gut health is generally and in relation to basically all other health, it's something I'm happy to invest in. I breastfed each of our kids for a cumulative total of 5-6 years between them so I'm a believer in the at-the-time and ongoing benefits.