I tried this product when I started realizing that my feet were getting red and inflamed. It had not yet reached the raging, scream-if-touched level yet. I could diffidently tell that the puffy, angry red swelling reduced after 24 hours at the maximum dose. But the swelling and pain had not totally gone away. It took 2-3 days for the pain and swelling to be mostly gone. I'm finding that I will have to take the product at lower doses for maintenance as well as watch the amounts of meat, coffee, sugar, and sodas in my diet to keep my gout levels down. But if that keeps me from paying to see a doctor, having lots of tests done, and getting on a regular prescription, the price is worth it.