As with anything natural...takes the body awhile to utilize this herb. Took approx 2 months but I am able to walk and do things I had been unable to do for many months. Occasionally it is necessary to take an additional dose to get me through a very busy, active day but I am so thankful to be able to enjoy life and move again to meet my needs. I am ever so grateful I found out about this herb. It really works for my arthritis pain. Try it...you will like it!