I experienced some extreme hemorrhoid/bowel problems which resulted in surgery. A year later, I still suffered when having bowel movements, until I began using Pura Cleanse. The results have kept me faithful to this product for 15 years. I use it every day. I cannot say that about any other product, even household cleaning products! But Pura Cleanse will always be in my cabinet. I never feel bloated, have bowel problems, or have problems with water retention. Overall, it has added vitality to my existence.