Hi Trill, to me it was bad, esp as I didn't have any with A&J. If I ate, I was sick, if i didn't eat I was sick & I couldn't move off the lounge by day. Went to the Dr & got maxolon which didn't help that much but once I started eating I was okay aslong as I kept eating - my tummy could not feel empty at all. I'm good now - I just eat decent sized meals (compared to previously when I didn't eat much at all) but still very tired at times.