My four year old daughter was having severe constipation problems and starting to even have accidents at school. She was holding it for days even weeks sometimes. She had so much fear and anxiety with it And when she would finally have to go, she would cry in pain. Now with Only one scoop a day, and she goes about every other day, without the pain and anxiety that she had before. She has been taking it about six months. It has made a world of difference and I’m very grateful.