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Showing posts with label ms. Show all posts
Showing posts with label ms. Show all posts

Sunday, July 16, 2023

Eyes and MS


Know I've covered this before, but my prior optometrist has put up a link, that I don't want to loose. May do others good watching short videos.


https://youtu.be/oaElHt_kSFE


I am using AI to write most of this post.  Yes I have experienced this a few times, caught by Dr Corn well also

 My old ophthalmologist moved to the East, but he put up a great website of videos t watch, that clearly explains eye issues


https://www.youtube.com/@visionrefocused/about


 Multiple sclerosis (MS) is a chronic neurological disorder that affects the central nervous system, including the brain and spinal cord. It can lead to a wide range of symptoms and complications, and the eyes are commonly affected in individuals with MS.

Optic neuritis is one of the most common eye-related symptoms experienced by people with MS. It occurs when the optic nerve, which transmits visual information from the eye to the brain, becomes inflamed. Optic neuritis can cause various visual disturbances, such as blurred vision, loss of color vision, blind spots, and pain with eye movement. Some individuals may also experience temporary vision loss.


Optic neuritis is a condition characterized by inflammation of the optic nerve, which is responsible for transmitting visual information from the eye to the brain. It can cause various symptoms, including vision loss, blurred vision, eye pain, and changes in color vision.

Optic neuritis is often associated with multiple sclerosis (MS), an autoimmune disease that affects the central nervous system. In fact, it is one of the most common initial symptoms of MS. When optic neuritis is linked to MS, it is referred to as "optic neuritis in the context of multiple sclerosis" or "MS-associated optic neuritis."

MS-associated optic neuritis typically affects one eye, causing acute vision loss or visual disturbances. The inflammation in the optic nerve is thought to be triggered by an abnormal immune response, which leads to the demyelination (damage to the protective covering of nerve fibers) in the optic nerve.

Diagnosis of MS-associated optic neuritis involves a thorough eye examination, which may include visual acuity tests, color vision tests, visual field tests, and an examination of the back of the eye using an ophthalmoscope. Additional tests, such as optical coherence tomography (OCT) or magnetic resonance imaging (MRI), may be used to assess the extent of nerve damage and look for other signs of MS.

Treatment for optic neuritis aims to reduce inflammation and speed up the recovery of vision. High-dose intravenous corticosteroids, such as methylprednisolone, are often prescribed to reduce inflammation. Some individuals may also benefit from oral corticosteroids. Over time, vision typically improves, although it may not fully return to normal.

It is important to note that the presence of optic neuritis does not necessarily mean a person will develop MS. However, having optic neuritis does increase the risk of developing MS in the future. Therefore, individuals with optic neuritis may undergo further evaluation to assess the likelihood of developing MS and to determine if any additional treatment or monitoring is needed.

If you suspect you have optic neuritis or have been diagnosed with it, it is crucial to consult with a healthcare professional, such as an ophthalmologist or a neurologist, who can provide a proper evaluation, diagnosis, and appropriate treatment recommendations based on your specific situation.


Another eye-related symptom associated with MS is double vision (diplopia). This occurs when there is a disruption in the coordination of eye movement, leading to overlapping or duplicated images. Double vision can occur due to damage to the nerves controlling eye movements in MS.


Double vision, also known as diplopia, can be a symptom of multiple sclerosis (MS). MS is an autoimmune disease that affects the central nervous system, including the brain and spinal cord. It occurs when the immune system mistakenly attacks the protective covering of nerve fibers, disrupting the normal communication between the brain and other parts of the body.

In MS, double vision can arise from several causes, including damage to the nerves that control eye movement or coordination. This can result in misalignment of the eyes, leading to the perception of two overlapping images. Double vision associated with MS can be temporary or persistent and may affect one or both eyes.

The occurrence of double vision in MS can vary in severity and may be exacerbated by fatigue, heat, or prolonged use of the eyes. It may also fluctuate over time, appearing and disappearing intermittently.

If you are experiencing double vision or any visual disturbances, it is important to consult with a healthcare professional, such as a neurologist or ophthalmologist, who can assess your symptoms and determine the appropriate course of action. They may perform a comprehensive evaluation, including a detailed medical history, neurological examination, and possibly additional tests such as MRI or visual field testing to assess the extent of nerve damage and identify any other underlying causes.

Treatment for double vision in MS aims to address the underlying condition and alleviate symptoms. This may involve disease-modifying therapies to manage the progression of MS, medications to manage specific symptoms, such as muscle spasms or fatigue, or referral to an eye specialist for corrective measures such as prism glasses, eye exercises, or, in rare cases, surgical interventions.

It's worth noting that double vision can have various causes, and while it can be associated with MS, it does not automatically indicate an MS diagnosis. Therefore, proper medical evaluation is necessary to determine the cause of your specific symptoms and provide appropriate treatment options.



Use of AI, or known media trusted sites to look up conditions, so your Drs know is important.

It's important to note that eye problems in MS can vary widely in severity and duration. While some individuals may experience temporary and mild symptoms, others may have more persistent or severe visual impairment. It's recommended that individuals with MS who experience any changes in their vision or eye-related symptoms consult their healthcare provider. They may refer them to an ophthalmologist or neurologist for further evaluation and management of their eye symptoms.

It's worth mentioning that MS is a complex condition, and its effects on the eyes can vary from person to person. It's always best to consult with a medical professional for personalized advice and guidance based on your specific situation.

Sunday, September 4, 2022

Multiple Sclerosis 2022 has a year made it thru?

 



Seems my blogs get far and few.  Many reasons. More Specialized Doctors added, some top of the top working with me.  I had the pleasure of meeting one, who came out of retirement, to work his specialized clinic once per month. A six month wait to get to talk with the Dr, and two others, plus student learning, as I was listening also.

These Drs specifically specialize in one field. Like one box you do not stray from. So he did not know of other diseases, just generally.  I was his first MS Patient in all his years.

Excellent at his knowledge. That was what he was teaching me in the hour spent. He did a lot of reflexes and watched me walk, talk, movements.  A new toy to "try" for five minutes a day, perhaps 15 minutes.  That was the only thing left he could offer.

My MS specialist is awaiting a new mylan repair medicine.

The Day before, I saw my MS Botox neurologist. He had a new Dr with him. I let the new Dr put the botox into my muscles. He was not afraid to ask for assistance finding muscles, asking my main Dr there. I look forward, as these shots help me stay active and walking.   I have to sign a Black Box Warning for this medivine.

I have been seeing this top dr in his field and his co Specialist and his team for this last year. They were able to bring my blood pressure and all readings into a normal range. half of what it was.


 I brought my iron up into normal range, by stopping curcumin turmeric for a day, eating beef liver ( high in Iron ) and back onto supplement. Retested, and my being iron deficient for three years after my phlebotomy or vein puncture, all went away.


                                                         Yes a DROP in blood readings

Now I am not a Dr, but would of liked to of been a birdie listening in on how Drs (in their own boxes) can disagree on symptoms and what even their test may say is going on with me.  The phone call to all these other Experts in their own field., and their perspective, or what left is a option.

All I can share now is I have Primary Progressive Multiple Sclerosis. This is effecting my whole body, in ways I would never imagine. Hereditary Hemochromatosis with the H63D H63D gene playing a role, overlapping Endocrinologist, hematologist, Neurologist,GI, nephrologis,, and 23 more to list. That are overseeing My Multiple Sclerosis. A good team. The Best of the Best.

I still walk with a cane. Minds active. get around, fatige real easily.   Research what Dr, their thoughts, brings me back to a reality, shared with only a few this entire year, of what they see, or know.  The changes a reality.


Thanks for reading 

Joey

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Sunday, March 15, 2020

Mis-Diagnosed before Multiple Sclerosis


 This blog takes you through a misdiagnosed and my being diagnosed with Primary Progressive Multiple Sclerosis, but the first mis diagnosis was Chronic Regional Pain Syndrome.


Just to talk about mine, and what works with me, probably will not work with others because of their DNA make up of genes, and other factors.
I was going to put lots of links to what was going on, but figured you, as a reader, or scientist, could follow, or look up.


A regiment I have been on for over eight years, which keeps me going, of twenty four medicines right now, with a Correct Diagnosis.   But this was not The case at the beggining, when they were trying to figure out what was happening.

The first part was during diagnosing me.  They diagnosed me with CRYPS, chronically regional pain syndrome... which is not much better than being diagnosed with Multiple Sclerosis

The Mis Diagnosis was for about a year and a half.

I remember Dr Quack, as I would call him, told me something is wrong with you, but the insurance (from  A large corporation working for, self insured) would not let him run any tests.  My hands were doughy, feeling, sweaty, but calmy. These were almost frozen in a grasp position. My pain would cross over from one leg, thru both arms and down (or up) from the other leg and hands.
I could not different which way The pain was traveling, but the Dr said impossibe.

  The Dr tried me On 0.2 MG of clonidine. This is a heart medicine, but also a old MS medicine. This gave relief to my hands. He had me go to a 0.3 MG tablet, and back down to a 0.2 MG tablet to find differences. This took months, to see the difference.  A 0.2 MG was decided on in 2010, with a lot of unknowns with the cryps diagnostic.

He had my blood pressure checked sitting, standing, lying down.  This still may be of help to future scientists, as these were far off on readings.  My current heart Dr encounters it to multiple sclerosis, as, like I am always running a marathon, even though my body is sitting.

The clonidine was increased to a 0.3 in 2019 to again help the claw fingers from continuing.

Tramadol for pain was tried, with horrific effects, causing no urination.
Soma was tried, as a muscle relaxer.  It Wired me, instead of relaxing muscles. Allergic reactions to both.

 indomethacin was given for pain. It burned a hole in my stomach to this date.  The ibuprofen was used for pain and inflamation. Another nasid that wrecks your stomach. But does help in given circumstances.

A CRYPS diagnosis was given.  Chronically Regional Pain Syndrome. Not A good diagnoisis.

The only neurologist in the area did test on both wrist, only after the hospital emergency room splintered both wrist, As carpal tunnel syndrome, and to follow up with local neurologist.

The only Neurologist, wanted to prove the hospital wrong, stating There was nothing wrong, doing his own tests to tell the insurance nothing was nothing wrong. This included false records, by ice being put on wrist, to get readings he wanted. He needed to keep company "A" satisfied.
his office tried to send me to a private MRI, at My expense, which was not a option.

But the worst Drs were to come, that were required to see, as because it happened at work, I was forced to their workman compensation insurance program, required to see their doctors.

The company was large enough to be self insured, and had the state insurance commissioner, actually working for them.  Yes a conflict of interest.

I was sent to one dr , who wrote a 50 page report, on how I ran to the room, which was three feet from me, had me doing all these items, which never happened, of arm movents, weights, calisthenics, while interviewing me for 20 minutes.  The actual visit lasted less than three minutes with this Dr, and none of that happened. A quack, making money from the insurance company to say NO to everybody that came in.

A neurosurgeon was seen, and she stated you don't even have a physical done yet. Why is this big company's insurance sending you to me, except that I don't know if anything is wrong. Perhaps 45 seconds of her time, wasted, except for a long report to say nothing was wrong she could see, as that was what she was paid to do. You can not diagnosis a patient that a physical was never done.

this went back and forth, and thus perhaps the crops diagnosiis, as something was definitely wrong.


 As soon as able I went to my local dr.
He was able to do a little more testing. Sometimes knowing the the insurance company needed a test, but you had to say you were deficient. A shot of vitamin B  injected, then going over to give a blood sample to see where you are at. Quite backwards. It showed a high vitamin B on the test.  Testosterone was the same way, except I was quite low on the return test, that's when testosterone  therapy started for hypergandlosim I injections continue to this date with testosterone injection.

He ordered MRI of each section of the back and neck. These approvals took a long time to get, one at a Time.  So we are talking some long  period of time.  This is before I knew the magnet source was Not a very strong magnet.

Gabbapentin was added for nerve pain for the legs. Then
A pain Dr was seen, as my GP was limited what he could do

The pain Dr  was added. She prescribed something to get rid of pain.
Opioids,  then enough morphine that the pharmacist asked me if I was picking it up for someone near death to control the pain. The opioid plugged me up, so generlac was added, to help by my GP

The Brain was the last to get a MRI done.  In the report, in bold NO MS. All the mri's, the film is read by one person. Perhaps not quite knowing everything to be nice.

My GP, said they did not go far enough, as I found out years later, he suspected Multiple Sclerosis, not CRYPS.
He sent me to a Neurologist in the city.

Same mri, film, and much more tests, including new neurologist doing wrist, showing me to have cararple tunnel both wrist, as he was not working for company "A", but independent, and knew His stuff.

Then a spinal tap he did. A quite well known  known neurologist, who knew how to do this, being in his 70s. Spinal tap done by him in his office. He ruled out everything else, blood diseases,and other diseases.

I had onoglycolic bands were in my spinal fluid ( pieces of the mylen coating I would call them).
The MRI film, if knowing what to look , showed a bright lesion and past few lesions could be seen. Looking back, I probably could tell you even the year, date and circumstances.

He did show me the criteria needed, and the three spots, and old spots. Once you knew, you could easily find them.
A diagnosis, I was ready for, learning all and everything I could by research and asking Doctors.  Primary Progressive Multiple Sclerosis, with degenerative disk disease.

I was titrated off all opioid and morphine from the pain doctor.

 Lyrica and Cymbalta are used in pain for MS. You can not tell the insurance company, or they Would deny the combination.
Lyrica  was added, as it works on different receptors than gabapentin, which was also increased, as the nerve pain.

The real name brand cymbalta improved my mood, which I did not realize was in the dumps for months.  A positive I had not realized.

Nortriptyline was added, titrated up. For nerve pain at night.

Ibbufferin  was added for chostocrondrtis, as the only thing that works,  I should of asked wils dad Bruce, who was stricken with a bad case of rhemutoid arthritis, who knew what worked. He was my partners dad, filled with info, and a great outlook, even though bed ridden. He passed away a few years ago, as I write this in 2020.

Omeprozole was added to help the stomach. In latter years ranitidine also added. This medicine was recalled, and  tamodine replaced this in 2020

A lot has happened since the mid disgnosisis.

I had GPs at the Indian clinic, as they were The only game in town taking my insurance.  Some Great. doctors, and some worst Drs, that I actually went back to my old GP, who had sent me to the out of town neurologist.
He changed his staff overnight, and the new staff did not follow thru, so back to the clinic. 

This provides me with a excellent GO Dr. He could tell I did not have a torn rotator cuff, as another quack Dr said.

The university wanted to put a metal plate to hold up my neck. Invasive major surgery. When getting ok from my other drs, my GO stepped up and I listened to him.  I asked the surgeon, how much pain was caused by ms, and how much was caused my MS. They all left the room, and surgery never done. Best decision made. My Neurologist, against it, put me on Hyaluronic acid and chondroitin sulfate. That, along with botox to relieve muscle spasms worked. More on that in future blog...

it took a year and a half, which I find is fast fire someone with Multiple Sclerosis.

I was glad to be off opioids, and morphine. I

Currently I am maxed out on medicines I can take.  I see 8 or so  specialist at the university.
The only thing they can offer now is low dose naltraxadone. I am looking On input from others, and On anyone that has done this treatment, or Chinese acupuncture.

I was off botox since August 2019, due to go my neurologist taking a leave of absence. I wrote him and the state a letter, showing how many people they hurt.
six months to get another Botox specialist. Ona from us davis, the head professor. Names of muscles rolled off his young as he used a needle guidance machine to inject into both calves and neck.

This reduced the pain level, as the neck was pulling in bulging discs against the nerves. This has helped tremendously.

I think back of the mis diagnoisis, and where it would of led.
perhaps to the same point now, and different medicines used? Or the
quality of life being non exsistent.  The plate in my neck would of never happened, as once they tried, they may of uncovered the H63d gene, causing Iron overload, no place to screw the plates to, and no healing, due to ME and the autoimmunity that goes with it.

can low dose naltraxodone help or make me worse?

Would love your stories of his diagnoses of anything.
cheers
JoeY













Tuesday, July 2, 2019

Turmeric or Curcumin





My Neurologists is writing a paper to read at a upcoming convention. It's all about Turmeric I will call this, as he started me on a heaping spoonful of Turmeric per day last year.  He Wanted to know it's weight.   My heaping teaspoons may differ than others, so I took a average, and ended up with two Tablespoons Turmeric.

Turmeric Powder, dry
Tablespoon = 6.8 grams,  which has .136 grams Curcumin, or 136 milligrams curcumin, the active source of Turmeric you want

To make this viable,  a teaspoon of freshly ground pepper was added, along with two Tablespoons of olive oil. Coconut oil or other could be used. I would mix this  with two Tablespoons of Turmeric in a small stainless steel container, and downed it like a shot, being careful not to get anything on any surface, as it stains everything. All three are needed to make turmeric absorb, and give it the extra kick.

The  Turmeric curcumin plant consist of 3-4% curcuminoids, which is the active ingredient. This curcumin  I found at Pure Bulk, with quality control sheet, showing what is in it. A whole different reddish orange powder, and much stronger. A 1/4 teaspoon equals 1250 mg of curcuminoids.  The Neurologist has me shooting for 1500 mg curcuminoids daily.

A one pound bag of Turmeric cost about $6-12. I Purchased  on the Internet, From Starwest Botanicals. This looks easy to grow by following How to grow Tumeric in pots

 This is where companies try to confuse you when buying their pill.  A cheap filler, you get instead of 95% curcuminoids. They give you lots of fancy language.


 The pure Curcuminoids, I bought from Pure Bulk, in a 250  gram bag.  The cost seems to of doubled, but you can tell from the colors, what is real.  They provided me with the COA sheet, of what's in it.
Fresh ground black pepper was also added of a teaspoon. You can buy this as BioPerine© in 10 mg pills.  I used two Tablespoons of Olive oil, as the oil absorber needed.

My Neurologist at this point wanted me On 1500 mg curcuminoids, as this was the active ingredient being used, for the best results. This was being used for my Multiple Sclerosis, along with my DMT, and twenty other drugs. Degenerative Disc Disease plays into this, along with Iron Overload, Thick blood, known as hemochromatosis, which is hereditary. The HFE gene, H63d/H63d  inherited from both parents, both were mutated somewhere in the family tree.

 This was caused by two Rare copies of the H63d Gene. My brother also has this condition. Rare Diseases, only found one other in a ten year search with eight articles. I need a researcher to do some studies, hope they are reading.

rs1799945, also known as H63D 

The HFE gene,  the H63D mutation tells us is that normally in this necklace the 63rd bead is the amino acid histidine (H). But, people with this mutation have an aspartic acid (D) bead there instead.

neurodegenerative-iron-hemochromatosis




This change causes this protein to not do its job. A single wrong bead has put a kink in the necklace!

So this is why H63D can cause problems with iron in our bodies. It results in an iron-sensing protein that can’t sense iron as well as the un-mutated version. This caused Iron to store up in my body since I was a kid.   I have done 17 phlebotomy's undergone in a weekly basis.  Iron is absorbed by the small intestines, and builds up in the liver, heart, and organs. Causes many problems including Metabolic syndrome.  This out me into what the Cancer Dr told me, as slight anemic.

where am I going with this?  There is a chelation agent,  known as Turmeric. The more you learn, can be amazing, on how to help the Iron get out of the body, parts, and the positive effects Turmeric and Curcumin have, besides on inflammation, and the wonder drug articles talk about

The only thing the barbaric phlebotomy is only used with Hemochromatosis or high iron, and that only deals with the sluggish blood. Read my other blogs for pictures and details.  Mine came across as high, hemoglobin and hematocrit. Interesting that ferritin was not off the charts, and thus could not be used to track my phlebotomy. My brothers, however, ferritin is way over the range.

Turmeric and Curcumin have some great qualities by just searching the net.

“If you want anti-inflammatory effects you need to get 500 to 1,000 milligrams of curcuminoids per day.”about

Research with Multiple Sclerosis seems to be ongoing, so I will consider me a test subject, and try to document facts I see or understand. I am not a Doctor, or Scientist, but would welcome feedback.

The compounds that give turmeric’s yellow color, and are also bio active agents that have anti-inflammatory, anti-oxidant, and anti-microbial properties. Of the three main curcuminoids present in turmeric (diferuloylmethane, demethoxycurcumin, and bisdemethoxcurcumin), diferuloylmethane, more commonly known as curcumin, is by far the most prevalent and has received the most attention.


The Majority of turmeric supplements on the market advertise that they contain standardized 95% curcuminoids. The key here is the word, "CONTAIN". This is why it is vitally important to look at a supplement ingredient's panel. Most turmeric supplements will only contain a small amount of curcuminoids.

However, we know that the key to any turmeric supplement is 1000 mg of 95% curcuminoids. Anything less and you're wasting your money!

They use plain Turmeric as a filler, trying to confuse you that it has 1000mg curcumin, but a line below may then state 100mg extracted curcumin to 95%.  A maze, as do many curcumin products.  Look at how many pills you need to take also to obtain the dose.
It took me a while to sort out, with pills bought from many companies, and then compare them with 95% pure curcumin I make into pills.

  • Bottom one contains 1300 mg curcuminoids made from 95% pure
  • Top left, two pills for 750 mg curcuminoids
  • Middle top only gives you 100 mg curcuminoids for two pills, 1200 mg turmeric
  • next is One capsule gives you 50 mg curcuminoids, and 400 mg turmeric
and final One capsule  gives you 500 mg curcuminoids, but extract is 93%




Since I also want Tumeric, I use as 6 ounce resealable  containers. I add 2 Tablespoons of Turmeric Powder, 1500 mg curcuminoids weighed out,  2 tablespoons of olive oil, perhaps  another oil I will try, 10 mg black pepper, freshly ground, (or I take a 10 mg BioPerine© tablet) shake well with some water. I Might try juice, just enough to get mixture so it's drinkable.
I can make a dozen of these, adding liquid when ready, so ready for use

I also use a pill maker, getting 625 mg curcuminoids into each by weight. So a couple of those, BioPerine©, and some oil in a small container.

When making, remember this will stain anything. Pills need wiped down, a old  pill bottle labeled, outside of bottles wiped, any surfaces cleaned, and your hands.
dishes, or anything that contacts the powder will turn yellow.

  Do not expect to buy a quality curcuminoids from the box stores.

Bioperine©, purine, is a fancy name for black pepper. It can be bought separately in 10 mg from swansons, puritains pride, or other vendors. I also bought a pound bag of peppercorns, and a fancy electric grinder my mom sent to grind.


The one on the bottom contains 1300mg of 95% curcuminoids, comes from a powder form, and pills made. Do not forget the black pepper or bioperine © and some type of oil.

while the last one contains turmeric root powder which as we know, only contains 2-3% curcuminoids. It's front label states 500 mg per capsule Tumeric Curcumin, making you think  that's one to buy. Turmeric curcumin with bioperine, with claims "may".... Curcuminoids from Turmeric... And more you search the front labels become more confusing.
Powder I utalize. 


A proprietary formula is a fancy way for manufacturers to get away with not telling you exactly how much of a certain ingredient is in that supplement. Take a close look at the table of contents.  If it does not tell you the exact quantity of each item in their priority blend, it may be just a wave of curcuminoids over the top.  They are getting sneaky, trademark names of their special additives.  One I found was beads of oil surrounding the curcuminoids to make it more absorbed, along with BioPerine©. A expensive supplement. Perhaps works better, but cost prohibitive.


Certificate of Analysis". What is this certificate and why is it important? This certificate is something that all QUALITY manufacturers should get with each and every batch of their supplement they create! You can ask for it.   A Quality supplier, will refuse the batch if it does not make standards.


The main product of turmeric is the aromatic yellow-orange powder used in curries and many other recipes. The powder is made from the dried rhizome of the plant, and it contains curcumin, the bio active ingredient that is responsible for the rich color and many of the benefits associated with the spice.

The fat content of turmeric includes around 34 different essential oils. One of these, aromatic turmeric, is currently being investigated for its potential to treat neurological diseases.


Before the spice can be ground, the rhizome must first be cured. The following are the basic steps involved in processing turmeric powder:
How to harvest turmeric, the basics, and need to know

what-is-turmeric-how-to-harvest-health-benefits-and-more

What you need to know before buying curcumin

Me First Living Turmeric Curcumin 1000 mg 95% Curcuminoids, Bioperine 10 mg,

Starwest Botanicals sells Tumeric, and Curcumin by the container/pouch
Bulk Supplements sells these by the container/pouch. High quality.

If you are looking for pills, for easy use
Swanson Vitamins  sells curcuminoids 350 mg
Puritains pride turmeric powder extracted to 93% curcuminoids, 500mg wonder what else made it in?

BiopPurtine© or Fresh ground black pepper is  needed if not included in all pills.

Many others with special labels, to confuse you, or sign you up on auto ship. Do not do that. A Reputable company does not need auto ship, as they know you will come back to them to re-order if they have a quality product.

A oil is needed to help absorb. Olive oil, coconut oil, butter, gape seed oil, or your favorite.

The taste, something to get used to? I mix mine, just enough liquid so I only have one gulp. Let me know if other ways.

if taking capsules, I ensure  10 mg bioperine© is in the combination, try to ensure close to 1500 mg curcuminoids, and some turmeric is in the pills. Mix and match,  knowing I have pre made bottles and on a average  I am meeting dose of Tumeric, and curcumin.

It's to early on to comment if this gets me off the 800 mg NSAID or other meds I use, the positives hopefully outweigh the negatives.
Below is more links I read.
.Gov article about curcumin and turmeric



Thanks for reading.
Let me know if you find other pure suppliers. Our there!

Update November 2019
I have increased Curcuminoids to around 2500mg daily with 2 Tablespoons oil, and 10-15 mg of black pepper.  This is so I can stop 800 mg of Ibuprofen, that may be messing with some labs.

JoeY