Yeah I did the same thing as Jessica. I hummed and hawed, looking over everything, before starting a biologic hearing about the scary side effects. Well..I can tell you know it has made such a difference in my life. I don't eat either a bottle of Ibuprofen ever couple of weeks and / or taking 6-8 caps of Tylenol arthritis every day just to manage. I still do but it is not nearly as often and my gut is much happier about it now.