I am giving this product a 10, simply because it is a fantastic alternative to actually drinking apple cider vinegar. It is a great product for those trying to loose weight without all added ingredients in some of the other diet pill brands. This product does not make me sick to the stomach, or make me agitated like some of the other brands. Effectiveness I have been using this product for approximately 6 months and I have lost a total of 20 pounds. While that may not seem like a lot after using for 6 months, I should point out I lost the 20 pounds in 2 months. I am merely continuing to use in order to maintain my current weight. Side Effects I have not experienced any negative side effects. Some of the positive effects I have experienced since using this product include, a noticeable difference in the appearance of my skin. It is much more clear than it was before i began using. I have so much energy now it is unbelievable. I no longer turn to junk food to easy my hunger because this product does a really good job easing my hunger, therefore there is no need to snack in between meals.