@hopeseeker22 - Just wanted to put my two cents in about taking the cholestyramine powder which is often prescribed for this. I, too, took it for about 8 months. After that it didn't seem to work for me. Or maybe it was before that and I just didn't realize it. I developed what they call acquired sucrase and isomaltase deficiency syndrome (ASID) and the sucrose in the lemon-flavored one triggered my ibs. Also, I discovered after researching this product that aspartame was in the orange-flavored one which can cause cancer in the liver. Oddly enough, the packaging itself doesn't even mention that aspartame is in it. Another thing to mention is that you need to be really careful with how you take it. Even though I was extremely careful I still ended up getting a cavity from it. I decided after about 8 months to substitute it with acacia fiber and have been taking that ever since. So much better! Omg. It regulates your system. I no longer have bile acid malabsorption. I'm able to gain weight now. Gained 10 lbs back from a total loss of 28 lbs since I became ill. It regulates your cholesterol and blood sugar and it's also a prebiotic for the probiotics which I currently take. This is one of the best moves I've made and the cost is comparable. The only I can say is that I'm really disgusted of the dangers of this product.