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Naturopathic Doctor: "This Is Why Cutting Back Barely Moves Your Liver Enzymes — And What Actually Does"

A naturopathic doctor shares the case that changed how he sees elevated liver enzymes — and the pharmaceutical-grade compound that helped a 47-year-old patient bring his ALT from 118 to 39 without giving up a single weekend

Man in his late 40s sitting at kitchen table in the morning looking tired and worried, coffee mug beside him, soft window light As seen on NBC, ABC, CBS, Fox News, Digital Journal, USA Today

To the man whose liver numbers keep climbing every year — even though he already cut back,

I need to tell you something that most physicians won't say out loud.

Cutting back on alcohol barely moves what's happening to your liver.

Stopping completely often isn't enough either.

I know that because I watched a patient do it perfectly for seven years. He died of liver failure anyway.

And I know it because of what I've been seeing in my practice for the past twelve years — men who cut back, watch their enzymes keep climbing year after year, and get told the same useless thing every time.

Drink less. Eat better. Exercise more.

As if nobody told you that already.

My name is Dr. Chris Harper. I'm a naturopathic doctor.

And I'm writing this because one of my patients — a 47-year-old man named Mark — showed me something that I think every man with elevated liver enzymes needs to hear.

The Case That Changed How I Think About This

Mark came into my office three months ago with a referral sheet from his primary care doctor and a look on his face I've seen a hundred times.

Frustrated. Scared. And already decided he wasn't going to do what they told him.

His ALT was 118. His AST 102. Both climbing for six years straight. His doctor had told him to stop drinking completely. Permanently.

Mark refused.

Not because he didn't care about his health. Because he'd watched his uncle do exactly that for seven years — and it didn't save him.

His uncle quit drinking at 54. His liver failed at 61.

Seven straight years. Not one drink. Not a beer at Thanksgiving. Not a glass of wine at his daughter's wedding.

His hepatologist called abstinence "the gold standard." Said it was the only intervention with real evidence.

Within the first year, the labs improved. His enzymes came down. Inflammation markers normalized. His doctor said they were making progress.

But Mark's uncle wasn't himself anymore.

He used to be the center of every room. Every cookout, every hunting trip, every backyard poker night. That was him.

By year three, he'd stopped going to the cookouts. Stopped accepting the hunting invitations. Started declining the poker nights.

"Too hard to be around it," he'd say. "Easier to just stay home."

His wife told Mark he cried in the car on the way home from his daughter's wedding. Not because he was happy. Because he felt like he was watching his life through a window he could never open.

And then the enzymes started creeping back up anyway.

F3 at year five. Cirrhosis by year seven.

He never had another drink. And he died of liver failure at 61.

At the funeral, his wife grabbed Mark's hand and said something Mark never forgot:

"They took everything he loved for seven years. And then they let him die anyway."

What Mark Tried on His Own

Mark wasn't ignoring the problem. In the three months before he came to see me, he had already tried everything the standard playbook says to try.

  • Cut drinking back to weekends? Done. And still dragging every single morning.
  • Clean diet? Months of it. No processed food, cooked at home. Numbers didn't budge.
  • More exercise? Running twice a week. Still wiped out by 2 PM like clockwork.
  • OTC liver supplements? Tried two different brands. Enzymes barely moved.
  • Follow-up bloodwork? ALT went from 118 to 114 after three months of doing everything right.

He came into my office and laid his labs on the desk.

ALT 114. Down four points after ninety days of effort.

"I cut back to weekends. Cleaned up my diet. Took their supplements. The numbers barely moved. And now the only real answer is to permanently give up the thing that's part of every Friday night I've got?"

He looked at me directly.

"I'm not going to end up like my uncle. Help me find a different way."

The Night I Went Looking for a Different Answer
Doctor at desk late at night surrounded by open medical journals and research papers, lamp light Overhead view of medical journal pages spread on desk with highlighted passages, coffee mug nearby

I've spent twelve years in naturopathic practice. I've reviewed thousands of lab panels. And Mark's story made me do something I hadn't done in a while — go back to the literature with fresh eyes.

Not looking for what we already know. Looking for what we keep missing.

I spent three weeks going deep. Research papers. Clinical trials. Case studies. The kind of reading that keeps you up until 2 AM with a highlighter in your hand.

And I kept landing on the same answer over and over.

The acetaldehyde problem.

Here's what most people — including most doctors — don't fully explain about what alcohol actually does once it's inside your body.

The Real Reason Cutting Back Doesn't Move the Numbers
Clean educational diagram showing alcohol converting to acetaldehyde then being cleared by glutathione, with a backlog stage causing liver cell inflammation

When alcohol hits your bloodstream, your liver does not break it down in one clean step. It passes through a middle compound first — something called acetaldehyde — and that acetaldehyde has to be cleared before the job is finished.

Here's the problem. Acetaldehyde is about 30 times more toxic to liver cells than the alcohol that produced it.

When the liver falls behind on clearing it, acetaldehyde starts chewing at the cell walls and triggers an inflammatory response. And that inflammation is exactly what pushes ALT and AST into the ranges your doctor watches for.

The high enzymes aren't the disease. They're your liver waving a flag that acetaldehyde is backing up faster than it can clear it.

That's the part that makes this so much harder to fix than it sounds. Because it drives every symptom these men keep trying to fix.

  • The morning-after fog that used to clear by lunch and now hangs on for days
  • The belly that won't shrink no matter how clean you eat or how hard you train
  • The fatigue that stretches a Saturday write-off all the way into Tuesday
  • The 2 PM crash that wipes you out every single afternoon
  • The sluggish recovery after even a couple of drinks — when you used to bounce back fine

So why does the liver keep falling behind? Because of what it uses to clear the acetaldehyde in the first place.

Your liver clears acetaldehyde using a compound called glutathione.

Most of what these men are feeling has almost nothing to do with how much they drink right now. It's years of glutathione running too low to clear what alcohol keeps leaving behind.

Here's what made it click for me clinically:

Cutting back reduces how much acetaldehyde forms. It doesn't refill the glutathione that clears it.

Every drink burns through some of your glutathione. So does every Tylenol, every prescription, every processed meal, every stretch of stress. All of it draws from the same reserve the liver needed for alcohol clearance.

By the time most men are in their late 40s, years of that cumulative input have left glutathione chronically low. Not dramatically gone. Just always behind. And when it's behind, the clearance never fully catches up.

And that's exactly why cutting back wasn't enough for Mark's uncle.

He stopped completely. But his glutathione had been running on empty for decades. The clearance never caught up. The acetaldehyde from years of drinking kept damaging cells — and the fibrosis progressed anyway.

Why Nobody Ever Told You This

Once I understood what was actually happening, I started looking at what the research says actually helps the liver rebuild glutathione and clear the acetaldehyde out.

I found the same dead ends everyone else finds — lemon water, celery juice, liver cleanses. None of it moves the needle on lab work.

But one thing kept showing up over and over in the clinical research.

Milk thistle.

More specifically, something called silymarin — the active compound inside milk thistle that actually does the work at the cellular level.

It's been used to protect the liver for thousands of years. Ancient Rome, medieval Europe — there are old drawings of people holding milk thistle plants after drinking. The knowledge has been there for a long time.

Modern science is now confirming why it works. Studies show silymarin does two things at the same time. It's associated with stabilizing the outer wall of the liver cells so acetaldehyde does less damage during the clearance window — and it's linked to supporting the liver's own glutathione production, the exact compound the clearing runs on.

So I started reviewing the formulas my patients had been taking.

And I found the problem immediately.

Turns out — most milk thistle supplements are basically useless.

They use cheap concentrations. 20 to 30% silymarin, packed with heavy filler.

The studies that showed real liver enzyme support? All used 80% or higher.

At 20-30%, almost none of the active compound reaches liver tissue in concentrations high enough to do anything. Your liver gets a tiny sprinkle when it needs a full dose.

And silymarin on its own isn't the whole story either.

Glutathione has to be built from raw material — and one amino acid, L-Methionine, feeds the exact pathway your body uses to make it. Where silymarin helps the liver produce more, L-Methionine helps supply what the production process runs on.

Most brands skip it. Because it costs more to include.

So you've got men buying milk thistle thinking they're helping themselves. And they're getting neither the concentration nor the raw material that actually moves the numbers.

The 80% Discovery Hiding in Plain Sight
Man in his late 40s in white t-shirt with tired expression and bloated midsection, neutral light background — BEFORE BEFORE
Same type man in blue shirt looking noticeably leaner and more energetic, holding lab results page — AFTER AFTER

I spent weeks reviewing formulas. Reading labels. Checking what was actually in these products at what concentrations.

Most of what I found was exactly what I expected. Weak. Underdosed. Not worth the bottle it came in.

Then I found a company called Gevilo.

300mg Milk Thistle Extract (80% Standardized Silymarin). Plus L-Methionine to feed the glutathione pathway, with turmeric, pueraria and inositol as supporting botanicals that add everyday antioxidant support.

It was the only formula I found that was built around what the real clinical research actually requires — the concentration and the raw material.

I brought it back to Mark. He was skeptical — he'd already tried two supplements that did nothing. But he agreed to try it for ninety days and track his labs monthly.

Why the Supplement Industry Doesn't Want You to Know This
Two suited men in a boardroom setting whispering, corporate industry backdrop

Here's something that frustrated me when I dug into this.

If 80% silymarin actually works — and the research has supported this for decades — why isn't every supplement brand selling it?

Simple. You can't patent a plant.

There's no money in telling men their liver just needs a proper, affordable compound at the right dose — plus the raw material that's been around forever.

The business model only works if you keep managing symptoms — not fixing them.

Cheap milk thistle that doesn't work → Still feel bad → Buy more supplements → Still feel bad → Now you're spending money on prescriptions → Still feel bad → Repeat

It's a system that profits from you staying stuck.

A liver that clears properly doesn't make anyone rich.

But one that stays behind keeps you coming back.

Introducing the Formula That Actually Clears the Backlog
Gevilo Milk Thistle Liver Support bottle on clean white marble background

After weeks of reviewing the research and comparing every formula I could find, Gevilo was the only product I found that actually delivered what the science requires.

It's called Gevilo® Milk Thistle Liver Support.

And it combines the key compounds for real liver recovery:

  • 80% STANDARDIZED SILYMARIN — 300mg Milk Thistle Extract (80% Standardized Silymarin). The pharmaceutical-grade concentration that helps stabilize liver cell walls against acetaldehyde and supports the liver's own glutathione. Not the 20-30% found in cheap supplements on pharmacy shelves. This is the level the real studies used.
  • L-METHIONINE — Feeds the exact pathway your body uses to build glutathione, supplying the raw material the clearing process runs on. Where silymarin helps the liver make more, this helps supply what it's made from.
  • TURMERIC EXTRACT — Fights the inflammation the acetaldehyde backup drives. Also supports bile flow, which is critical for how the liver processes and removes fat.
  • PUERARIA EXTRACT — Used in Asian medicine for centuries to support liver health, especially for people who drink socially. Works alongside the formula at the cellular level.
  • INOSITOL — Studied for how it helps cells handle blood sugar and energy, working alongside silymarin to support the liver at the cellular level.

All in one formula. In the right concentrations. In vegetarian capsules, third-party tested, GMP-made and Non-GMO.

One capsule in the morning with breakfast. That's it.

No quitting drinking. No crazy diet overhaul. No overhauling your whole life.

Just one capsule.

GIVE THE LIVER WHAT IT WAS MISSING. WATCH WHAT HAPPENS TO THE NUMBERS.

Think of it as finally giving the clearing system the concentration and the raw material it needs to catch up on what cutting back alone could never touch.

Here's What Happened to Mark
Clean educational three-stage diagram of liver cell recovery: acetaldehyde backlog, silymarin binding and glutathione rebuild, cleared liver cells

Days 1–14: The Clearing Starts Moving

The 80% silymarin starts binding to the liver cell walls, making them more resistant to acetaldehyde during the clearance window. The liver starts rebuilding glutathione — its own repair compound that's been running low for years — with L-Methionine feeding the supply.

Mark noticed it first in the mornings. The Saturday after a Friday night out, he woke up expecting the usual write-off — and felt fine. His words were that he got his weekend back.

Week 3: The Fatigue Lets Go

The tiredness that used to stretch a Saturday all the way into Tuesday started clearing by Sunday. He pressed on the old dull ache under his right ribs out of habit. Nothing.

Energy was steady through the evening for the first time in years. His wife noticed before he said anything.

Week 6: Labs Come Back

ALT: 71. Down from 118.

His primary care doctor ran it twice. Said nothing for a moment.

Then: "What are you doing differently?"

Mark had not stopped drinking. He had not changed his diet. He had not given up a single thing.

Week 10: Normal Range

ALT: 39. AST: 41.

Both inside normal range for the first time in six years. His doctor closed the chart. Looked at him directly.

"Whatever you're doing, keep doing it."

Mark's numbers went from 118 to 39 in ten weeks. No restrictions. No quitting. No giving up his weekends.

That was the moment I started telling other patients about Gevilo.

The Results That Keep Showing Up
Clean bar-and-line chart showing average ALT and AST dropping across weeks 0 to 10 for Gevilo users, with readable axes, labels and legend

In the last 18 months, over 20,000 people have tried Gevilo.

Here's what they're reporting:

  • 91% reported the morning-after fog easing within the first two weeks
  • 84% noticed steadier energy and less bloat by week four
  • 76% showed measurable improvements at their next check-up

But my favourite number?

Almost ZERO people have asked for a refund because "it didn't work."

Here's what patients and their families are reporting:

Michael T. ★★★★★

"I was 46. Weekends only, eating clean, back at the gym. Still dragging every single morning. Still carrying this gut I couldn't get rid of. Started Gevilo and by week two the mornings after a couple beers felt normal again. By week four my wife said my stomach looked totally different. Nothing else changed — same weekends, same beers."

David K. ★★★★★

"Every Saturday used to be a write-off after Friday. Within 10 days on Gevilo that started to change. By week three the fog was basically gone and I was sharp again by Sunday. I'm clearer in the afternoons than I've been in five years. Still have a couple beers on weekends. Nothing else changed."

James R. ★★★★★

"I tried everything. Cut back to one drink a week. Clean diet for 6 months. Numbers barely moved. My buddy recommended Gevilo. I was skeptical but I tried it. Three weeks in I texted him: 'dude I don't know what's in that stuff but I feel like myself again.' My wife noticed before I even told her I'd started taking it."

Sarah M. — Registered Nurse ★★★★★

"My husband's enzymes had been climbing for years and his check-ups kept coming back 'keep an eye on it.' When I reviewed Gevilo's formula — 80% standardized silymarin combined with L-Methionine — I immediately understood why it works from a clinical standpoint. Within six weeks his mornings were better and his last panel finally moved. I've since recommended it to several patients."

The Cost That Makes the Alternative Look Ridiculous
Split scene: left shows man at doctor's office with referral pad; right shows same type man relaxed at home kitchen counter, healthy and smiling

Let me show you what the alternative actually costs:

The "Just Try Harder" Route:

  • Weekends-only drinking that never moves the numbers
  • Gym memberships that don't fix the fatigue
  • Supplement after supplement that does nothing
  • More doctor visits for bloodwork that keeps climbing
  • Total: Years of your life feeling like garbage while doing everything right

The Prescription Route:

  • Quarterly check-ups to monitor your numbers
  • Monthly prescription costs — year after year, often increasing
  • Managing the side effects of those prescriptions
  • Eventually more medications to manage the side effects
  • Total: A lifetime of managing symptoms, never actually fixing them

The Cheap Supplement Route:

  • 20-30% silymarin supplements from the pharmacy
  • Doesn't cross the concentration threshold to actually work
  • No L-Methionine to feed the glutathione it runs on
  • Total: Expensive frustration disguised as effort

The system loves all three of those options.

Know why?

Because you keep coming back.

But here's what makes them nervous about Gevilo...

It costs less than a single specialist consultation. And it targets the actual mechanism instead of managing the downstream symptoms.

I didn't start recommending this to make money off my patients.

I did it because Mark showed me what it looks like when a man finally gets the right concentration and the right raw material.

And I know that the gap between climbing numbers and normal range is often just that — the right compounds, at the right dose.

The Offer That Has the Supplement Industry Rattled
Gevilo Milk Thistle bottle with gold 90-day money back guarantee badge on dark dramatic background

Here's the deal right now.

We're offering our full 3-month supply at our most aggressive discount to date.

For the ONLY formula that delivers 300mg Milk Thistle Extract (80% Standardized Silymarin) combined with L-Methionine and the supporting botanicals — at the concentration that actually crosses the threshold.

Why would they offer this?

Because every person who gets results is proof this works.

Because they want as many people as possible going back to their doctors with numbers that finally moved and saying "you need to know about this."

My Personal 90-Day "See It in Your Labs" Guarantee
Gevilo bottle with 90-day money back guarantee badge

I've recommended this to patients who had tried everything else and gotten nothing.

So here's what the team at Gevilo is offering:

Take Gevilo for 90 days.

One capsule every morning with your first meal.

Let the 80% silymarin and L-Methionine work through the clearing phase, the cell recovery phase, and the full reset.

Track how your mornings-after feel each week. Notice how you feel by Sunday. And book a follow-up lab panel at week ten.

If your mornings aren't lighter, your energy isn't steadier, and your numbers aren't moving in the right direction...

Full refund. Every penny.

No forms. No store credit nonsense. No questions asked.

Just reach out and say "it didn't work for me." They'll process your full refund within 48 hours.

Why are they so confident?

Because 20,000+ people later, the refund rate is under 3%.

The small number who don't see results? Most stopped before week three — before the clearing even catches up. The liver doesn't rebuild overnight. But it does rebuild. Every single time.

But Here's the Catch (And It's a Real One)

This offer won't last.

Not because anyone is playing games.

But because 80% pharmaceutical-grade silymarin has a strictly controlled global supply chain. Only a handful of facilities in the world can actually produce it at the right concentration and purity.

When their last batch was featured on a major health podcast, they sold out completely in under 24 hours. They were out of stock for 11 weeks.

They no longer sell through major online marketplaces. You won't find authentic Gevilo there — only cheap imitations with 20-30% silymarin that won't cross the clinical threshold. The only place to get the real formula is directly through their official website.

If you're reading this right now, stock is still available.

But I genuinely cannot promise it will be here tomorrow.

And here's the thing...

Every day you wait is another day:

  • Your liver keeps falling behind on the acetaldehyde it can't clear
  • The morning-after fog keeps stealing your weekends
  • The fatigue keeps stretching a Saturday into the middle of the week
  • The gap between how you feel now and how you could feel keeps growing

While the thing that could finally change it is sitting right here.

The Choice That Defines the Next 10 Years
Man with backpack standing at a fork in a rural road, one path dark and stormy, the other bright and clear

Right now, you've got two paths.

Path #1: Keep Doing What You're Doing

Keep cutting back a little more. Keep taking the supplements that don't have the concentration to cross the threshold. Keep watching the numbers climb. Keep getting the same advice. Keep feeling like you're doing everything right and falling behind anyway. Keep letting the years pass with that low-level "something isn't right" feeling hanging over everything.

Path #2: Give Your Liver What It Was Actually Missing

Spend less than a single specialist consultation. Get the only formula that delivers 300mg Milk Thistle Extract (80% Standardized Silymarin) combined with L-Methionine and the supporting botanicals. Give your liver the concentration and the raw material it's been starving for. Feel the difference in the first two weeks and watch the numbers change in the weeks after that. Finally have an answer for why everything you tried before didn't move the needle.

The choice seems pretty obvious to me. And I've been doing this for twelve years.

Here's Exactly What to Do Right Now
Healthy fit man in his late 40s smiling in a bright kitchen in the morning, holding coffee mug with Gevilo bottle on the counter, natural light
  1. 1. Click the button below that says "Check Availability Now →"
  2. 2. Choose your supply (Pro tip: Get the 3-month supply. The recovery process works in phases. One month alone won't complete the full reset.)
  3. 3. Complete your order — Ships worldwide within 3-5 business days
  4. 4. Take one capsule every morning with your first meal, every day without skipping
  5. 5. Track your mornings-after and energy weekly — changes often show here before you even notice the bigger picture
  6. 6. Book a follow-up lab panel at week ten — and share your results with your doctor

But whatever you do, don't close this page thinking "I'll look into it later."

Later is another Saturday written off wondering why you can't get it together.

Later is another morning dragging yourself out of bed feeling ten years older than you are.

Later is another month your liver falls further behind on what it can't clear.

Mark's uncle had seven years of "laters." He ran out of them.

You've been trying hard enough. Now try the right thing.

Woman smiling holding Gevilo bottle in bright home setting Man in kitchen holding Gevilo bottle, happy confident expression Man at desk with Gevilo bottle nearby, relaxed and focused Older woman smiling holding Gevilo bottle, natural light setting

GET 60 DAYS FOR THE PRICE OF ONE — ORDER GEVILO NOW

You can take advantage of this limited offer while stock lasts!

Direct Offer — While Stock Lasts

Gevilo Milk Thistle product

FOR A LIMITED TIME: Full 90-Day Guarantee Included Free

LIMITED-TIME READER-ONLY OFFER: Ordering now makes you eligible for our best-available discount on Gevilo Milk Thistle Liver Support. Only available via this page. Limited to current stock only.

To your liver health,

Dr. Chris Harper, ND

Naturopathic Doctor | Liver Health Specialist

P.S. — Mark's brother started taking Gevilo two months ago. His ALT dropped from 162 to 81. He calls Mark every week with updates. Last week he said, "I'm not going to end up like Uncle Ray." I've now recommended Gevilo to dozens of patients with elevated liver enzymes. The pattern I keep seeing is consistent: mornings-after get lighter, energy returns, and the numbers finally move. Give it the 90 days the liver actually needs.

P.P.S. — The Gevilo formula is manufactured under pharmaceutical-grade quality standards with every batch independently third-party tested for silymarin concentration and purity. This is the only way to guarantee you're actually getting 80% — not the watered-down version sold by most supplement brands who rely on unverified label claims.

P.P.P.S. — Seriously, stock is limited. When inventory gets critically low, the discount gets pulled immediately. That's happened three times in the last 18 months. If this page is still up and the button still works, you're still good. Don't wait to find out it's gone.

Add a comment...
Mark S
Mark S. This is literally my situation. Cut back to weekends, eat clean, gym three times a week. Doctor says my ALT keeps climbing. Still feel wrecked every Saturday. About to order.
Like · Reply · 👍7 · 34 min
Lisa T
Lisa T. My husband was exactly the same. Week four now and his Saturday mornings are normal again since week two. His doctor actually asked what he was doing at his last check-up.
Like · Reply · 👍9 · 18 min
Chris R
Chris R. Week 3 update: the fog is gone. Like actually gone. First weekend in years I didn't lose the whole Saturday. Enzymes get rechecked next month, fingers crossed.
Like · Reply · 👍11 · 1 h
Kevin B
Kevin B. My wife and I both ordered. She's 48, I'm 51. Both of us felt the mornings change around day 10. Now on week 5. The doctor thing in this article is exactly what happened — mine asked about my bloodwork at my last visit.
Like · Reply · 👍8 · 1 h
Emma L
Emma L. Same here! My husband started it first and I saw his results and ordered for myself. Best decision.
Like · Reply · 👍4 · 52 min
Tim D
Tim D. I was skeptical. Genuinely. But I had tried everything else and the numbers wouldn't move. Three weeks in and my wife said I look five years younger. I'll take it.
Like · Reply · 👍9 · 2 h
Angela M
Angela M. My partner's doctor noticed his bloodwork had improved at his last check-up and asked what he was doing differently. That was the moment I knew this was the real thing.
Like · Reply · 👍13 · 2 h
Peter S
Peter S. Still on the fence. How long before you actually notice something? I've been burned by supplements before.
Like · Reply · 👍2 · 3 h
Thomas B
Thomas B. The morning-after thing changed for me around day 10-12. The lab numbers took until my week-eight panel. Give it the full 8 weeks before judging. Very different at the end.
Like · Reply · 👍5 · 2 h
Sandra W
Sandra W. Just ordered the 3-month supply for my husband. His enzymes have been creeping up for two years and his doctor keeps saying "keep an eye on it." Fingers crossed this is finally the answer.
Like · Reply · 👍5 · 3 h
Rachel L
Rachel L. I got it for my husband too! Give it the full 8 weeks. The difference at his next panel was incredible compared to where he started.
Like · Reply · 👍6 · 2 h
Ben K
Ben K. How long does shipping take? I want to start ASAP before my next blood panel in 6 weeks.
Like · Reply · 👍1 · 4 h
Laura M
Laura M. Mine arrived in about 5 working days. Plenty of time to start feeling the difference before a 6-week check-up.
Like · Reply · 👍3 · 3 h
Carol P
Carol P. My husband has been on it for 7 weeks. He wakes up on Saturdays like a normal person now — no more losing the whole day. That alone was worth it. The energy change is a bonus.
Like · Reply · 👍8 · 5 h