right- I hear what you're saying- the way my GI explained it to me, was that I have a day-to-day "normal", & have been pretty much in static for many months now. My "normal" includes 4-6 extremely urgent bm's a day, blood & mucous daily, more gas than the average person, etc. So, if I start a supplement, & a week or so later, I notice that something has gotten better, or worse, I can pretty much attribute it to that supplement. Which makes sense. The big hitch I see for you figuring out if they help is the fact that you're on pred- while you're taking that, all bets are off. Have you been on the Align prior to pred use, or only since you've been on the steroid? Where do you buy it, Align? I couldn't find a local store near me on their website. Is it very expensive?