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December 13, 2021Reviewer: Karon in California* These are a very "clean" capsule and the the ingredients are filled to the top without any spillage. Others I've tried, there's orange all over the place and many of the capsules aren't filled fully to the top. As for how effective they are, I can't say as I don't have a blood monitor to check if it keeps my blood glucose down. I can only keep my fingers crossed it's working and when I get my annual blood work done, I will know how effective they are.