I had severe dry eye syndrome for over a year which I sought help from 2 different doctors and neither diagnosed me correctly nor mentioned how taking this product could help. Ever the skeptic nurse, I thought all the advertised claims were just hype until I started reading other Amazon user reviews and realized I needed to get some of this ASAP. Meibomian gland dysfunction and evaporative dry eye is something I'm telling other sufferers about because I know I am not the only one finding diagnosis and treatment confusing and contradictory. I'd been a soft contact lens wearer without any infections, ulcers or other issues since 1978. I thought I'd be wearing my glasses permanently after 6 months of being unable to tolerate my contacts for even a few minutes due to pain and the feeling there was a foreign body in my eye every time I blinked. My dark circles were much darker, the skin around my eyes was dryer and consequently looked older. Make-up was a real chore to put on. I was losing eyelashes and they didn't seem to be growing back as quickly. Within 2 weeks of taking 3 of these capsules every day, the burning, scratchy feeling was gone. After a month I was completely asymptomatic but because I hate taking pills, I slacked off a bit. The dryness and burning returned in less than 10 days so I quickly re-ordered and will never be without these again. This is a syndrome and as such, requires consistent attention. While the Thera Tears took care of the internal problem, there is an external component to getting this chronic problem under control. Both the upper and lower lashline contains oil glands that get clogged and stop functioning or just don't work very well due to Menopause, medications, age or all of the above. So here's my recipe for keeping the misery of dry eye at bay. It's important to be vigilant because symptoms return pretty quickly if you don't stay on top of things. 1. Thera Tears Nutrition, 1200mg Omega-3 Supplement Capsules, 90-Count ---every day no matter what 2. OCuSOFT Lid Scrub Plus, Pre-Moistened Pads, 30 Count another product I will not be without and am posting a review of those because you have to attack this externally as well. I tried the poor man's version first (tearless shampoo and cotton swabs) but it was inconvenient, messy, and very drying to my eyelids. 3. Elasto Gel Hot / Cold Sinus Mask soothing warmth feels so good, softens the oil glands in your eyelids 4. GenTeal Lubricant Eye Gel, Severe Dry Eye Relief, Extra Value, 2 Tubes (0.34 fl. oz) : gives moisture back to dry eyes and feels especially good if used with #3 Bottom line is I lost time from work, this is what helped me after prescription eye drops and ointments failed. I can comfortably wear my contacts whenever I want to, there's been no reocurrence of styes and my eyes just look a lot better