good and bad Lori. Mostly bad. The fatigue set in even faster, pressure and other symptoms that I did not notice before are driving me CRAZY, but fortunately for me I have a team of HIGHLY SPECIALIZED CARING AND COMPASSIONATE nurses (AKA my daughters). To be honest I really don't notice a difference, I just want a good nights sleep without the hard brace, that would be heavenly and better than most thins I could think of right now