I would had one done or the second one done at Ram hospital in Chiang Mai and I noticed it before the preparation if you mix a little bit of like lemonade and with the mix it makes it easy to drink it that’s about the hardest part and knocked me out within an hour I’m wide awake no headache no bleeding in blood no bad effects whatsoever it’s my second one I have every 5 to 8 years For some reason I wanna say it was around 25,000