I give this 3 stars because there was legitimate, verifiable research and statistics included as well as relatable anecdotes and under-discussed topics (such as opiate induced pain hypersensitivity), but this research lens ends abruptly once they wade their way into solutions. It is telling that they dedicated half a chapter to the placebo effect, because their recommendations include 12 step programs (which research proves to be ineffective or even harmful), appropriation of ancient eastern medicine (down to saying "Namaste" and "ohm" which comes off awfully weird given neither author is of eastern descent), increasing "spirituality", acupuncture, reiki, diet (the authors wildly claim that the acid in oranges are irritating to joint membranes... nevermind that your joint membranes never come in contact with orange acid because your esophagus and stomach do all that work), mind over matter type advice and various other forms of woo. If you are looking for research based, grounded suggestions for getting your life back this book is not it. If you're ok with potentially wasting more time on likely useless methods such as claiming you have no control over your chronic illness and giving in to a "higher power", this book is your jam.