I take Turmeric with black pepper extract too.  My shoulders are totally fucked and the top shoulder surgeon in the area said it was the best option. Probably 10 years ago now.  He said he could attempt a surgery, but at best it would only provide a temp solution and reducing inflammation rather than trying to stop it was the more practical solution.  he said take at least three times the suggested dosage, you can take it all at once no need to spread through the day,  he also said they've proven that the black pepper extract vastly increases the efficacity of the turmeric in reducing inflammation ... but they still haven't figured out how.  (They might have by now).

It did work.  I avoided surgery, the pain and movement limitation went away.  I lowered the dose to the recommended.  Periodically, they get bad again (like now) and I ramp the dose back up.  I'm hypermobile and the socket part of my shoulder joints is too large and weirdly shaped so shoulder displacement/dislocation and Iare not strangers ..but I'm still dodging surgery with my trusty turmeric

Not really my field of expertise but I think circumin is the 'effective' element in turmeric.

Re my daily dosage of 1 x Curcumin and 1 x Boswellia casules. They are still working well. I decided to have a blood test to detect any adverse effects on my kidneys and/or liver, and the results came back that both were normal. I suggest anyone taking either or both of these supplements do the same, say once every 3 to 6 months, just to be sure that these key organs are functioning properly.

That sounds terrible.

We cannot  order a blood test through a pharmacy - well, not yet, anyway - but it  is pretty straightforward to arrange through our GP doctor system. An online request for an appointment currently results in a response within a few hours maximum, and is followed up with a date and time within a couple of days of making the request. Depending on how much is already known about the situation a blood test could be organised straightaway, or, if the enquiry is new, then a face to face appointment first with a doctor will most likely be required, 
 
In my recent case, I had a doctor's appointment first, and as I wanted to give time for the supplements to become established, I was allowed to arrange my blood test to take place six weeks later. If I had wanted one within a few days time, that would equally have been possible.

Overall, I have found our health system to be pretty good, although I know that with certain conditions resources are stretched and delays then do occur. It can happen with operations like a hip replacement, and even with certain types of cancer treatment - that in particular is not good.