One reviewer says it's because you are not taking enough. It seems to work better than taking all of these ingredients and putting them in a supplement.

I take 3 capsules prior to eating anything that i know will exacerbate my reflux, and i usually have little to no symptoms. One a day works just fine for me and no more pain.

Great seller. Added effort shows pride in their products! It is almost sweet.

The amber glass packaging preserves the integrity of the supplement. Very nutritious too and as far as i know, is very safe for little ones. My only complaint is they can be a little hard to *, however i suspect that's because they're vegan.

All slippery elm that i have used is a much lighter tan color and a powdery form--even when ordering in bulk form. Stopped taking them.