It does work but...use with caution.
This did not work out for me but I'm giving it 5 stars because it is legit and high quality. When I took this, I only took 1/2 capsule to start, I always start very low. I was only taking 1/2 cap - 2x's a day - 1 day a week. Admittedly, my gut felt good when I took it. But after the second week, I had a really sore throat which I thought was strep because there were white marks and redness back there. I also kept coughing throughout the day and at night due to the tickle in my throat...when I burped, I had a pain in my esophagus as the burp "rose up" ...it felt like I had a golf ball in my throat. However, I physically felt ok, no fever or fatigue, etc. Fast forward to the next week, same exact thing and the next. I figured out it was the TUDCA. When I stopped it everything subsided after four days and has not returned. I believe for me, this bile acid mimicked or caused LDR "silent" reflux. I had every single symptom every time I took this: "...stomach acid flows back into the esophagus and irritates the throat and voice box. Symptoms can include a chronic cough, hoarseness, throat clearing, and a feeling of a lump in the throat with painful burping." Bottom line even at 1/2 dose this is powerful stuff and it works. My body, I guess, as I've never had heartburn in my life, just didn't need it. Lesson learned; listen to your body :)