This effective fast-acting natural acid reflux remedy was discovered by the Amish while they were still in Europe and brought to this country sometime in the 1880's. A carefully balanced mixture of certified organic unfiltered raw apple cider vinegar, juice from the ginger plant and just the right amount of all natural garlic juice in special combination so as to achieve almost instant relief from acid reflux and heartburn. Salt and gluten free. One bottle is usually enough for 2 to 3 months for most people.