I always dread having to take pepto bismol when I have heart burn but its very effective almost immediately after drink this horrible tasting stuff. The texture of this drink is literally horrible. It's thick, smooth and slimy feeling but it definitely is one of the best stuff out there if you're trying to get rid of your heartburn. I definitely recommend this to everyone. Just don't think about the taste and think about how good you will feel once your heartburn goes away.