@sunnyflower I didn’t notice until one day, after months of taking it, the capsule collapsed in my mouth. I took too long to drink water with it. I noticed the burning feeling was the same as with my stomach. No matter how much water I drank, I could not get that burning feeling to go away. Thankfully, I did not have GERD, the reflux disease, nor was the burning from the neuropathy. I even called the manufacturer with questions to get more information. At first, they tried to brush me off by telling me to call my physician. I was never asked any questions by them. I felt it was their product why should I contact my doctor! What would he know to do that I didn’t? Surprisingly, they began cooperating but gave me a weak suggestion to take it with food. Really? I gave up on them and started experimenting with the supplement on my own. I found a solution that best fits me. I take it with ALC and foods low in acid. Best of luck to you. Toni

Sunny, I have no problem but I do not take it on an empty stomach. Helen

@sunnyflower Sunny, I take RALA on an empty stomach 15-25 minutes before i eat breakfast (and my other supplements). I do get some acid effect after about 5 minutes, but if I drink more water when that happens it usually subsides. I take it that way because I read somewhere that taking it before taking Acetyl L Carnitine helps the absorption of the latter. Best, Hank