I don’t see how this is legal, but people on Tik Tok peddling miracle “medicine” are becoming more common every day. No FDA approval, no research. Just their marketing hype and false promises. This one, lady is showing some sort of probiotic and claiming it can help people suffering from severe acid reflux and gastrointestinal reflux disease or GERD, replacing medicine that has been tested for decades.
It only makes prodrugs that first need to be metabolized by CYP3A4 to be active less effective. This is a pretty small minority of drugs. It makes drugs that are inactivated by CYP3A4 more effective, which is the majority of them. It also only competitively inhibits the enzyme while the drug is in your system, it’s not permanently inhibiting the enzyme like a suicide inhibitor.