I have used ACV for 8 years now. I have observed significant beneficial health effects on my life. First, i am alert most of the day and the chronic fatigues are a thing of the past. Then the gastric hypersensitivity reflux i used to get disappeared. Then the microthrombi and splinter haemorrhages i used to see in my nail beds, especially the fingers, also disappeared. The inter-digital teanis pedis (a fungal infection) in between the toes also disappeared.lastly, there is tremendous comfort after a meal when i've taken ACV. I take it in the common drinks like fruit juice and drinking water. I put little, like a table spoonful.