All Wedderspoon Manuka honeys are not Genetically Modified, are antibiotic free, unpasteurized, have not be industrially blended with any other honeys and each batch can be traced directly back to the beekeeper. Active Manuka Honey is used internally and externally: Internally : Taken by the teaspoonful up to 3 times a day depending on your condition, the OMA 16+ is what we recommend to aid in the treatment of gastro-intestinal disorders such as acid reflux, Helicobacter Pylori, upset stomach, stomach ulcers, peptic ulcer, diverticulitis, ulcerative colitis, irritable bowel syndrome and even heartburn.