It's main ingredient is Al-OH I'm assuming after the OH bonds with the H from stomach acid, you now have Al in your stomach.
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There was a brief interest in aluminum as a causative agent for Alzheimer's, but that's been dismissedIt is clearly not causing itThe research has been very clearThere's still the possibility that it plays a minor role once the disease has already developed (eg, you already have Alzheimer's) but the research on that indicates that if it does, it's incredibly minorNo, the aluminum does not bond to OH in the stomach, that's the form it's in within the pill, Mylanta in this caseThe aluminum dissociates from the OH, leaving a free hydroxide ion to pick up a H+ ion in the stomach, neutralizing some of the acid there Remember, Aluminum is one of the most common elements on earth, it's in the soil, it's in the water, plants, everywhere in small quantitiesLife is well adapted to dealing with it, as it's an omnipresent component of the material on earth.