Remember when I did gagging with a finger? Well this one is better I think because it provokes a stronger gag reflex. I noticed the reflex lately when Ive been brushing and I try to brush the back of My tongue. The second the toothbrush touches a tonsil, its an instant gag reflex! I make sure to move the toothbrush fast enough so you can see My tonsils, uvula and throat convulse!