Reflow is a hit-or miss option, if you have a document like a textbook, don't count on it working, the text in the side columns will be overlapping and completely unreadable, images will take up a full page, and randomly you will get artifacts.
Try it with acrobat 9... zoom-> reflow, large bodies of text will be readable, even the most simplest of documents have loads of errors. I honestly don't see the usefulness of reflow, unless it is seriously revised. Documents have to be specifically tagged/designed to be reflowed, or reflow simply does not work properly.
Chances are if someone took the time to tag a document for reflow, they also would release it in epub format, and from there, you don't even have to touch PDF for your ereader.
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