What comes to your mind on hearing the word 'itzretk'?

It's wrecked.

Ask your doctor if Itzrekt is for you.

Side effects may include erectile dysfunction, menstrual cycle inconsistencies, and the enjoyment of British cooking.

It's rekt

is that person suffering a stroke? are they ok?

raisin bran, now with granola consonant clusters

Backwards? Anagram? A name from some fantasy franchise, like a weird wizard person?