What can actually be made smaller inside a PDF
A PDF is a container: text, fonts, vectors, bookmarks and pictures, each stored as its own object. Writing the same objects out again is not compression, and it is measurable - re-saving a four-page text document changed its size by 0.0%, and stripping its metadata changed it by 0.4%. Turning object streams off, which is what some quick "compression" actually does, grew that same file by 92%.
Rasterising the pages is the other common trick, and it is why uploaded files come back blurry and unsearchable: a single letter-sized page at 150 dpi costs around 227 KB as a picture, so a text-heavy document gets bigger while its words stop being words. This tool does not do that. The one lever that genuinely pays is the pictures that are already inside the document, because they are what makes a PDF big in the first place.