I have a wonderful support nurce group with my doctor. I was told to use liquid vitamines to start witch I have already purchased, for the first few weeks befor and after surgury.(liquid, puree, stages) when I return to normal food constancy, open capsle and put into food, if they are whole hard pills and can be cut in half do so, if not take one at a time through out the day not all at once. Hope this help you GOD BLESS and GOOD LUCK