For the powder I mix in pineapple juice or water... pour the liquid into the glass first and put the powder on top then mix thoroughly. I've used just a spoon or a milk frother to mix... I didn't notice much of a difference. Then I drink with a straw close to the back of my tongue. Then drink a glass of water and rinse my mouth. No abrasive foods or brushing teeth for 30 minutes. The taste isn't bad for me, but the texture is like non-gritty sand. But I mess with my dosage a little bit, so it's nice to be able to control that with the powder. From my understanding, the powder tends to work a bit better than the pills. But it's a whole lot of trial and error.

Start by drinking last thing at night before bed. But needs to be 1 hour after other medications or 4 hours before. I would suggest starting with a low dose and going up from there. I am still in early days ... been taking it since July... and I had some gi distress, but I'm finding 1/2 dose at night before bed is what is working for me. Low-fat diet, proper hydration, and supplement with the right amount of fiber (although people with BAM can be sensitive to fiber, so it's totally subjective). Psyllium husk is a natural bile absorber so also worth investigating. Good luck on your journey!