Rosemary, my husband thought he was swallowing six teaspoons of supplement a day, but after three days, we realized that it was all coming back up. He choked whenever he tried to swallow anything. At that point, we asked for a referral for the swallowing assessment which showed that the liquids were pooling just before his esophagus and would not go down. He has now got a referral to a gastroenterologist who does esophagus dilations and who will be investigating what is causing the blockage. Talk to your RO now about these referrals. If a lot of choking goes on, it really may be indicative of aspiration.