Adults (aged 19 and over) :Take 1 teaspoon twice daily. For each gram of psyllium, take with 30 ml of liquid (water, milk, fruit juice, or similar aqueous beverage). Drink immediately and maintain adequate water intake. Effects observed 12-24 hours after first dose; results may take 2-3 days. If taking other medications, take 2 hours before or after. Avoid long-term use and consult a health care practitioner for any use beyond 6 weeks. Also take 1-2 enteric-coated Acidophilus Ultra capsules daily. Start gradually or as directed by your health-care practitioner. Our Acidophilus Ultra capsules are protected by an enteric coating, which enables the probiotic content to resist stomach acids and reach the intestines whole and alive to deliver their benefits.