After my surgery, I lost my ability to swallow medium to large pills. But this condition is not permanent. About 2 months post-op, this problem dissolved away. During the two months, I had to either split or crush my vitamins. The worse was Calcium. They were large horse pills and when crushed they tasted like chalk. The way I was able to get these down was to mix the powder in with a glass of crystal light. I would mix it and chug it down. There was always paste left over at the bottom of the glass, so I added some more Crystal Light and chug it down again and again. After about 4 or 5 times, I had consumed the calcium paste.