After 6 months I still struggle with this. Especially if I am out with others at dinner or lunch. I get involved in conversation and eat at the pace everyone else is at. I really have to slow down, count 30 chews, put my fork down between bites and take my time. I think time does matter as much as how much it is chewed up, for me atleast. I think I have to give the food time to work itself down into the stomach. When I go too fast, I get sick and either throw up, or honestly, I feel so bad I induce vomiting to get it out. It is a work in progress.