Take 1 capsule three times per day 30 minutes before meals with a glass of water.
Consult a health care practitioner prior to use if you have a kidney disorder and/or diabetes; have gastrointestinal lesions / ulcers; are taking anticoagulant agents, anti-inflammatory agents or antibiotics; or before having surgery. Take a few hours before or after taking other medications. Do not use if you are pregnant or breastfeeding. Avoid sipping or drinking undiluted apple cider vinegar. Use cautiously in patients with osteoporosis, based on one case report. Hypersensitivity / allergy has been known to occur, in which case, discontinue use. Nausea, vomiting and diarrhea have been known to occur, in which case, discontinue use (and consult a health care practitioner). Delayed gastric emptying can lead to Gastroparesis. Theoretically, long term oral use of apple cider vinegar can decrease potassium levels, increasing the risk of toxicity of cardiac glycoside drugs such as digoxin (Lanoxin), adding to potassium-lowering effects of insulin, laxatives and diuretics such as furosemide.