Whatever you put in your pouch will go through quicker if you drink with or just after it,if food doesnt stay in there for a certain period you wont get any benefit from what you eat so could become malnourished.No time to absorb the vitamins and minerals etc.I swallow my tablets with a small drink then dont eat for the 30 mins or thereabouts,or have a drink first thing while my brekkie is cooking and putting a wash on or make the bed.By that time Im ready for food.I dont know how you people manage with kids and work!Maz x