Because GEMFormulas are energy medicine, the actual number of pills you need to take per dose can vary. If you are particularly sensitive to energy medicine,you may need to take only 1 or 2 pills per dose.Otherwise, if 7 to 10 pills pour out, it's fine to take that many. In fact, if you are faced with an acute health challenge, you can take doses of one-quarter to one-half teaspoonful.