If the best choice is a powder (swallowing problems or feeding tube) you must follow the handling instructions with extreme care. 

Pancreatic enzymes are extremely alkaline and can cause blisters.

In your body, the pancreatic enzymes are issued after the stomach, and part of the function is to neutralize the stomach acid.

In preparation of the dose, the caregiver should be wearing safety glasses, face mask, and gloves. You do not want the dust to be landing on sensitive eyes, nose, or mouth.

The bulk we are able to provide is not the exact same strength and you will want to follow these guidelines, in Dr. Kelley's original work he recommended nine grams six times per day and in these instructions, the conversion should eventually become clear:

Pancreatic enzyme concentrate 4x USP

2 and 1/4 grams is 2250 milligrams – I strongly recommend you use a gram scale at least in the beginning to get a feel for the measuring out of this bulk product. – Dale

Each Gram of concentrate provides four grams of pancreatic enzyme material

Since a teaspoon is a measurement of volume and a gram is a measurement of mass, it's not possible to convert from one unit to the other without knowing what substance is being used. When comparing teaspoons of different substances, the one that is denser will weigh more. We recommend you use a gram scale to measure out the dosages

CONTAINS NO: yeast, sugar, salt, preservatives, artificial colors, flavors or additives and no corn, yeast, wheat, soy,  fillers, or milk derivatives.

Suggested Intake:

Mix well in 4 oz. of V-8 juice or homemade green juice and drink. Chase with 2 oz. of V-8 juice. Then drink 8 ounces distilled water (or more). You may use any homemade vegetable juice as a transportation fluid. The purpose of the vegetable juice is to protect/wash the alkalinity that is inherent in the enzymes, from the mouth and esophagus.

Supplement Cycles:

The goal is to consume 6 servings of 2 1/4 grams (about two and 1/4 teaspoons) each day.

When consumed away from meals most of the enzymes will be dispatched via the bloodstream to any unwanted protein mass (tumor) to be digested (broken down) and transported out of the body via the lymphatic system and bloodstream, liver, bile ducts and colon.

When consumed with or near a meal a portion of the enzymes will be used to digest the food to provide fuel for repairing your body.

ON CYCLE:

• 2 1/4 grams (about two and 1/4 teaspoons) 1 hour before meals (this is considered “with meals” in this cycle as the enzymes will be beyond the stomach and ready in the small intestine to digest the food when it passes through the stomach)
• 2 1/4 gram (about two and 1/4 teaspoons) 1 and 1/2 to 2 hours after each meal (between meals)
• 1 1/8 grams (about One and 1/8 teaspoons) at bedtime or after dinner meal*
• 1 1/8 grams (about One and 1/8 teaspoons) at 3:30 a.m. or before breakfast meal*

* The goal is to consume six servings of 2 1/4 grams (about two and 1/4 teaspoons each day. Do the best you can.

TAKE  supplements up to 25 days. STOP taking supplements if you experience the overwhelming discomfort of any kind that you cannot manage with coffee enemas. You may stop taking the enzymes after 3-5 days on and go to the “OFF CYCLE” for five days, but it is best to continue for 25 days.

DO NOT EXCEED 25 DAYS ON CYCLE

OFF CYCLE:

Remain off supplements for 5 days. You must give the body time to adjust. Stay OFF supplements the full 5 days even if you feel well enough to continue.

Continue Cycling (on 25 days – off 5 days) for 9 to 18 months. Then take 4 1/2 grams (about One and 1/2 teaspoons) with meals and 1 with snacks as long as you choose to live cancer-free and to continue metabolically supporting your being.

Container is 500 Grams

The container says: Serving size is 2 and 1/4 grams (about two and 1/4 teaspoons) and contains 200 nine gram equivalate servings.

If you take as directed each container should provide 33 days of enzymes.

Take coffee enemas as needed to manage nausea that may come as a side effect of the enzymes digesting the tumor material and the dead tumor material moving through the circulatory system and being collected by the liver. The coffee enema, properly done, will dump some bile from the liver, which will make you feel better until the tumor debris fills up the liver again.

Coffee Enema instruction: http://www.road-to-health.com/go/enema

Here are the original instructions for bulk, when it was available from Dr. Kelley:

Formula PEP Bulk (Formerly CA+)

Each Teaspoonful Provides:

Lyophilized multiple glandular concentrates, with their natural enzymes and enzyme activators.

These freeze dried glandular tissues are produced at a low temperature, which preserves the freshness of the essential enzymes, activators and metabolic nutrients. They have natural coloring.

CONTAINS NO: yeast, sugar, salt, preservatives, artificial colors, flavors or additives and no corn, yeast, wheat, soy or milk derivatives.

Suggested Intake:

Mix well in 4 oz. of V-8 juice and drink. Chase with 2 oz. of V-8 juice. Then drink 8 ounces distilled water (or more). You may use any homemade vegetable juice as a transportation fluid. The purpose of the vegetable juice is to protect/wash the alkalinity that is inherit in the enzymes, from the mouth and esophagus.

Supplement Cycles:

The goal is to consume 6 servings of 6 teaspoons each day.

When consumed away from meals most of the enzymes will be dispatched via the bloodstream to any unwanted protein mass (tumor) to be digested (broken down) and transported out of the body via the bloodstream, liver, bile ducts and colon.

When consumed with or near a meal a portion of the enzymes will be used to digest the food to provide fuel for repairing your body.

ON CYCLE:

• 6 Teaspoons 1 hour before meals (this is considered “with meals” in this cycle as the enzymes will be beyond the stomach and ready in the small intestine to digest the food when it passes through the stomach)
• 6 Teaspoons 1 and 1/2 to 2 hours after each meal (between meals)
• 3 Teaspoons at bedtime or after dinner meal*
• 3 Teaspoons at 3:30 a.m. or before breakfast meal*

* The goal is to consume 6 servings of 6 teaspoons each day. Do the best you can.

TAKE  supplements up to 25 days. STOP taking supplements if you experience discomfort of any kind that you cannot manage with coffee enemas. You may stop taking the enzymes after 3-5 days on and go to the “OFF CYCLE” for 5 days, but it is best to continue for 25 days.

DO NOT EXCEED 25 DAYS ON CYCLE

OFF CYCLE:

Remain off supplements for 5 days. You must give the body time to adjust. Stay OFF supplements the full 5 days even if you feel well enough to continue.

Continue Cycling (on 25 days – off 5 days) for 9 to 18 months. Then take 2 to 3 teaspoons with meals and 1 with snacks as long as you choose to live cancer-free and to continue metabolically supporting your being.

Container is 500 Grams

The container says: Serving size is 6 teaspoons per serving and contains 45 servings.

If you take as directed each container should provide 7.5 days of enzymes.

Take coffee enemas as needed to manage nausea that may come as a side effect of the enzymes digesting the tumor material and the dead tumor material moving through the circulatory system and being collected by the liver. The coffee enema, properly done, will dump some bile from the liver, which will make you feel better until the tumor debris fills up the liver again.

Coffee Enema instruction: http://www.road-to-health.com/go/enema

If you want to use capsules for convenience, 2 capsules are equal to one teaspoon of enzymes.