low, i also gave my gal, effect was not as good as what i thought it will be. anyway the medical hall people will advise you onthe feeding part... if im not wrong, its to be fed 1 hour before or after milk feed. it cost $60+ and i was advice to divide the small bottle of powder into 3 feeds, 2 times per day. My gal took it quite well... no struggle... i used my damp finger to tap onto powder then into her mouth, and give her water after.