Whether you consume and tolerate starch is really an individual thing. I don't handle it well and tend to avoid it now. I was eating a lot of starch & little fat when I got appendicitis - mostly potatoes and rice. Charcoal didn't help me much in that case, but I was only taking about 2 capsules per day and only when I had "issues."
Charcoal will hinder the absorption of nutrients, so it's best to take it in between meals (like one might eat the carrot salad) - but if you are real sick, you probably won't care about it hindering absorption. I usually take a couple of capsules after going out and eating a meal I know likely had some PUFA.
If I experience nausea or bad stomach discomfort, I usually take two capsules in between meals and then some cascara at night before bed (to make sure constipation isn't an issue). In my experience, it's pretty harmless and works well, but I only use it when I need it. Sometimes as little as one capsule is sufficient to get a little relief.
I too have my appendix removed. I used to eat a pretty usual diet for a kid of a variety of things but the year I got the appendicitis I was eating lots of oats for breakfast. I love starch and I'm assuming when you say you have issues its stomach pain and or swelling? I'm not really sure how to gauge or see if I tolerate starch to be certain. I don't get any noticeable problems when I consume it but I do have acne and dry skin problems which could be linked to it?
Thanks, I wasn't sure how to take it so I may just take the capsules before bed or would it be better in the morning when I wake up before my first meal?
Thanks,
Andrew