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My nephew does the gagging/choking/throwing up thing whenever he's told to eat something that he doesn't want to... like vegetables, in his case, it was mind over matter, and got him attention for being a little dramatic.
He's three, so reasoning with him his probably not the best course of action.. or even bribing him to do something.
Have you asked him why he doesn't want to do take the pill?
As someone who got subjected to regular allergy shots as a kid, I'd take pills over a shot anyday of the week...
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