some stuff takes a while to digest, and you have a shorter transit time now. Sometimes i see stuff come out 30 minutes after i put it in! and the big pills sometimes do that, the best thing is to either get a chewable, liquid or sublingual version. If you can't and your pill is scored, try breaking it up into small pieces. But ones with coatings shouldnt be broken. You also should not take slow release pills, like the ones that say they last all day. i have better luck with geltabs. I'm not sure what Actos is, but you should ask your dr if there is a different form you can take.