Is there any chance that your doc wants you to take the pills separately? My doctor just upped my dosage to two grains - one in the morning, and one at lunch (well, obviously before lunch so that I take it on an empty stomach and then wait at least half and hour before eating). Could this be the reason that they gave it to you this way? If not, then I agree with MannyMommy, I wouldn't think that taking it together in two grains at the same time would be any different than taking one grain at a higher dosage. I'm not sure though since I've never had that come up personally before, so yeah, if you are not comfortable with it, I think I would check with my doctor.