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doi:10.1002/smll.201202538 122

When water intake drops while the medication simultaneously slows digestion and allows more water absorption from stool, constipation becomes almost inevitable without conscious effort to stay hydrated

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I havent lost a lot of weight but my clothing is starting to fit better

Management strategies include starting at the lowest prescribed dose and escalating slowly, taking drops in the morning when the stomach is empty (counterintuitively, an empty stomach often produces less nausea than taking drops after eating), and keeping bland foods available for your first meal after the fasting window