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For IBS-C (constipation-predominant) : Laxatives such as macrogols are preferred

Oral melanoacanthoma Oral melanoacanthoma, mainly seen on the buccal mucosa of young Black women, is an uncommon, asymptomatic, brown to black melanotic lesion, reactive in origin, usually flat or slightly elevated with a smooth surface

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They will consider your overall health, other medications you're taking, and the severity of your symptoms before making a recommendation