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Step 1: Dietary and lifestyle changes Increase soluble fiber gradually to 25-30 grams per day (psyllium husk, oats, chia seeds, ground flaxseed) Drink 64-80 oz of water daily, spread throughout the day Add prunes or prune juice (4-6 prunes or 4-8 oz juice daily) Increase physical activity, especially walking (stimulates colonic motility) Establish a consistent bathroom routine (same time each day, usually 20-30 minutes after breakfast) About 40% of patients with mild GLP-1 constipation see improvement within 7-10 days of consistent dietary changes alone
Scenario 3: stable 10 mg weekly with 30 mg vials You have reached your maintenance dose of 10 mg weekly
This can be combated by simply reducing the dosage by half and increasing the frequency of the injections B12 shots should be taken on the same day of each week and every 7 days
This includes patients who have problems related to the ileum which is the final section of the small intestine, such as Crohns disease
