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Fiber supplements are strongly recommended in the American Society of Colon and Rectal Surgeons (ASCRS) practice guidelines3 based on a Cochrane review.10 In this meta-analysis, with fiber supplements the relative risk of persisting or nonimproving symptoms was 0.53 (95% confidence interval [CI] 0.38-0.73) and the relative risk of bleeding was 0.50 (95% CI 028-0.89)
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Exponentially slower than reconstituted peptides, which lose 2035% potency in the same timeframe
Strbe S et al
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