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Still, they show promising results

A 2022 systematic review and meta-analysis in the American Journal of Clinical Nutrition pooled 16 randomized controlled trials (1,251 participants) and found psyllium the most efficacious fiber investigated for chronic constipation: it increased bowel movements by about 3 per week , improved stool consistency, and was the only fiber to significantly reduce straining

Nutritionists, while highly knowledgeable about diet and nutrition, dont have the qualifications to write prescriptions

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In less severe conditions, significant liver injury and dysfunction can occur, resulting in an increase in transaminases (aspartate transaminase [AST], alanine transaminase [ALT]) and abnormalities in coagulation because of abnormal production of hepatic coagulation proteins