and transmitted securely. Copyright 2023 KNI - Kidney Nutrition Institute, A Renal Dietitians Guide to Fiber and Prebiotics. Fiber delays gastric emptying, which can worsen symptoms of gastroparesis. The Normal Blood Sugar Levels supplement is marketed What Is A Normal Blood Sugar Level as an all in one weight reduction tool, rather than just a blood glucose maintenance supplement. According to Drugs.com, at least 36 drugs have been found to interact with wheat dextrin. You May Like: What Does Kidney Stone Pain Feel Like, Eating more soluble fiber can also help you lose belly fat and prevent belly fat gain. Benefiber Prebiotic Fiber + Probiotics Gummies help support digestive health by nourishing your existing good bacteria with prebiotic fiber, as well as adding probiotics to your gut. A study by Lai et al. What stands out to me most about this is its simplicity. Epub 2015 Apr 9. Scaling back on the dose or trying alternative options may be necessary for long-term success. Evidence suggests that dietary fiber benefits patients with chronic kidney disease (CKD); however, this conclusion requires further validation. Anyone experiencing an allergic reaction while taking these products should stop taking them and call their doctor for testing before continuing. We can leverage the power of fiber through food or even supplements to enhance health! Anyone experiencing constipation for more than 7 days should stop taking dietary fiber supplements, such as Benefiber or Metamucil, and see their doctor. Weakened intestinal barrier and leaky gut, PCS and IS are known to degrade the epithelial lining of the intestinal lumen, allowing toxins from the gut to enter the bloodstream. information is beneficial, we may combine your email and website usage information with Some medications used to treat kidney disease can be constipating. Choose 2-3 vegetables to easily add to meals or snacks over the next week, Use fresh or frozen fruit for dessert or snacks, Swap a few favorite refined grain products for whole grains, Add nuts or seeds as snacks or sprinkled on meals, Try at least one or two meals per week that use beans or legumes, Fructans (Fructo-oligosaccharides(FOS), Inulin, and oligosaccharides), The elusive Jerusalem artichokes (if anyone can actually find this let us know), Cooked and cooled rice, potato, and pasta. Unfortunately, most of us are consuming fewer than 20 grams of fiber per day. We performed linear regressions to assess the association between dietary fiber intake and CKD parameters. Because of this, many patients begin taking diabetes medications long before they are diagnosed with CKD. In: Academy of Nutrition and Dietetics Complete Food and Nutrition Guide. Fiber supplements can cause abdominal bloating and gas, at least initially. The dosage is higher for Metamucil than Benefiber. Histological studies from this experiment also found that tubulointerstitial injury was lessened in the group given GOS compared to the control group without GOS. information highlighted below and resubmit the form. The powdered version of both products mixes well in cool or room temperature liquids, including smoothies, protein shakes, water, juice, or milk. A Renal Dietitians guide to probiotics and Kidney Disease! In nondialysis-CKD patients, fiber supplementation significantly increased stool frequency from 1.4 0.2 to 1.9 0.3 times/day . Constipation can lead to gas pain which can radiate to the chest. (3), PCS and IS arent the only offenders known to affect the progression of both CVD and CKD. We send a weekly email with nutrition tips, recipes and special deals. Do you know why your potassium numbers are up? Disclosure: This post is sponsored by Kibow Biotech, the producer of Kibow Fortis, a multistrain prebiotic created for kidney health. We're all familiar with the unfortunate effects that medications like phosphorus binders (6), antibiotics, and even oral iron (7) can have on the gut. Kibow biotech intentionally created this multi-beneficial product to treat dysbiosis, improve cholesterol and blood sugar management, enhance the immune system, and help with satiety and weight management. Iron pills are inexpensive and easy to take, but they're limited by gastrointestinal side effects and poor absorption. Acacia gum also goes by the names "gum arabic or acacia Senegal." Benefiber and Metamucil are fiber supplements designed to relieve constipation. If you're not on dialysis and are on a lower-protein kidney diet, at least half . 2022 Feb 18;16:439-447. doi: 10.2147/PPA.S348227. Heartburn and stomach acid medications known as Proton Pump Inhibitors can cause CKD and can damage your kidneys further, once you have it. Since gut dysbiosis is suggested to be associated with constipation, agents favorably affecting the growth or activity of beneficial microbiota may be a promising option for the treatment of constipation. the unsubscribe link in the e-mail. Protect from moisture. Whether that's due to potassium and phosphorus restrictions, accessibility to healthy plant foods, or dietary habits, the case for more fiber couldn't be more transparent! Prebiotic fiber supplements are an inexpensive way to help modulate the gut and improve the health of our patients. People can find a wide range of fiber supplements and other constipation relief supplements online or in drug stores. (10), (11). View complete list of side effects. reported that a synbiotic treatment for 2 weeks significantly increased stool quantities in HD patients . 2017;29:216. Federal government websites often end in .gov or .mil. 2017 Dec;30(6):743-754. doi: 10.1007/s40620-017-0435-5. Diet and uremia aren't the only causes of dysbiosis. Both soluble and insoluble fiber make us feel full, which helps us to eat less. As kidney-care dietitians, our priority is to keep patients healthy and safe but extends beyond monitoring electrolytes, MBD, and albumin. Epub 2017 Sep 7. People with sensitivities or who experience side effects when taking other constipation relief supplements may find that Citrucel is a good alternative. Do not exceed one serving daily. (2), 3. Carbs: Sugars, starches, and fiber. Two popular alternatives are Citrucel and Miralax. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Patients with celiac disease should read the label and consult a healthcare professional to ensure the fiber product they have chosen is safe. Stir well until dissolved. Fiber is an important dietary substance to your health. Benefiber and Metamucil are two popular options, but which is best? Whether recommending an increase in dietary fiber or the addition of a prebiotic supplement, starting at a low dose and slowly titrating up is the best way to avoid GI upset. Visit the Kibow Fortis website or Email toinfo@kibowbiotech.com. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Fiber intake is typically inadequate on the Renal diet due to dietary restrictions. All rights reserved. An official website of the United States government. This is because of the benefits a high-fiber diet can have on a persons heart health. Do not exceed 4 tablets per day, Flavor-free powder can be used in cooking, Dissolves completely in beverages (not recommended for carbonated beverages) and soft foods, Benefiber Orange also conatains Wheat dextrin, citric acid, natural orange flavor, potassium citrate, aspartame, gum acacia, acesulfame potassium, maltodextrin, lactose (milk), triglycerides, sucrose acetate isobutyrate (adds a trivial amount of sugar), modified cornstarch, yellow 6, red 40, Ingredients: Wheat dextrin, calcium gluconate, calcium lactate, potassium citrate, You are being treated for high blood pressure, Source of vitamins B6, B12 and folic acid, Ingredients: Wheat dextrin, modified food starch, pyridoxine hydrochloride (vitamin B6), folic acid, sodium citrate, citric acid, silicon dioxide, sodium benzoate, sorbic acid, cyanocobalamin (vitamin B12), Ingredients: Wheat dextrin, sorbitol, corn starch, microcrystalline cellulose, dextrates, citric acid, natural and artificial flavor (soy), magnesium stearate, silicon dioxide, sucralose, yellow 6 aluminum lake, aspartame, acesulfame potassium, Ingredients: Wheat dextrin, sorbitol, corn starch, microcrystalline cellulose, dextrates, citric acid, natural and artificial flavor (soy), magnesium stearate, silicon dioxide, sucralose, aspartame, acesulfame potassium, red 40 lake, yellow 6 lake, blue 1 lake, Ingredients: Wheat dextrin, sorbitol, corn starch, calcium carbonate, microcrystalline cellulose, dextrates, citric acid, artificial flavors (soy), maltodextrin, magnesium stearate, powdered cellulose, silicon dioxide, mineral oil, sucralose, red 40 aluminum lake, aspartame, acesulfame potassium, blue 1 aluminium lake, Ingredients: Wheat dextrin, microcrystalline cellulose, magnesium stearate, colloidal silicon dioxide, Ingredients: Wheat dextrin, microcrystalline cellulose, magnesium stearate, colloidal silicon dioxide, modified food starch, pyridoxine hydrochloride, (vitamin B6), sodium citrate, citric acid, folic acid, sodium benzoate, sorbic acid, cyanocobalamin (vitamin B12). Each gummy also contains additional ingredients such as citric acid, pectin, sodium nitrate, corn starch, and coconut oil. Dont Miss: How Long To Fast Before Cholesterol Panel. Do not exceed 3 teaspoons per day. (12) Blood sugar control is essential for patients in earlier stages of CKD because poor glucose control correlates with the faster progression of the disease. One study linked a 10-gram increase in daily soluble fiber intake to a 3.7% lower risk of gaining belly fat . Every one This content does not have an Arabic version. The benefit of prebiotics is that they provide constant and consistent fuel for the healthy bacteria in the gut but ensuring a diverse and varied diet to feed specific strains of bacteria can be a challenge. Nutrition and gut health go hand in hand. Head on to Benefiber Walmart. Metamucil is also available in capsule and wafer form. They work in a very similar way. You may need more specifics than Im giving you, depending on the results of your future blood tests. While there were no clear guidelines in the reviewed studies on how much additional fiber and what types of fiber supplement had the most benefit, the overarching theme is that higher fiber intake correlates with improved outcomes! HealthyKidneyClub.com is a one-stop resource for everything you need to know about kidneys. Benefiber contains only wheat germ, which may make it a more natural choice. Recommended Reading: How To Tell If Back Pain Is Kidney Related. However, people who experience gluten intolerance should not consume any products, including Benefiber, that contain any level of gluten unless otherwise directed by their doctor. A Renal Dietitian's Guide to Probiotics and Kidney Disease, Absorption and sythesis of certain nutrients. Regular physical activity can also help improve your general health. PMC However, there is evidence that prebiotics may also come from non-carbohydrate food sources such as polyphenols, PUFA's, and conjugated linoleic acids. Benefiber is generally well-tolerated and has an excellent safety profile. The Human Microbiome in Chronic Kidney Disease: A Double-Edged Sword. The role of prebiotics in human health is currently a hot topic in research. IFFGD does not list wheat dextrin in its chart as one of the fiber supplements that target IBS symptoms. iron, phosphate binders, potassium binding resin, antihistamines for pruritus. Dietary fiber and inflammatory indices were associated (interleukin [IL]-6: =-0.024, p=0.035). Directions: Stir 2 teaspoons of Benefiber into 4-8 oz of any non-carbonated beverage or soft food (hot or cold). Check out our post A Renal Dietitians guide to probiotics and Kidney Disease! This is because wheat dextrin fails to hold water and is not as viscous as psyllium soluble fiber. Sources of soluble fiber include oatmeal, beans, lentils, and many fruits. To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. https://www.uptodate.com/contents/search. other information we have about you. kidney beans, bran cereals, etc. Adult men need at least 38 grams of fiber a day if they are younger than 50 . Ohta S, Asanoma M, Irie N, Tachibana N, Kohno M. Metabolites. Benefiber contains a 100% natural fiber. I don't know about you, but I always considered lactulose to be a laxative. The site is secure. Women 51 and older should have at least 21 grams a day. Epub 2017 Jan 5. They work by drawing water into the stool, making it softer and more comfortable to pass. Alternatively, wheat dextrin does not have the same laxative properties and at specific doses, can even have constipating effects. Fiber is a VIP when it comes to blood sugar management. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Is Benefiber Bad For Kidneys By Andrew P September 8, 2022 0 0 Benefiber Vs Metamucil For Constipation Update on broken foot - Small Fiber Neuropathy Wheat dextrin, used by Benefiber, and psyllium husk, used by Metamucil, may both be soluble fiber but their differences are worlds apart. Using dietary fiber or fiber supplements is an important way to decrease cardiovascular disease! Background and objectives: Although there are multiple benefits to adding more fiber and prebiotics into the diet, they may not be appropriate in all cases. The benefit of a multistrain prebiotic like Kibow Fortis is that it feeds various types of bacteria and can help support gut health for everyone, even those with an optimal diet. Topamax is a drug often used to treat epilepsy , painful headaches , and bipolar disease . Benefiber also contains 20ppm of gluten, which by FDA standards makes it gluten-free. Picco MF (expert opinion). (1), Studies show that protein metabolism is impaired in a uremic state. Also, there are various other online sources such as Amazon and the Benefiber website that sell Benefiber products. Careers. Benefiber, on the other hand, is not approved for these uses. Our results suggest that increasing fiber intake can retard the decrease in the eGFR; can reduce the levels of proinflammatory factors, indoxyl sulfate, and serum cholesterol; and is negatively associated with cardiovascular risk, but does not disrupt the nutritional status of patients with CKD. A registered dietitian can provide in-depth nutrition education to help you develop a personal action plan. Kibow Fortis includes both soluble and insoluble fiber and was uniquely designed to promote the beneficial bacteria lactobacilli and bifidobacteria. What are the ingredients in Benefiber Prebiotic Fiber + Probiotics Gummies? Keep a What Is Normal Blood Sugar Level fast acting carbohydrate in your bag, desk drawer, car and other places for easy access. We include products we think are useful for our readers. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. In addition to drugs prescribed for things such as heart disease or diabetes, they may also use common pain relievers for headaches and muscle pain, or antacids for upset stomach. Benefiber contains wheat dextrin, which is a form of wheat starch. However, we know that this is not the case for all patients. * Benefiber + Probiotics Gummies come in a delightful assortment of fruit flavors. Disclaimer. information submitted for this request. Are all hands up? Raise your hand if you work with patients that complain of constipation? The two brands work in very similar ways, but they may have slightly different effects on the body. Patient Prefer Adherence. Its the first product from Benefiber to include both prebiotic fiber and probiotics. Studies are looking to use prebiotics that targets specific bacterial strains that can modify different diseases and conditions, including CKD. Some patients that have had surgery to remove part of the digestive tract, including the stomach and intestines, might not be able to absorb certain . 4.4/5reduce LDL cholesterolBenefiberdodohelplower LDL cholesterol. every 1 - 2 days. Directions: Stir 2 teaspoons of Benefiber into 4-8 oz of your favorite non-carbonated beverage or soft food (hot or cold). Wheat dextrin and psyllium husk have contrasting properties that produce different effects concerning constipation, diarrhea, weight management, IBS symptoms, and cholesterol levels. 2015-2020 Dietary Guidelines for Americans. Store at a controlled room temperature of 20-25C (68-77F). We use the power of personalized holistic nutrition to improve kidney function and delay or avoid dialysis. Better blood sugar management Fiber is a VIP when it comes to blood sugar management. Lambeau KV, et al. It's also a good idea to ask your doctor or pharmacist whether fiber supplements interact with any medications you take. The active ingredient is polyethylene glycol, which pulls water into the stool to help relieve constipation. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Accessed Oct. 8, 2018. One primary advantage mentioned before about fiber and prebiotics is that they offer a steady and consistent supply of preferred fuel for healthy bacteria. Protect from moisture. We avoid using tertiary references. Benefiber is a range of prebiotic supplements that are intended to help with digestive health and weight management. They typically are found in tablet, capsule, or powder form. Best Pract Res Clin Endocrinol Metab. Review/update the SUMMARY. Stir the recommended dosage into 48 ounces of liquid, making sure the powder dissolves thoroughly before drinking. The active ingredient in Benefiber Powder is wheat dextrin, a natural soluble fiber that supports the bodys ability to remove wastes. In addition, we aim to help people with CKD live longer, healthy lives using the power of nutrition. Potassium citrate in particular produces alkalizing effects in the body, helping to balance urinary pH levels. A study on mice with adenine-induced CKD showed that the addition of gum arabic decreased IS and caused restoration of intestinal dysbiosis by upregulating the number of beneficial bacteria and an increase in short-chain fatty acid production. Fiber is an important part of any healthy diet. Anyone taking regular medication should consult a doctor or pharmacist before using these supplements. (22) SCFA's are well known to have a significant anti-inflammatory effect in the gut. Can you please tell me what foods to avoid and what else I should be doing? 1 teaspoon three 3 times daily. Do you know if you have a kidney problem? Calcium-restricted diet. If your kidneys have been damaged by CKD, your diabetes drugs may not do their job. A study conducted in 2015 produced results showing that psyllium taken as a fiber supplement has proven results of relieving symptoms of constipation and diarrhea, and helps normalize bowel movements for IBS sufferers. A study conducted in mice with CKD found that the addition of guar gum(GG) and partially hydrolyzed guar gum(PHGG) reduced endotoxin production and increased Secretory IgA. Prebiotics are indigestible food ingredients that include dietary fiber, oligosaccharides, polysaccharides, and resistant starches. Directions: Adults - Chew 3 tablets up to three times daily to supplement the fiber content of your diet. However, most Americans get only half this amount. You may get good results just by avoiding high-potassium fruits and vegetables. The manufacturers of fiber supplements, such as Benefiber and Metamucil, state that they are heart-healthy products. (19), 3. Adult doses of both Benefiber and Metamucil are suitable for children over 12. Dietary fiber intake is associated with chronic kidney disease (CKD) progression and cardiovascular risk, but not protein nutritional status, in adults with CKD Dietary fiber intake is associated with chronic kidney disease (CKD) progression and cardiovascular risk, but not protein nutritional status, in adults with CKD Authors The effect of a fibre supplement compared to a healthy diet on body composition, lipids, glucose, insulin and other metabolic syndrome risk factors in overweight and obese individuals. (24). NCI CPTC Antibody Characterization Program. Chronic kidney disease (CKD) is a long-term condition where the kidneys don't work as well as they should. Research is emerging that targeted use of prebiotic fibers can have a positive effect on both gut health and CKD. compared an LPD with LPD + inulin and found that the control group with inulin added showed a decrease in uric acid and C-reactive protein (CRP). A systematic review published in BMJ found that higher fiber intake might lower the risk of both coronary heart disease and cardiovascular disease. Bimuno is a brand that includes a line of prebiotic supplements containing galactooligosaccharides (GOS). https://health.gov/dietaryguidelines/2015/guidelines. If thats the case, ask your physician for a referral to a registered dietitian, who can help you sort out the best foods for you. looked at the data from the NHANES III survey to identify the association between fiber intake, inflammation, and all-cause mortality in individuals with CKD compared to those without CKD. The differential estimated glomerular filtration rate (eGFR) as well as levels of C-reactive protein, IL-6, indoxyl sulfate, and serum cholesterol in the higher fiber intake (>=25 g/day) group were lower than those in the lower fiber intake (<25 g/day) group (p<0.05). Both types cleanse the blood of waste products, help manage electrolyte balance and remove excess fluid from the body. The protein nutritional status was not different between the two groups (p>0.05). Discussions on the potential pathogenic link between CKD-related gut dysbiosis and constipation/intestinal dysmotility are of importance. Front Med (Lausanne). This may decrease peoples appetites and help with weight loss. These drugs are sold under brand names Prilosec, Nexium, Prevacid, and Protonix and are taken for stomach ulcers, heartburn, or acid reflux disease . Unauthorized use of these marks is strictly prohibited. But heres the deal: theres good carbs and bad carbs, and whole grains, beans, and vegetables are all good, folks. CV disease risk is also linked to the gut! The key to making a perfect cup of green tea is to drink it unsweetened. We comply with the HONcode standard for trustworthy health information. Stool softeners are a type of laxative. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Haring B, Selvin E, Liang M, Coresh J, Grams ME, Petruski-Ivleva N, Steffen LM, Rebholz CM. Citrucel is a fiber supplement that contains methylcellulose, which comes from plant matter. health information, we will treat all of that information as protected health These opportunities present new therapeutic approaches to help patients live longer and healthier lives with CKD. However, individuals with CKD who had a higher fiber intake showed lower overall mortality than the non-CKD subset. Here are some of the familiar sources: Two common resistant starches used often are potato starch and green banana powder. Accessibility (13) Talk about a win-win! These urease-containing bacteria can inhibit the growth of commensal bacteria, which can cause an excess of endotoxins and uremic toxins. 2022 Apr 6;12(4):330. doi: 10.3390/metabo12040330. 2017 Jul;27(4):233-242. doi: 10.1053/j.jrn.2016.11.004. Benefiber and Metamucil are not the only name brand supplements to relieve constipation on the market, and some people may find they like other brands better. (17). Do not exceed 9 caplets per day. 5th ed. Anyone with stomach or digestive disorders should talk to their doctor before taking either of these supplements. In total, 157 patients were included in this study. Here are just a few strategies that may be helpful: Helping patients find easy (and tasty ways) to add fiber-rich foods should be the first-line approach, but prebiotic fiber supplements can also be a helpful tool. 2022 Jun 17;14(12):2521. doi: 10.3390/nu14122521. 2 teaspoons three times daily. Black psyllium. New York, N.Y.: Houghton Mifflin Harcourt; 2017. (21). It can affect anyone, but it's more common in people who are black or of south Asian origin. (15). If you are a Mayo Clinic patient, this could Hyperglycemia increases Benefiber Blood Sugar Blood Sugar Level oxidative stress through the overproduction of reactive oxygen species, which results in an imbalance between free radicals and the antioxidant defense system of the cells. x. Possible stage 3 kidney disease symptoms and signs include: Changes in urination. Accessed Oct. 8, 2018. Learn more. They can also increase blood pressure, increase risk of heart attack and stroke and cause stomach ulcers and bleeding. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Dietary fiber is a good carbohydrate, also known as roughage, found in plant foods . Lack of fiber causes a decrease in the beneficial saccharolytic bacteria (bacteria derived from carbs), short-chain fatty acid production (SCFA) like butyrate, and slow colonic transit time. Journal of the American Association of Nurse Practitioners. There is a problem with In addition to treating constipation, Metamucil may also help lower your cholesterol levels, and may improve your blood sugar control if you have type 2 diabetes. Qi J, Gao J, Zhang Y, Hou W, Han T, Sun C. Nutrients. Benefiber is generally well-tolerated and has an excellent safety profile. Your body will become accustomed over time, and the effects will diminish. MS: Can the Mediterranean diet help preserve cognitive health? Creatinine is a natural waste product that the muscles create. (n.d.). The ones with the highest potassium content are oranges and orange juice, melons, apricots, bananas, kiwi, potatoes, tomatoes, sweet potatoes, spinach and cooked beans . (2013, December 19). MeSH Wheat dextrin, used by Benefiber, and psyllium husk, used by Metamucil, may both be soluble fiber but their differences are worlds apart. (5). So, how can we support individuals that are struggling to consume adequate fiber? 1 level tablespoon - do not exceed one serving daily. Supplementing with prebiotic fiber can be a temporary strategy while working with patients to increase dietary fiber. You can cook with Benefiber without altering the beneficial effects of the fiber and without changing the taste or consistency of the food. A healthy albumin for people with kidney disease is 4.0 g/dL or higher.. You can maintain or improve albumin by knowing how much protein to eat, and by including protein-rich, kidney-friendly foods each day. Kibow Fortis, a multistrain prebiotic, is a great option! The soluble fiber in Benefiber and Metamucil can feed the good bacteria in the intestines. Directions: Adults - Chew 3 tablets up to 3 times daily to supplement the fiber content of your diet. Staying hydrated, taking dietary measures, and using supplements can help reduce creatinine levels in the body. Benefiber and Metamucil powders are gluten-free, though some other products made by these brands may not be. Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. TMAO and PCS are both correlated with worse cardiovascular outcomes and are associated with a lower fiber diet. Yes. Additionally, insoluble fiber does not appear to affect cholesterol levels, but it is important in maintaining a healthy colon. You May Like: When Should You Go To The Er For Kidney Stones. Swallow with liquid. Nutr Metab Cardiovasc Dis. People with CKD very often suffer from other illnesses or diseases. Benefiber And Chronic Kidney Disease Kidney Disease Solution Kidney Disease Solution is an complete step-by-step guide designed to improve kidney health and reverse kidney disease. Benefiber + Probiotics Gummies nourish your existing healthy gut bacteria with prebiotic fiber, while also adding more probioticshealthy bacteriato help your gut to promote a robust environment for good digestive health.*. All of these elemental properties allow for psyllium to act both as a stool softener and a laxative, both attributes that can immensely relieve constipation.
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