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The result has been shortages of the drug for diabetics who rely on it to lower their blood sugar, while doctors are also concerned it could be abused by those with eating disorders or others hoping for short-term weight loss

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Depending on how long you've had the deficiency and how much damage it's done, it could take at least 4 months before your symptoms improve

Vitamin B12 Overdose in a Vegan Diet Long-term implementation of the vegan diet without taking vitamin B12 supplements is strongly correlated with a deficiency

First Line Polyethylene glycol (Miralax) 17 grams daily in water Safe and effective Takes 23 days Magnesium citrate (powder) Adjustable dose Helps draw water into stool Add If Needed Fiber supplements Psyllium (Metamucil), methylcellulose Start low, go slow Stool softeners Docusate Helpful if straining Rescue (Not Daily) Stimulants Senna or bisacodyl Use as needed, not every day When to Call Your Doctor Call right away if you have: No bowel movement for more than 57 days Severe abdominal pain Vomiting Blood in stool or black stools Severe bloating One More Thing Before We Get Practical I start my day with a breakfast shake