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Hormones, insulin resistance, thyroid function, stress, sleep, muscle mass, medication use and daily habits can all influence results
Patients with severe deficiency or certain health problems might need a stronger initial treatment
Marfella R, Prattichizzo F, Sardu C, et al
Management requires deliberate effort: fiber supplementation with psyllium husk (which is low carb), adequate water intake of at least 80 to 100 ounces daily, magnesium citrate supplementation, and regular physical activity that promotes gut motility
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