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Your microbiome adjusts, gas subsides, and you avoid an abrupt fiber bomb. By day four your gut usually says, Were good, bring on the full dose. Pair the chew with protein-rich meals

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Patients experiencing severe nausea, vomiting, abdominal distension, or known gastroparesis before surgery may require individualized anesthesia planning, delayed procedures, modified fasting instructions, or additional airway precautions to reduce aspiration risk
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