Osmotic laxatives (polyethylene glycol, magnesium citrate) are first-line if dietary measures falter
Energy tends to respond first, mood and focus follow within a week or so, and the longer-term, structural benefits build quietly over months
Of course, counting calories is not especially fun, but even doing so for a short period, like a week or two, can open your eyes to how much you actually eat in a day and how much less you can eat while still being satisfied
More common side effects include nausea, vomiting, diarrhea, and abdominal pain
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