Miralax dosing chart - MiraLax is FDA-approved for the short-term treatment of occasional (irregular) constipation in adults 18 and older. MiraLax, an osmotic laxative, works by preventing the reabsorption of water, which causes water retention in the stool. As a result, it makes the stool softer and easier to pass and increases the number of bowel …

 
Other alternatives to Miralax. The preceding chart lists the brand names of the most commonly used OTC laxatives. Thousands of generic versions are available for these branded products with various dosage forms (such as tablets, capsules, liquids, powders, etc.) typically priced much less than the branded versions.. Application deadline rice university

Consider Polyethylene Glycol (PEG, Miralax) instead for first-line disimpaction (see below) Avoid in age <1 year; Dosing. Dose: 6 ml/kg (up to 135 ml) May repeat every 12-24 hours for 1-3 doses; First dose often given 1 hour before bedtime; Normal Saline (less effective than fleets) Dose: 5-10 ml/kg; Administer in evening; Mineral Oil ...Ask a doctor before use if you have. nausea, vomiting or abdominal pain. a sudden change in bowel habits that lasts over 2 weeks. irritable bowel syndrome. Ask a doctor or pharmacist before use if you are taking a prescription drug. When using this product. you may have loose, watery, more frequent stools. Stop use and ask a doctor if.Miralax 0.4-1 g/kg/daily for 2 months. Prune juice 2-6 oz/day. Maintenance: Miralax 0.4-1 g/kg/day. Impacted: Miralax: 1-1.5mg/kg/day divided TID 3-6 days, then switch to maintenance dose. DIETARY AND LIFESTYLE RECOMMENDATIONS. • Develop daily habit of sitting on the toilet for 5-10 minutes 20-30 minutes after a meal.Learn how to use Miralax (polyethylene glycol 3350) for occasional constipation. Find out the typical dosage, how to adjust it for medical conditions, and how to save on this OTC medication.Dosing Miralax and What Happens If You Miss a Dose Always double check dosages with your veterinarian. It’s best to start between 1/8-1/4 teaspoon twice daily.You will need these items from a pharmacy: Miralax in large bottle (8.3 ounces or 255 grams); 4 Dulcolax or Bisacodyl tablets (5 milligram tablets). There may ...If your dog needs MiraLAX, it is best to work with your veterinarian to make sure that your dog is taking the correct dosage. A typical dosage used in dogs is. Small dogs: 1/8 th to 1/4 th teaspoon twice a day; Medium dogs: 1/4 th to ½ teaspoon twice a day; Large dogs: ½ to 3/4 th a teaspoon twice a day; In some cases, your vet may even …Miralax is generally used once per day. The bottle of powder contains multiple doses. You will need to measure each dose. The packets are pre-measured into individual daily doses. Always mix Miralax powder with 4 to 8 ounces (oz) of a cold, hot, or room temperature (68-77 F) beverage, then drink. Do not consume the powder unless it …Methods: The authors reviewed the charts of patients younger than 18 months treated with PEG 3350 for constipation. The initial dose, effective maintenance dose, response to therapy, duration of therapy, and side effects were recorded. ... Oral powdered polyethylene glycol at a maintenance dose of 0.78 g/kg/day is safe and effective for ...Blood Pressure Chart: Ranges and Guide · Breast ... The dosage is higher for Metamucil than Benefiber. The ... Miralax is not a fiber-based supplement. Citrucel.Oct 5, 2022 ... You've probably found people recommending magnesium for constipation. Or, maybe your child has been on Miralax for a while and you're looking ...Cleanout dosing using Miralax • 1.5 gm./kg/day for 4 days, then back to maintenance dosing (maximum dose is 102 gm/day or 6 capfuls/day). Each 17 gm capful should be mixed into 8 oz of fluid. Senna is a stimulant laxative that comes in tablets or syrup. (Syrup contains 8.8 mg of sennosides/5 ml). It is helpful as an adjunct toAdults and children ages 17 and older should take 17 grams of powder once a day. Use the MiraLAX ® bottle top to measure 17g by filling to the indicated line (white section in cap). Mix and dissolve into 4-8 ounces of any beverage (hot, cold or room temperature). Single-dose packets of MiraLAX ® are also available.The standard dose of Miralax in constipated cats will range based on how constipated your cat is, whether or not they have any underlying conditions, and the consistency of the stool that is present. Though the standard dosage is typically ¼ to ½ teaspoon once daily, we urge you to speak with your vet before adding the laxative to your cat ...Sep 9, 2023 · Polyethylene glycol 3350. Effects: Softens stools and treats constipation. Available Dosages: Powder available in different sized bottles. Potential Side Effects: Diarrhea, flatulence, dehydration. Precautions: Use with caution in cats with dehydration, kidney disease, or sensitive stomaches. The Miralax Dosage By Weight Chart provides recommended dosages for occasional constipation based on weight, ranging from consulting a physician for those under 16 lbs to a full capful mixed with 4-8 ounces of liquid once daily for those weighing 126 lbs and over.The dose is based on your child’s age (not weight): One of our pediatric gastroenterology specialists may adjust the child’s dose based on how the program is working. When the …Miralax dosage chart for 4 year oldMiralax for babies and toddlers: safety, uses and dosage Miralax dosage child constipationMiralax dosage kids powder. Miralax (powder, for solution) bayer healthcare llc.Miralax laxative constipation counter medicines packets digestive doses gentle Miralax dosage chart for 4 year oldMiralax babies …stir and dissolve one packet of powder (17 g) in any 4 to 8 ounces of beverage (cold, hot or room temperature) then drink. •. ensure that the powder is fully dissolved before drinking. •. do not drink if there are any clumps. •. use once a day. •.For cleansing of the colon: For oral dosage form (powder for oral solution): Adults—240 milliliters (mL) every 10 minutes. The first dose is usually taken early in the evening on the day before your medical test. Children—Use and dose must be …1. Mix 1 bottle (238 g) of Miralax and 2 bottles of Gatorade in a big pitcher 2. Drink 1 glass of the Gatorade/ Miralax mixture every 15 minutes until you have finished HALF (½) of the mixture • until you have finished the This will cause you to have loose stools. Loose stool may not start until after you finish the next step of the prepMiralax is a very good stool softener for children ages 6 months and up. It works by bringing more water into the colon, softening the stool and making it easier to pass. It is very safe and is not habit forming. Sometimes families say Miralax “doesn’t work.”. This is usually because the child wasn’t on the right dose or didn’t take ...You're speaking with Dr. Michael SalkinMiralax is polyethylene glycol powder and people make a suspension of it in water prior to dosing. You're looking for the ...Step-by-Step Guide: Obtain the vet-recommended dose of Miralax powder. Mix the Miralax with a small portion of your cat’s wet food to ensure they consume it all. Monitor your cat to make sure they eat the food containing Miralax. Mixing Miralax with Food: Mixing the powder with wet food is the easiest method.Take 1 (17-gram) dose of MiraLAX 3 times a day. Mix 1 dose with 8 ounces of liquid each time. You can take one dose at breakfast, lunch, and dinner. Follow a full liquid diet. On a full liquid diet, you can eat and drink the following: Yogurt (without any pieces of fruit). Fruit juices without pulp. Soda.on August 2, 2023. Polyethylene glycol 3350 is a product used to treat occasional constipation or irregular bowel movements. This medicine is in a class of drugs called osmotic laxatives. It works ...• Dose 20 ml/kg (Max Dose 1000 ml) 5Preferred Medication: Soap Suds Enema After 3 day cleanout: On day 4 take ¼ capful (4.25 grams, 1 baking tsp) Miralax daily in at least 4 oz. of any liquid If stools are too liquid, decrease Miralax to 1/8 capful (~ ½ baking tsp) but do not stop taking daily in at least 4 oz. of any liquid12 years and older: 10 to 15 mL orally once a day. Maximum dose: 30 mL/day. Senna Leaves: 12 years and older: 5 to 15 mL orally once a day to 2 times a day as needed OR as directed. Sennoside Extract Tea: 6 years and older: 23 mg (approximately 5 mL [1 rounded teaspoon]) per cup orally once a day. Tablets:• Dose 20 ml/kg (Max Dose 1000 ml) 5Preferred Medication: Soap Suds Enema After 3 day cleanout: On day 4 take ¼ capful (4.25 grams, 1 baking tsp) Miralax daily in at least 4 oz. …MiraLAX is a brand-name over-the-counter medication that contains polyethylene glycol 3350. It is approved to treat occasional constipation in adults and children. The dosage of MiraLAX is 17 g per day, once per day for 7 days. Learn more about the forms, strength, how to take, and common questions about MiraLAX dosage.The safe Miralax for cats dosage is ⅛ to ¼ teaspoon in wet feline food 2 times a day. In severe constipation, the Miralax powder dose can be increased to 1/2 tsp. The ideal dose of Miralax depends on the feline’s body weight, the severity of the illness, and the overall health condition of the kitten. Therefore dose of Miralax for kitties ...In today’s data-driven world, charts are an essential tool for visually representing information and making it easier to understand. Whether you’re a student, professional, or just...3-6 years: 2 tablets PO once daily or in divided doses. 6-12 years: 4 tablets PO once daily or in divided doses. >12 years: 8 tablets PO once daily or in divided doses. Acid Indigestion. <12 years: Not recommended. ≥12 years: 5-15 mL (400 mg/5 mL) PO q4hr; no more than 4 doses per 24-hour period. <12 years: Not recommended.Gardening is a great way to get outside and enjoy the beauty of nature. But if you want your garden to be successful, it’s important to understand the different climate zones in yo...MiraLax is FDA-approved for the short-term treatment of occasional (irregular) constipation in adults 18 and older. MiraLax, an osmotic laxative, works by preventing the reabsorption of water, which causes water retention in the stool. As a result, it makes the stool softer and easier to pass and increases the number of bowel movements.More about MiraLAX ( polyethylene glycol 3350 ) Ratings & Reviews. Metamucil has an average rating of 6.8 out of 10 from a total of 71 ratings on Drugs.com. 59% of reviewers reported a positive effect, while 30% reported a negative effect. MiraLAX has an average rating of 7.2 out of 10 from a total of 259 ratings on Drugs.com. 65% of reviewers ...Indices Commodities Currencies StocksMiralax can be used for cleanouts at 1.5 gm/kg/day for 4 days (up to 6 capfuls per day) then drop back to maintenance dosing of 0.4 gm/kg/day. Enemas and suppositories may be …Other alternatives to Miralax. The preceding chart lists the brand names of the most commonly used OTC laxatives. Thousands of generic versions are available for these branded products with various dosage forms (such as tablets, capsules, liquids, powders, etc.) typically priced much less than the branded versions.For cleansing of the colon: For oral dosage form (powder for oral solution): Adults—240 milliliters (mL) every 10 minutes. The first dose is usually taken early in the evening on the day before your medical test. Children—Use and dose must be …The Ultimate Guide. October 1, 2023 by DR HARUN, DVM. Yes, dogs can be given Miralax for certain gastrointestinal issues. Now, let’s delve into more detailed information about Miralax and its suitability for dogs. Miralax is a commonly used laxative for humans, but it can also be prescribed by veterinarians for dogs with constipation or other ...stir and dissolve one packet of powder (17 g) in any 4 to 8 ounces of beverage (cold, hot or room temperature) then drink. •. ensure that the powder is fully dissolved before drinking. •. do not drink if there are any clumps. •. use once a day. •.PEDIATRIC DOSING GUIDELINES - ANALGESICS / SEDATIVES DRUG DOSE INTERVAL (hr) Acetaminophen 10 - 15 mg/kg/dose Q4-6 (Max: < 2 years: 60 mg/kg/day; ≥ Albumin2 years: 75 mg/kg/day ... (Miralax) Promethazine 0.25 - 1 mg/kg/dose (Max: 25 mg) Q4-6 PRN (Do not use in children < 2 years)A protocol for managing children with constipation and fecal impaction in the emergency center and inpatient setting. Includes diagnosis criteria, admission guidelines, …When it comes to working with torque specifications, having a reliable torque specification chart is crucial. These charts provide the necessary information on the recommended torq...As you approach retirement age, it is important to understand how Medicare works and how it affects your retirement plans. One of the most important tools for understanding Medicar...When it comes to understanding Medicaid eligibility, a key tool that can help you determine your eligibility status is the Medicaid eligibility chart. One of the primary factors th...You're speaking with Dr. Michael SalkinMiralax is polyethylene glycol powder and people make a suspension of it in water prior to dosing. You're looking for the ...Polyethylene glycol 3350 is used to relieve constipation. This medicine is a laxative. This medicine is available as an over-the-counter (OTC) product. This product is available in the following dosage forms: Powder for Solution.That sort of aligns with the information above and is said to be conservative. If this information is correct, then it could mean the following dosage amounts: Miralax for a 70-pound dog: 1 and ⅖ of a teaspoon every 24 hours. Miralax for a 50-pound dog: 1 teaspoon every 24 hours. Miralax for a 40-pound dog: ⅘ of a teaspoon every 24 hours.Usual Adult Dose of MiraLAX for Constipation: 17 g (diluted in 8 fluid ounces water, juice, soda or coffee) orally once a day. Usual Pediatric Dose for Bowel Preparation: Occasional constipation: Children greater than 6 months of age: 0.5 to 1.5 g/kg daily (initial dose 0.5 g/kg; titrate to effect) Maximum dose: 17 g/day Fecal impaction:To make an appointment call 800.678.5437 or request an . Need to know how much Ibuprofen, Tylenol, Benadryl or other medication to give your child? Use the child dosage chart from St. Louis Children's Hospital for guidance.Mar 17, 2023 · MiraLAX is a brand-name osmotic laxative that treats constipation and is used for colonoscopy bowel preparation. Learn how to use MiraLAX, what factors affect its dosage, and what side effects to watch out for. Miralax* dosing Weight (kilograms) Weight (pounds) Green Zone Total Daily Dose Yellow Zone Total Daily Dose Miralax should be mixed into a liquid drink. Please note: These are just suggestions. Your doctor may pick a different dose based on your symptoms or what has worked before. 10-20 kg 22-43 lb ½ cap 1 cap 20-40 kg 43-88 lb 1 cap 2 capsFirst dose. • At 5 pm: Take 4 Dulcolax® tablets by mouth. • 1 glass (about 8 ounces) of solution At 6 pm: Mix half a bottle of a 238 mg bottle of MiraLAX® with 32 ounces of Gatorade until dissolved. Drink 1 glass (about 8 ounces) of solution every 15 minutes until all 32 ounces are gone. Nausea instructions.89 – 99 pounds. Give 1 capfuls, 3 hours each day for 2 days. Give at 8 a.m., afternoon and 4 p.m. 100 – 110 pounds. Give 1 ½ capfuls, 3 times apiece day for 2 days. Give at 8 a.m., noon and 4 p.m. In addition to the Miralax, the child needs to drink one cup of liquid at least 8 period per time for the 2 days the they are on this clean out ...HOW DO I MIX AND MEASURE PEG? HOW MUCH SHOULD I GIVE? HOW LONG DO WE USE MIRALAX? 3 DAY CLEANOUT. MIRALAX SAFETY. Image is found widely …Ask a doctor before use if you have. nausea, vomiting or abdominal pain. a sudden change in bowel habits that lasts over 2 weeks. irritable bowel syndrome. Ask a doctor or …Polyethylene Glycol 3350, 17 g. Purpose. Osmotic Laxative, powder for Solution - Unflavored powder grit free - Each Packet contains one dose, net wt 0.5 oz (17g) Mix-In Pax® Travel Size - Relieves occasional constipation ... Use. • relieves occasional constipation (irregularity) • generally produces a bowel movement in 1 to 3 days.Polyethylene Glycol 3350, 17 g. Purpose. Osmotic Laxative, powder for Solution - Unflavored powder grit free - Each Packet contains one dose, net wt 0.5 oz (17g) Mix-In Pax® Travel Size - Relieves occasional constipation ... Use. • relieves occasional constipation (irregularity) • generally produces a bowel movement in 1 to 3 days.MiraLAX ® is the #1 Doctor-Recommended Choice. Proven safe and effective. Original prescription strength, available over the counter. Provides complete, comfortable and predictable relief, with both stool-softening and laxative effects. Doesn’t cause harsh side effects such as gas, bloating, cramping and sudden urgency.MiraLAX. MiraLAX ® works naturally with the water in your body to provide effective relief from occasional constipation, without harsh side effects such as gas, bloating, cramping or sudden urgency. Get A Coupon. Ask a doctor before use if you have. nausea, vomiting or abdominal pain. a sudden change in bowel habits that lasts over 2 weeks. irritable bowel syndrome. Ask a doctor or pharmacist before use if you are taking a prescription drug. When using this product. you may have loose, watery, more frequent stools. Stop use and ask a doctor if. The dose of Golytely can be noted below. On rare occasions where NGT is not possible, then oral MiraLax can be considered, but is undesirable due to patient intolerance. Inpatient Cleanout Pharmacotherapy: Age Route Medication Dose Comments >/=2 years Rectal Fleet Enema (sodium phosphate) See dosing chart above >/=2 years Oral/NGT PolyethyleneMiralax may have side effects such as abdominal troubles, including frequent bowel movements, bloating, cramping, and gas. Image: Stable Diffusion/MomJunction Design Team. In this video, an expert talks about the long-term effects of using Miralax to help a child with constipation. Discover if it is safe and … Ask a doctor before use if you have. nausea, vomiting or abdominal pain. a sudden change in bowel habits that lasts over 2 weeks. irritable bowel syndrome. Ask a doctor or pharmacist before use if you are taking a prescription drug. When using this product. you may have loose, watery, more frequent stools. Stop use and ask a doctor if. Metamucil and Miralax are over-the-counter medications used to relieve constipation. Metamucil is a bulk-forming laxative that contains psyllium, a soluble fiber. It helps constipation and, taken regularly, may have other benefits, such as lowering blood sugar and cholesterol. Miralax is an osmotic laxative that contains polyethylene glycol.On rare occasions where NGT is not possible, then oral MiraLax can be considered, but is undesirable due to patient intolerance. Inpatient Cleanout Pharmacotherapy: Age Route Medication Dose Comments >/=2 years Rectal Fleet Enema (sodium phosphate) See dosing chart above >/=2 years Oral/NGT Polyethylene Glycol (MiraLax) 17 gramsDosage: Find your child’s weight in the left column of the dosage table. Follow the row across to see the correct amount of medicine and the amount of liquid to mix with it. How often: Use 1 to 2 times a day for 3 to 4 months. It might take up to. 7 days to see results. Consult your healthcare provider if you are not getting results after 7 days.Dec 20, 2023 ... With the liquid formulation, the dosage for constipation in adults is often 10 ounces.10 For children 6 to 12 years old, the dosage may be 5 ...The Miralax Dosage By Weight Chart provides recommended dosages for occasional constipation based on weight, ranging from consulting a physician for those under 16 lbs to a full capful mixed with 4-8 ounces of liquid once daily for those weighing 126 lbs and over.Using this information, we can calculate how many cups of Miralax are 238 grams by following these steps: Divide the weight of Miralax (238 grams) by the weight per cup (113.6 grams): 238 grams ÷ 113.6 grams/cup ≈ 2.09 cups. Round the result to the nearest hundredth: 2.09 cups ≈ 2.1 cups.One COVID-19 vaccine is already under review for possible emergency authorization in December; its competitors are close behind. Once we have a vaccine—or maybe several—it will be ...The bowel preparation solution will be consumed in two parts. Mix 1/2 of MiraLAX bottle (119 grams) in each 32-ounce Gatorade bottle until dissolved. Keep cool in the refrigerator. DO NOT ADD ICE. Part 1. At 5:00 PM on the evening before your colonoscopy, take four Dulcolax tablets. At 6:00 PM on the evening before your …Miralax dosageMiralax dosage laxatives dosing kids bowel constipation cleansing children fleet globalrph water liquid doses Dosage chart weight miralax pediatric babies doseMiralax for kids dosage. Miralax for babies and toddlers: safety, uses and dosageMiralax pediatric dosing chart Miralax dosages for kidsMiralax powder laxative, …SUTAB SPLIT-DOSE REGIMEN. Two SUTAB doses are required for a complete preparation3: Dose 1 consists of 12 tablets and 16 oz of water. Dose 2 consists of 12 tablets and 16 oz of water. Each dose is followed by two additional 16 oz of water. ACG-recommended split-dose regimen6. Please see Full Prescribing Information and …stir and dissolve one packet of powder (17 g) in any 4 to 8 ounces of beverage (cold, hot or room temperature) then drink. •. ensure that the powder is fully dissolved before drinking. •. do not drink if there are any clumps. •. use once a day. •.MiraLAX ® contains the same molecule, PEG 3350, as RestoraLAX ® in Canada. RestoraLAX ® is recommended by doctors as an effective way to treat constipation.* *RestoraLAX ® relieves occasional constipation, without the side effects of gas, bloating or cramps. It works to soften the stool and increase the frequency of bowel movements. …When it comes to working with torque specifications, having a reliable torque specification chart is crucial. These charts provide the necessary information on the recommended torq...In today’s data-driven world, charts are an essential tool for visually representing information and making it easier to understand. Whether you’re a student, professional, or just...Use a stool softener (such as Miralax). It is available without a prescription. Give 1-3 teaspoons (5-15 mL) powder each day with dinner. Mix the powder in 2 to 6 ounces (60-180 mL) of water. Fiber products (such as Benefiber) are also helpful. Give 1 teaspoon (5 mL) twice a day. Mix it in 2 ounces (60 mL) of water or fruit juice.In today’s fast-paced world, staying informed about the latest news is more important than ever. With the advancement of technology, we now have access to news at our fingertips th...Miralax should be continued for at least 1 month, but may need to be continued for 6-12 months, at a dose to have 1-2 regular mushy stools a day. After 1 month of maintenance therapy, Miralax can be decreased to an as needed basis only if your child’s bowel habits allow. ... The doses below are suggested starting doses. The dose of Miralax ... For oral dosage form (powder for solution): For constipation: Adults and children 17 years of age and older—17 grams (g) once a day. Children younger than 17 years of age—Use and dose must be determined by your doctor. Storage . Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Miralax 0.4-1 g/kg/daily for 2 months. Prune juice 2-6 oz/day. Maintenance: Miralax 0.4-1 g/kg/day. Impacted: Miralax: 1-1.5mg/kg/day divided TID 3-6 days, then switch to maintenance dose. DIETARY AND LIFESTYLE RECOMMENDATIONS. • Develop daily habit of sitting on the toilet for 5-10 minutes 20-30 minutes after a meal.

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miralax dosing chart

Laxative use can be dangerous if constipation is caused by a serious condition. This includes a bowel blockage, also called an intestinal obstruction. Dependency. Using laxatives too much for weeks or months can make constipation worse. This happens because they can decrease your colon's ability to contract.Jun 24, 2022 · Mild side effects. Mild side effects* of MiraLAX may include: diarrhea or stools that are watery, loose, or more frequent than usual. nausea. abdominal bloating, cramping, or pain. mild allergic reaction †. Most times, mild side effects of a drug go away within a few days or a couple of weeks. Metamucil and MiraLAX are both brand names for over-the-counter laxatives. This means they help you move feces through your bowels. They both come as a powder that is dissolved in water for you to drink. However, they work in different ways and are taken for different periods. Metamucil is used to help you have regular bowel … Powder—119g, 238g, 510g (w. measuring cap); Single-dose packets (17g)—10 Manufacturer Bayer Corporation Oct 1, 2023 ... PO/Rectal Stimulant Dosing: For all patients > 20 kg ... ○ Miralax® (Polyethylene glycol) is ... Senna (refer to dosing chart). 2 - 6 yrs: 2.5 ... We would like to show you a description here but the site won’t allow us. Trazodone can be lethal if more then the prescribed dose is taken, but instances are rare, according to MedlinePlus. The average dose for an outpatient adult ranges from 150 millig... Miralax Dose Mix with Clear Liquid Polyethylene glycol (Miralax, Glycolax or PEG) 1 Capful = 17 grams. Use the cap that comes on the medicine bottle. Dosing: 3 grams/kilogram/day Each capful should be mixed with 4 ounces of liquid 4 ounces every 15 minutes or 8 ounces every 30 minutes until complete 1 time in the afternoon and repeat the This medication is used to treat occasional constipation. It works by holding water in the stool to soften the stool and increases the number of bowel movements. It is known as an osmotic-type ... For cleansing of the colon: For oral dosage form (powder for oral solution): Adults—240 milliliters (mL) every 10 minutes. The first dose is usually taken early in the evening on the day before your medical test. Children—Use and dose must be … Ask a doctor before use if you have. nausea, vomiting or abdominal pain. a sudden change in bowel habits that lasts over 2 weeks. irritable bowel syndrome. Ask a doctor or pharmacist before use if you are taking a prescription drug. When using this product. you may have loose, watery, more frequent stools. Stop use and ask a doctor if. .

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