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Patients should be counseled to contact their healthcare provider if they experience any of the following: Severe or persistent gastrointestinal symptoms including intractable nausea or vomiting lasting more than 24-48 hours, inability to maintain adequate oral hydration, severe abdominal pain (particularly if localized to the upper abdomen or radiating to the back), or signs of gastrointestinal bleeding such as bloody or black stools

The idea is that you lose the weight, but then you have to maintain the weight, and that's only going to happen if you have a certain kind of a lifestyle, says Dr

While supplements can be convenient and helpful to top off a daily fiber goal, focus on fiber in food first, says Bruning