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For patients with dysautonomia or gastroparesis, high amounts of insoluble fiber can be dangerous, potentially sitting in a paralyzed stomach and forming painful blockages

However, there are caveats

It is learning to work with a new medication and is starting to burn more fat for fuel

Contact your doctor if you cannot keep fluids down for more than 24 hours, if you experience severe abdominal pain, if you have a heart rate above 100 beats per minute at rest, or if you feel significantly worse after day four rather than better

This slow absorption and prolonged presence in the bloodstream play a critical role in its ability to provide sustained therapeutic effects over time

R v4.3.1 is available at References World Obesity Federation