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Even with extra water, the bulk-forming nature of Metamucil can still lead to bloating and discomfort in a slowed digestive system, making Miralax a more reliable choice

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If youre regularly replacing meals because you cant tolerate food, its a good idea to consult your prescriber or a dietitian to avoid nutrient gaps

In particular, long-term use of non-steroidal anti-inflammatory drugs (NSAIDs) can cause gastric mucosal damage as they can inhibit mitochondrially encoded cytochrome C oxidase I (MT-CO1, also known as COX-1) and block its protective effect on gastric mucosa