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The value of microbiome-targeted therapy on lipid indices of patients with type 2 diabetes mellitus: an umbrella meta-analysis of randomized controlled trials

J Nutr (2007) 137(11 Suppl):2547S51S

If over-the-counter laxatives provide no relief after one week of appropriate use, or if you find yourself requiring increasing doses or multiple laxative types, medical review is advisable

I also did all the typical pre-surgery blood work and physicals
