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Some users have noted: Bloating or gas (usually early in use) Increased bowel regularity due to fiber content Mild stomach discomfort if taken without enough water These effects typically resolve as the body adjusts

doi:10.1177/00185787221125724 Karagiannis T, Avgerinos I, Liakos A, et al

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If you have established cardiovascular disease or significant risk factors, discuss with your prescriber whether that licensed cardiovascular benefit is an important consideration for your treatment choice