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Bulk-forming laxatives such as ispaghula husk (Fybogel) and sterculia (Normacol) are generally recommended as first-line treatment for constipation with hard stools according to NICE Clinical Knowledge Summaries

You may also like Frequently Asked Questions Every batch is independently tested by a third-party laboratory using HPLC (High-Performance Liquid Chromatography) and mass spectrometry

In this episode, the founder of Obesity Canada and the Edmonton Obesity Staging System shares his personal journey from treating kidney disease in Germany to pioneering a modern, evidence-based framework for obesity care

Vitamin B12 injections for direct absorption Oral or sublingual B12 supplements in milder cases Regular monitoring to ensure levels return to normal For individuals with absorption issues, injections are often the most effective approach