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The article names chronic kidney disease, liver cirrhosis and severe gastroparesis as conditions that should not be paired with this diet without specialized nephrology or gastroenterology input

The good news is that vitamin D supplements are inexpensive and a breeze to take

Increased nausea, vomiting, stomach pain, heartburn, and in severe cases, ulcers or GI bleeding

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Third, satiety and dosing timing matter, since viscous fibers work best taken with water before a meal, which turns the regimen itself into a compliance variable alongside pill and sachet burden

In particular, clinically relevant fibrosis is detectable in about 15% of diabetic patients [95]