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PMID 24066960

Both forms should be used cautiously by people with seizure disorders or significant kidney impairment

Gut microbiota composition is associated with body weight, weight gain and biochemical parameters in pregnant women

Patients with kidney disease, heart failure, or other conditions requiring fluid restriction should follow their healthcare provider's guidance Distribution throughout the day : Spreading fiber across meals rather than concentrating intake at one time Individual tolerance : Some patients may temporarily require slightly lower fiber intake during initial treatment phases Patients experiencing persistent constipation despite adequate fiber and hydration should consult their healthcare provider, as additional interventions such as polyethylene glycol (PEG) or other osmotic laxatives may be appropriate per American Gastroenterological Association guidelines

People who should avoid or use moringa with caution include: Pregnant women : Moringa root, bark, and flowers have traditionally been used to stimulate uterine contractions, and there are concerns that high-dose supplementation could pose a risk during pregnancy