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It softens stool by holding water in the intestinal lumen, preventing the excessive drying that happens when transit time slows

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Sucher NJ, Lipton SA (1991)

While real-world results may be slightly less, the improvements go beyond weight: Lower blood sugar, blood pressure, and triglycerides Reduced waist circumference and sleep apnea symptoms Better health-related quality of life Fewer major cardiovascular events Reduced progression of fatty liver disease and chronic kidney diseaseeven in the absence of weight loss (Mozaffarian et al., 2025)

Patients with SIBO residuals or NSAID-induced gastritis often report meaningful improvement in GI symptoms within the first 30 days