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References

DOI: 10.1053/j.gastro.2023.03.214

1. In adults with CIC, the panel suggests the use of fiber supplementation over management without fiber supplements (conditional recommendation, low certainty of evidence).
2. Fiber supplements can be used as first-line therapy for CIC, particularly for individuals with low dietary fiber intake.
3. Adequate hydration should be encouraged with the use of fiber.
4. Based on the meta-analysis of data from 3 studies, the use of psyllium may lead to an increase in SBMs per week (MD 2.32, CI 0.86–3.79).
5. Combined data from 2 studies showed that the use of psyllium may increase global relief symptoms (RR 1.86, CI 1.49–2.30), but there was little to no difference in stool consistency (MD −1.08, CI −1.33 to 0.83).