Over time, this can lead to: Loss of lean body mass and lower resting metabolic rate Reduced protein intake , making it harder to maintain muscle Micronutrient deficiencies , particularly vitamin D, calcium, magnesium, and B-vitamins Lower energy levels and slower recovery from illness or exercise (Mozaffarian, 2025) Gastrointestinal side effects can make the picture even more complex
Minerva Ginecol (2014) 66(3):25166
Take other oral medications at least 2 hours before or after ispaghula (4 hours for levothyroxine)
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