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ForumsNutrition & SupplementationFiber supplementation for GLP-1 constipation — meta-analysis review Page 4

Fiber supplementation for GLP-1 constipation — meta-analysis review

Dr.GutHealth Sun, Jun 7, 2026 at 7:47 AM 18 replies 389 viewsPage 4 of 4
MikeNYC_runner
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Jun 8, 2026 at 7:24 AM#16
Dr.CardioMD said:
Gastric emptying studies and constipation: semaglutide delays gastric emptying by ~40% at steady state, as measured by acetaminophen absorption…

Same experience, arrived at from the opposite direction. Nothing to add that would improve it.

14 12PedsEndoPhilly, SleepDoc_PDX, RegAffairsDC and 11 others
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A1cHero_PHX
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Jun 8, 2026 at 10:45 AM#17
anders_CPH said:
Drug interaction alert relevant to constipation: if you take oral levothyroxine (Synthroid), GLP-1 agonists can reduce absorption due to delayed…

Sulfur burps on constipation — the most underrated side effect nobody warned me about. 🤢 The smell is absolutely vile and comes on without warning.

What finally helped: taking a digestive enzyme supplement. Also, eating smaller portions and chewing thoroughly reduces the gas production.

If sulfur burps persist beyond 2-3 weeks, talk to your provider — it could indicate gastroparesis that needs medical attention.

Last edited: Jun 8, 2026 at 3:45 PM
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tampaLisa73
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Jun 8, 2026 at 2:05 PM#18
anders_CPH said:
Drug interaction alert relevant to constipation: if you take oral levothyroxine (Synthroid), GLP-1 agonists can reduce absorption due to delayed…

Genuinely useful, thank you. I had the facts and not the framework.

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Dr.PainCLE
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Jun 8, 2026 at 5:26 PM#19

From the other side of the consultation, briefly.

Acid reflux and constipation: I developed GERD symptoms around week 3 that I'd never had before. The delayed gastric emptying means food and acid sit in your stomach longer.

Management that works for me: elevate head of bed 6 inches, don't eat within 3 hours of lying down, avoid trigger foods (tomato, citrus, spicy, chocolate), and famotidine 20mg at bedtime. Much better now.

Last edited: Jun 8, 2026 at 8:26 PM
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Jun 8, 2026 at 8:47 PM#20

Moderator note: a post naming a supplier has been edited. Discuss suppliers in the review sections, not here. No action needed from anybody.

Last edited: Jun 9, 2026 at 12:47 AM
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