For My Tummy

Following a Soluble Fiber Trail across the Net

Background
For more information on the importance of soluble fiber in the dietary approach to IBS, see these earlier posts:

Fiber Glossary, and
Fiber 101a, as well as
Fiber 101b.

Today’s web adventure:
Today, as I placed a regular supplement order with Vitacost.com, I somehow saw a long list of products. From idle curiosity, I scrolled down the page. I noticed that they listed guar gum, the main ingredient in the old form of Benefiber ™. Of course I clicked on the listing, and got two listings, for Source Naturals ™ versions of the same product.

Because I knew Amazon sells Source Naturals, and VitaCost had a shipment delay on one size of the Guar Gum product, I checked price and shipment information on Amazon.com, using “guar gum” for the search term. Yes, they have the same product, but you have to buy three at a time. Yes, it’s shipped directly from Amazon.com, so (especially if you are an Amazon Prime member) the ship time is very fast and accurate. Just to see what else there is, I checked their whole listing for guar gum. You can do the same — just avoid Bob’s Red Mill ™ or Barry Farm guar gum, which are intended for baking, and very hard to use as a supplement.

Believe me, I’ve tried.

At the bottom of the Amazon list of guar gum products, they had an allied ad from HerbalRemedies.com.
Poking around that web site, I found the following information on acacia fiber, the basis for Heather’s Organic Acacia Tummy Fiber ™.

Acacia General Information
Ancient Hebrews considered Acacia to be the Shittah tree of the Bible which supplied the sacred wood. The Ark of the Covenant and the sacred Tabernacle were made from Acacia wood. As a spiritual icon it is also one of the most powerful “symbols” in Freemasonry representing the eternal soul and purity of the soul. The ancient Egyptians used the gum of the tree on loose teeth because its thick mucilaginous (thick and sticky) properties supported the tooth while the astringent qualities tightened up the gum tissue surrounding the loose tooth. The Egyptians also used the material as a glue and as a pain reliever base. The gum of the Acacia tree was applied to open wounds as an antiseptic. The Aztecs used it as a food and dye, and ate the seedpods as an aphrodisiac.

Where The Acacia Tree is Found Today
The acacia tree (Acacia Senegal) is a thorny, scraggly tree that grows to heights of about 15 feeet. It grows most prolifically in regions of Africa, in particlular in the Republic of Sudan. During times of drought, the bark of the tree splits, exuding a sap that dries in small droplets or “tears”. In the past, these hardened sap tears served as the major source of acacia gum, but today commercial acacia gum is derived by tapping trees periodically and collecting the resin semi-mechanically. At least three grades of acacia gum are available commercially and their quality is distinguished by the coloor and character in the collected tears. There is considerable variation in the gum quality depending on whether it is obtained by natural flow secondary to extreme drought, obtained by tapping of induced by the boring of beetles at sites of branch injury. Gums derived from Combretum are readily available at low prices in East and West Africa and are often offered for sale as “gum arabic”.

Acacia Uses & Scientific Evidence For
Today Gum Arabic is used to provide a soothing coating over inflammations in the respiratory, alimentary, and urinary tracts. It is also helpful for coughs, sore throat, and catarrh, eyewash, diarrhea, and dysentery. Acacia is sometimes used for typhoid fever as well. Acacia is highly soluble, with low viscosity and a high soluble dietary fiber content, and therefore, used in meal replacement products, nutritional beverages, and weight-loss products. Acacia gum has been used in food as a stabilizer and in pharmaceuticals as a demulcent. It is used topically for healing wounds and has been shown to inhibit the growth of periodontal bacteria and the early deposition of plaque.

Post Summary
That’s comprehensive information on acacia fiber, when I started out looking for guar gum supplements — especially to replace Benefiber ™, which is now made with wheat dextrin. So in the next post, I’ll deal more specifically with guar gum as a soluble fiber, not just where to get the supplement.

August 22nd, 2008 Posted by tummyblogger | fiber, VitaCost, FiberSure (tm), Heather's Organic Acacia Tummy Fiber (tm), Benefiber (tm), Prebiotics, IBS Diet | no comments

Irritable Bowel Syndrome - What to Use Every Day?

In reviewing the questions that people ask search engines, and then get direct to this site, I am seeing a lot of “is it ok to take xyz every day.” The answers are sprinkled through this site, so I wonder whether people find what they are looking for.

In this post I review some of the queries and try out some answers. Feel free to comment by clicking on the “no comment” link, which opens the comment box:

Is it okay to take laxatives every day?
• a. By laxative do you mean anything in the laxative aisle of the drugstore? Then read beyond this question for information on Soluble Fiber Supplements, also called “prebiotics.”
• b. Generally it is not good practice to do this. Over a long space of time you become dependent on laxatives, and you need a larger and larger dose to get the same effect. A diet that avoids IBS triggers, and the simultaneous building up of your intake of soluble fiber supplements (SFS) to the recommended levels will relieve constipation over time. You do not need to have a bowel movement every day; fewer than three per week is a cause for concern. “Cause for concern” is code for “talk to your doctor about this.”

Is Benefiber okay? Review of Benefiber?
• When the major ingredient of Benefiber was guar gum, it was okay. At that point Benefiber was a Soluble Fiber Supplement (SFS), which is the kind that helps IBS. Now it is not an SFS, because the makers (Novartis, makers of Zelnorm) changed the main ingredient to maltodextrin.

What about Fibersure? Review? Take it every day?
• Fibersure is an SFS, made from chicory root fiber, also called “inulin.” Anything similar that is all inulin–for example, a Walmart store brand, or a Canadian, Indian, Australian, or British product–would act similarly. This is the kind of product in the “laxatives” aisle that you should take every day. In fact, you should take several doses throughout the day to build up to 20 to 30 grams of soluble fiber every day.
• I don’t receive the queries about Heather’s Organic Acacia Tummy Fiber ™, which is the other brand name Soluble Fiber Supplement (SFS). Like FiberSure, it should be taken every day. Like FiberSure, unlike senokot and similar laxatives, you should gradually build up to a base level of 20 to 30 grams of SFS per day.

Take Metamucil ™ every day?
• There are two answers here. First, unless you have a free year’s supply of Metamucil ™ without any additives, don’t take Metamucil ™ for IBS. It has several ways of irritating a sensitive tummy. Second, if you have an otherwise nice doctor who insists that you take a psyllium fiber supplement (PFS), try bargaining with her to take Original Konsyl ™, which is a PFS with absolutely no sugar, sugar substitute, orange coloring, orange flavoring, etc–no additives at all.
• So the short answer? Don’t take Metamucil ™ every day; don’t take Metamucil ™ at all! If you take Original Konsyl ™ every day, preferably add it to a base of 20 to 30 grams of SFS.

Look for a further post on “every day IBS care.”

September 30th, 2007 Posted by tummyblogger | fiber, general, IBS, Irritable Bowel Syndrome, IBS-D, FiberSure (tm), Heather's Organic Acacia Tummy Fiber (tm), Benefiber (tm), Prebiotics | 4 comments

Fiber 101b - Fiber for Irritable Bowel Syndrome (IBS)

The following material is designed specifically for people with Irritable Bowel Syndrome (IBS). It may be useful to people who have occasional constipation or diarrhea or non-specific tummy pain. As usual, this is not medical advice. It will be helpful to read the Fiber in IBS Glossary, posted two days ago, and you might want to reread the post titled Fiber for IBS 101a.

There are three points in this follow-up post. I will be talking about how the role of fiber in establishing a real comfort level with your tummy. The three points, as questions, are:

• What does fiber do in your body?
• What kind of fiber do you need to have that beneficial effect?
• How much of the right kind of fiber do you need each day?

What Does Fiber Do in Your Body?
As your background reading indicates, there are two kinds of fiber, soluble and insoluble.

First, insoluble fiber (IF) is bulk, or roughage. It increases the size of the stool as the stool is forming and passing through the large intestine (=large bowel). This is the kind of fiber that many doctors are suggesting you take when they say eat more fruits and vegetables, and take Metamucil ™ or another psyllium laxative/fiber. IF is also the kind of fiber that many many people with IBS have tried and given up on, because it makes things worse.

Second, Soluble Fiber (SF). Soluble fiber in supplement form (SFS) dissolves completely in water, and when it reaches your large intestine it blends with the contents of your digestive system as it comes from the small intestine, and *there* it forms a gel. I will tell you that the following comparison may gross you out. Still, please read on.

The gel that’s formed in your large bowel has somewhat the consistency of a tube of toothpaste, and your large bowel squeezes it along until the gel-like stool is eliminated. This is the result of taking a Soluble Fiber Supplement (SFS).

The effect of taking adequate amounts of SFS is very easy passage of formed stools, not too loose and not too hard, dry, or painful. The gel-forming effect of SFS works with the loose and watery stools of diarrhea (IBS-D) as well as with those of IBS-C.

What Kind of Fiber Do You Need to Have that Beneficial Effect?

In order to have the help of fiber to change the nature of the stools you pass, you need adequate amounts of a soluble fiber supplement (SFS) for your IBS-D or IBS-C. Right now in the U.S. the available supplements are FiberSure ™ and Heather’s Organic Acacia Tummy Fiber ™, and perhaps some store brands.

• FiberSure is pure powderedinulin, made from chicory root. It is also FDA approved for use in treating constipation.
• Heather’s Organic Acacia Tummy Fiber is pure powdered acacia. It may be classed by the FDA as a “medical food.”
• Store brands that are still in place that mimic the old form of Benefiber, ™ and have guar gum as their active ingredient. (I have tried to check out a report that Wal-Mart has such a store brand SFS, with no success.)

How much of the right kind of fiber do you need each day?

How much SFS do you need, and how do you get there? How do you change over from Metamucil ™ or FiberCon ™ or Konsyl ™? Do you also need Metamucil ™?

To my way of thinking, you need to gradually add an SFS to your daily routine, while also gradually reducing the amount of any IFS you have been taking. Carrots and apples and other vegetables and fruits that are sources of SF should be switched to steamed or blended forms, with no sugar added.

Basically, you are going for a daily intake of 30 to 45 grams of soluble fiber. That varies from individual to indivual according to size, weight, and age. To find the right amount, you gradually increase your SFS intake until your stools are the kind of softened and formed “gel” that I described above.

If you reach 40 or 45 grams of SF per day, without getting these results, please consult your doctor.

Bottom Line
The bottom line is that in taking an SFS you take it every day, and build up until the amount is adequate for a comfortable, formed stool.

August 23rd, 2007 Posted by tummyblogger | fiber, Irritable Bowel Syndrome, IBS-C, IBS-D, FiberSure (tm), Heather's Organic Acacia Tummy Fiber (tm), Benefiber (tm), Digesting Information | 2 comments

Glossary of Fiber Terms Used in Writing about Irritable Bowel Syndrome (IBS)

Terminology Problems
The discussion about appropriate types of fiber in the therapy of Irritable Bowel Syndrome is hampered by a number of misconceptions about fiber. What has been holding me up in writing a simple Fiber 101b post, the second part of the primer on fiber, has been the need to explain several distinctions among types of fiber, that is so much of what I mean when I say fiber.

These are some the terms used on this and other sites:

• Dietary Fiber
• Insoluble Fiber (IF)
• Soluble Fiber (SF)
• Soluble Fiber Supplement (SFS)
• TV ads for “Fiber”

Putting the explanation of terms into an article, I think, will make your eyes glaze over. That will happen if what I say is in conflict with what you know. So, this is the fiber glossary, the words and terms for talking about fiber. Some of what is on this page will be new to your understanding of fiber.

Glossary

Fiber

Not a specific term. It doesn’t describe the food, or the supplements, that supply fiber. It may be used to describe a daily amount of fiber.

Dietary Fiber

This is more specific. It is part of the break down of the carbohydrates count in a nutrition label. The other part of the carbohydrate count is sugars. Dietary fiber contributes only a small amount of energy/calories, because it is the residue from plant foods.¹ Recommended daily allowances are talking about measurable totals of different kinds of dietary fiber.

Soluble Fiber (SF)

Soluble Fiber comes from plants that are sources of gums used in the preparation of foods, as thickeners, for example. In Heather’s system of Eating for IBS, soluble fiber is also starches that are found in rice, potatoes, and sweet potatoes, and are useful to put the gastrocolic reflex to sleep before eating a (more-or-less) regular meal.

Soluble Fiber Supplements (SFS)

Soluble Fiber Supplements are commercially available varieties of the first kind of SF above, the plants that produce gums that dissolve completely in water. Some examples are guar gum used in the old Benefiber ™, acacia gum used in Heather’s Organic Acacia Tummy Fiber ™, and inulin from chicory root, sometimes used as a sweetener, and the only ingredient in FiberSure ™.

Insoluble Fiber (IF)

This is plant materials–fibers–that do not dissolve in water. Insoluble fiber is what used to be called “roughage.” It is usually what we understand doctors to be saying when they say “Increase fiber.” My bad example is Metamucil ™, which is made from psyllium (a kind of seed) husks. They add bulk to the stool, hastening its movement through the intestines. Bran and various crunchy, rough cereals are sources of insoluble fiber (IF); also raw vegetables such as carrots. The skins and seeds of fruit and vegetables are other sources, as are nuts. This is what doctors still give as the kind of stuff to eat as part of a “high fiber diet.”
None of these things is easily tolerated by a person with IBS.

TV Ads for “Fiber”

In the United States there is an ad for FiberCon caplets, ™ which are “Calcium polycarbophil 625 mg equivalent to 500 mg polycarbophil.” Their labeling suggests that the caplets should not be used more than 7 days without a doctor’s approval. The ingredient is the same as that in Equalactin ™. The interesting point is the way the ads play on the popular conception of a “high fiber diet,” and suggest that such a diet is impossible to follow because we’d be eating fiber all day. So, why not take their caplets? Well, because polycarbophil is a “bulk-forming” laxative–roughage, or IF–and may give some problems to people with IBS.

NOTE
In the past, in the archived posts on this blog, I have used SF and SFS interchangeably, meaning supplements. Heather’s site also has used the terms interchangeably in the past, in the meaning of both supplements and the soluble element of starches such as rice and potatoes, and bananas.
Neither of us is technically wrong, just different. SF, including both starches and SFS, is PREbiotic, a growing medium for the good bacteria that we call PRObiotics.

1. 1 Shirley S. Lorenzani, “Dietary Fiber: Its Surprising Range of Therapeutic and Protective Health Benefits,” Good Health Guides (New Canaan, Connecticut: Keats Publishing) 1988. [↩]

August 21st, 2007 Posted by tummyblogger | fiber, IBS therapy, FiberSure (tm), Heather's Organic Acacia Tummy Fiber (tm), Prebiotics, IBS Diet, IBS Symptoms | one comment

Fiber for IBS - 101a

Sometimes it seems so simple I take it for granted. There are two kinds of fiber for IBS. One is FiberSure ™, which is 100% inulin and is made from chicory. The other is Heather’s Organic Acacia Tummy Fiber ™, which is 100% acacia fiber, from the acacia gum tree.

These are the fibers that are PREbiotic - see PREbiotics 101. One way you can tell is that they dissolve completely in warm water, leaving either clear liquid you can see through (FiberSure) or a suspension that settles into clear liquid if you don’t touch it for a while–Acacia Tummy Fiber.

I have seen posts uncorrected by the communities on forums (that I’ve recommended in the past) that say something like “I’ve changed to Weetabix–or Shredded Wheat–and I still have problems with IBS-C!” or it might be “Now I have yoghurt crunchies for breakfast, so that’s my fiber, but I still have IBS-D!”

I think there’s a disconnect in communication about your need for fiber if you have Irritable Bowel Syndrome (IBS) in any variety.

What I am talking about, and what Heather’s web site talks about, and what medical sites like the Johns Hopkins Medical Institutions Gastroenterology - IBS are talking about is not changing your breakfast cereal to treat your Irritable Bowel Syndrome (IBS).

We are all talking about

1. the gradual increase of your daily dietary fiber amount from the maybe 3 gms of fiber to ten times that much,AND
2. starting to get at least half of that amount in soluble fiber, AND
3. gradually increasing the amount of fiber, most of it soluble, you have EVERY DAY to the recommended range.

In short, ignore the TV ads for cereals or other products that are “high fiber.”

Most of the time a serving of these advertised high-fiber products has as much as 3 gms of fiber in it. That’s one tenth of what you need in a day. Do you want to have ten servings of whatever it is? With milk, and/or containing wheat, and/or containing citric acid? Are you serious or just playing around?

It would be terrific if we people with Irritable Bowel Syndrome (IBS) could get a lot of our fiber from fresh fruits and vegetables. Sadly, I at least don’t have the nerve to challenge my system with fresh carrots or apples, or GrapeNuts Flakes ™. Oatmeal–mixed soluble and insoluble fiber–works okay after your first dose of soluble fiber (Acacia or FiberSure).

July 23rd, 2007 Posted by tummyblogger | fiber, IBS, Irritable Bowel Syndrome, IBS therapy, IBS-C, IBS-D, FiberSure (tm), Heather's Organic Acacia Tummy Fiber (tm) | one comment

IBS Basics

In this post I will try to outline the basics of Irritable Bowel Syndrome (IBS) therapy. The harsh truth is that there is no magic pill or potion. IBS is a condition rather than an illness. I know, when you are in the middle of the current round of bodily “wrongness” that is IBS, you feel sick, often very sick.

The way to deal with this truth about IBS, that there is no magic pill or potion to heal IBS once and for all, is through life-style changes. Yes, that’s the “blame the victim” kind of answer that is so irritating, to me as well as to you. And what is worse, the life-style changes have to be so thorough, to do a good job at IBS control.

What I am talking about is cutting out all of the IBS triggers on the Page in the index across the top of this page. You no longer eat

July 18th, 2007 Posted by tummyblogger | Teas, fiber, Sweetener, Probiotics, IBS, Irritable Bowel Syndrome, IBS therapy, IBS Triggers, IBS-C, IBS-D, Soy Products, FiberSure (tm), Heather's Organic Acacia Tummy Fiber (tm), Benefiber (tm), Digesting Information | 2 comments

Water, When You Have IBS

Don’t Drink the Water
In my teens, quite a while ago, I often mentioned tummy pains to my family doctor. While the diagnosis of IBS didn’t exist, he did give me a word of wisdom that helped. He said: “Don’t drink ice water!”

I have now extended that to “Don’t drink cold, refrigerated water!” I have a bottle of (fresh) room-temperature water in the kitchen. I mix it in varying amounts with cold water from the refrigerator. Keeps my IBS tummy happy!

The thing is, really cold water, especially on an empty stomach, triggers the gastrocolic reflex, that demon that we want to keep sleeping!

Gastrocolic Reflex
The nice thing is that by drinking cold water on an empty stomach, and triggering your gastrocolic reflex, you become aware of what it feels like. You know the effect on your IBS symptoms because the cramping, or bowel moving, or gas passing, that is part of your IBS, pops up in miniature. When you know what it feels like to have an IBS trigger activate your gastrocolic reflex, you can chase the gastrocolic reflex with a banana, or banana chips, or some rice, or rice crackers, or some soluble fiber (Benefiber ™, Heather’s Organic Acacia Tummy Fiber ™, or FiberSure ™). So you have some control over the later and stronger IBS reaction that would otherwise come.

Is that clear? I’m trying to say (1) Recognize when your IBS trigger has hit your gastrocolic reflex, using cold/ice water; (2) chase your IBS trigger by eating one of the IBS soothers I’ve listed above.

Nice!
Somehow that strategy, chasing after a mistake you made in eating or drinking something you shouldn’t, is a really nice “benefit” of having IBS. :-/ There are not many things in life that really allow you to undo the past. This is one of them!

July 11th, 2007 Posted by tummyblogger | Gastrocolic Reflex, fiber, IBS, Irritable Bowel Syndrome, IBS Triggers, IBS food, FiberSure (tm), Heather's Organic Acacia Tummy Fiber (tm), Benefiber (tm), Prebiotics | no comments

Table: Effects of PREbiotics and PRObiotics on IBS

I have modified the following table, which provides a shorthand summary of this review article on PREbiotics and PRObiotics. There was a typo on the entries which are now Hyperlipedemia and Hypercholesterolemia.

TABLE 1. Strength of the evidence for improvement of body functions by probiotics and prebiotics [Just scroll down and ignore all the white space I can’t seem to fix]



The REVIEW ARTICLE source:
Prebiotics and probiotics: are they functional foods?1,2,3
Marcel B Roberfroid, in American Journal of Clinical Nutrition, Vol. 71, No. 6, 1682S-1687s, June 2000
© 2000 American Society for Clinical Nutrition

For the scientists who think this is too old an article–yes, as a review article it is too old. As a discussion of the issues that prevail in the discussions about PREbiotics and PRObiotics for management of IBS, it is useful.

COMMENT FREELY!
Feel free to recommend something else, perhaps something you’ve worked on or used more recently. Also, if you can document changes in information for this table, let me know. I promise to produce updates, as well as any further tables, in HTML, next time.

July 9th, 2007 Posted by tummyblogger | Probiotics, general, IBS, Irritable Bowel Syndrome, FiberSure (tm), Digesting Information | no comments

Recommended Reading on PRObiotics and PREbiotics for IBS

I am recommending the Proceedings of a Symposium on PREbiotics and PRObiotics. It is information that documents the helpful effects of PREbiotics such as FiberSure (Inulin) and Levan, though it doesn’t mention Acacia, which is a more complete fructo-oligo-saccharide (FOS), and is known for its use in the management of IBS. The language is sometimes technical, but you can also glean a lot from the Abstracts at the beginning of each article. Here is the link.

July 8th, 2007 Posted by tummyblogger | fiber, Probiotics, general, Irritable Bowel Syndrome, IBS-C, FiberSure (tm), Heather's Organic Acacia Tummy Fiber (tm) | no comments

Comparison Table of Fiber for Managing IBS - FiberSure & Acacia Tummy Fiber

I made a comparison table as part of a long post titled “OK to Use FiberSure Every Day?” In the table, measurements using a set of measuring spoons were compared between FiberSure ™ and Heather’s Organic Acacia Tummy Fiber ™. I couldn’t find a way to format it for that post, so here it is in this one.

July 1st, 2007 Posted by tummyblogger | fiber, IBS, Irritable Bowel Syndrome, IBS therapy, IBS-C, IBS-D, FiberSure (tm), Heather's Organic Acacia Tummy Fiber (tm) | no comments

“OK to Take FiberSure Every Day?”

This was a question that one person (name and place completely unknown) asked a search engine, which led her or him to For My Tummy. The answer is “Yes, it’s okay.” FiberSure is NOT a laxative. You should not depend on laxatives every day, for example to manage IBS-C. Fiber is GOOD to take every day, up to 30 or 40 grams of fiber every day, when you have worked your way up to taking that much. A laxative is NOT GOOD to take every day, as a way of dealing with IBS-C.

The question points up how far this blog has strayed from the original intent to simplify information about IBS. Here is some information about soluble fiber like FiberSure and Heather’s Acacia Tummy Fiber. So it was a wake-up call for me.

About FiberSure

FiberSure ™ is pure inulin, a somewhat sweet powder that provides soluble fiber in the diet. It is produced by the makers of Metamucil ™, another fiber product using psyllium that is harder for many IBSnicks to tolerate. Both these products are FDA-approved and available on the shelves of most drugstores. Look in the section for laxatives, although fiber products are not exactly laxatives.

Heather’s Acacia Tummy Powder ™

Heather’s Organic Acacia Tummy Powder ™ is not FDA-approved because it is not marketed as a laxative. It is another pure soluble fiber product, indicated as part of a therapeutic regimen to control Irritable Bowel Syndrome (IBS). If you click on the picture of the canister, you will see the instructions for using it. The idea of offering the canister or the pouch is that once you have the canister, you can refill it by ordering the pouch. Neat, huh?

Advantages of Each

• FiberSure ™ is available in drugstores. I haven’t seen a store-brand version of it yet, which would be cheaper.
• Acacia Tummy Fiber ™ is available by superfast cross-country USPS Priority Mail.
• FiberSure is sweet-tasting.
• Acacia Tummy Fiber has almost no taste.

Comparison Table of “Strength”
By the title word “strength,” I mean the comparative number of grams of soluble fiber for managing IBS to be found in each.

================================================================
Measurement, Acacia Tummy Fiber, FiberSure,,
________________________________________________________________
1 teaspoon (flat, measuring spoons), 2 grams, 3.3 grams,,
1 heaping teaspoon, 3 grams, 5 grams,,
1 tablespoon, 6 grams, 10 grams,,
________________________________________________________________

So the advantage of Acacia Tummy Fiber is that you are able to start with a smaller amount — although you could use a smaller size of measuring spoon for FiberSure.

With either one, I just put the dosage in a teacup, add hot or warm water, stir, and drink.

Remember, “Don’t eat on an empty stomach!” Instead, have your fiber dose before you eat, and at bedtime. So you divide the amount you are going to take per day into four separate doses, to start with. Eventually that becomes three and then two,when you are at the max and your IBS is under control.

[Yes, I know that table doesn’t show up as a table. You should be able to copy it and put it into a spreadsheet program as “comma-delimited” input, although I haven’t yet tried it. Ah, another reason to send me a comment! In any case, I’ll put a linked file in a viewer in the next post.]

———————-

June 30th, 2007 Posted by tummyblogger | fiber, IBS, Irritable Bowel Syndrome, IBS therapy, IBS-C, IBS-D, FiberSure (tm), Heather's Organic Acacia Tummy Fiber (tm) | no comments