A Kentucky Board of Pharmacy action covering roughly 2017 to 2019 triggered follow-on state discipline in Texas, Maryland, and California, where its license was revoked and stayed with three years of probation
Dietary recommendations include: Eating smaller, more frequent meals rather than large portions, which can overwhelm the slowed digestive system Increasing dietary fibre gradually through fruits, vegetables, whole grains, and legumes to support regular bowel movements and potentially benefit diverticular disease Maintaining adequate hydration aim for 6-8 glasses of water daily, particularly important if experiencing diarrhoea or constipation Limiting high-fat, fried, and spicy foods that may exacerbate nausea and delayed gastric emptying Avoiding carbonated beverages if experiencing bloating or discomfort Eating slowly and chewing thoroughly to aid digestion Lifestyle measures that support gastrointestinal health include regular physical activity, which promotes gut motility and can help prevent constipation
There is currently insufficient evidence to confirm whether it is safe for nursing mothers and their infants
& Nash, D
In this case, no synergy was seen, but the numbers, although interesting, are too small to make any inferences, and larger studies are needed
