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Foods that significantly help include prunes and prune juice (natural laxative effect), berries which provide fiber in small portions, leafy greens offering fiber and magnesium, beans and lentils packed with fiber, ground flaxseeds providing fiber and healthy fats, chia seeds that add bulk to stool, pears and apples with skin, sweet potatoes, avocados, whole grains like oatmeal, and yogurt or kefir with probiotics

Traditional calorie deficits frequently fail here because the underlying hormonal thermostat is broken

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Ledbetter DH, Riccardi VM, Airhart SD, Strobel RJ, Keenan BS, Crawford JD : Deletions of chromosome 15 as a cause of the Prader-Willi syndrome

Bile acids induce energy expenditure by promoting intracellular thyroid hormone activation