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Selective serotonin reuptake inhibitor use during early pregnancy and congenital malformations: a systematic review and meta-analysis of cohort studies of more than 9 million births
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While NICE guidelines are considered a high-quality source of evidence, they are not the sole determinant of treatment decisions
A practical strategy includes: Starting the day with a high-fibre breakfast, such as porridge with berries and ground flaxseed Including vegetables with both lunch and dinner Choosing wholegrain varieties of bread, pasta, and rice Ensuring adequate fluid intake (6-8 glasses daily) Considering a psyllium supplement if dietary measures prove insufficient (taken with plenty of water and separated from other oral medicines by at least 2 hours) Patients should contact their GP if constipation persists despite these measures, as additional interventions may be required
Patients struggling with plateaus or regain receive treatment that considers both their physiology and their surgical anatomy
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