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Spironolactone is a medication with a long history of use for several different conditions

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You need more fiber than most people on these drugs are eating, but dumping a large fiber load (huge salad, full psyllium dose) into a slowed gut often worsens bloating and constipation

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In addition to having a BMI of 27 or higher, you should have at least one weight-related health issue like high cholesterol and high blood pressure