Constipation around week 4: the fix

Slow gut + less food + less water = backed up. Here's the structured fix that works.

Step 1: hydration

3 litres of water a day, every day. Sounds basic; it's not. Most patients drink half what they think. Set hourly reminders for the first week.

Step 2: fibre stack

Isabgol (psyllium husk) 1–2 tsp in warm water at bedtime. Plus daily methi seeds, sprouts, papaya, oats. Vegetarians have the advantage here.

Step 3: movement

A 15-minute walk after dinner triggers peristalsis. Sedentary evenings are the biggest single contributor to GLP-1 constipation.

Step 4: if all else fails

Stool softener (docusate) or PEG-based laxative (Cremaffin / Movicol) is safe on GLP-1. Don't suffer for a week before mentioning it — message your doctor early.