Rubino, D., Abrahamsson, N., Davies, M., et al
These toxins build up over time and affect our health
Over-the-counter remedies may be appropriate in some cases, but should only be used after discussion with a pharmacist or GP: Oral rehydration salts (such as Dioralyte) are recommended for diarrhoea-related fluid loss Loperamide may be considered for short-term management of loose stools, but must be avoided if you have a fever, blood or mucus in your stools, or if antibiotic-associated diarrhoea (including Clostridioides difficile ) is suspected seek pharmacist or GP advice first For constipation, macrogol-based laxatives (such as Movicol) are a reasonable first-line option in line with NICE CKS guidance on constipation in adults
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Mood symptoms that do not improve after the first few weeks of treatment or that intensify over time should be evaluated