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First, vitamin C supplements should not be given concurrently with deferoxamine in patients with heart failure

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Preferred options Psyllium husk (soluble, gel-forming) Methylcellulose (non-fermentable) Method: Start at ~ 5 g daily and increase gradually over 12 weeks , ensuring adequate hydration. Over time, many patients do best aiming for ~2538 g/day of from a combination of total fiber dietary sources and supplements , rather than supplements alone Clinical note: Some patients benefit from a small daily maintenance fiber dose long-term to remain regular while on GLP-1 therapy