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Constipation accompanied by blood in the stool or intense pressure that does not ease is also a reason to seek help quickly
Might be worth having iron and other levels checked (and treated if low) and supplementing with a regular dose multivit for a while too, as per other replies you've had
Its a once-daily pill and will now become available for private prescription, but it still under review by the National Institute for Health and Care Excellence (NICE) for use in the NHS
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