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The reasons for this are not fully understood

Dietary adjustments are often the first line of self-management: Eat smaller, more frequent meals rather than large portions Avoid high-fat, greasy, or heavily spiced foods, which can exacerbate loose stools Reduce intake of foods known to cause wind, such as beans, cruciferous vegetables, and carbonated drinks If constipation is the predominant symptom, increase soluble fibre gradually sudden large increases in fibre can worsen bloating and discomfort Stay well hydrated, particularly if experiencing diarrhoea, to prevent dehydration Timing and lifestyle considerations can also make a meaningful difference

Visible blood in urine may require urgent referral under NICE suspected cancer guidelines (NG12)

They work by enhancing insulin secretion in a glucose-dependent manner, meaning they help your body produce more insulin when blood sugar is high and back off when blood sugar is normal

Once the immediate deficiency is corrected, the frequency is reduced to weekly and eventually monthly sessions