For constipation, I am now doing a scoop of Metamucil every single day and it is making a big difference. Well worth it even thought I hate the flavor/consistency. I had surgery a week ago but am still losing. I am still so happy with this protocol. 13 pounds to hit my main goal, 18 pounds to be a little below goal as a cushion. My clothes are now huge and the next size down is starting to feel loose too. Best feeling ever to have to shop for smaller sizes.