I have just started Align about 2 weeks ago. The first week was really rough for me as well, with a lot of cramping, gas and urgency, but as the literature states, your body does need up to two months to adjust to it. The second week has been much better. I take acacia fiber (up to almost 3 tablespoons a day now), I've been taking it for over a year now and it has helped my IBS-D symptoms, although I do still have the occasional urgency, mostly in the morning. After taking Align, my mornings have been much easier and also have nausea, which I haven't had since taking Align. If you can get through the first week or two, I would recommend trying it.
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