I swear by the stuff, however
a. I find I've had to up my dosage from one pill stopping an attack, to two pills needed. Usually, this does the job and I have a soft landing the next day, if you follow. But sometimes there is stubborn episodes that I need one later on in the evening, or the next morning its almost as bad. ( i'm a morning go'er )
b. I only take them when I have an acute D attack. Not as a maintenance dose. To keep those attacks down I try to best adhere to diet, fiber supplements, and exercise.
c. I use the ones which dissolve under your tounge. One thing they do wonders for is the placebo affect. Follow me here for a sec, I carry them with me, a couple in a small bottle, and it does wonders for my mind knowing I have them with me at all times, and can always stop an attack. With them at my side I've taken trips all over the area , including NYC in the summer! Placebo effect, totally. Helps me keep from poopin' myself in nervousness going out
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