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High fibre and guar gum are equally helpful in IBS, but gum is better tolerated

BMJ 2002; 325 doi: (Published 07 December 2002) Cite this as: BMJ 2002;325:f

Clinical questionWhich is more effective and better tolerated in the treatment of irritable bowel syndrome (IBS): high fibre supplements or guar gum?

SynopsisHigh fibre diets are commonly recommended to patients with irritable bowel syndrome, although many are not able to tolerate fibre. Guar gum is a water soluble polysaccharide that is extremely viscous and difficult to incorporate into food. Thus, it must be used as …

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