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Patients should be counseled that fiber without sufficient hydration can paradoxically worsen constipation

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Gastrointestinal symptoms, which might include eggy burps, are typically most noticeable during: Treatment initiation : The first few weeks when the body adjusts to the medication Dose escalation periods : When transitioning to higher maintenance doses After consuming sulphur-rich meals : Particularly high-protein or high-fat foods The severity and frequency of gastrointestinal effects, including sulphur burps, show considerable variation between individuals