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Metabolic/bariatric surgery, despite its marked efficacy, remains a last-line option due to its invasiveness and potential for complications (Table 1)

For those who have started taking anti-anxiety medication, and are unable to tolerate side effects, or have not been responsive to traditional medication

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These drugs can be administered through an oral tablet, or more commonly, a subcutaneous injection

The first-line fixes are simple: more water, more fiber, more movement, and reasonable laxative choice if needed