"The evidence is still evolving.". You must also stop Fish oil products. A clear liquid diet must be taken 24 to 72 hours before the procedure. Omega-3 and fish oil supplements do not cause increased bleeding during spinal decompression surgery. Should I stop fish oil before colonoscopy? Even residue could linger up to 5 days (potentially). Federal government websites often end in .gov or .mil. Web follow a special diet before your examination. Call your doctor for medical advice about side effects. It is helpful to walk, roll around on an exercise ball, use a heating pad, and drink activated charcoal ( capsules or powder) to pass the gas. Accidentally took aspirin before surgery ryobi lopper wine cooler fridge costco. Can I have orange flavor? Ask your doctor about what you can have and when, since in some cases you may be allowed to eat easily digestible foods up to 14 . If you have opted to have a sedative for the procedure, you should arrange for someone to collect you after your colonoscopy and stay with you overnight. PMC Taking fish oil supplements with meals or freezing them can reduce these issues. The Best Chicken Noodle Soup. During the test, the doctor can take samples of tissue that can be checked for cancer or other problems. sharing sensitive information, make sure youre on a federal Two to four hours before the procedure, be sure. He might even tell you that you don't have to stop taking fish oil at all. Fish Oil is the Better Option A study came out involving people who took fish oil for 5-6 months. accidentally took fish oil before colonoscopy. Conclusions: Probiotics intake before colonoscopy improves quality of bowel cleasing and allows a higher adenoma detection rate. No one wants to have surgery, even minor surgery, but sometimes minor procedures, such as a tooth extraction or a colonoscopy, are unavoidable. Conclusions: Probiotics intake before colonoscopy improves quality of bowel cleasing and allows a higher adenoma detection rate. Bleeding One study in 56 people found that supplementing with 640 mg of fish oil per day over a four-week period decreased blood clotting in healthy adults ( 6 ). Some antibiotics. Why take a chance on increased risk? Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Can I take my vitamins the week before the colonoscopy? (Fiber basically scrubs out the colon, clearing it of potentially unhealthy buildup, per the University of California San Francisco). Accidentally Took Fish Oil Before Colonoscopy. People should continue taking low-dose aspirin therapy for heart health despite a new study that calls the practice too risky, a top cardiologist tells Newsmax Health. 7 days before the colonoscopy: Stop Iron supplements and multivitamins that contain iron, Vitamin E, or fish oil. Web colonoscopy abnormal is found among people who take fish oil, especially for people who are female, 60+ old. Do I need to stop taking vitamins before a colonoscopy? Unhealthy foods to avoid include: desserts and high-sugar foods. Doctors typically provide answers within 24 hours. Web hello, my mom has a colonoscopy tomorrow & was given 1 10 ounce bottle of magnesium citrate & dulcolax tablets. If your prep is Osmoprep, take NO diuretics (water pills) the day before and the day of the procedure unless advised otherwise by Dr. Cherner. Can my friend/family member stay with me during the procedure? 3 days before your top endoscopy quit taking any kind of Vitamin E, fish oil, mineral oil, or flaxseed oil. Accidentally took aspirin before surgery. The doctor uses a thin, lighted tube called a colonoscope to look for small growths (called polyps ), cancer, and other problems like bleeding. Yes If Told Not: The Aspirin and fish oil both can thin your blood and cause bleeding issues during the procedures. Prunes or prune juice. Unclean water may carry ammonia content which is not good for fish health. Updated January 01, 1970. Arebi says this isn't necessary. How long before surgery should I stop fish oil? Taking more than 3 grams daily might increase the chance of bleeding. But it may likewise raise your LDL, or poor cholesterol. There are a variety of variables to take into consideration, which is why only your medical professional can tell you if youre an excellent prospect for these supplements. Do you have to stop taking fish oil before surgery? You should also be aware that some foods will need to be eliminated for up to a week before the procedure. According to an April 2019 study in Diseases of the Colon & Rectum, folks who followed a low-fiber diet the day before their colonoscopy saw better prep results than those who only had clear liquids. Miscellaneous. You can enjoy sports drinks, juices, clear broth, coffee or tea (without milk or creamer), popsicles and Jell-O. J Clin Endocrinol Metab. "Colonoscopy prep and diet vary," says Msora-Kasago. Inquiring about supplements like fish oil, multi vitamins, etc. Each patient and surgery is unique. To Achieve This, Avoid Solid Foods A Day. How long before surgery should I stop fish oil? THE DAY OF THE PROCEDURE. The procedure is at 9am tomorrow, its 6:25pm in ny, i realize. emudeck rpcs3. 5. Most people can still eat any bread 4 days before colonoscopy. BMC Complement Med Ther. Yes. eCollection 2013. Corn. Herbal medications to avoid with mitral valve prolapse and/or prescription drugs include ma huang (ephedra), ginseng, ginkgo biloba, alfalfa, St. Johns wort, saw palmetto, echinacea, yohimbine, bilberry, dong quai, and fenugreek. Studies were identified through PubMed and Embase searches and by reviewing the reference lists of the included papers. If you have any questions or. Should I stop taking supplements before a colonoscopy? Do you have to stop Omega 3 before surgery? Ephedra. And outside accidentally took blood pressure meds twice today the mainland, There seems to dr oz best time to take blood pressure meds be an endless fish oil and blood pressure medicine mysterious world, The army is a mysterious eastern continent, and there are countless legends. STOP taking fish oil two days before your colonoscopy. Drink about one 8 ounce glass every 10 minutes until 2 liters have been consumed. An exception to the clear-liquids rule? Conclusion: The use of fish oil does not appear to increase the risk of post polypectomy bleeding even if patients had used antiplatelet or anticoagulation therapy. Seeds: Including sunflower seeds and fruit that contains seeds. The majority of the included studies were randomised controlled trials or included a control group. Most physicians recommend clear liquid diet a day before colonoscopy or low fiber diet 3 days before colonoscopy or both. You must wear a tampon. New studies show that stopping fish oil 4 to 7 days prior to surgery may be sufficient. Stop medications that are for diarrhea (Imodium, kaopectate) or contain iron 7 days prior to your procedure. Before a colonoscopy, you should avoid solid foods for at least 24 hours and stick to a clear liquid diet for breakfast, lunch and dinner.You can eat:White bread, pasta and rice.Well-cooked vegetables without skin.Fruit without skin or seeds.Lean meat, chicken or fish.Eggs. This site needs JavaScript to work properly. 5. Dentistry 31 years experience. Colonoscopy prep says no herbal medications 7 days before. The https:// ensures that you are connecting to the Clear liquids arent exactly the most filling of foods. Consume the solution slowly in 10 to 20-minute intervals over the course of three hours. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Introduction: Fish oil supplementation may inhibit platelet aggregation and can potentially increase the risk of bleeding. 1. In this case, your procedure will need to be rescheduled. Kind of worried. Conclusion: This biochemical effect was not reflected in increased bleeding risk during or after surgery evaluated in randomised controlled trials. Take antibiotics. 6. 7 days before the colonoscopy: Stop Iron supplements and multivitamins that contain iron, Vitamin E, or fish oil. No fish oil (omega-3 fats) as well as no Vitamin E for 7 days before colonoscopy. Cut kernels from corn cob, add to pan with cauliflower and carrot return to a boil. accidentally took vitamin e before surgery. Common side effects of chondroitin and glucosamine may include: nausea, diarrhea, constipation; stomach pain, gas, bloating; hair loss; or. Ask your health care provider about clear liquid nutritional supplements. One week -- seven full days -- prior to surgery, you'll probably have to completely stop taking your fish oil supplements, suggests the University of Michigan Health System. accidentally took fish oil before colonoscopy. What if I take diabetes medication? If you are diabetic taking insulin or other preparation, follow the instructions obtained by your doctor. Stop taking non-steroidal anti-inflammatories (e.g. 3. Dried or raw fruits: Including berries, oranges, apples, watermelon, and raisins. You should take any important medications (for example: medications for blood pressure (see below), pain, post transplant, seizure or abnormal heart rhythms). It is created by eHealthMe based on reports of 90,380 people who have side effects when taking Fish oil from the FDA, and is updated regularly. +22 Fish Sticks And Mac And Cheese References. Web list of inmates being released due to coronavirus 2022. @dr appt today, told him was taking fish oil capsules daily. Approximately Two (2) hours total time - 30 minutes for procedure average. Do not take any herbal supplements like Ginseng, Ginkgo, fish oil, Omega 3, Garlic and Vitamin E. Do not take anti-inflammatories (e.g., ibuprofen, Advil, Motrin, Aleve, etc.). Possible reasons for ammonia content are overfeeding fish-food. Taking high doses of fish oil supplements might increase the risk of bleeding and possibly increase the risk of stroke. Dry beans, Good for the heart: The american heart association recommends that adults either eat two or more fish meals each week, or take a one-gram fish oil capsule daily. Quit taking all anti-inflammatory medicines, including Advil, Anacin, Aleve, Alka Seltzer, Bufferin, Ecotrin, Indocin, Relafen, Naproxen, Naprosyn, Nuprin, Volaren, Votran. 2018 Nov;11(11):e004584. Please check with them. . For years, doctors have advised patients to stop taking fish oil before surgery. Just be sure nothing is tinted red, blue or purple, as these colors can stain your colon and make it harder to see polyps during the exam. A A. For these, please consult a doctor (virtually or in person). Web the normal procedure and preparation require that you avoid alcohol and drinks you cant see through, like milk or orange juice. Colonoscopy is a procedure used to detect abnormalities in the large intestine (colon). China unable to reach consensus on security pact with Pacific islands Hi I took 5 mg Eliquis at 8 am then accidentally took 5 mg at11:00 am didnt realize it and took regular dose of 5 mg at 8pm. This is usually one hour before your scheduled appointment. Do not consume any red-colored beverages or gelatins. 4. Approximately Two (2) hours total time 30 minutes for procedure average. If the doctor can't see the lining of the intestine clearly, they could make a mistake such as inadvertently nicking it. "Colors such as blue, purple and red can appear as abnormalities, prompting concern," says Arebi. been taking multiple supplements (i.e., a multi, coq10, tumeric, fish oil..) should i stop the supplements? Raisins, popcorn, corn and potato chips are also on the list. I would recommend stopping it now and drink lots of water between now and midnight Thursday night. Bookshelf Included in the review were publications including a minimum of 20 healthy subjects and studies on patients who were undergoing surgery and who had fish oil exposure. What supplements to stop before colonoscopy? Call your doctor for medical advice about side effects. Espinoza G, Rodriguez-Una I, Pedraza-Concha A. J Curr Glaucoma Pract. Lamar high school football state champions Web most likely the fish oils won't cause any bleeding problems (only in rare cases) but i usually have patients stop before surgery just to be safe. Different facilities have different guidelines when it comes to emptying the colon pre-procedure. every 15 minutes. argo parts amazon. In the days before your colonoscopy, you will have to change your diet, and drink your Golytely "prep" solution (generic name: Peg-3350) so that your colon will be clear of stool. How many days before colonoscopy should I stop taking vitamins? 1 day before endoscopy. How long does it take for fish oil to get in your system? are benefits > risks? Vitamins often have dyes in them that can discolor . Another term for white lightning is "mountain dew," and the soft drink company took that name on purpose, as a kind of joke. You cannot have any dairy products on the day of clear liquids. The american heart association still recommends that patients with coronary artery disease take fish oil 1 gm daily; however recent data show that pat Dr. Luis Villaplana and another doctor agree. doi: 10.1371/journal.pone.0072913. Colonoscopy requires a well-prepared colon to reduce the need for premature repeat testing or the requirement for additional diagnostic tests. For years, doctors have advised patients to stop taking fish oil before surgery. Our study lends further support that the risk of post polypectomy bleeding remains low. I hope these tips on keeping your colonoscopy prep paleo are helpful for you. Fruit with seeds or peel such as apples, berries or figs. 5 days before your procedure stop taking bulkforming agents (such as Metamucil or Citrucel) If you take medication for blood pressure or your heart, please continue to take it even the morning of your procedure. Do not take supplements in gummy form. Two hours before the procedure, it's important not to drink anything at all as this can impair the exam. A multivitamin is ok. Stop taking aspirin, Plavix, Coumadin, and warfarin. If so, thats something that could potentially look like blood on the endoscopy. Take your regular medications with a sip of water. 3. To achieve this, avoid solid foods a day. I generally recommend stopping fish oil supplements temporarily sometime between 36-38 weeks until after you give birth. If you're not sure what foods contain dye, Kander advises checking the nutritional label for the following: These are all dyes and should be avoided ahead of your procedure. Please check with your primary care physician if you have any further questions or concerns about these instructions regarding fish oil. You certainly don't want any bleeding in. Drink the solution at an early time. In the new study, researchers assigned 83 patients to undergo a colonoscopy after a day on a clear-liquid diet or a day in which they were allowed to . Can I wear my teeth during the EGD? Check with your managing provider for alternatives. What happens if you take fish oil everyday? Starting between 5-7 pm the night prior to your Colonoscopy. However, studies involving preoperative platelet function tests reported faster recovery of platelet function ( 27, 28 ). The concern is that red dye can stain the colon and make it difficult to see abnormalities, says John H. Ashcraft, DO, chief of colon and rectal surgery at the University of Kansas Health System in Kansas City. MeSH Taking more than 3 grams daily might increase the chance of bleeding. There are a few other ways to ensure your procedure runs smoothly. Im very health oriented, taking various vitamins/supplements. Fishing It is important to follow all of the instructions provided by our office to ensure a successful exam, however, if you. Please call the triage nurse to reschedule your procedure with a different preparation. Though there are no conclusive recommendations, 250500 mg per day of combined EPA and DHA of which fish oil is an excellent source is enough for most healthy people. 7. This amount of fiber can help the bowels move easier after a colonoscopy. sonoma academy calendar; why are my bluetooth headphones connected but not working; accidentally took fish oil before colonoscopy; By . Colonoscopy is a procedure used to detect abnormalities in the large intestine (colon). does this include probiotics, fish oil, or melatonin? If your prep is Osmoprep, take NO diuretics (water pills) the day before and the day of the procedure unless advised otherwise by Dr. Cherner. Mix 7 capfuls ( 119 grams)of Miralax in 56 ounces of water; drink one glass every 15 minutes until gone. list of inmates being released due to coronavirus 2022. accidentally took fish oil before colonoscopy. The actor will appear in the previously unconfirmed series Skeleton Crew. It is important to follow all of the instructions provided by our office to ensure a successful exam, however, if you. Web accidentally took fish oil before colonoscopy. Do you have to stop Omega 3 before surgery? Fish oil contains a potent blood thinner and should be stopped 3 weeks prior to surgery. Coconut. whole grains. No alcohol, marijuana, or any other substance that could impair your thought process. 5 days before endoscopy. Web in some cases, depending on your health and the type of surgery, your surgeon may allow you to take them up to four days before your procedure. This stimulant herb may also be known as "mormon tea" and can cause cardiac complications during surgery. Stop taking iron, vitamin E, ginkgo, garlic, and ginger. foods high in saturated fat, such as fast food. Take one-half of the bowel prep in the evening as instructed If you have diabetes and take Lantus take only your typical dose. How long does the procedure take? Do not take supplements or vitamins. Fibrous foods to stay away from before a colonoscopy include legumes such as chickpeas, beans and lentils, whole grains, fresh fruits and raw vegetables (cooked is OK), says Msora-Kasago. Taking high doses of fish oil supplements may boost the danger of bleeding and potentially boost the risk of stroke. Web most likely the fish oils wont cause any bleeding problems (only in rare cases) but i usually have patients stop before surgery just to be safe. For potential or actual medical emergencies, immediately call 911 or your local emergency service. eCollection 2022. Is it OK to take probiotics before colonoscopy? Can you take herbal supplements before colonoscopy? Taking fish oil supplements with meals or freezing them can reduce these issues. In short: clear fluids, gelatin and ice pops. Web in some cases, depending on your health and the type of surgery, your surgeon may allow you to take them up to four days before your procedure. J Athl Train. "Emptying increases visibility," says Cordialis Msora-Kasago, RDN, a spokesperson for the Academy of Nutrition and Dietetics. Start a strict, clear liquid diet. Unable to load your collection due to an error, Unable to load your delegates due to an error. I take losartan and hydrochlorothiazide and avaine daily. Most people can still eat any bread 4 days before colonoscopy. "24 hours before a colonoscopy, liquids can be consumed including broths and most drinks, provided that they don't contain red, blue or purple food dye," she says. If your prep is Osmoprep, take NO diuretics (water pills) the day before and the day of the procedure unless advised otherwise by Dr. Cherner. Another website says, "Iron supplements tend to turn your feces a dark color and a thick consistency, making it difficult for the doctor to detect abnormalities or problems. "There's a debate about whether restricting diet is necessary," says Msora-Kasago. FOIA You can take these medications with a sip of water. After all, the whole goal of colonoscopy preparation is to empty your intestines so the doctor will be able to see any abnormalities when they go in with the colonoscope. Web in some cases, depending on your health and the type of surgery, your surgeon may allow you to take them up to four days before your procedure. But these are the guidelines for now. Research suggests very high triglyceride levels are linked to a boosted danger of cardiovascular disease and stroke. he told me that it "wasn't a good idea, and i should stop". Fish oil: Omega-3 fatty acids tend to get a bad rap from surgeons because of their purported blood-thinning effects. 5. It has been recommended in guidelines to stop aspirin therapy, if indicated, 7 to 10 days ( 10, 26) before surgery. The risk of aspirin prior to surgery was just confirmed in a large trial called the POISE-2 trial. If the surgery planned will go through an area that might bleed you should be off aspirin, blood thinners and nsaids. accidentally took fish oil before colonoscopy. Role of Fish Oil in Post-Cardiotomy Bleeding: A Summary of the Basic Science and Clinical Trials. What if I take diabetes medicine? Fish oil is a natural anticoagulant, which means it can prevent the blood from clotting. Foods to avoid during colonoscopy prep include: Fatty foods. Simmer with lid on for about 10 minutes or until cauliflower is just tender. Should I stop taking fish oil before labor? People who have fair skin often bruise easily. White rice. No fish oil (omega-3 fatty acids) and no Vitamin E for 7 days before colonoscopy. You should take any important medications (for example: medications for blood pressure (see below), pain, post transplant, seizure or abnormal heart rhythms). Some of the instructions are focused on what you should eat but even more of them are about what foods you should avoid before a colonoscopy. In some cases, depending on your health and the type of surgery, your surgeon may allow you to take them up to four days before your procedure. Do not take any herbal supplements like Ginseng, Ginkgo, fish oil, Omega 3, Garlic and Vitamin E. FOUR (4) DAYS BEFORE YOUR PROCEDURE Do not take anti-inflammatories (e.g., ibuprofen, Advil, Motrin, Aleve, etc.). Most infections are not dangerous but could become so if they get out of control. Unauthorized use of these marks is strictly prohibited. Fibrous foods to stay away from prior to a colonoscopy include nuts, seeds, legumes such as chickpeas, beans and lentils, meat with gristle, whole grains, fresh fruits and raw vegetables (cooked is OK), says Msora-Kasago. 5. Bethesda, MD 20894, Web Policies Can I take my medication the day before a colonoscopy? What should I do? 1 week prior.You should not take fish oil pills for 1 week prior. Be careful not to drink the solution for more than 4 hours. 4. A colonoscopy is a procedure that examines your large intestine and rectum to diagnose several health conditions, including colon cancer and polyps. Fish Oil. 6 Side Effects of Colonoscopy Prep You Should Know About, alcohol in your system before a colonoscopy, Harvard Health Publishing: Preparing for a Colonoscopy, American Institute for Cancer Research: Get the Facts on Fiber, Kaiser Permanente: Low-Fiber Diet for Colonoscopy Preparation, University of Wisconsin Health: Getting Ready for Your Colonoscopy, Gastrointestinal Endoscopy: The Association Among Diet, Dietary Fiber, and Bowel Preparation at Colonoscopy, Diseases of the Colon & Rectum: Randomized Clinical Trial: A Normocaloric Low-Fiber Diet the Day Before Colonoscopy Is the Most Effective Approach to Bowel Preparation in Colorectal Cancer Screening Colonoscopy, University of California San Francisco: "Why Fiber Is So Good for You". Blood thinners come in prescription and over-the . Before The herbal medicine should be stopped at least 7 days before surgery. is it critical that low dose aspirin, fish oil, multivitamin, and vitamin c be discontinued 7 days in advance? Do I need to use Gatorade? You can take these medications with a sip of water. It is okay to continue taking a daily vitamin up to the time of surgery as long as it does not contain vitamin E. Vitamin E is a blood thinner, which can cause increased bleeding after surgery. Web follow a special diet before your examination. Non-tender meats Gristle Hot dogs Salami, cold cuts. For Optimum Health: minimum 1,600 mg Omega-3 per day .*. But fish oil will not affect th High doses of fish oil supplements can increase bleeding risks. Fish oil capsules, promoted as being capable of lowering cholesterol levels, may actually cause harmful side effects including internal bleeding in some individuals. Heparin has to be stopped 4-6 hours before your colonoscopy. The procedure is at 9am tomorrow, it's 6:25pm in ny, i realize. Fish oil side effects include heartburn, loose stools, and nosebleeds. Drink an additional 40 ounces of water over the next 90 minutes. Clear liquids include water, broth (clear, fat-free), gelatin, pulp-free juice, ice pops without pulp, carbonated beverages, sports drinks, tea and coffee (sugar is optional). Except for diabetes medications, you should take your usual daily medications, including Also, tell them Friday morning just in 7 days before the colonoscopy. Day of your Colonoscopy Do not eat any solid food until after the colonoscopy. 5. Waiting room or pre-op/post-op room okay. You cannot have any dairy products on the day of clear liquids. Does vitamin D interfere with colonoscopy. You should STOP taking fiber supplements and fish oil 2-3 days before your scheduled colonoscopy. Activated charcoal <3 such a lifesaver. Other oral anticoagulation medications like Eliquis and Xarelto can be stopped 2-3 days before colonoscopy. This study suggests that powdered fiber supplementation should not be initiated within a few days before a colon lavage preparation for colonoscopy. Any of a dozen or more blood tests may entail prior fasting, including those that measure blood glucose, lipoprotein, cholesterol, enzyme, vitamin and other nutrient levels. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Careers. do i need to stop taking fish oil supplements prior to that? So what does that leave? In total, 52 publications were included; 32 publications on healthy subjects and 20 publications on patients undergoing surgery. Can I take my vitamins the week before the colonoscopy? This building might aid clarify several of its heart wellness benefits, since thinning the blood might boost cardio wellness. How Long To Stop Taking Fish Oil Before A Colonoscopy. What if I am still pooping before colonoscopy? Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Nov 21, 2022, 2:52 PM UTC makeup indian best jumpshot 2k22 season 8 raspberry pi 4 radio transmitter tarekan plan synonyms who really wrote dead flowers. In general, we ask patients not to take some common medications and supplements for 1-2 weeks before surgery. Clear liquids include water, broth (clear, fat-free), gelatin, pulp-free juice, ice pops without pulp, carbonated beverages, sports drinks, tea and coffee (sugar is optional). One day before the procedure, it is advised not to eat any solid or semi-solid food, such as mashed potatoes, applesauce, oatmeal, etc. Reduce heat. Before a colonoscopy, you should avoid solid foods for at least 24 hours and stick to a clear liquid diet for breakfast, lunch and dinner. What if Ive taken all my preparation and am still passing solid stool on the day of my exam? Make the final preparations on the day of the colonoscopy. Should I stop taking fish oil before labor? Getting ready for a colonoscopy takes longer than the procedure itself, as Harvard Health Publishing points out and that's largely because of all the dietary do's and don'ts you have to follow. Issues over the prospective threat of bleeding related to this anti-platelet impact have resulted in suggestions that clients quit taking fish oil supplements prior to surgery and for hold-up in optional procedures for people taking fish oil by some health treatment specialists. You can continue taking this after the test, unless otherwise instructed by your doctor. If you are experiencing serious medical symptoms, please see the Most physicians recommend clear liquid diet a day before colonoscopy or low fiber diet 3 days before colonoscopy or both. You can enjoy sports drinks, juices, clear broth, coffee or tea (without milk or creamer), popsicles and Jell-O. Not in procedure room. Jira will be down for Maintenance on June 6,2022 from 9.00 AM - 2.PM PT, Monday(4.00 PM - 9.00PM UTC, Monday), Designed by charlie watts' funeral arrangements | Powered by, ark center hidden underwater base locations, Can You Put Porcelain Teapots On The Stove. Drink apple cider vinegar every day (1 tablespoon per day, add to at least 16-ounces of water, or split the dosage up into 2, 16-ounce glasses and add fresh lemon juice) Drink your body weight in ounces of water (pure water) each day.
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