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( 10.1186/1475-2840-11-64) [DOI] [PMC free article] [PubMed] [Google Scholar] Kilimnik G Kim A Steiner DF Friedman TC & Hara M

Constipation may worsen since fasting reduces overall food intake and fiber consumption

Many people notice digestive changes earlier than systemic ones, and because the systemic effects are downstream of the inflammatory load, they can take longer and arrive quietly