I did not experience any nausea although I am a bit jittery from my body having all its nutrients removed. The Suprep Bowel Prep Kit contains two bottles each containing concentrated solution which must be diluted prior to use. Fresh ginger tea with honey really helped with relieving nausea. This one is cruel and unusual punishment. You could smell a flavor but not taste. Its now clear. Dont use this junk, By far the worst colonscopy prep Ive had to take. NO CABS OR BUSES. Call our Find-a-Doctor at (319) 558-4858. I didnt get nauseous or throw up. Then, on the morning of colonoscopy (5 to 8 hours before the test and at least 4 hours after the first dose), repeat the same steps and complete all Sutab tablets and required amount of water at least 2 hours before the test. Im doing this as a routine screening. Address is 1075 1st Ave, SE, Cedar rapids, IA 52402. Enter east entrance of hospital, take first elevator to 4th floor and follow signs to Digestive Health Center. --DO NOT use Fish Oil for 7 days prior to procedure. Need care over the weekend? ; Step #2. I will say, though, it served its purpose. This site complies with the HONcode standard for trustworthy health information: verify here. Chilled both bottles and water used for mix. Arrive on time for your procedure. It took me about 35 minutes to drink all 16 oz's. I vomited ALL of the second dose an hour after I took it. Sections or subsections omitted from the full prescribing information are not listed. The water in the toilet is still dark after each bowel movement. Still looking for answers? UnityPoint Health -
I also used a big straw and put it as far as possible without choking on it. At a time when newsroom resources and revenue across the country are declining, The Texas Tribune remains committed to sustaining our mission: creating a more engaged and informed Texas with every story we cover, every event we convene and every newsletter we send. Once you get it down, the prep starts working pretty quickly. trademarks of UnityPoint Health. If you are a patient scheduled for a colonoscopy at UConn Health and have problems with the preparation and/or have questions during weekday hours (8 a.m. to 4:30 p.m.) call 860-679-3238 and ask to speak with the GI nurse. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. scheduled by the administrator of your first dose. If you need to move the start time up or back an hour or more, then adjust the other times the same amount. I have to take the second dose in the morning but I don't expect any problems. I read about all these people who set up movies in the bathroom and were in there for hours. 4? It also made me very cold. (4 L=)2>prNH8[V%q, g#, /%'eIw(+{t#a]%t#F&Fb'n$' n$nWgs >r6U}*~m_Qg/UGX/)KZrZrU9^~-G$"us6,OaRm8` ,mX
Suprep is not that bad at all! It also made me very cold. In order to get the full protection, you really do need that second dose, he notes. I did not experience any nausea although I am a bit jittery from my body having all its nutrients removed. I read about all these people who set up movies in the bathroom and were in there for hours. All rights reserved. I was told to take 8 Dulcolax after 2 hours and my second dose at 4 hours. Oh hi! Of lemonade to mix with the prep liquid. The second dose I put in the fridge overnight and it was so much easier to get down. The ice does help but because it is cold, you may have some cramping a bit, but not to bad though. It tasted like grape sea water. That's normal compared to what health experts have seen with other multidose vaccines. I started at 6pm, was voiding in 20 minutes. Pretty much diarrhea from the get go. Couldn't drink it without vomiting. Following are my notes (aka, texts to my friend): Prior to the poop-fest, I weighed myself right before drinking Suprep: 169.5 pounds. Pour ONE(6) ounce bottle of Suprep liquid into the 16oz mixing container in the kit. I warn anyone that already has issues with IBS or chronic diarrhea to be prepared , Suprep gets results quickly. Show us with your support. Took my next dose at 4:30am followed immediately by the required 2 - 16 oz waters and got a quite liquid response by 5:45am. You may need another laxative. Chase the prep with orange gatorade, or lemon drop candy. Horrible experience. Read More Read Less, I threw up the first dose of Suprep - it was that awful. I also cut up a fresh lemon and cut it into 4 pieces. 0 Ee
Go here to join Prevention Premium (our best value, all-access plan), subscribe to the magazine, or get digital-only access. Somebody's got to find a better flavor for this stuff! --Bring your insurance and/or Medicare cards. Read More Read Less, I had a sudden change in my bowel habits and needed to have a colonoscopy. I have an issue and was hoping you can help me. After seeing accounts of the horrid taste, I was pleasantly surprised. Study: Erythritol May Raise Risk of Heart Disease, Your Privacy Choices: Opt Out of Sale/Targeted Ads. Good luck! The Miralax Prep kept me up all night and into the next morning. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Your doctor will tell you how much medicine to use. If you're unsure as to whether or not you can safely participate in an activity, theNew York Timeshas created a tool that can help you weigh risks. The following information includes only the average doses of this medicine. Once you are fully vaccinated (two weeks after your second shot), the CDC says it's okay to gather indoors without masks with others who are also fully vaccinated. You need to wait those 20 min. Sign up for Well+, our online community of wellness insiders, and unlock your rewards instantly. For the Moderna vaccine, the organization recommends getting the shots 28 days apart. dose) or two 4.5-oz doses of Suprep (3/4 of the Suprep adult dose) administered orally as a 2- . Disclosure: The University of North Texas and UTHealth School of Public Health have been financial supporters of The Texas Tribune, a nonprofit, nonpartisan news organization that is funded in part by donations from members, foundations and corporate sponsors. Can You Spread Coronavirus After Immunization? Read More Read Less, Since I read very mixed reviews of this ranging from light to be illegal to tasted like a magrarita I thought Id add one more it was fine for me. Its never going to be 100 percent pleasant having the runs for a couple of hours, but I was fine. I am not excited to ever use Suprep again. I was nervous for the procedure, but that was over in no time. If that doesn't work, drink the second part of your prep and continue to drink fluids. You are to have Clear Liquids only the entire day before your procedure and are encouraged to drink liberally, at least 10 (8 oz.) We comply with the HONcode standard for trustworthy health information. My first colonoscopy was a complete success and a Boston Bowel Prep score of 9. It made me feel bloated and full for the first 45 minutes or so but once it started coming out, that decreased also. You may have clear fluids up to 4 hours prior to the procedure. I drank it very quickly with a straw, then followed up with two containers of very cold water. If someone has missed their appointment for their second vaccine dose, they can contact their vaccine distributor to reschedule their appointment. My procedure was fine, I came home and slept like a log, and now I feel like Rip Van Winkle and Im ready for some dinner. Morning dose went down easier. Htj@zY9!ND?2%o9Wrz)dI:4m_O2\*S8}g$4>]f0EeyZ?|_L$9ajs+/I?zPXVa*sH Do not eat or drink anything 2 hours prior to your colonoscopy, unless your doctor provides you with different instructions. Adults: Two 6-ounce doses. What if you cant get your second dose within six weeks? An endoscopy nurse is on call from home after regular hours. A ginger hard candy or lemon slice may be helpful. It was hard to get down the putrid. I think I ate an apple and a small side salad the day before prep started, but that's it beyond stuff like pasta, bread, and yogurt. One hour after swallowing the last tablet, fill the container for the second time with 16 ounces of water (up to the fill line) and drink the entire amount over 30 minutes. I took the tablets, so taste wasnt an issue, and the first round of pills wasnt too bad. The dr said if this is as good as the last time six years ago then I wont have to have another for 10 years. We dont like people to delay the subsequent doses but, when you do get it, your immune system remembers it from the first dose and responds perfectly well.. That was more of what I'm reading here. Next time, they plan either to increase the amount of prep or take me off the enzymes 2 days before. Just took a second dosage of suprep bowel prep kit in preparation for a colonoscopy in a few hours. Carlo said another issue some Texans had earlier this year was finding a second dose, as the number of people eligible for the COVID-19 vaccine surpassed the number of vaccines available. I hope I never really need it again. The suprep tastes so bad and drinking the 32 oz of water after made me extremely bloated. endstream
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No pain, no cramping, no near misses, nothing other than just realizing you need to go. NEVER AGAIN! 4. Post colonoscopy report states suboptimal prep, and they want me to do it again in a year. Each dose consists of one bottle of SUPREP Bowel Prep Kit with additional water. I tried my first dose of Suprep with water. . Hope this helps you. Downed the prep in two parts - 15 minutes between. The Beach Is My Happy Placeand Here Are 3 Science-Backed Reasons It Should Be Yours, Too. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Per provider instructions I was on clear liquid diet all day yesterday. Information posted is an estimate. --If you are on Plavix, Coumadin, Lovenox, or Ticlid, please talk to your doctor well in advance of the procedure. Bummer! It took an hour for it to take full effect. Portions of this document last updated: March 01, 2023. . Use a straw to swallow it. The doc who did my colonoscopy remarked that Cologuard "is not there yet. I always start mine earlier and was done by 10:00 to go to bed. Billing: (844) 849-1260, Office Hours:
One was at 8:20 p.m. and the other was at 8:40 p.m. About 9:55 p.m., my system began cramping a little and started intermittently flushing. Our Urgent Care clinics are open from 8 a.m. - 3 p.m. and UnityPoint Clinic Express is open 8 a.m. - 8 p.m. on Saturday and Sunday. I followed all instructions. It reall. Nothing to eat or drink after midnight for procedures in the hospital. Read our Privacy Policy and Terms and Conditions. I followed all instructions. I didnt realize it had grape flavor in it (which when I mentioned it to my doctor, she assured me that it didnt! Hot chicken broth, jello It was easy, no ill effects. In early February, the CDC released guidance stating that people can delay a second dose of the vaccine for up to six weeks (or 42 days) after the first dose. The makers of the drug need to figure this stuff out and get it together, My advice: have a lot of Depends at the ready (I had some, but ran out), and demand a different prep. SUPREP SPLIT DOSE !!!!! Across the country, winter weather has delayed distribution of the COVID-19 vaccine. In other words, they will still protect you, but the exact degree to which they will do so is unknown. This medicine comes with a Medication Guide. Unfortunately, I also have many allergies and am sensitive to the PEG type of protocol, so this product was ordered for me. Took half of the dosage in the morning because I am a smaller person and things were looking clear, worked grea, Yeah, this is some nasty-tasting stuff. When I woke in recovery from what was supposed to be a colonoscopy, I was told by my doctor that she had been unable to complete the colonoscopy due to there being residual stool throughout my colon and enough stool right near the end to stop the procedure. Whatever you do, DO NOT TAKE DOSES TOO CLOSE TOGETHER!!! I would rather do the Miralax and ducalax pills then this. I had such anxiety about it. H\0ESu3,E&if=1&B "d1_I9IC&9
gv}3pB4x4]oRY?sv0]Jy0O_~}b?&YcjgVx{~6V~,Mx,ahuC{k}5Sl3Vo^O>@Glx&xV`KU (( J*JO jN'AP!hQ@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>UlWrQYC:P}eI8. eIXxAYiG$,rGE7A7ndHXF"t#a{l.aQG[m+k9 Just in and out over a few hours and then it was done. This stuff is a living hell, and it will drive people away from getting the screenings they need! I divided the mixed solution for both prep bottles of solution in half each time so I could convince myself I could do it. I would NOT recommend this and advise strongly against it. It took me about 35 minutes to drink all 16 oz's. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Sodium Sulfate, Magnesium Sulfate, And Potassium Chloride (Oral Route). Somebody's got to find a better flavor for this stuff! Colonoscopy revealed all good - not even a polyp, and this was after a positive Cologuard test (but that's another story. If you have not had a bowel movement within three hours of drinking your prep call your doctor. Continuous diarrhea every 15 . The dose of this medicine will be different for different patients. I cannot even think about drinking this at 2:00am. Almost passed out. Please follow the instructions carefully to ensure a successful prep. "The governor posted a new video on his Twitter account about the importance of getting a second vaccine dose, and our region and local partners continue to message about getting fully vaccinated.". 1. of . On Friday, White House health adviser Dr. Anthony Fauci had a vital message for Americans who have gotten their first dose of the Moderna or Pfizer coronavirus vaccine: Don't skip your second shot. Arrive on time for your procedure. Hope this helps someone. If you miss your scheduled appointment, you should reach out to the administrator of your first appointment to reschedule. Taste was like salt water. The real fireworks came the next day after my procedure. The taste was ok. A little salty but also a little sweet. If you experience severe pain or vomiting with the preparation, please call 845-471-9410. While the experience is not pleasant, I found it quite tolerable. The bottom line: Even though its possible to space out your vaccination, Dr. Schaffner says its important to get your second dose as soon as you can. "), Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Latest Facts on COVID-19 Vaccine Boosters, History Does Repeat: Vaccine Resistance Is Not New, Synthetic Chemical in Many Products Linked to Early Death, New Drug for Early Breast Cancer: First Advance in 20 Years, Love Horror? The worst part is the taste. Stir. I took my first dose at 5:00pm followed by the required water (taken within about 15 minutes of the Suprep) and had the desired response by 6:30pm. Took half of the dosage in the morning because I am a smaller person and things were looking clear, worked great! Diarrhea was cloudy deep yellow at that point and my bumhole is swollen with burning tenderness. Press the parking gate button and gate will open as you enter. -Df-80.)4@#$A&"]CP`A~YW'. I was given the usual instructions for split-dose bowel prep: 1) Clear liquids only the entire day prior to the procedure; 2) Take the first dose of prep at 5 PM and the second dose of prep 5 hours before the procedure start time; 3) Nothing to eat or drink after the second dose of prep. The makers of this drug need to get it together and figure this out--this medication will drive people away from getting the screenings they need. Since skipping second doses isn't unique to any part of Texas, both state and local officials are trying to spread the word of the second dose's importance, said DSHS spokesperson Douglas Loveday. Used this hideous prep as it is the only one the gastroenterologist would prescribe for colonoscopy. All I can say is SURPREP NEVER AGAIN!!!!! The total volume of liquid required for colon cleansing (using two bottles) is 2.25 quarts. x@IP*p"8)PT I had my first dose at room temperature and I renamed it Hot Cherry Garbage Juice. Hearst Magazine Media, Inc. All Rights Reserved. Doing it now. Good luck! If your procedure is scheduled between 7am and 11am ONLY you will take the second prep dose at 10pm the night before. However, the quicker you get the second dose, the faster youll have the full protection., While spacing out your second dose of the COVID-19 vaccine for longer than 42 days hasnt been tested in clinical trials, there is some precedence with other multi-dose vaccines, says William Schaffner, M.D., an infectious disease specialist and professor at the Vanderbilt University School of Medicine. kh}gfY=h} )!(pGp``@F) Normally, I can't down any liquid in that quantity that quickly much less one that tastes as bad as that. People that don't finish the prep don't realize that they are just cheating theirselves. You need to wait those 20 min. Follow your doctor's orders or the directions on the label. Step 2: Follow the same instructions as listed under Step 1 using the second 6 oz. between each 8 oz. bottle of SuPrep solution into the mixing container and add cool drinking water to the 16 oz. This content does not have an Arabic version. Slam it! Not a taste Id choose (exactly like the description, it was syrupy and salty). No stomach pain or cramping. I didn't mix it with water, I tried Sprite, huge mistake! I did eat a high fiber diet for the previous two days, which cleaned me out fairly well. Negative. Shortly after 4:15pm, on November 25, 2018, I downed my first round of Suprep. * Please note, the start times below are approximations. The worst part is the taste. It made me feel bloated and full for the first 45 minutes or so but once it started coming out, that decreased also. And if you're having a two-dose regimen, make sure you get that second dose, too," Fauci said. H\0E/BjVe}p (}}_u\c;=?v281^9Sepn|jtze5nWZNy2\?|M,1qlyx?/OD2Y5B_P8V)f[kwf4,v5Ygh] )"X)H``@AP(P I'm not looking forward to the second dose. 0 a.m. The following instructions are your physician's specific instructions. I just sat on the toilet shivering and unable to get up do to the lack of control. I will never, ever drink that *(#& again! You will be given a prescription for SuPrep and you will need to purchase an over the counter laxative Dulcolax (Biscodyl-generic). The Sutab contains 2 bottles (12 tablets each bottle), taken as a 2-day regimen (Split-dose method). Health experts say fears of harsh side effects, an inability to take time off of work or incorrectly thinking that a single dose is enough all might be contributing factors to why some are skipping their second dose. I also used a big straw and put it as far as possible without choking on it. My husband also got almost no sleep due to helping me. You must read, understand, and follow these instructions carefully. The lemonade made it possible to get it all drank without throwing it up. Second dose worked a little quicker and system was clear in about 2 hours. hb```b``a`e`b`@ ( Do not allow your doctor to give you this torture-drug! liquid and a lemon flavored drink mix for glass two of the next 16 oz drink . It took me about 40 minutes before it started to work. Page . According to the CDC, possible side effects include soreness, pain, and swelling at the injection site and throughout the arm as well as fatigue, headaches, muscle pain, chills, fever, and nausea. By morning I was furious. If you are sensitive to taste, have something ready to chase it down. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Bottom line - it's not as bad as you think it's going to be. IA$G7:OqAAo_xffwwM8!z+@N7Wf9{y/GY%OzZs=%TMg-^h-i4'Ch|sUWyQrb
2@n0 RiH` F V! Do not allow your doctor to give you this torture-drug! I took the pills, so taste was not an issue. I dread it. I have to go back in 5 years for another colonoscopy and I have no worries at all about doing it again. This continued off and on with longer periods of time between responses until right before my appointment at noon. 1988 0 obj
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Please follow the instructions exactly as given below and contact us if you have any questions. 5}+h",GDj#)~GRkY$#,+HY@,U3F,xp`.nm!?bZoA=,&. Due to the carbonation in the Sprite, I could not drink it fast and it tasted terrible! You should also continue to avoid medium to large gatherings, delay travel, follow your workplace protocol, and watch for COVID-19 symptoms. You will take the first 6-ounce bottle of SUPREP the evening before your colonoscopy and the second 6-ounce bottle of SUPREP the morning of your colonoscopy. This prep, it is the most disgusting tasting substance I have ever tried . No colonoscopy prep has ever caused me to stay up all night, lose all control, or have nausea. Data is still being collected as to how effective they are against new variants of the virus, but this does not mean that they are ineffectiveat reducing or preventing illness from these strains. I got severe chest cramps (from vomiting) and leg cramps that still hurt 2 days later. Pour (1) 6 oz. Adequate sleep is also recommended. It is best if you do not eat any solid food before taking this medicine and until after your colonoscopy. I was nervous for the procedure, but that was over in no time. NEVER AGAIN! (T={ mI~-GAVa9K?/j9^k9_Qg/W{HWU~r\.*)1Y>~lqyO}# i
Purchase Suprep Kit (prescription) at your pharmacy. I also cut up a fresh lemon and cut it into 4 pieces. Keep from freezing. The makers of this drug need to get it together and figure this out--this medication will drive people away from getting the screenings they need. I mixed it with smart water then drank 32oz of liquids over the next 2 hrs. Do NOT eat any solid food until after your exam. . It took 2 hours for it to begin working. I didn't mix it with water, I tried Sprite, huge mistake! Now, How many lbs is 39 kg? A scientific article published in JAMA in early February noted that one dose of each vaccine creates a relatively weak immune reaction. But, after two doses, the vaccines were highly effective in preventing COVID-19 infections that cause symptoms. The next morning was easier because I was already pretty much cleaned out, so maybe 5 trips to the bathroom. Make sure you drink the entire bowel prep solution. If this is not the case, the Centers for Disease Control and Prevention (CDC) recommends reaching out to the administrator of your first dose for a second appointment. Mor. May everyone have it as easy as I did. The timing for each vaccine is slightly different. glasses of clear liquids over the next hour (preferably water). The length of time it takes for Suprep to act and the duration of the action appear to be quite variable. The most important aspect of the colonoscopy procedure is preparation. By morning I was furious. I took the tablets, so taste wasnt an issue, and the first round of pills wasnt too bad. Good luck. I mixed the solution with 7-Up and a splash of lime, hardly a gin and tonic, somehow I managed to keep both doses that are required and the water down without any problems. I mixed mine with cold ginger ale. Probably not, but one thing is sure: any gastroenterologist that insists on this prep has no credibility with me. Nothing to eat or drink after midnight EXCEPT for the instructions below. Fill the given container with 16 ounces of water (up to the fill line). A recent report by the Centers for Disease Control and Prevention found the Pfizer and Moderna vaccines are 64% effective at preventing hospitalizations in the elderly after the first dose. It was torture for me. The second does requires you to get up around 1:00 a.m., and from that point on I had no control of my bowels whatsoever. If you have a colostomy please bring an extra stoma bag. Took first dose at 5:00 pm followed with the 32 oz. Used apple juice as a chaser with each sip. I probably went to the bathroom 10 times. of solution in half each time so I could convince myself I could do it. I am writing this review for people out there like me who have medical anxiety. 2023Well+Good LLC. The CDC recommends reaching out to the administrator of your first shot or your state health department for a copy of your vaccination card. If your colon is not properly prepared, it may result in cancellation of your procedure. Started prep at 5. I just had my first colonoscopy for screening at age 46. 1955 0 obj
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. First bottle at 1:30 pm second 1:30 am procedure 7:30 am. The first dose is to be taken the night before the colonoscopy. I was given the usual instructions for split-dose bowel prep: 1) Clear liquids only the entire day prior to the procedure; 2) Take the first dose of prep at 5 PM and the second dose of prep 5 hours before the procedure start time; 3) Nothing to eat or drink after the second dose of prep. Good Luck everyone.Read More Read Less. its 2021 and this is still torture. You may have clear fluids up to 4 hours prior to the procedure. It's perfectly normal to feel anxious about the second shot or to be confused by what comes next. Drank it exactly as instructed, mixed with cool water and sipped from a straw. Below, the answers to these and other questions regarding the second dose of the Pfizer BioNTech and Moderna vaccines that require a second dose. - Thurs. It's been 4 days since my procedure, I'm eating normally but have to make a bowl movement about every 3 hours! The second dose was at 10:00pm. The taste was ok. A little salty but also a little sweet. glass of water until you have taken a total of 2 tablets (over the counter, no prescription needed). Health experts say Texans who have missed an appointment for a second dose shouldn't worry about having to start the process over again. %PDF-1.7
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Since I read very mixed reviews of this ranging from light to be illegal to tasted like a magrarita I thought Id add one more it was fine for me. Its never going to be 100 percent pleasant having the runs for a couple of hours, but I was fine. The first dosage i - Answered by a verified Doctor . I have had two colonoscopies prior to this with a different prep (I believe it was Moviprep), and while the prep wasn't my favorite thing to do, I always described it as "not bad." GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified . I dont want to mess up with the prep and be sent home without a scope. Some find drinking it cold and through a straw helpful, and others mix it with a sports drink or powdered drinks mix. h[OAG7Frf4;X6$(1OU%mC8sv Maybe a half an hour after I had another that was still pretty normal, though a little more lubricated than normal. Add cool drinking water to the 16 ounce line on the container with the mix. That continued for about 2 hours during which several times I had to stay very close to the throne. Popped a Zofran prophylacticaly two hours before each dose. --Stop iron supplements at least one week before your procedure. If youre due for your second dose of the vaccine and your appointment was canceled, you probably have questions about how far you can space out doses (depending on which vaccine you got, the second inoculation is supposed to happen three or four weeks after the first). While uncomfortable, these symptoms are typically nothing to worry aboutthey are simply a sign that your immune system is responding to the vaccine as desired. Sign up for The Brief, our daily newsletter that keeps readers up to speed on the most essential Texas news. But skipping a second dose will not be as effective in preventing the spread and providing the complete protection needed against the virus that has killed more than 576,000 people in the U.S. and more than 49,000 people in Texas. Of lemonade to mix with the prep liquid. Im very bloated, no cramping, Im cold, have a bad headache and am feeling very tired and weak. If you experience severe pain or vomiting with the preparation, please call 845-471-9410. Here's my advice. 319-558-4800 (6am-4pm) after 4pm: 319-533-7136. It was hard to get down the putrid tasting liquid for dose 2! Fax: (319) 366-0795
According to the CDC, possible side effects include soreness . You must follow the instructions exactly in order to cleanse your colon adequately.
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