Consult a health care practitioner prior to use if you have diabetes, are pregnant or breastfeeding, or if you have symptoms such as abdominal pain, nausea, vomiting, or fever (as these could be signs of abdominal constrictions of the gastrointestinal tract, diseases of the
oseophagus and/or the superior opening of the stomach (cardia), potential or existing intestinal blockage, paralysis of the intestine, megacolon, faecal impaction, inflamed bowel, or appendicitis). Do not use if you have difficulty swallowing. If you experience chest pain, vomiting, or difficulty swallowing or breathing after taking this product, seek immediate medical attention. Loose stools, flatulence, diarrhea, and abdominal discomfort have been reported.