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For constipation, in addition to monitoring fiber intake, she recommends eating raw cabbage a portion about the size of your four fingers can help with constipation naturally. When this doesnt work, sometimes over-the-counter treatments like magnesium citrate and Miralax can be helpful. She further explains, If a patient has reflux symptoms at baseline, they can get worse before they get better. She cautions that its important to continue any medication you have been prescribed for reflux when starting your GLP 1 and to avoid foods that you know tend to cause reflux, such as acidic foods, including tomatoes and citrus fruits