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This helps lift the fatty tissue away from the muscle while providing a stable surface for the needle to go into

Bulk-forming laxatives such as ispaghula husk (Fybogel) can be helpful, but they require adequate fluid intake to be effective and should be used cautiously if gastric emptying is significantly delayed or if bowel obstruction is suspected

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Remove one suspect food for two weeks, track symptoms, then reintroduce and watch for changes