@jenatsky
I know this is old, but this was the most recent discussion I could find related to my situation. So you're a nurse too? Have you ever heard of Silver Fern™ Brand supplement called Motility? https://www.silverfernbrand.com/products/motility
It was recommended to me by a functional medicine Dr that I saw for my gut health and hormonal issues. (I have been on MAT for opioid recovery for almost 20 years, and for about the 1st 15 I ate what I wanted... and now that I'm getting older, it's back-firing on me) GI health was never addressed by my MAT Dr, nor were we ever even warned about the possibility of GI side effects. And now I have chronic constipation. When I take Miralax and Senna, it works but I'd obviously rather not have to rely on them. (And I have obviously changed my diet drastically, but I fear the "damage is done" so to speak) I have my colonoscopy next month, but I wanted to try something.... anything other than traditional laxatives. Just curious if you've ever heard of the Motility.... that's pretty incredible that you've been able to be on opioids that long without developing an addiction or any other GI side effects... good for you!