@phxbarb
Completely understand. I have communicated with folks who say Senna gives them all kinds of horrible problems that I, and others, have never experienced. What works for one may be intolerable to another. In theory, the Motegrity should have been sufficient on its own. But it wasn't--not at all. As I enter the second month of Motegrity, I may try to step back the Senna a bit. I did that before and got badly blocked. I have been taking the Senna for probably close to three years now. I seem to be doing okay as far as side effects. I take 3 Senna and 2 Colace at 7:00 am, and then again at 6:00 pm. I take the Motegrity at 9:00 am with breakfast. The Visbiome and the Kefir have both helped the gas and subsequent bloating from IBS-C. I did not mean to prescribe my regimen to others. Just meant to share what is working for me. Movement, for me,(walking/trampoline) is vital, as are small portions and a largely plant-based diet. Best Wishes!