So glad you found a combination treatment that is working for you. In the past, I tried the laxative route, which gradually needed an increasing doseage to be effective. So avoiding the frustration I felt with laxatives, I have been searhng out supplements that seemingly replace what is missing in my bodydue to advanced age and multiple illnesses, rather than just treat constipation symptom. I have also avoided Rx drugs that work as they should, because so many big pharma treatments have diastrous long term effects. However I have a good suply of laxatives just in case as I work on severe constpation, so far successfully (finally). All the best to you with keeping healthy and happy.