I have chronic pain and take pain meds. I am constipated severely. I go without using the John for 4 days at times. I have used Metamucil, mixed with Miralax, which is ok, but not great. I have now been using Activia once a day and added URO probiotics that are getting me moving everyday. I eat carrots, cranberries, nuts, granola, fiber bars, Raisin Bran, oatmeal, salad, spinach, apples, apple sauce, and water. All you can do is try to eat roughage and add probiotics like I have. I’m amazed it’s working. Good luck.