I didn't use the bathroom for 5 months. I spent $500+ on different methods to try and go: Oreganol and oil of oregano, grapefruit seed extract liquid and pills, monolaurin, taking cloves of garlic, probiotics (bifidobacterium lactis and organic yogurts), peppermint tea, magnesium citrate, celtic salt, ducolax chews, glycerine suppositories, a Molasses enema (given by the hospital), senna leaf, Castor oil, pears, grapes, apples, slippery elm, ginger and artichoke, Chinese herbs, misc. American Herb blends, very expensive elemental diet powders with no whey, staying away from sugar and methane forming foods, going gluten free, drinking San Pelligrino sparkling mineral water (and also actual water) going vegetarian etc... I also tried walking, yoga, accupressure, and intestinal massage with no luck. Like literally nothing was coming out. This right here is the thing that saved me. My skin looked so sick and I felt so awful. Food would not go down anymore and I was at my wits end. The hospital kept telling me I can try another enema (couldn't give mag citrate because it waa recalled- but I had some ones before the recall to take) I was so hungry and yet so full it was hard to breathe. And now I'm cured! It's formulated with some of the things I've taken before as separate formulas but the way they have it combined got me normal after 2 days of taking not even the full dose. I started with just 1 and the bottle recommends more than that before meals. After taking that first one I got severe reflux and felt awful but I could tell it was working because for the first time in months I could here my stomach making sounds. Also where the blockage was over the course of a few days I felt it move a little. After a week of 1 pill before every meal the blockage was gone. Thank you so much to the doctor who formulated this stuff. It's expensive but saved my life!