I saw a gastrointestinal guy when I thought I was having a heart attack once and it was my stomach. It's ok, (stomach - some irritation, but no full blown ulcer) but he also saw me after I had appendicitis and is Indian. (East). He is big on natural remedies but warned me off things like cascara. I do still use some formulas with some in it, but it IS more effective to eat a high fiber diet. I lose my tummy when i eat that way. In fact I think I'll have a salad for lunch. I use spinach, romaine, walnuts, (ahem - cranberrys (with sugar) - gonna have to nix that), peas (nix), shoot...., carrot sticks....SHOOT : ) Anyway - use olive oil, lemon juice and braggs liquid aminos for dressing. mmm. Me and the kids came up with that and a few friends have adopted it : ) Gonna have to rethink this a bit I guess.