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I once had a consultation with a surgeon about hemorrhoid surgery. Her recommendation was to use fiber supplements because it's almost impossible to get enough fiber from food alone.
(I ended up getting a bidet, and now my fiber-poor garbage diet doesn't cause that particular problem anymore )
I had to start supplementing with psyllium fiber (powder) several months ago after a massive hemorrhoid attack last fall. (Surgeon gave me the identical advice.)
If I don't get at least 40 g a day of total fiber (about 20+ of which are the powder), stools get large 'n' hard. It's working, and my ass is thanking me.
What I'm having trouble squaring is I don't think we evolved eating that much fiber every day. Pre-agriculture it would have been (depending on which part of the planet) lot's of animal protein and whatever roots & berries you could find, right?
Micheal Greger in "how not to die" talks about this. He says that hunter gatherers would eat mostly plants and sometimes some meat. And all plant food was not process so with lot of fiber
Bingo, we were not bagging big game and eating a 16oz steak daily. Meat was and should be a luxury.
How do you consume so much psyllium? I find it difficult to get down because it turns to goo very fast
mix it quickly with cold water and chug
Exactly. I use a blender (stirring never worked) with a squirt of water flavoring. The key part is the immediate chugging!