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Many NHS trusts have developed local protocols based on national recommendations, and patients should follow the specific guidance provided by their surgical team

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instead, we rely on gut microbes to slowly ferment fibers like cellulose, hemicellulose, and -glucans in the large intestine.29 By starting that breakdown earlier in the digestive tract, supplemental fiber-targeting enzymes are designed to make very high-fiber meals feel more comfortable and, in theory, to improve access to trapped nutrients