Question 1: Comparing Psyllium and Metamucil for Fiber Supplementation

Is Psyllium just as effective as Metamucil for dietary fiber supplementation?

Response: Choosing the Right Fiber Supplement

When considering Metamucil, it’s crucial to differentiate between its various forms. The sugar-free Metamucil powder contains artificial sweeteners high in polyols/fructose, which might lead to malabsorption issues. In contrast, Metamucil in pill form doesn’t have this high fructose content. For a FODMAP-friendly option, I recommend Webber’s Right4Fibre. It’s specifically designed to be gentle on the digestive system and suitable for those with IBS. More information can be found here: Webber Naturals Right4Fibre.

Alternatively, ground flaxseed serves as an excellent natural fiber source similar to psyllium. Begin with a small amount, like 1/4 teaspoon, gradually increasing by 1/2 teaspoon as tolerated, up to a maximum of 2 tablespoons per day.

Question 2: Optimal Dosage for Fiber Supplements

How much fiber supplement should be taken in one dose?

Response: Dosage Recommendations

Please refer to my previous response regarding starting with small quantities and gradually increasing as tolerated. The key is to monitor your body’s response and adjust accordingly.

Question 3: Creating Homemade Capsules for J-Pouch

With a j-pouch, is it advisable to make my own fiber supplement capsules? Would this be more effective than dissolving fiber in water?

Response: Fiber Supplement Form and J-Pouch

I generally do not recommend creating your own fiber capsules. Keeping it simple with either the appropriate commercially available fiber supplement or using ground flaxseed is advisable. These forms are designed to be easily digestible and effective, ensuring a balanced fiber intake without complications.

Warm Regards,

Rory Hornstein, RD BEd Dietitian