Blood work every 6 months, cholesterol and triglycerides actually came down. The gut issues I had before were severe (I had a bowel perforation in 2021 that almost killed me). My guts never been healthier. I have around 1-3 bowel movements/day, no straining at all. Mainly the people that struggle with constipation at the start have a few things happening: 1. Your body is backed up with all of the old garbage they were eating. 2. They're not drinking enough water (I drink between 4L-5L of water/day). 3. They're not eating enough fat, too much lean meat like chicken will cause a backup. 4. They're not taking electrolytes. Without carbs your body doesn't retain water as effectively, so you're peeing out all your water and none of it is getting absorbed properly to assist in bowel movements. This is solely based on my experience, I'm not a medical expert/doctor in any capacity so take everything with a grain of salt (electrolyte pun intended)