What is Klean Prep and how is it used for colonoscopy preparation. How does the taste of Klean Prep affect the drinking process. What are the recommended strategies for consuming Klean Prep effectively. How long does it take for Klean Prep to work. What are the potential side effects of Klean Prep.

Understanding Klean Prep: A Crucial Step in Colonoscopy Preparation

Klean Prep is a widely used bowel preparation solution for colonoscopy procedures. It’s designed to clean out the colon, ensuring clear visibility during the examination. The preparation process, often considered more challenging than the actual procedure, involves consuming a large volume of the solution over a specified period.

What is Klean Prep?

Klean Prep is a powder-based laxative that, when mixed with water or other clear liquids, creates a solution to cleanse the bowel. It typically comes in sachets, with patients required to consume a total of 4 liters of the prepared solution before their colonoscopy.

The Klean Prep Experience: Taste, Volume, and Consumption Strategies

Many patients find the taste of Klean Prep to be a significant challenge. Despite manufacturers’ efforts to improve flavor, the large volume required can make consumption difficult. How can patients manage this aspect of the preparation?

• Mix with approved clear liquids like apple juice or lemon-lime soda
• Chill the solution before drinking
• Use a straw to bypass taste buds
• Alternate sips with clear fluids like Gatorade
• Break consumption into smaller, more manageable intervals

Is the Taste Really That Bad?

While individual experiences vary, many find the taste of Klean Prep tolerable, especially when mixed with approved flavoring. The challenge often lies more in the volume required rather than the taste itself. Some patients report that the first few glasses are easier to consume, with difficulty increasing as they progress.

Timing and Dosage: Optimizing Your Klean Prep Regimen

Proper timing and dosage are crucial for effective bowel preparation. How should patients approach their Klean Prep schedule?

1. Start early: Begin the preparation at least 24 hours before the procedure
2. Follow a clear liquid diet the day before
3. Divide the solution into manageable portions
4. Aim to finish the solution at least 2-3 hours before the colonoscopy

Can You Adjust the Dosage Based on Body Weight?

While some online sources suggest that individuals under 120 pounds may only need 3 liters instead of 4, it’s crucial to follow your doctor’s specific instructions. The goal is to achieve a completely clean colon, which may require the full dose regardless of weight.

Side Effects and Expectations: What to Anticipate During Prep

Understanding potential side effects can help patients better prepare for the Klean Prep experience. What should individuals expect?

• Frequent bowel movements
• Abdominal discomfort or cramping
• Nausea or vomiting in some cases
• Feeling cold due to fluid loss
• Fatigue or weakness

When Does Klean Prep Start Working?

The onset of action can vary between individuals. Typically, bowel movements begin within 1-2 hours after starting the solution. Initially, stools will be solid, gradually becoming looser and eventually clear and watery. This clear, watery stool is the goal of the preparation.

Overcoming Challenges: Tips for Successful Klean Prep Consumption

Many patients struggle with consuming the full volume of Klean Prep. How can these challenges be addressed?

• Set a timer for regular intervals to pace consumption
• Stay near a bathroom once you start drinking
• Use distractions like reading or watching TV while drinking
• Have someone present for support and encouragement
• Prepare mentally for the process

What If You Can’t Finish the Entire Solution?

While it’s crucial to consume as much of the solution as possible, some patients may struggle to finish. If this occurs, contact your healthcare provider immediately. They may provide additional instructions or adjust the procedure schedule if necessary.

The Importance of a Clean Colon: Why Proper Preparation Matters

A thorough bowel preparation is essential for a successful colonoscopy. Why is this so critical?

• Ensures clear visibility for the physician
• Increases the detection rate of polyps and abnormalities
• Reduces the need for repeat procedures
• Improves the accuracy of diagnosis

What Does a Properly Prepared Colon Look Like?

According to medical professionals, a well-prepared colon should appear pink and clean, similar to the inside of your mouth. Any remaining debris or stool can obscure the view and potentially hide important findings.

Post-Preparation Care: Managing Hunger and Discomfort

The preparation process can leave patients feeling hungry and uncomfortable. How can these issues be managed?

• Focus on clear, approved liquids to stay hydrated
• Use lip balm to prevent chapping from frequent bathroom trips
• Apply barrier cream to prevent anal irritation
• Rest and avoid strenuous activities
• Prepare a light, easily digestible meal for after the procedure

Is It Normal to Feel Weak or Dizzy During Prep?

Some patients may experience weakness or dizziness due to fluid loss and reduced food intake. While mild symptoms are common, severe dizziness or weakness should be reported to your healthcare provider immediately.

Personalizing Your Prep: Adapting the Process to Your Needs

While following medical instructions is crucial, there are ways to make the Klean Prep process more manageable. How can patients personalize their preparation experience?

• Experiment with different approved mixing liquids
• Try various consumption methods (sipping vs. chugging)
• Adjust the temperature of the solution to your preference
• Create a comfortable environment for the prep process
• Plan activities to distract yourself during consumption

Can You Split the Dose Over Two Days?

Some physicians recommend a split-dose regimen, where part of the solution is taken the evening before and the remainder on the morning of the procedure. This approach can improve both tolerance and effectiveness. Always consult your doctor before altering the prescribed regimen.

Understanding the Klean Prep process and preparing mentally and physically can significantly improve the colonoscopy preparation experience. While challenges may arise, focusing on the importance of a thorough cleanse for accurate results can help motivate patients through the process. Remember, the discomfort is temporary, but the benefits of a successful colonoscopy can be life-saving.

As medical practices evolve, new preparation methods and improved solutions may become available. Staying informed and maintaining open communication with your healthcare provider ensures you receive the most up-to-date and effective preparation instructions for your colonoscopy.

Ultimately, while the Klean Prep process can be daunting, many patients find that the actual experience is more manageable than anticipated. With proper planning, support, and a positive mindset, you can successfully navigate this crucial step in maintaining your digestive health.

Remember, your healthcare team is there to support you throughout this process. Don’t hesitate to reach out with questions or concerns as you prepare for your colonoscopy. Your comfort and the success of the procedure are their primary concerns.

As research continues and patient experiences are shared, the colonoscopy preparation process may see further improvements in the future. Until then, approaches like Klean Prep remain a reliable, if challenging, part of ensuring optimal colon health screening.

By understanding the process, preparing adequately, and following your doctor’s instructions closely, you’re taking an important step in proactive health management. The temporary discomfort of the preparation pales in comparison to the peace of mind and potential health benefits that come from a thorough and successful colonoscopy.

Whether this is your first colonoscopy or you’re a veteran of the procedure, each experience offers an opportunity to refine your approach and discover what works best for you. Share your insights with your healthcare provider, as your feedback can help improve the process for future patients.

As you embark on your Klean Prep journey, remember that you’re not alone. Millions of individuals undergo this process each year, contributing to early detection and prevention of colorectal issues. Your participation in this screening process is a valuable investment in your long-term health and wellbeing.

While the preparation may seem daunting, the actual colonoscopy procedure is typically quick and painless, often taking less than an hour. The peace of mind that comes from a thorough examination can far outweigh the temporary discomfort of the prep process.

As you move forward with your colonoscopy preparation, maintain a positive outlook and focus on the importance of this screening in your overall health journey. With proper preparation and a clear understanding of what to expect, you’re well-equipped to tackle the Klean Prep process and contribute to your ongoing digestive health.

Colonoscopy with Klean-Prep – My Anus Horribilis

Instructions

From what I read and heard, the day before the test — the prep day — is the worst part, and the actual procedure is not a big deal. I was instructed to take four litres of Klean-Prep mixed with water, a lemon-lime drink, or some other clear (ie. non red or purple) liquid. I was to start at 2:00 pm on Tuesday, but they said if you have trouble drinking large amounts of liquid (and four litres is about the size of two large party-sized pop bottles), you could start earlier. I planned to start at 12:00 pm, and I was supposed to drink a cup (1/4 litre) every ten minutes.

Doesn’t sound too bad so far, right? Drinking a lot of liquid, okay, maybe it will make you go pee a lot, but otherwise, what’s the problem?

The taste, of course. Everything I read said that the stuff tasted horrible, even with its “new improved vanilla flavour!” Really though, if I hadn’t read all that stuff, I probably wouldn’t have had that much of a problem with it.

The first cup

The first cup went down quite quickly at 12:20 pm (okay, okay — I was a bit late because I was playing FarmVille). But after that, I lost motivation.

This week is my university’s reading week, so that means I have the week off, which worked out well considering the colonoscopy was scheduled before I even knew when reading week was. My dad coincidentally also took this week off to work on the house. So, awesome, right? Someone would be there to take care of me before/after the hospital. Unfortunately, my dad had to go into work. So, there I was, all alone, with no one to encourage me (or force me) to drink the stuff. I called up my mom who said it would be okay if I waited until she came home and she would be there to support me. I told her I would get one litre down before she came home.

Unfortunately, four hours later, I still only had one cup down. I hadn’t started running to the bathroom yet (which is what the stuff is supposed to make you do — by the time you’ve finished drinking it all, you should be having clear, watery stool). I really don’t have an excuse for not getting any more down; I certainly could have, because the first cup was really not all that bad. It was just overwhelming to think that I still had more than three litres to go.

Most of what I read online said that if you’re under 120 pounds, you should only need to take three litres. (I’m currently 97 pounds and still not gaining any weight, despite eating all the time — speaking of which, you’re not allowed solid food for 24 hours before the test, and man, was I hungry! Right away, too. And of course, every commercial, every show seemed to be about food! I would have loved to have just been able to lick a cookie to get the taste of the prep out of my mouth). I’d read online that most people weren’t able to get more than three litres down with no mention of their weight (and I figure most people probably weigh more than me), so presumably three litres would be about enough for anyone.

But I didn’t get three litres.

I don’t really want to say how much I did get, because I don’t want to encourage people to take as little as I did and still try to have the procedure done. Your colon needs to be squeaky clean because the test is basically putting a long hose with a camera at the end into your colon and checking it out for irregularities (eg. cancer, polyps, inflammation). If your colon isn’t clean, they can miss stuff. According to one of the nurses at the hospital, your colon should look like the inside of your mouth, all nice and pink. No brown stuff floating around. And finding red stuff is bad, which is why you can’t have red liquids (or cherry popsicles or jello — which are, of course, my favourite flavour!)

Apple juice, Sprite, Gatorade

I managed to get a few more cups down, mixed with apple juice and water; the first cup was mixed with Sprite and water. When I was on the apple juice mix, I thought the Sprite one tasted better, but when I went back to the Sprite later, I was longing for the apple juice. It’s all about the same, I suppose. I had some Gatorade Rain to wash it down with — a drink I’d not been too fond of in the first place, but by the end of the night, man, did that Gatorade taste good.

Crying, chugging, and going to the bathroom

Much crying and sitting and staring at the cup later, my dad gave me a Sprite mix in a bottle of water and told me to try chugging it, rather than taking it through a straw like I had been doing. Chugged. Threw up. Proceeded to not try again for at least an hour.

And really, you’re supposed to take this stuff fast so that it doesn’t get absorbed into your body. That’s why I still hadn’t gone to the bathroom. I had done a normal bowel movement in the morning before I’d started the prep. I hoped the fact that I hadn’t eaten anything solid for more than 24 hours before the test and the fact that I’d only had Cheerios (and chewed ’em up real good!) and the fact that I’d emptied out before the test would mean less to empty out later. I’d read stuff online about diarrhea explosions (which I’m no stranger to, or at least I wasn’t before my surgery) and terrible cramping and whatnot, and I wasn’t much looking forward to it — but I would much rather be enduring that if it meant that the prep was all gone.

I had been in my parent’s bedroom so I could watch TV and be near the bathroom, but my mom decided it was time for her to go to bed, so I was kicked out. My dad wanted me to go downstairs with him so he could yell at me some more make sure I took the rest of the stuff, but I was saved by a bowel movement, finally. And it was watery! Hurrah! I didn’t think I’d want one of those kind of poops again, after that being all I had for months before my surgery.

Anyway, the poop was better, but not clear. I’m going to be a bit more descriptive here than you might want, so there’s your warning. It was watery, and it felt like I was peeing out my butt, and it was a fairly constant stream.

Finishing

It was getting late. I was sitting on the toilet with my head on the end table I’d dragged into the bathroom, and I was falling asleep. I eventually managed to straighten up and tell myself, alright, if you can drink this whole bottle (two cups), you can go in your nice, comfortable bed and sleep.

It took me a few hours, but I did it. Well, almost. There was a little tiny bit still left in the bottle; I could have got it down with two big chugs, but I was just so exhausted. I ended up chugging most of the bottle with only a few gags and no more throwing up. It really is easiest to just chug it like a bottle of water. But I have trouble chugging normal, tasty drinks.

Going to bed

I quietly snuck into my room, hoping my mom and dad wouldn’t wake up to yell at me some more. A few minutes later, my mom knocked at my door and asked how I did; was I still drinking, pooping? Yes, I was still pooping, but I was not drinking any more. “How much did you get down?” she asked. The final tally was one and 3/4 litres. Less than half of what I was supposed to drink.

I can’t explain why I can’t drink large amounts of fluids or swallow pills. Well, maybe I can; I think about it too much, and this mental block stops me from doing it.

“Are you trying to stay sick?” my mom asks. “Are you trying to sabotage this?” my dad asks. (“Yes, I’m trying to sabotage it,” I replied sarcastically, but I’m not sure if he caught on or not. I’m usually pretty good at knowing not to say dumb things that will just get him mad, but every once in awhile, a snarky comment can slip out.)

They can’t believe I couldn’t do it. They’re disappointed, angry, frustrated, stressed. They tell me that these doctors have prepared an operation room for me, there’s people waiting on me, counting on me to do what I’ve been told to do. These procedures cost money; thousands of dollars — thousands of thousands of dollars!

I can be stubborn. Usually, when people get angry at me and try to make me do something, I think, “Well, they want me to do it, so I’m just not going to do it!” But that thought had never crossed my mind that night. I really was focused on getting it done, and not because my parents were or weren’t making me.

I don’t blame them for being frustrated with me, but all they were doing was making me feel bad, which didn’t make me want to take the stuff; it just made me want to cry and not take the stuff.

Anyway, it was now 2:00 am. I was actually expecting it to be at least an hour later when I left the bathroom, so I was quite proud of myself for finishing the bottle so “quickly”. My colonoscopy was to be at 9:30 am, and I wasn’t supposed to eat or drink anything for four hours before the test, so I wasn’t even allowed to take the Klean-Prep for much longer, even if I was actually able to.

The morning

I slept for a few hours, and I got up at 8:00 am. I don’t think I got up to go to the bathroom during the night other than a bit after I finished drinking. I didn’t know if anyone was even planning to wake me up to take me to the hospital since I probably wasn’t clean enough to have the procedure done. My mom had even said to me last night that she wouldn’t be coming with me. I went downstairs and spoke as little as possible, but I asked my mom what was up and were we even still going. “Of course we’re going!” she said incredulously. Okay, okay, it was just a question.

The hospital

My dad ended up driving us to the hospital and dropping me and my mom off. I thought it was because he was the more pissed one, so he got to stay home since someone had to be there with me if I did have the procedure, but really, you were only allowed to have one person with you since the waiting room was so small.

I wasn’t even feeling hungry anymore, but after a few hours in the waiting room, I was starting to feel it again. I’m not sure what time I was called in, but it was at least after lunch. Almost all of the other people there — obviously all there for the same thing — were older men. And then there was me, the little girl.

Getting ready

I was told to go into the room and take off all my clothes except my socks, put on the hospital gown, and then lie down and get comfortable. I waited for a few minutes, getting my blood pressure taken, that kind of thing. I was told before the procedure that I would be given some drugs through an IV and I would be “consciously sedated”, so I would be relaxed, but not asleep (though some people do fall asleep). This worried me, because I did not want to be awake during the procedure.

When I was young, I saw a TV show about someone having a surgery that they were supposed to be asleep for, but they ended up waking up while the doctors were cutting into them or whatever, and the patient wasn’t able communicate to anybody that they were awake; I think that show is what stemmed my whole fear of hospitals and doctors. So this procedure would kind of be like me facing my worst fear.

The procedure

The procedure wasn’t really a problem. The worst part was the very beginning, when the doctor stuck his finger in there, I guess to open it up or feel around or something. And then in goes the camera hose, I guess. I couldn’t really look to see what he was doing, because if I moved, the thing could perforate my colon, and I could die and stuff. I did, however, watch a little bit on the TV screen, but I wasn’t allowed to wear my glasses during the procedure, so it was blurry. I’m not sure how long the whole procedure took, maybe fifteen minutes at most? I could feel something moving around in there a little bit, I think. They blew air into my colon, which I was told I would then need to “blow back out” when I was in recovery (no problem; I’m a champion at that). There was one point where he took a sample of part of the colon and my hand was on my stomach, and I’m fairly certain I felt what he was doing, so I immediately removed my hand.

So yeah, I was awake for the whole thing. I feel like they didn’t even give me drugs, since I wasn’t even slightly out of it after. That’s the only part I don’t remember: them giving me drugs. I don’t think they would forget a thing like that, but I dunno, I just didn’t feel it. I didn’t feel any pain really at all, just slight discomfort.

When the doctor said it was all done, I asked him if it was clean enough, and he said yes. I said I hadn’t taken all of the prep, but I didn’t say how much. I had told several nurses earlier when they asked, and they wrote it down, but I’m beginning to think doctors never read what’s written down, considering how many times people in hospitals ask you the same questions over and over.

Recovery

So they did the colonoscopy, despite my utter failure at doing the prep. I laid down in recovery for a while, and mom came in from the waiting room. While we were waiting before the test, I talked to her a bit, tried to keep some conversation going every once in a while, and she even spoke to me without being prompted, and she put her head on my head when I put my head on her shoulder, so I figured she’d gotten over being angry at me. So, I talked quite a bit more to her afterwards and asked, “Are we cool?” She said yes, but if they had not been able to do the procedure, that would probably be a different story. I’m so glad they could, because I can’t deal with my parents being angry at me.

When I felt good enough to walk (which was right away, really), they let me go into the next room and have some apple juice and some sort of fruity bread, and then I got dressed. After they removed the IV nozzle out of my hand, I could go. And so, we did.

Going home

All done. I was just so happy! I think my parents are still a bit angry with me, but they’ll get over it eventually. It’s done, after all.

Next time I have a colonoscopy, I’m asking for Pico-Salax, which I’ve read you only need to take two litres of, I think. Much more manageable, and less overwhelming.

So, all in all, it’s true what you’ve probably read; the colonoscopy itself is nothing to worry about, and the prep is the worst part.

I’m not a doctor, and I can’t really say if any of what I did will help, but here’s what I would suggest: If you don’t think you can get the four litres down, aim for at least three, and start early. Eat very light, easily digestible food for as many days as you can stand before the test, and don’t eat at all for at least 24 hours before the procedure. Take a laxative; they prescribed one for me, but it was a pill, so no-can-do for me.

I really don’t recommend taking as little of the Klean-Prep as I did; I was lucky. I’m also very small (like I said, I weigh 97 pounds since I lost a lot of weight due to having undiagnosed Crohn’s disease for the past year), so I guess there wasn’t as much to clean out. Plus, like I said, I had already emptied out before I started the prep. It’s probably a good idea to drink a lot of water if you aren’t getting all the prep in. I didn’t do that, but I knew I should have. Basically, my story is a “what not to do” with a lucky, happy ending. Well, at least until I get the results, I guess.

Effectiveness, Ease of Use, and Satisfaction

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Most voted positive review

28 People found this comment helpful

I was terrified about prepping my bowel for my first colonoscopy. I have a phobia about feeling nausea and of vomiting. I also have a hard time drinking unpleasant things. I have to say that all of my anxiety was blown way out of proportion. The amount of medication that needed to be consumed was quite small and very manageable. The liquid is thin and clear and the taste was not bad – it remi…

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Most voted negative review

4 People found this comment helpful

I have had two worst days of my life

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SORT BY Condition: Emptying of the Bowel

Overall rating 2.7

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Clenpiq was prescribed for my second colonoscopy. I followed the instructions and took the two doses at the scheduled times. The first dose kicked in about 20 minutes after taking it. I drank about 54 ounces of water over the next 5 hours. My stools were clear yellow water by then, which was unlike my experience from 10 years prior. Back then I drank a bad tasting kool-aid mixture that ended in clear water stools. Also, this time around I experienced a burning sensation in the anus. There was no burning 10 years ago with the other product. When I took the second dose of Clenpiq the next morning, I followed it up with 68 ounces of water over the next three hours. My stools were still clear yellow liquid, but medical staff assured me this was normal. Had my colonoscopy and all went well; no polyps were discovered. Came home and had my first solid meal in two days. Slept two hours and then rushed to the bathroom to dump everything as sludge. The burning had gotten more intense. Soothed it a bit with warm compresses. Ate fruit and vegetables for the remainder of the day and had more runny sludge in the middle of the night with more intense burning. Waking up the next day this experience still continues. I’m beginning to think two doses of Clenpiq was overkill as I’m still experiencing painful laxative effects a day after surgery. 10 years ago I was able to eat immediately after surgery without any of this. Hoping my stools solidify and the burning stops soon.Read More Read Less

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Overall rating 2.7

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This medication poorly prepared me for a colonoscopy procedure. I took this as directed and I had to be administered an enema to further prepare me.

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Overall rating 2.0

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The bottles are impossible to open. I had to go next door to find a strong man to open them abd even he had trouble. It took him some time to get them open and he was about to cut the tops off to get to the liquid.

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Overall rating 2.7

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I have had three prior colonoscopies and never had trouble with the preparation. With Clenpic I found it harsher than other preps throughout the night. In the morning I had nausea, bloating, and a very acidic stomach. When I was sedated to begin the colonoscopy the acid in my stomach rose in my throat and caused severe coughing. The doctor had to cancel the procedure as unsafe (with the coughing) and was concerned that I may have aspirated. In reviewing the experience the medical staff concluded that the prep was the cause of the problems. It was agreed that when I reschedule I will not use Clenpiq. Read More Read Less

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Overall rating 4.7

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This was my first time getting a colonoscopy and I was so nervous about the prep. The doctor prescribed Clenpiq and I had no idea what to expect. When I picked it up at the pharmacy it was free. I was happy about that. I took as directed and it was so easy. I didn’t have any bad cramping or anything. It emptied me out as it was suppose to without the urgency of having to go. I would recommend this to anyone. Very easy.

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Overall rating 5.0

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After reading some of the reviews, I was quite nervous to take Clenpiq. Turns out I had nothing to be worried about. The taste was absolutely nothing to be concerned with. I drank both bottles straight down. Tasted just fine. I experienced no nausea, vomiting, cold sweats or headaches. Even though I was instructed to start the process later in the day for the first douse and then 4 hours before my procedure time (9:00 A.M), I took my first douse at 3:00 P.M. and then my second at 9:00 P.M. I hydrated with Gatorade and chicken broth throughout my prep day both before and during the process. Took about an hour for things to start moving after the first bottle and then about every 15 minutes for the next couple of hours. The second bottle went the same as the first. Never experienced any cramping or uncomfortable bloating. While I stayed close to the bathroom, I never had any really uncontrollable urges. The medication did a reasonably gentle but thorough job a clearing my bowels and the colonoscopy was a breeze.Read More Read Less

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Overall rating 3.3

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Easy to take, tolerable taste. Unfortunately it did not clean me out entirely before my colonoscopy. The second bottle kicked in after my procedure. It didn’t work for me and I would not take it again personally.

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Overall rating 1.0

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HORRIBLE. The cramping, the nonstop use of commode (AFTER the colonoscopy). It’s taking forever to STOP. It tastes SICKENLY sweet with a nasty aftertaste. AVOID. Do the Miralax.

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Overall rating 2.3

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Being on a liquid diet the day before, I began getting peripheral neuropathy in the hands and feet, and apparently the Clenpiq flushed out my gut flora so totally, 5 weeks later, I am still having horrible numbness and pain in my hands and feet as well as entire body. I am a esophageal cancer survivor, and no one was aware this would be such a horrible side effect. Pro and prebiotics are helping very little and now I am allergic to all kinds of citrus.
If you have to do a prep,,anything but Clenpiq is my recommendation.Read More Read Less

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Overall rating 2. 3

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This was horrible. I took the first bottle with within 20 minutes was experiencing cold sweats, nausea and diarrhea. I peed my poop every 15 minutes for 4 hours and had cold sweats each time. My rectum was on fire and burned like hell every time I had to go. The second bottle was even worse. I hope to never, ever use this prep again.

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Overall rating 1.7

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Awful experience with this solution. After first bottle, my stomach felt bloated and excruciating pain followed by nausea, cold sweat and vomiting. Had to cancel the procedure. 2 days later still trying to recover. Also expensive! Will definitely let my family/friends know not to ever take this solution.

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Overall rating 5.0

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As a high risk colon cancer patient, I need a prep that leaves my bowel clear. For my 13 & 14th procedures, I used Clenpiq and “the bowel preparation was excellent,” per my MD. She removed 4 difficult to see sessile polyps associated with advancing to colon cancer. The prep does what I depend on, & I follow all instructions to the letter.

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Overall rating 2.0

EffectivenessEase of UseSatisfaction

I started with the first bottle at 1 o’clock P. M. and took it while holding my nose, then swishing water in my mouth and then drinking a little apple juice. That works. However, nothing happened until 4:30 in the afternoon. I drank the 8 oz. every hour and then at 6:00, took the second bottle. I do not ever take these things late like they say or in the morning. It works just as well to take two doses in one day and you are done by 9 or 10 at night. I don’t want to be up all night and have never had a problem doing it that way and it has always worked. I have no idea why they want you to take it in the morning. I have had four other colonoscopies and never had too much of a problem with the prep but this one, I did not like. I have had a different prep every time. I have never had to drink 9 glasses of water with a prep of any kind and it is way too much. I felt like I was going to drown, even though I sipped it over the hour. I could not taste it because I held my nose but this entire thing takes way too long. It has been 10 hours and I am still having to use the bathroom. It seems to work fairly well, but the whole procedure is too long and too laborious with all that water. I felt slight nausea the whole time. I would not use this again. Read More Read Less

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Overall rating 5.0

EffectivenessEase of UseSatisfaction

Due to colon cancer I’m faced with having a colonoscopy every year to 2 years. I have always dreaded drinking all of that awful tasting solution. It made me nauseated and I would gag the entire time trying to get it all down. This was the first time I used Clenpiq. The small dosage was much easier to manage. I found it be gentle on my intestines, it didn’t taste too bad going down but the aftertaste got to me a bit. However, on the second dosage, I discovered swishing Ginger Ale in my mouth took the aftertaste away. Using Clenpiq was by far a much better experience!Read More Read Less

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Overall rating 5.0

EffectivenessEase of UseSatisfaction

This Clenpiq is by far the best prep for colonoscopy. No cramps. No nausea, the taste is no so great but with a white grape chaser it’s doable. The other stuff called Suprep ought to be outlaw because of the taste and quantity that you have to drink.

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Overall rating 1.0

EffectivenessEase of UseSatisfaction

Terrible experience. First bottle made me incredibly nauseous; threw up the second bottle. Doctor cancelled the procedure b/c bowel was not cleansed. Bowels are still liquified a day later. I’m hoping I’ll recover soon from this nightmare.

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Overall rating 5.0

EffectivenessEase of UseSatisfaction

Clenpiq did what it was supposed to do. I have no complaints. The second dose acted more quickly after taking, and completed in plenty of time for me to make a 45 minute drive to the surgery center for my appointment. I would ask for it next time.

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Overall rating 5.0

EffectivenessEase of UseSatisfaction

I ate plain pasta for two days (Tuesday and Wednesday) before my cleanse day on Thursday. I took 8mg Ondasetron before my first dose and my second dose to help with nausea. I alternated one sip of Clenpiq with one sip of BodyArmor Mango flavor. Clenpiq was so easy to use and was not thick like the other preps. I drank Mango flavored BodyArmor before, during and after my cleanse. This was my third colonoscopy and the least traumatic by far even though I was up most of the night as the cleanse did it’s job. Highly recommend!
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Overall rating 1.0

EffectivenessEase of UseSatisfaction

I wouldn’t recommend this for anyone and those with a sensitive gut or previous incidents with low salt problems. Had to stop using after 1st bottle because of headache, nausea and heart palpitations. Called Dr. At 2:30 am to express my concern about a 2nd bottle, and she said to stop taking it, hydrate, and eat and cancel the appointment. Still having some symptoms of nausea, cramping, and headache periodically a week later. Way too strong for use. Will ask next time for the easiest med for a sensitive gut. Doctors should be inquiring and offering an alternative prep, instead of a “one size fits all” drug with these kinds of side effects. Why put people through this unecessarily?Read More Read Less

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Overall rating 1.0

EffectivenessEase of UseSatisfaction

I wouldn’t recommend this for anyone and those with a sensitive gut or previous incidents with low salt problems. Had to stop using after 1st bottle because of headache, nausea and heart palpitations. Called Dr. At 2:30 am to express my concern about a 2nd bottle, and she said to stop taking it, hydrate, and eat and cancel the appointment. Still having some symptoms of nausea, cramping, and headache periodically a week after. Way too strong for use. Will ask next time for the easiest med for a sensitive gut. Doctors should be inquiring and offering an alternative prep, instead of a “one size fits all” drug with these kinds of side effects. Why put people through this unecessarily?Read More Read Less

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Cartel Tycoon Preview – Gardening to the Masses!

Reviews

03/24/2021

A few days ago, the promising strategy Cartel Tycoon was released on Steam Early Access, in which players will be able to try on the role of a Latin American drug lord from the 80s. We share our first impressions of the game.

• Developer: Moon Moose
• Publisher: tinyBuild
• Early Access Release Date: March 18, 2021

At the time of this writing, only the campaign and sandbox mode are available in Cartel Tycoon, with a number of limitations. The storyline of the game, which takes on the responsibility of nurturing leadership qualities in aspiring capos, plunges players into a period of “cocaine wars”.

In it, you follow the fate of Cesar Garcetti, who, looking for a job, stumbles upon a strange ad, calls the specified number and the mysterious interlocutor on the other end of the wire (namely, the wire, since the era of mobile communications has not yet arrived) offers him to do “profitable gardening” .

From the moment the imperturbable Garcetti crosses the threshold of the estate entrusted to him, the hero finds himself drawn into a big game related to the production and sale abroad of substances prohibited on the territory of a fictitious state.

It is interesting to watch the development of events, even if they are a training in the main mechanics of the game, veiled under the storyline. To comprehend them in this way in a relatively unhurried rhythm is much more pleasant than to immediately rush into the sandbox, and then suffer because of rash decisions.

The fundamental resource in the game is money, which in Cartel Tycoon is divided into “dirty” and “clean”. Their management, while not yet perfectly honed by the developers, is thought up in a very curious and fresh way.

For example, as with most economic strategies, all your businesses will require resources to run. Not electricity and not even working, but regular financial investments. And if in the classical view these funds would simply flow away from the general treasury once in a certain interval of time, then here you decide how much money you will pay for the maintenance of the property.

Unlike net profit, dirty profit, which you receive as income from the main activity, that is, the production and sale of drugs, cannot be transferred “by air”. This money is always physically stored somewhere – at the points of sale, at the residence, at the cash desks of your enterprises.

Trucks full of illegal cash and cars of your henchmen with escorts and huge sums in their trunks drive back and forth on the roads. The money goes to wages, to bribes, to finance research, even no one will start building a new building until a car with money appears on the construction site.

Moreover, the rapid financial activity naturally attracts the attention of the authorities. If, for example, banknotes begin to literally fall out of the windows of your residence because there is simply nowhere to put them, the lawyers will definitely notice this. If you start transiting a large amount through a city that is not under your control, they will notice it too. Arrange some kind of illegal hype – they will notice how to give a drink.

It is for these purposes that drug dealers need to enlist the support of the city mayor’s office. The accommodating city leaders will want you to earn a good reputation with the local population by buying up farm goods, sponsoring city infrastructure development and entertainment events. In short, it will be easier for the mayor to put in a good word for you if you make your immodest contribution to the economy of the island.

Your cartel will be able to extract huge benefits from loyal cities. Apart from free roads and some support from local authorities, you will have the opportunity to develop a money laundering business in cities. Casinos, churches, clubs, bars, and at least the Chicken Brothers diner (in fact, it is not in the game) – if only it was possible to pull all the dirty cash into an enterprise engaged in legal activities.

The laundered funds will not have to be dragged anywhere, they just work according to classical patterns, are transparent and are in banks. With their help, you can also finance any activity in the same way, although here, in the case of large one-time expenses, you will inevitably attract the attention of lawyers.

The game has a system of “terror” in the form of a scale that will gradually fill up, increasing the level of interest in your cartel of various law enforcement agencies. And if the police only threaten to arrest the buildings, and the DEA to confiscate some of the goods at the borders, then the national army is free to blockade the city, the CIA is free to burn all your opium farms, and if it comes to US enforcers, the security forces will round up you and your henchmen .

Henchmen, in Russian localization they are called lieutenants, are characters with unique perks and abilities. For example, the main character of the story game, Garcetti, gives a passive bonus to the buildings in which your trucks are located, doubling their number.

Heroes have to constantly move somewhere. Not only can they replace another truck and deliver a large consignment of goods or money somewhere, they also participate in negotiations, go on raids and make sure that your buildings do not get out of control. Even in the city you need to keep your man, otherwise he will eventually cease to belong to you, and you will lose all internal sources of net income.

From the conditional problems of Cartel Tycoon, some lack of tools is striking so far. I would like to have more control over logistics, since now the trucks are working in automatic mode, tied to very tight radii of warehouse and production facilities. For unscheduled transportation, the game offers to use the one-time services of lieutenants, but this is not always convenient, and it greatly limits the possibilities associated with automation.

Lacks the option to move resources and funds in batches between buildings, as trucks do, supplying dirty money to enterprises working for you. It lacks the ability to redirect the lieutenant if he left for a long flight, and you change your mind, and his help is now needed in a completely different place. The way they are paid with dirty money also raises some questions. Such subtleties need polishing.

Despite a number of controversial and, most likely, just unthought-out moments by the developers, Cartel Tycoon is a colorful, exciting and rather beautiful strategy with a strong focus on logistics and management, reminiscent of board games rather than classic tycoons. There is a lot more to tell, but the game is under active development and everything can change closer to the release, so we’ll wait a while and test it with pleasure.

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Exports Overview (Preview) – Dynamics 365 Customer Insights

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• Article
• 03/29/2023

Export allows certain data to be exchanged with different applications. They may include client profiles, tables, schemas, and mapping information. Each export requires an administrator-configured connection to manage authentication and access. On page Exports shows all configured exports.

Export Types

There are two main export types:

• Outbound Export allows you to export any type of table available in Customer Insights. The tables selected for export are exported with all data fields, metadata, schemas, and mapping information.
• Segment export allows you to export segment tables from Customer Insights. For individual customers (business customer), segments are a list of customer profiles. For enterprises (business-to-business), segments can be a list of organizations or contacts. When you set up an export, you choose the fields to include data based on the target system to which you are exporting the data.

Segment exports

Segment export in business (B-to-B) or consumer (B-to-C) environments
Most export options support both types of environments. Exporting segments to different target systems has special requirements.

Segment Export in Retail (B-to-C) Environments

• Segments in the context of Retail Environments are built on Table of Single Customer Profile . Each segment that matches the requirements of the target systems (for example, an email address) can be exported.

Segment exports in organization (business-to-business) environments

• Segments in the context of organization environments are built on table organization or contact . To export organization segments as is, the target system must support pure organization segments. This is the case for LinkedIn when you select company when defining an export.
• All other target systems require fields from the contact table.
• With two segment types (Contacts and Accounts), Customer Insights automatically determines which segment types can be exported based on the target system.