I guest s you have figured out we are different and are constipated for various reasons. Most of us here have it in conjunction with pain meds. It isn't just the opiates that constipate. For me, no one protocol works for more than a few days. I just keep rotating them but always drink a gallon of water, herbal tea or fresh squeezed lemonade daily. I can not tollerate Miralax or any similar product. Regardless of how much water I take, it sets up in my upper colon like cement. Love Smooth Move. It gives me a smooth, regular BM but I can use it twice a week. You will find what works for you. It might be a good idea to keep a journal that reflects what works, how often you can take it before it quits working. Observe the foods that tend to constipate you and the foods that seem to help. Best wishes.