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A Scandinavian study indicated the presence of nerve damage that might correlate with reduced motility of the intestines (10) in chronic laxative users. In a recent study carried out in Argentina (6), it was reported that the colon cells in patients with melanosis coli had a larger proportion of dead cells, and that the discoloration may have been a combination of anthraquinone residues plus saccharides from the dying cells.
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 Pregnant and breastfeeding women require additional fluids to stay hydrated. The EFSA panel proposes that pregnant women should consume the same volume of water as non-pregnant women, plus an increase in proportion to the higher energy requirement, equal to 300 mL/day.  To compensate for additional fluid output, breastfeeding women require an additional 700 mL/day above the recommended intake values for non-lactating women.
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