Evidence supporting the use of: Fiber blend (proprietary)
For the health condition: Diverticulitis

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Synopsis

Source of validity: Scientific
Rating (out of 5): 3

Fiber blends, often labeled as "proprietary fiber blends," are commonly used to support gastrointestinal health, including in individuals with diverticulitis and diverticular disease. The primary rationale for their use is based on scientific evidence indicating that a high-fiber diet can help prevent the progression of diverticular disease and reduce the risk of recurrent diverticulitis, particularly after an acute episode has resolved. Multiple observational studies and some randomized controlled trials suggest that increased dietary fiber intake softens stool, increases stool bulk, and reduces colonic pressure, thereby potentially decreasing the risk of new diverticula forming and recurrent inflammation. Blends typically contain soluble and insoluble fibers, such as psyllium, inulin, or cellulose. However, fiber supplements or blends are not usually recommended during acute attacks of diverticulitis, as increased fiber can exacerbate symptoms during inflammation. Instead, a low-fiber or clear-liquid diet is often recommended until symptoms subside, after which a gradual return to a high-fiber diet is advised. While the evidence supporting fiber for prevention of recurrent diverticulitis is moderate (hence the rating of 3), there is less robust evidence for its use in acute management. Most clinical guidelines from gastroenterological societies recommend increased fiber intake for long-term management and prevention rather than acute treatment. Therefore, the use of proprietary fiber blends for diverticulitis is supported by scientific evidence for prevention, but not for acute treatment.

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