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You should consider reaching out (virtually or in person) if you have: Not had a bowel movement for more than 3 to 4 days Severe abdominal pain or distention Blood in your stool Constipation that significantly impacts quality of life Constipation that doesn't improve with your usual self-management strategies How pelvic floor physical therapy can help Pelvic floor physical therapy can be a very helpful tool when managing GLP-1-related constipation