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35 Referral Referral to a pediatric gastroenterologist may be needed when a child with constipation has red flags for organic disease or the constipation is unresponsive to adequate therapy

healthcare professionals do not prescribe it, and its use falls outside established medical practice

Symptoms often relate to meal size, fat content, and eating pace , and many patients improve with time and behavioral adjustments

Human case reports often cannot isolate DHA as the sole allergen, so the most direct evidence of DHA allergy comes from animal studies

Compounded medications have not undergone the same rigorous testing as FDA-approved treatments, leading to potential risks such as incorrect dosing, unsafe ingredients, and counterfeit products

FDA, 2011)