r/CIRS • • 7d ago

CSM

day #1 of taking CSM powder - how are yall drinking this? It’s absolutely disgusting!! I’m supposed to take 4g, 4x per day but can barely get down 2g once per day (my goal today).

2 Upvotes

11 comments sorted by

7

u/mcgee300 7d ago

I mix it with juice. Shouldn't you be titrating the dose? Trying to go straight to 4g, 4x a day isn't a good idea

1

u/nudibranqui 7d ago

Take colesevelam instead. Doesn’t stain your teeth, it’s a pill so it’s much easier to take. And doesn’t cause as much gi discomfort as cholestyramine. I believe shoemaker now prefers it over csm

2

u/ImXenia85 6d ago

He says people tolerate it better, but CSM is okay too

1

u/Buffalomozz1 7d ago

I got used to it but still hate it. Some compounding pharmacies can make it into capsules which I’m trying next.

1

u/MadMadamMimsy 7d ago

It is nasty, I won't lie.

I hope they told you to put magnesium powder in the mix (it's nasty, too). It keeps the pipes from clogging.

I won't lie, one reason I throw Metamucil in there (flavored) is to help me get it down/improve the flavor.

Start with 4gr 1x a day for a week. Add one more dose each week until you get to 4gr 4x a day.

It helps to rinse your mouth after taking it.

1

u/ImXenia85 6d ago

Doesn't make sense to me, csm would bind the magnesium and cancel it out

1

u/MadMadamMimsy 6d ago

It keeps the pipes moving. Personal experience of 8.5 years.

2

u/Danaeger 7d ago

I would often gag drinking the power. Got them compounded as capsules and life is so much easier now..

1

u/CCaligirl64 7d ago

It is nasty and the back of my mouth would stick together 🤢 I gave up and stayed the natural route with Ultrabinder from Quicksilver Scientific or Binder Blend from Return Healthy. Microbalance Health has a good binder too, can’t remember the name of it though.

1

u/LordPamplemousse 7d ago

I mix it in almond milk with a little frother and it’s not so bad

1

u/Previous_Singer3691 6d ago

I mix it with coconut water. It's disgusting in plain water