It would seem internal healing of the digestive system/gut, is the key and I've been greatly helped by bringing fermented foods into my diet. I had used coffee in the a.m. for years as my "motivator". Finally caught up with me. It's a horrible crutch that requires always having access to coffee and cream wherever I went. It stopped working and I went through 10 days of being a human sewage lagoon. In my web research I came across this site and the saltwater remedy got me going although I had to gag it down. I realized a new and longterm solution was required. My naturopath suggested introducing fermented foods into my diet as a long term solution.