chronic constipation is a very common problem among WLS patients - or at least sleeve and bypass patients. A lot of us take a capful of Miralax every day to keep on top of it. Others take stool softeners, or magnesium tablets, or things like Smooth Move Tea. Just figure out what works for you and do that. Sometimes it gets better as you get further along and can eat more fiber (fruit, veggies, whole grains), but for a lot of us, it's a chronic issue. I've been taking a capful of Miralax every day for five years.