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This is Dr. David
the recommended dose for linzess or linaclotide is 290 mcg or micrograms per day for chronic constipation irritable bowel syndrome.
so that is a pretty standard dose.
Linzess comes in 145 or 290mcg pills.
you can try it safely in your situation. hopefully it won't give you diarrhea,
you should get a bowel transit study. you could very well have bowel dysmotility disorder and you might have to take laxatives to have bowel movements, not because you have abused laxatives, but because you have bowel dysmotility.
try the Linzess
let me know if you have other questions.