I have had mild constipation since I was a kid and also suffered with cold limbs. About 3 years ago my constipation got pretty bad. I began to eat more vegetables for fiber and take a magnesium citrate supplement ( which helped a lot) About three weeks ago I began taking Graviola for another reason and realized that it was making me extremely dehydrated (no matter how much I drank) which lead my constipation to become worse, so I stopped taking it Fast forward 3 weeks later. I usually take my magnesium citrate at night (since it relaxed me a bit for bed.) 2 days ago I forgot to take my dose, so I took it the next day. That day I had a BM but it was like pebbles. Yesterday I took extra magnesium and milk thistle. I feel the need to use the bathroom but it was the worst constipation I had in 2 years. I decided that I'm going to load up on fiber for, the next few weeks, reduce me protein intake for now and drink lots of water. I suffer from cold limbs for as long as I can remember. Yesterday after having my BM, about an hour later I decided it was time to go to bed. For some reason, I was shivering under my blanket. I had to put on 2 pairs of socks and gloves because I was so cold. Sometime during the night I took them off (I wasn't aware of doing this, but figure my body was warm enough, since I woke up without them) Sleeping with socks is never comfortable for me. lol *I'm thinking maybe I was so cold because my nervous system was in shock from all the stress I went through in the last few his to have a BM. I'm not sure, but does anyone have a theory? I have some turkey rhubarb coming in the mail today. I heard it's great for constipation. Constipation is not joke. I feel for the people that have to go through this on a daily basis. I don't use fleet enemas, but I just found out that you can become dependent on something as natural as magnesium citrate.