Cathartic dependence can occur when a. Patients do not use laxatives routinely and experience severe bouts of

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Cathartic dependence can occur when 

a. Patients do not use laxatives routinely and experience severe bouts of constipation. 

b. Chronic laxative use leads to a reliance on the intense stimulation of laxatives. 

c. Patients maintain a nutritious high-fiber diet. 

d. Patients start an exercise program to promote bowel elimination.

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