Congrats on 0 spike!
Sometimes we become hard on ourselves in expecting our bodies to do what it had no issues doing prior. You have to keep in mind the meds the body has endured for some time. The right diet plays a huge key in figuring out moving waste from system, but sometimes that's not even the key. Ask your team to arrange a appointment with a nutritionist/ dietitian. Discuss how to go about this in healthier manner, instead of additional meds to get the job done. Best!