How long does it take before the effect occurs?

I used one packet a day. Whoa it worked a little too well where before I was constipated I took this and 3 days later I had a bowel movement 5 days later I had diarrhea. I don't know if it has to do with my size ((5'2" 105lbs) but I went to the bathroom alot last night. I may have to cut back to every other day. So to answer your question it takes effect in about 3 days. I've tried them all ( Medimucil, Fibercon, Konsyl, Citrucel) and this is the only,thing that truly works. Hope my answer helped you.

Does this contain sugar?

No, it contains no sugar. And has no taste to it at all.

does this stuff get thick?

Completely desolves in my tea, coffee juice and water, warm fluids work faster. No thickness, no taste. Packets go with me on every trip!

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MiraLAX 7 Day Powder Laxative is a 4.09 oz adult-use powder formula designed to provide gentle, effective constipation relief over a full week. As a leading brand in digestive care, it offers easy mixing and precise dosing to seamlessly fit into your health routine.