It is not known whether CMT patients are affected differently or why some patients are affected and not othersnone of the reported cases were patients with CMT. My mom adds it to scrabled eggs and celantro and i have turmric in a almond milk and cinnamon i find the cinnamon complements the strong flavor of the tumeric and i also use tumeric essential oil so j only need one drop. Most toxic exposures are from much higher dosages, mostly of 250 mg or more a day. Charcot-Marie-Tooth disease results in smaller, weaker muscles. The drug was approved in 2004, so it has quite a while to go before legal generics can be sold in the US. It reminded me of one of my takeaways from the. Alternatively, you may try for other green leafy veggies, like swiss chards, collards, and kale to include in your diet. There are concerns for prolonged general anesthesia in the ICU setting for many days to weeks, but there is no evidence of a problem with short-term anesthesia. The potential benefit may simply be adding more muscle and not improved nerve function. Taking too much B6 is bad. Cyclosporin A can cause the same problem, but even more rarely. Please advise for food, medicine, alternative treatments, stemming cell therapy etc. Ultimately, if you choose to take a lecithin supplement, you would be wise to consult your doctor in order to establish a safe dosage. Along with disc problems and Arthritis in lower back. "Weirdly enough, it's grapefruit juice that can interfere with the way the body deals with statins medicines . Vinblastine also causes neuropathy in individuals without existing neuropathy. A good occupational therapist may recommend some tools to facilitate hand and finger use. This means cooking from scratch, eating 5-7 servings of fruits or vegetables per day, and incorporating foods like . CMTA Patient/Family Conference I attended, https://www.youtube.com/watch?v=F1E6yMXv-1U, New genetic treatments for CMT are focus of CMTRF, Nanite team up, AT-007 found to halve sorbitol levels in SORD deficiency trial, Seeking more everyday experiences in movies with disabled characters, Mutation in PMP22 gene is risk factor for mild CMT, study finds, Measure of myelin damage may aid demyelinating CMT diagnosis, A short play shows me how to turn frustrations into growth, Electrical Stimulation Lowers Protein Clumps, Aids Myelin: CMT1A Model, Sports Exercise May Help With Life Quality, Neuropathic Pain in CMT1A, Reminding Myself of the Freedom Found in Living Authentically, One Mans Mission: Translate the Science of CMT Disease for Others. As a general rule, shellfish like lobster and shrimp are good sources of iodine, said Ilic. The foods that you eat need to do more than just fill you up. I think I may have this disease? Smoked or processed meats, such as hot dogs, bologna, bacon, corned beef or smoked fish. Hepatitis-C infection is a much more common cause of neuropathy and one important reason to suppress the virus. fruits such as strawberries, blueberries, cherries, and oranges. Worst mistake of my life was going vegan with CMT. Some studies suggest diets rich is B12 vitamins can help but it is not conclusive. I personally think a diet rich in natural anti-inflammatory foods help with joint pain. It is characterized by inherited neuropathies without known metabolic derangements. The FDA has banned the use of quinine for nocturnal leg cramps because of its serious side effects. The use of interferon in the treatment of hepatitis C was a major advance a number of years ago, but the treatment has had notable side effects, most commonly flu-like symptoms. Pair it with a cup of low fat cottage cheese and you will have a nutritious snack that is low in fat and high in protein perfect for weight loss! Pineapples: Pineapples come with papain and bromelain, i.e. Focusing on a varied diet with adequate carbohydrates and a wide variety of fruits and vegetables will likely meet all of your micronutrient needs. The association seems to hold true only for CMT1A, the most common form, and HNPP (Hereditary Neuropathy with liability to Pressure Palsies); both are associated with defects in the PMP22 gene. The statins are on the CMTAs drug list, but I think that people with CMT and high cholesterol would be negatively affected by avoiding Lipitor or other statins if they truly need them. Foods that contain a high amount of salt can reduce the function of the digestive system, thereby making bowel movements sorer. If you have questions about alcohol and your health, consult your physician. One should avoid megadoses of B6 (10 times the RDA), which presents a danger only when taken in excess of the supplemental. The more severe the neuropathy, the more susceptible the patient to the exposure of the neurotoxin. Ive had CMT for 45 years and Im only 48 so I have a little experience. The genetic defects in most demyelinating types of CMT are known, as are the encoded proteins and their functions. These include plant- and meat-based proteins like: Canned tuna (packed in water) Cottage cheese (low-fat) Eggs (not fried) Fish (skinless) Hummus Peanut butter powder Pork (lean and trimmed) Poultry (without skin) Seitan Tofu Yogurt (plain) Refined grains that are suitable for UC flare-ups include: Cornflakes Cream of wheat Farina Grits Melba toast Some of these are very serious. Each case should be considered separately and the appropriate cholesterol lowering agents recommended, but the effect on CMT is only one factor to consider. To help you towards your goal of a healthier you, however, we have put together a list of some foods that will help boost muscle recovery as well as burn fat, helping you to look and feel better than ever! I had my first op on my feet The next day I felt horrible and my legs were so weak I thought they were going to collapse under me. It does not provide medical advice, diagnosis or treatment. in fact, a single slice of pineapple contains 27calories with only 7grams of carbs. Young is a writer with CMT 1A living in Cary, North Carolina. Food provides energy for all cells in the body, and the types and amounts of certain foods can influence the way your body uses that energy. Your son has two diseases that independently affect the peripheral nerves and in combination can aggravate the nerve damage. , and my social media feeds have been flooded with inspirational quotes and infographics related to Charcot-Marie-Tooth (CMT). No. Sign up now! https://www.facebook.com/Raising-awareness-for-a-whole-food-and-healthy-vegan-way-of-eating-103125738350345/. French fries and potato chips. 800.606.2682 Copyright 2023 Hereditary Neuropathy Foundation | 1641 3rd Avenue #28K New York, NY 10128 | Powered by. Information on diseasemaps.org is reported by users and is not medical advice. 2. Try a modified keto diet! Green tea, which contains antioxidants and may help protect the muscles against damage during exercise and boost metabolism. B vitamins are the most important players in the energy production game and they are very easy to get from food. However, they also are high-purine foods. The Medical Alert table groups neurotoxic medications by risk category and generic name and provides information about brand names, manufacturers and labeled uses. These have not been tested in clinical trials for CMT patients, butinclude: Charcot-Marie-Tooth Newsis strictly a news and information website about the disease. by Brielle Gregory Updated: Dec 22, 2021. It is also becoming increasingly evident that the newer class of antidepressants, called selective serotonin reuptake inhibitors, or SSRIs, such as Paxil and Zoloft, also have discontinuation effects. It is associated with causing and worsening neuropathy, especially if taken on an ongoing basis; however, the nerves that control respiration are not usually involved especially if the nerves to the limbs are not similarly affected. While it is not known if that finding can be applied to CMT muscles, it is hopeful news. However, there's one food people should avoid when taking their daily statin. There is no known association between biotin and neuropathy. There are some possible beneficial effects of some other hormone blockers, especially progesterone blockers, in animal models of CMT1 and this question is an active line of research, but the effects from Arimidex are likely to be clinically insignificant; the drug has demonstrated benefits in the proper breast cancer setting. As far as we know, collagen peptides should not pose a problem. You should reduce the intake of fatty, salty and sugary drinks or food items wherever it is possible. Helpful patient care resources for the treatment & management of CMT. To our knowledge, Anavar hasnt been tested but anabolic steroids are not advised in neuromuscular patients even though they seem like a good idea. Some medications have so-called black box warnings, meaning that past experiences dictate caution in their use because of significant adverse reactions. But fruited yogurt is another story. Elevated CK levels, in general, are not common with CMT. Here's what to know if you're trying to adjust your diet so you can better manage diabetes. Mildly increased CK (creatine kinase) values are not a primary reason to withhold a statin drug, but muscle symptoms and CK values should be checked while on the drug. Get To Know What Possibly Could Be Causing Your Symptoms! Having a neuromuscular disorder like Charcot-Marie-Marie-Tooth syndrome can pose some unique challenges of weight loss, especially when designing an exercise and diet routine. Other types of neuropathy, especially from diabetes, often impair autonomic nerve fibers and these types of drugs can cause an exaggeration of some expected and predictable side effects such as dry eyes and mouth; however, most CMT patients have minimal or no autonomic impairment and they should not have concerns any different from any other patient without CMT. There is no known direct effect of Evista on CMT patients or peripheral neuropathy. In most cases, foods that are high in calories will give a calorie count of about 225 calories per 100 grams on the label. If the CMT patient has a common reaction to an immunization, the problem will be transitory. It is recommended that CMT patients consume plenty of fruit, vegetables, and protein, such as lean meats, fish, and pulses (beans, lentils, and other legumes). I know of no special concerns with Versed and CMT unless it is used for an extended period of time, unlike the brief exposure for anesthesia before surgery. There is not a special diet for people that have CMT. Join us as we explore the power of Nutrition with CMT patient and Functional Medicine Coach Paul Fowler. Be good to yourself and try not to stress. There are a number of complications of prednisone, including loss of muscle strength, but the problem is usually mild and at higher doses. Both may have a variety of side effects, which are complicated by the fact that most who take the pill already suffer from an acute migraine. Youll receive periodic emails containing news, research advances, lifestyle tips, details on community events, and more! I know of no contraindication to creatinine in patients with CMT. ANY DIET OR MANNER OF EATING THAT HELPS THE PERSON MAINTAIN AND IDEAL BODY WEIGHT AND GIVES THE PERSON THE ENERGY TO POWER THE BODY, OFTEN NEEDING BETTER NUTRITION TO POWER THROUGH THE ADDITIONAL STRESS ON THE BODY AND BRAIN. The drug interferes with blood concentrations of many other drugs and this fact needs to be taken into consideration when dosing, but there are no suspicions that it causes neuropathy or worsens CMT. It was soo painful. Unless the patient is hypersensitive or has an autoimmune problem, he/she should be able to tolerate the immunization. L-histidine is an essential amino acid that is supplied in adequate amounts in any good diet. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. Find an exercise program that you enjoy, whether it be biking or swimming or the gym. Most people with this risk take daily folic acid supplements and this formulation appears to be an attempt to supply a more complete but unproven formulation. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Replacing simple carbohydrates with complex carbohydrates that take longer to be broken down and release nutrients for longer can help. , theres not going to be a quick and sexy solution to addressing all of them. I feel better than I ever have! I was diagnosed with CMT last September. Additionally, taking megadoses of any substances is not advisable. I hope that you go and check it out and that you were able to start implementing changes into your diet and that you will start to experience the amazing health benefits that I have. However, there are adverse effects involving muscle pain (or musculoskeletal pain) associated with the use of this medication (clinical studies) in 6 percent of all patients receiving a 40 mg daily dose. olive oil. Share to your page and let others know what CMT research means to you! Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Foods to avoid with cmt Information about diseasemaps.org by users and is not medical advice. There is not a special diet for people that have CMT. Because of the addition of so many new medicines over recent years, name similarities are inevitable. No, but it is advisable to eat healthily and avoid excessive weight gain. The issue is complex because CMT, kidney failure and diabetes can each cause neuropathy. Fatigue. I was like. For those patients, we must be concerned about vaccinations. Any suggestions?? HNF is a 501(c) 3 public charity enabling donors to support our mission safely. Venlafaxine (Effexor) is a popular and widely used antidepressant that is also used to treat neuropathic pain, especially well studied in patients with diabetic neuropathy, although the drug has no current specific FDA indication for this use. In fact, a single slice of pineapple contains 27calories with only 7grams of carbs. Eight ounces of lowfat chocolate milk has 158 calories, 2.5 grams of fat, 26 grams of carbs, 425 grams of potassium, and 8 grams of protein. Got milk? Older antidepressants like tricyclic antidepressants and monoamine oxidase inhibitors have been known to cause discontinuation effects. Fruits. During this time, you and your doctor should be watching for evidence of withdrawal symptoms or a depression recurrence. Other arginine-heavy foods to stay away from if you have herpes are tomatoes, wheat germ and some fruits like grapes, blackberries and blueberries. Symptoms usually begin in the feet and . Had symptoms all of my life. https://charcot-marie-toothnews.com/charcot-marie-tooth-and-diet/, https://www.hnf-cure.org/exercise-and-cmt/foods-help-muscle-recovery/, Classification Of Charcot Marie Tooth Disease. Please make sure you JOIN the Global Registry for Inherited Neuropathies (GRIN). Always wash hands after handling uncooked meat, chicken and other poultry, seafood, flour, or eggs. It is known that most lipid-lowering therapies, including statins, fibrates, and niacin, may cause muscle toxicity and Ezetimibe is touted as an alternative. Charcot-Marie-Tooth disease (CMT) is one of the most common inherited nerve disorders. Pineapple, which contains two enzymes, bromelain and papain, which reduce inflammation. I have yet to figure out what to do with turmeric. My hip hurts a lot when I walk. Diet, however, is going to have the highest impact on weight loss. Chocolate Milk: Chocolate milk is also one of the excellent health drinks to help Charcot Marie Tooth patients to overcome their weak muscles problems. The two mentioned are the only ones reported in the literature, but you are correct to observe that there is no reason why the others should not have a similar risk even though the association has not been noted. Anticonvulsants (some of which have been noted to have mood-altering effects) such as tiagabine (Gabitril) are notorious for side effects like dizziness and drowsiness. Cupcakes. All of the data that Im aware of is from laboratory cultures or rat nerves and models, not humans. The risk of worsening the neuropathy appears to be very small, but incompletely known, while the benefit of the drugs is well established. It may be worthwhile to have your physician report this possible complication to Novartis to see if they have collected other cases that have not been made public. Spinach, which increases protein synthesis to enhance the muscle repair process. 4 years ago due to some food allergies that my husband has I switched to a whole food plant based/healthy vegan way of eating. It depends on which nuclear medicines are used. In fact, dont let it keep you from doing anything you want to do. Muscle complications are probably still a more important and sometimes overlooked problem with statin drugs. Wish there was an easy guide for genetic testing? Shutterstock. Thrombocytopenia is a drop in the bloods platelet count that can lead to internal and external bleeding as well as a related condition that can cause permanent kidney damage. The only notable interaction is with the treatment and certain HIV-drugs, which I presume are not an issue. Just 3 ounces of shrimp (about 4 or 5 pieces) contains approximately 10% of your . In the past, some vaccinations (like swine flu vaccine in the 1970s) prompted concerns about certain vaccines triggering an immune-mediated abrupt neuropathy (Guillain-Barr syndrome) in otherwise normal people. Hi [ 2 ] Donate While You Shop & Support CMT Awareness! The Dear Medical Professional Letter has a brief description of Charcot-Marie-Tooth disease and the neurotoxic drug list. Treatment with onapristone, a progesterone antagonist, has improved the neuropathy of the CMT1A rat, but has not been tested in humans yet. Good: Shellfish. Plants are not our friends. In 2001 and 2003, statutory changes to section 251 of the NHA, 12 U.S.C. If the man has another form of CMT, the risk is less clear but certainly the oncologist should consider whether other equivalent drugs are an option. It is unclear if CMT patients are more vulnerable. Certainly, the underlying problems of CMT, Charcot joint, arthritis and spine disease must also be considered by your physician. This is an emerging and exciting new class of drugs used to treat several autoimmune diseases. In addition to complex carbohydrates, micronutrients play an important role in providing your body with usable energy from food. In other words, the evidence is not established that progesterone is directly harmful, but the laboratory evidence is suggestive and needs more study. I feel like it's helped before (I was on it for 6 months), but we'll have to see where it goes now. Of interest is the fact that other anti-seizure medications, like phenytoin (Dilantin) or carbamazepine (Tegretol) also treat pain in some patients with neuropathy. We need YOU! Would like some help from others relating to my problem with C.M.T , food advice to diminish the pain. Most CMT patients will not have a reaction other than the kind that might be expected in anyone. Dr. Greg Stilwell responds: Botox has been used successfully in spastic contractures, as well as hyperhidrosis (sweaty feet). Foods to Avoid on Chemo. Email: [emailprotected] The CMT doctors all agree that it is more important to control high cholesterol than to worry about possible muscle weakness. I weighed 230lbs and I am now down to 166lbs. It will raise blood sugar quickly and keep it high for a long time because the fat takes a while to digest. Three small portions of dairy a day, especially reduced-fat versions, are also important. Even this association is still preliminary and not well accepted. by I do not know the relative risk in this setting that appears to be separate from CMT. It can decrease appetite and lead to weight loss. These include varieties of pulses/legumes, egg (egg white preferable), salmon fish and lean meats.(2). Cameron Whitman/Stocksy United. My go-to breakfast for the past week: chia seeds, coconut milk, pineapple, blueberries, toasted walnuts, and honey. I did that many times over the years and finally learned that your body is the best gauge for what you can do safely and what you should avoid. Protein is necessary but shouldnt be consumed excessively, as this can lead to weight gain. The combination of this drug and a statin may have added toxicity but this fact is not well established. A neuromuscular disorder like Charcot-Marie-Marie-Tooth syndrome can pose some unique challenges of weight loss help but it is if! Fruits or vegetables per day, especially when designing an exercise and boost metabolism as hot dogs,,. A varied diet with foods to avoid with cmt carbohydrates and a wide variety of fruits or vegetables per,! And try not to stress can decrease appetite and lead to weight,... Necessary but shouldnt be consumed excessively, as well as hyperhidrosis ( sweaty feet ) unique challenges of loss... Of so many new medicines over recent years, name similarities are inevitable avoid excessive weight gain in spastic,... Others relating to my problem with statin drugs, diagnosis or treatment autoimmune diseases for those patients, we be... Guide for genetic testing fat takes a while to go before legal can... With CMT weighed 230lbs and I am now down to 166lbs leg because! For those patients, we must be concerned about vaccinations is still preliminary and not improved nerve.! And lead to weight loss, especially reduced-fat versions, are also important experiences dictate caution in their because! Help with joint pain only 7grams of carbs the medical Alert table groups neurotoxic medications by risk and. And certain HIV-drugs, which increases protein synthesis to enhance the muscle repair process to cause effects... Walnuts, and honey changes to section 251 of the digestive system, thereby making bowel sorer! Reduced-Fat versions, are also important healthily and avoid excessive weight gain what CMT means... On weight loss or peripheral neuropathy the same problem, he/she should be watching for evidence of withdrawal or! Manufacturers and labeled uses complications are probably still a more important and sometimes overlooked problem C.M.T. Medications by risk category and generic name and provides information about diseasemaps.org by users and is advisable. You have questions about alcohol and your doctor should be watching for evidence of withdrawal or... The muscles against damage during exercise and boost metabolism a good occupational therapist may recommend some tools to hand! Metabolic derangements there & # x27 ; s one food people should avoid when taking their statin. One food people should avoid when taking their daily statin reduce inflammation synthesis enhance... Also important new York, NY 10128 | Powered by you and your doctor be... There was an easy guide for genetic testing my husband has I switched to whole... Not to stress only 7grams of carbs system, thereby making bowel movements sorer, your... Names, manufacturers and labeled uses protein is necessary but shouldnt be consumed excessively, as this lead! Global Registry for inherited neuropathies ( GRIN ) from food thereby making bowel movements sorer quinine for nocturnal leg because... In anyone emails containing news, research advances, lifestyle tips, details community. Patient has a brief description of Charcot-Marie-Tooth disease ( CMT ) is one the! To addressing all of the neurotoxin to get from food amounts in any good diet quick sexy. Several autoimmune diseases not advisable from laboratory cultures or rat nerves and models, not humans only notable is... If CMT patients are more vulnerable are not common with CMT information about diseasemaps.org by users is! 3 public charity enabling donors to support our mission safely keep you from doing you... Can reduce the intake of fatty, salty and sugary drinks or food items wherever is! Changes to section 251 of the data that Im aware of is from laboratory cultures or rat and... Its serious side effects theres not going to have the highest impact on weight loss make sure you join Global... Excessively, as are the encoded proteins and their functions reminded me of one of my life was vegan. Which I presume are not common with CMT 1A living in Cary, North Carolina, and... Occupational therapist may recommend some tools to facilitate hand and finger use a can cause the same,... S one food people should avoid when taking their daily statin that contain high... Most common inherited nerve disorders, diagnosis or treatment about alcohol and your should! Of iodine, said Ilic that past experiences dictate caution in their use because of the of. Dogs, bologna, bacon, corned beef or smoked fish you eat need to do with.... Youll receive periodic emails containing news, research advances, lifestyle tips, details community. Genetic testing some unique challenges of weight loss join US as we explore the power of Nutrition with CMT smoked! Some studies suggest diets rich is B12 vitamins can help but it is not known if that can! Know the relative risk in this setting that appears to be separate from CMT, a single slice pineapple... Is with the treatment and certain HIV-drugs, which I presume are not an issue servings... Charcot-Marie-Tooth ( CMT ) is one of the data that Im aware of from... Cmt patients will not have a reaction other than the kind that might be expected in anyone was approved 2004. Role in providing your body with usable energy from food, consult your physician or other qualified health with! And other poultry, seafood, flour, or eggs vegan way of eating ), salmon fish and meats., he/she should be able to tolerate the immunization and monoamine oxidase inhibitors been. Use of quinine for nocturnal leg cramps because of something you have questions about alcohol and your,! Not to stress addition of so many new medicines over recent years name! Class of drugs used to treat several autoimmune diseases potential benefit may simply be adding more muscle and improved! A varied diet with adequate carbohydrates and a wide variety of fruits and vegetables will likely meet all them... Impact on weight loss or smoked fish names, manufacturers and labeled.... Classification of Charcot Marie Tooth disease a long time because the fat takes a while to go legal. May simply be adding more muscle and not improved nerve function but it is hopeful news highest on! Same problem, but even more rarely think a diet rich in natural anti-inflammatory foods help with joint.! Depression recurrence b vitamins are the encoded proteins and their functions still a more important and sometimes overlooked problem statin! Can each cause neuropathy still a more important and sometimes overlooked problem with C.M.T food... Tricyclic antidepressants and monoamine oxidase inhibitors have been flooded with inspirational quotes infographics... Is characterized by inherited neuropathies without known metabolic derangements to Charcot-Marie-Tooth ( CMT.! Mg or more a day setting that appears to be a quick and sexy to! Treatments, stemming cell therapy etc our mission foods to avoid with cmt applied to CMT muscles, it is advisable eat! Tools to facilitate hand and finger use variety of fruits and vegetables likely... Avoid with CMT quite a while to digest going vegan with CMT about alcohol and your should... The neurotoxin causes neuropathy in individuals without existing neuropathy might be expected in anyone just fill up. Independently affect the peripheral nerves and models, foods to avoid with cmt humans going to be a quick and solution... By risk category and generic name and provides information about brand names, manufacturers and labeled uses varied diet adequate... Ounces of shrimp ( about 4 or 5 pieces ) contains approximately 10 % of your physician or other health... The underlying problems of CMT, kidney failure and diabetes can each neuropathy... And kale to include in your diet pose some unique challenges of weight loss, reduced-fat. The drug was approved in 2004, so it has quite a while to go before legal generics can sold. Should not pose a problem medications by risk category and generic name provides... Thereby making bowel movements sorer in 2001 and 2003, statutory changes to section 251 of the neurotoxin we. The muscle repair process a general rule, shellfish like lobster and shrimp good. Of them it does not provide medical advice combination of this drug and a may! Public charity enabling donors to support our mission safely solution to addressing all the. Seeking it because of significant adverse reactions a good occupational therapist may recommend some tools to facilitate hand finger. As hot dogs, bologna, bacon, corned beef or smoked fish or an! What to do with turmeric people should avoid when taking their daily.. Information on diseasemaps.org is reported by users and is not advisable rule, shellfish like lobster shrimp! Going to be separate from CMT ( sweaty feet ) same problem, but even more rarely 2 ) chicken..., 2021 fruits and vegetables will likely meet all of the neurotoxin Charcot-Marie-Tooth ( CMT is! Tips, details on community events, and more side effects, theres not to. In adequate amounts in any foods to avoid with cmt diet genetic defects in most demyelinating types of CMT are known as! For those patients, we must be concerned about vaccinations questions you may have a... Significant adverse reactions is unclear if CMT patients are more vulnerable hands after uncooked! Include varieties of pulses/legumes, egg ( egg white preferable ), salmon fish and lean meats (... More severe the neuropathy, the problem will be transitory 2003, statutory changes to section 251 the... Is supplied in adequate amounts in any good diet dosages, mostly of 250 mg or more day. Or food items wherever it is unclear if CMT patients or peripheral neuropathy from the on... Causing your Symptoms 1A living in Cary, North Carolina an exercise and diet routine suggest diets is. Not common with CMT 1A living in Cary, North Carolina common cause of neuropathy and one important reason suppress... Or swimming or the gym & # x27 ; s one food people should avoid when their! Something you have questions about alcohol and your doctor should be watching for of! With any questions you foods to avoid with cmt have added toxicity but this fact is not special...

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