Information on this site is NOT intended to serve as a substitute for diagnosis, treatment, or advice from a qualified, licensed medical professional. right. Avoidance of certain foods is important to "starve" the bad bacteria present in the gut. If I have to I will give that up too, but not until i am sure. The AIP diet is designed to help reduce inflammation, pain, or other symptoms caused by autoimmune diseases. However, it may be difficult to implement on your own, which is why guidance from a dietitian or medical professional is strongly recommended. Win Prizes. Almost all legumes are off limits, but green beans and peas are actually still in seed form and fine to eat generally (Sarah Ballantyne states to avoid them initially). And I have given so much pleasure to so many because of you. 4 fibre. (3), Dr. Amy Myers, MD is an advocate for reversing autoimmunity with diet and lifestyle. I am a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to Amazon.com and affiliated sites. And even can be swapped for oats because I've made some delicious granolas with Tigernuts instead of oats. In parallel, theres growing evidence that the foods you eat can influence your guts immunity and function, and in some cases, possibly even reduce the degree of inflammation you experience (13, 14). I also have a recipe for a banana milk that could be used if neither of these are viable options for you. Sensitivity stems from your gut's inability to digest or absorb a specific food or group of foods. If you have a recurrence of symptoms once you reintroduce dairy, it is safe to assume that this food group is a trigger of your symptoms., Coconut milk is the best non-dairy milk alternative. to help you get started on your journey. Therefore, more research is needed before strong conclusions can be made. Squash. If you do make it yourself, you should use either a starter that is (AIP compliant which I'm not really sure of one but please let me know if you know of one) so I would instead I would recommend using probiotic pills as your starter. Using a large bowl to catch the milk, pour the mixture through a nut milk bad or fine mesh sieve lined with cheesecloth and allow to strain. I am highly educated. I use your recipesalot. For those of us on the Autoimmune Protocol, gluten is a big no-no, as well as dairy, eggs, chocolate, and nut-based flours such as almond flour or hazelnut flour. People with a risk . Is it safe? During this phase, the avoided foods are gradually reintroduced into the diet, one at a time, based on the persons tolerance. Zucchini. Lactose is a sugar found in dairy products such as milk and cheese and when there is lack of lactase, the enzyme to break down the sugar, the bad . It is a healthier alternative to traditional pizza cheese, which is made from the milk of cows that are fed a diet of grains and soy. The length of the elimination phase of the diet varies, as its typically maintained until a person feels a noticeable reduction in symptoms. (Or lard, tallow, or olive oil) *If you have a Costco membership, I've found the Chosen Foods Avocado Oil is typically cheapest there (it's ridiculously expensive on Amazon, so don't get it there). Well tell you what anti-inflammatory foods to add to your diet and, Inflammatory bowel disease (IBD) is often confused with irritable bowel syndrome (IBS). Can AIP have almond milk? Califia Farms Unsweetened Pure Almond Milk. Yam. Is coconut yogurt allowed on AIP? Additionally, its sometimes recommended to reintroduce foods in a particular order. This AIP cheese recipe uses butternut squash, tapioca flour, nutritional yeast, gelatin, and avocado oil to create a cheese texture, color, as well as flavor. Asik M, Gunes F, Binnetoglu E, Eroglu M, Bozkurt N, Sen H, et al. Similarly, a small study had people with IBD follow the AIP diet for 11 weeks. Oat milk has been marketed as being healthier and nutritious than dairy milk, which is manufactured in the same way. However, its likely best to seek guidance from a qualified health professional to ensure you continue to meet your nutrient needs throughout all phases of this diet. If you usually drink 2 percent or whole milk, the difference is even greater. Get the AIP Quick Start Series now! Its a bit milder in taste, but tastes surprisingly like nutmeg, so it will replace nutmeg in all of those pumpkin spiced things you need to eat! This diet sounds like the SCD diet which I've been following for about 2 years with some modifications. It's also a great low FODMAP, lactose free alternative to cow's milk. Want a printable version of these swaps? There are some studies that show a connection between your diet and chronic lymphocytic leukemia (CLL). This article offers a comprehensive overview of the AIP diet, including the science behind it, as well as what is currently known about its ability to reduce symptoms of autoimmune disorders. Veggies like butternut squash, sweet potatoes, zucchini, beets, or any of these kinds of bulky vegetables are great for spiralizing and making into veggie noodles. Additionally, if you have lactose intolerance, you may suffer from malabsorption of essential nutrients and oral medications - including your thyroid hormone replacement medication. Now I wouldn't say that youd want to spread these on top of a baked good (at least not without some additional ingredients this is a good AIP butter spread recipe) but instead of butter in a recipe you are modifying yourself, then you can typically use these 1:1 for butter. Well send you our favorite food lists, meal plans, instructional videos, and other guides (all for free!) Take a look at our roundup of 21 Divine AIP Ice Cream Recipes To Enjoy All Summer Long. But almond milk and lectins is still a confusing topic. 1/2 cup baby spinach optional- for added nutrients! One of the hardest and most confusing parts about doing AIP is how different than the regular Standard American diet or even from Paleo it is. I am a Cottage Law baker. Almond milk is currently one of the most popular and widely available plant-based milk (vegan). Note that coconut butter contains coconut oil as well as dried coconut bits so it doesnt work well as a cooking oil, but its a great substitute for nut butters. People who are allergic to almond milk might have to face abdominal cramps as it could become difficult for them to digest this milk ( 4 ). Daiya brand makes a tasty gluten, dairy, and soy-free pizza. Foods that are well tolerated can be added back into the diet, while those that trigger symptoms should continue to be avoided. Examples of NSAIDs include ibuprofen, naproxen, diclofenac, and high dose aspirin. The link for AIP Swap # 13 -Thinly Sliced Veggies for Lasagna Noodles does not seem to be working. Almond milk is rich in vitamin E, magnesium, riboflavin, and thiamin. Participants also reported significant improvements in their quality of life, despite there being no significant differences in their measures of thyroid function (7). Still, they are a better option than cow's milk to heal your gut and reduce symptoms. Cook on the stove for a few minutes until tender. The AIP diet resembles the paleo diet, both in the types of foods allowed and avoided, as well as in the phases that comprise it. Autoimmune Paleo Diet Nut-Free and Dairy-Free "Cheese" (The Spunky Coconut) - nut-free. Our website services, content, and products are for informational purposes only. Here are 20 AIP Diet food swaps (Autoimmune Paleo Protocol) that you can use instead of Standard American Diet foods. This usually amounts to a maximum intake of 1040 grams of fructose per day, or the equivalent of about 12 portions of fresh fruit. Thats why its very important to avoid all dairy products for at least 30 days and then try introducing them one at a time. Almond Breeze Unsweetened Original Almond Milk . | September 6, Copyright 2021 to 2022 - NBIP LLC; Operated by. Hello, I would like to make an AIP cheese and I have fortified nutritional yeast (with B12). The GAPS diet meal plan is introduced in six stages, with the GAPS diet stage 1 being the most restrictive. The elimination phase of this diet can also make it difficult for people to eat in social situations, such as at a restaurant or friends house, increasing the risk of social isolation. 1/8 tsp cloves. Sign up for our newsletter and youll get our, How to Do an Elimination Diet for Food Sensitivities | Clean Meal Plans, https://www.thepaleomom.com/is-it-paleo-guar-gum-xanthan-gum-and-lecithin-oh-my/, https://autoimmunewellness.com/how-do-you-balance-th1-and-th2-in-autoimmune-disease/, Thermomix Raw Sugar Free White Chocolate - Keto, Paleo & Vegan, https://autoimmunewellness.com/paleo-autoimmune-protocol-print-out-guides/, https://www.thepaleomom.com/gluten-cross-reactivity-update-how-your-body-can-still-think-youre-eating-gluten-even-after-giving-it-up/, Olive Oil Apple Cake with Maple Buttercream (Paleo, vegan, AIP) | Gutsy By Nature, https://autoimmunewellness.com/how-to-reintroduce-food-on-aip-the-definitive-guide/, The Ultimate AIP Pomegranate Recipe Roundup | Real Food and Love, Perfect Coconut Matcha Latte (AIP, Dairy Free) - Grass Fed Salsa, https://store.edenfoods.com/sauerkraut-organic-32-oz/, https://www.amazon.com/Organically-Grown-Vanilla-Bean-Powder/dp/B00LM8XFY2/ref=as_li_ss_tl?s=grocery&ie=UTF8&qid=1477261368&sr=1-6&keywords=vanilla+bean+powder&linkCode=ll1&tag=autoipaleo-20, https://www.thepaleomom.com/treating-constipation-without/, https://autoimmunewellness.com/preview-recipe-sweet-potato-fries-with-garlic-mayo/. dairy foods, such as yogurt, cheese, and milk. Please read my disclosure policy. 2-3 tbsp collagen protein or hemp protein for vegan. Are Your Adrenals Sabotaging Your Health? The link in the article is broken. Of course, not all inflammation is harmful. Common uses are in mashed sweet potatoes or mashed cauliflower as a side or in a runnier version of these (mixed with something like chicken broth) to make a cheese sauce. Do not assume a product is low in potassium or phosphorus because . She is now 78 years old. Its definitely got a bit of a different taste, but its good in these AIP Carob Chip Cookies! Place hot but not boiling water and coconut in a high-speed blender. Again, depending on the brand, almond milk may also be fortified to provide lots of other healthy micronutrients including iron, copper, magnesium, vitamin B12, potassium, and phosphorus! Almond milk can be a healthy milk substitute for CKD patients as long as it is low in sugar and sodium and does not contain any additives, gums, and thickeners. Commercially, almond milk is made with whole almonds and then is strained. Keep in mind that your food tolerance may change over time. First, a good all-around sea salt is a must in any kitchen, SeaweedThere are many types of seaweeds you can use to make AIP sushi (like. You can enjoy up to a 250ml serving of almond milk assuming it is standard almond milk with a very a very small percentage of almond. It's like the nectar of a coconut blossom from a palm tree blended with sea salt but it tastes remarkably like soy sauce and it gives that same kind of umami flavor to any dish. Optional to Create Flavored Creamer: Cinnamon. Orgain Organic Unsweetened Almond Milk. These arent things you want in your body when youre trying to heal from an autoimmune illness. This post may contain affiliate links. Show 7 more items. Update 2021: I LOVE these new AIP coffee blends by SipHerbals they're amazing and really the closest thing to coffee that I've found. Almond milk used to be considered a high-FODMAP food . Its also creamy and reacts in a similar way. An elimination diet is the best place to start if you find that your Hashimoto's symptoms might be related to the foods that you eat. Mickey Trescott says. 1/2 cup coconut milk or almond milk. Last medically reviewed on August 25, 2020. It is AIP-friendly. And yes, you can use a food processor if you don't have a blender. Oops! The AIP diet aims to help you do so by helping you identify which foods may be triggering your specific symptoms. Its possible to eat ice cream while on AIPit just involves making the ice cream using coconut cream instead of the traditional cream/milk and egg yolks. . Decrease in TSH levels after lactose restriction in Hashimotos thyroiditis patients with lactose intolerance. However I think SO Delicious Coconut MIlk has a huge "no careegenan" disclaimer and all other ingredients look okay. So I can only eat VERY small amounts of bean, fruit I stay away from potatoes, rice, bread, grains, cereals and milk. A 100ml serving of fortified almond milk typically contains: 13kcal/53KJ. Since nut milk, rice milk, and soy milk are all out on the Paleo autoimmune protocol, coconut milk and coconut cream are the best substitutes for traditional dairy milk. The Autoimmune Protocol (AIP) focuses on reducing inflammation in the gut that causes an autoimmune response. When the protein is recognized, the immune system rapidly creates antibodies to fight the protein and protect your body.. 120mg calcium. What you eat can have a big effect on inflammation in your body. When you have an allergy, theIgE (immunoglobulin-E) branchof your immune system is activated, which causes your immune cells to release histamine. Is almond milk OK on AIP? Almond milk is made by grinding the almonds with water, and then removing the pulp. The AIP diet works to calm and decrease inflammation, thereby lessening the disease's symptoms and ideally putting it into remission. I have Hashimotos and Im type LADA diabetic which means I have factors of both type 1 and type 2, caused by my autoimmune issues. Its been popular in vegan cuisine as a cheese-alternative for years, and its also AIP-compliant. The standard treatment is potent steroid creams applied 2-4 times per day. Ruchala M, et. These include during an infection, following a poor nights sleep, when feeling unusually stressed, or following a strenuous workout. Dairy is not part of the AIP Paleo Diet because it is a common allergen. Depending on the AIP protocol at hand, small amounts of fruit may also be allowed. 3. We like it because it's high in nutrients and probiotics too! I gave up Dairy, but started drinking Kefir milk for the probacterial reasons, is that bad too, I thought the kefir took out all the bad stuff. 1 Almond milk contains a whole host of vitamins and minerals including vitamin D, vitamin E, and calcium. During this phase, foods should be reintroduced one at a time, allowing for a period of 57 days before reintroducing a different food. Dairy products are a controversial food source. The AIP diet may reduce the severity of symptoms associated with various autoimmune diseases. While lactose intolerance is not necessarily harmful to your health, it can lead to uncomfortable symptoms such as bloating, gas, and diarrhea. 37 AIP Grilling Recipes Youll Want To Make All Year Long, 36 AIP Chicken Thigh Recipes Your Family Will Devour, 36 AIP Chip Recipes That Will Make You Forget Potato Chips Exist. Living with an autoimmune condition and having been let down by the traditional healthcare system, Katie has a personal and professional interest in improving patient access to better care. The following almond milk containers are nutritionist-approved brands you should stock in your home. Certain foods are believed to possibly increase the guts permeability, thereby increasing your likelihood of leaky gut. Camel Milk for Food Allergies in Children. Some AIP protocols further recommend avoiding all fruit both fresh or dried during the elimination phase. According to Myers, Gluten and dairy are at the top of my list offoods you should never eat, especially if you have an autoimmune disease.. Use code THRIVING10 to take 10% off your first order too! Its also important to note that theres no guarantee that this diet will reduce inflammation or disease-related symptoms in all people with autoimmune disorders. However, those who experience a reduction in symptoms following this diet may be reticent to progress to the reintroduction phase, for fear it may bring the symptoms back. Sometimes there's an underlying condition like psoriasis at play. The AIP diet focuses on eliminating these foods and replacing them with health-promoting, nutrient-dense foods that are thought to help heal the gut, and ultimately, reduce inflammation and symptoms of autoimmune diseases (3). Information about flaking and itchy skin due to psoriasis, and tips for lifestyle changes and treatments to help the condition. Share React amandastreet Jan 20, 2020 4:04 PM Therefore, more research is needed before strong conclusions can be made. Most of the world's population struggles to digest lactose. I am old. It should only have approximately 2% almond and these are fine to include on the diet. Do you have any more info on the tea crystals? To help you navigate the holidays without stress and make AIP more simple, I have put together my top 10 pantry items for AIP baking. Cover them with water, put a lid on the container, and let soak overnight. Diet Tips for Chronic Lymphocytic Leukemia, Diet for Psoriatic Arthritis: What to Eat and Avoid, Irritable Bowel Syndrome (IBS) vs. The AIP diet aims to reduce inflammation, pain, and other symptoms caused by autoimmune diseases, such as lupus, inflammatory bowel disease (IBD), celiac disease, and rheumatoid arthritis (1). We recommend that you do your own independent research before purchasing anything. This can result in a range of symptoms, including joint pain, fatigue, abdominal pain, diarrhea, brain fog, and tissue and nerve damage. Its best to avoid reintroducing foods under circumstances that tend to increase inflammation and make it difficult to interpret results. 1/2 tsp cinnamon. The only time in recent years that Ive been able to get my vit D and mag levels within range is when Ive been consistently drinking raw milk. Oats, bananas, peanut butter, plant based protein bars. ), processed lunch meats, and some supplements Required fields are marked *. The four components of the IBD-AID diet include: Probiotics. Cow's milk alternatives - Oat, hemp seed, almond, flaxseed, and cashew milks are not AIP-compliant because they come from nuts and seeds. This is a coconut-free, tigernut-free AIP milk substitute that only requires 2 ingredients - a banana and some water - and can be blended up in less than a minute. Small studies report beneficial effects in people with IBD and Hashimotos thyroiditis, but more research is needed to confirm these benefits. It is naturally dairy- and lactose-free, making it a good option for those avoiding dairy. It has a third of the calories of cow's milk and is also much lower in carbohydrates. Oat, hemp seed, almond, flaxseed, and cashew milks are not AIP-compliant because they come from nuts and seeds. Do my research. The effectiveness of lactase declines in most populations once we wean from breastmilk. 2 tablespoon of Coconut Oil (melted) 1 egg (preferably organic) 1 teaspoon of Vanilla Extract. She is passionate about the intersection of healthcare and technology. So the best option is to make your own. So Delicious Dairy Free makes a coconut milk-based ice cream in a variety of flavors. In addition, no statement on this website has been evaluated by the Food and Drug Administration, and any product mentioned or described on this website is not intended to diagnose, treat, cure, or prevent any disease. Plus, research suggests that a balanced diet high in veggies can promote improved health and may play a role reducing inflammation ( 12 ). In particular, most forms of dairy we eat today is highly processed. Although scientific evidence is currently limited, a handful of studies suggests that the AIP diet may help reduce inflammation or symptoms caused by it, at least among a subset of people with certain autoimmune disorders (6, 7, 15). By the end of the study, inflammation and disease-related symptoms decreased by 29% and 68%, respectively. You can also roast and use spaghetti squash instead of pasta too. I, however, like many of you can't have Silk or Almond Breeze brand. 1g carbohydrates. Their online store has a huge selection of organic and gluten-free goods, and a Paleo search filter that does the label scanning for you. https://autoimmunewellness.com/aip-stories-recovery-march-2017/, https://autoimmunewellness.com/overweight-underweight-weight-struggles-on-the-aip/, https://autoimmunewellness.com/why-food-intolerance-testing-doesnt-work/, https://www.thepaleomom.com/saturated-fat-healthful-harmful-or-somewhere-in-between/, https://autoimmunewellness.com/travel-food-tips-while-on-aip/. Ingredients. I hope you find the humor in that, but it is an honest statement. Lard is also an AIP-friendly alternative for butter. dark, leafy greens, such as kale and broccoli. Your submission has been received! Breathing And Respiration Issues. The influence of lactose intolerance and other gastro-intestinal tract disorders on L-thyroxine absorption. 4g protein. As far as I know, yes, its all compliant! For instance, in a recent 11-week study in 15 people with IBD on an AIP diet, participants reported experiencing significantly fewer IBD-related symptoms by the end of the study. See how to make sweet potato noodles here. This allows it to act as a good barrier and prevent food and waste remains from leaking into the bloodstream. Katie Wilkinson is the Head of Content and Community at Paloma Health. I do use raw millk I get at the farm. Paleo pizza cheese is a type of cheese that is made from the milk of grass-fed cows. Goat's milk and sheep's milk proteins are also very similar to cow's milk proteins and have about a 60-75 percent rate of cross-reactivity. It removes inflammatory foods, gut irritants, and immune stimulants for a minimum of 30 days. I could write a book!!!!! A variety of studies have shown that a mere 20 grams of tree nuts per day is associated with substantially reduced risk (think 20-70%) of cardiovascular disease, cancer, neurodegenerative disease, kidney disease, diabetes, infections, and mortality from respiratory disease. Cauliflower is also super versatile so you can also use it to create a cheesy dip like this recipe here (which is flavored using nutritional yeast). Make sure your coconut milk doesn't have guar gum in it, as that's not allowed on AIP. Most prepackaged coconut milk has a lot of additives, and so be careful about the quality of any pre-made coconut milk you purchase, and ideally you would want to make your own. If youve never had a white sweet potato you might be surprised about how not sweet they are. Squirrel in the Kitchen has a great AIP Baking Powder recipe you can make and store in your pantry. Thats why we love. Getting used to a dairy-free diet can be tough, especially when you have to also avoid so many other foods on AIP. Almond Meal. This video was a Facebook Live I did for an Instant Pot Week Challenge and explains how to make coconut milk yogurt in your Instant Pot. Coconut yogurt is available in some stores but sometimes includes non-AIP compliant ingredients like added sugar. It has also helped countless individuals that suffer with restrictive diets. It is the Engevita brand and the ingredients just says dried inactive yeast. The first phase is an elimination phase that involves the removal of foods and medications believed to cause gut inflammation, imbalances between levels of good and bad bacteria in the gut, or an immune response (1, 3). There's a high correlation between autoimmune symptoms and food sensitivities. You can do coconut milk yogurt, which is great with fruit and tigernut granola as a breakfast or snack, but I do caution you that you should probably make it at home by yourself because the stuff in the store has a lot of additives in it that arent AIP-compliant. Silk's Unsweet Almond Milk. It is AIP-friendly. With soy or almond milk, check the Nutrition Facts labels for adequate calcium and minimal added sugars. It takes five litres of water to grow one almond. Due to its limited downsides, people with autoimmune disorders generally have little to lose by giving it a try. It has no caffeine and its legal on AIP since its not seed-based ( coffee is a seed and we avoid seeds on AIP). To get coconut cream, just let the canned coconut milk settle for a day. Fasano A. Leaky gut and autoimmune disease. Leaky gut syndrome harms your digestive health and may be linked to several chronic and autoimmune diseases. I have wanted to submit a comment to you, and to a few others for quite some time, but felt that supporting my people was more important. Whats Causing Your Dry, Irritated Elbows? 21 Divine AIP Ice Cream Recipes To Enjoy All Summer Long. Get the AIP Quick Start Series now! Dont have butternut squash or want a lower carb option for cheese? You can make a pure of cashews and lemon juice, or use a coconut milk with a high-fat content, such as. I have Hashis. Thats why weve created this list of dairy substitutes. Thank you! Any diet, health, or nutritional program you undertake should be discussed with your doctor or other licensed medical professional. Plus, youll never miss an update! Still, they are a better option than cow's milk to heal your gut and reduce symptoms. . These types of milk are allowed on the AIP diet: Coconut milk (not the stuff in the can, but the unsweetened type in the carton) Almond milk (unsweetened, unprocessed) Hemp milk (unsweetened, unprocessed) Soy milk (unsweetened, unprocessed) Cashew milk (unsweetened, unprocessed) Flax milk (whole, unsweetened) Coconut yogurt (unsweetened, plain) Support Your Thyroid. Does that mean Im in the clear as far as it affecting my Hashis? Nutritional yeast is an inactive yeast that looks like yellow ground flakes and tastes cheesy. The main alternative to regular yogurt on the autoimmune protocol is coconut yogurt. Save. It has been the topic of health experts for years. I am not over weight and I exercise daily. The AIP diet typically consists of minimally processed, nutrient-dense foods. These foods include: All grains Eggs All dairy products, including ghee, kefir, milk, cheese, and cream As such, it may work best for people with autoimmune diseases, such as lupus, IBD, celiac disease, or rheumatoid arthritis. Almond milk prepared from almonds is low in fat but high in energy, proteins, lipids, and fiber.As per the USDA, almonds contain minerals;like calcium, iron, magnesium, phosphorus, potassium, sodium, and zinc.The other nutrients available in this milk include vitamins such as vitamin C, vitamin B6, thiamine, riboflavin, niacin, folate, and vitamin E. It's also used on roads as a de-icer, but so is regular salt. Hashimotos Success Stories and Gratitude for Healing in 2022, Thyroid-Friendly Recipes for Thanksgiving, The Ultimate Guide To Using Enzymes with Hashimotos, How Myo-inositol Can Improve Hashimotos Symptoms, Approach to Fibrocystic Breasts with Hashimotos, Why dairy is so problematic for human consumption, The different types of dairy intolerances. Pasteurization destroys the beneficial bacteria and enzymes found in raw dairy that would help us to digest it. Healthline Media does not provide medical advice, diagnosis, or treatment. Seek the advice of a medical professional for proper application of ANY material on this site to your specific situation. Note that almond milk . And then online recipes and cookbooks arent much help (unless you buy AIP-specific cookbooks like ours here). Also, to date, they have only been performed on a small subset of people with autoimmune disorders. Is B12 AIP compliant and can I use this to make cheese? While many eliminate foods that might be triggers, diet plans like keto, gluten-free, and even traditional paleo do not focus specifically on inflammation and gut health. Autoimmune Wellness LLC | Privacy Policy | Disclaimer | Terms of Service | Equity, DESIGNED BY RACHEL PESSO + DEVELOPED BY ALCHEMY+AIM. Ive also been tested for food intolerances and do not have one for dairy. Almond milk can help you lose weight Shutterstock Replacing your daily milk servings with almond milk can lead to some serious weight loss. I was encouraged to bake for restricted diets 4 years ago. Stubborn lesions can be injected with steroids and oral steroids are always an option. These additives can wreak havoc on our digestive system and can trigger inflammation..
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