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Another promising candidate for polypharmacy is pregabalin which blocks the alpha-2-delta (a2d) subunit of central calcium channels and, in return, reduces the glutamatergic and other excitatory pathways (13)

The Prevalence of Cobalamin Deficiency Among Vegetarians Assessed by Serum Vitamin B12: A Review of Literature

1) Lean proteins (build every meal around one) Eggs, egg whites, Greek yogurt, cottage cheese Chicken, turkey, fish, shrimp Tofu, tempeh, beans, lentils, chickpeas Protein shakes when appetite is very low (choose options that fit your clinicians guidance) 2) Fiber-rich plants (increase gradually) Berries, apples, pears Leafy greens, cucumbers, carrots, peppers Beans and lentils (start small if gas is an issue) 3) Gentle carbs for energy Oatmeal, whole-grain toast, brown rice, quinoa Potatoes or sweet potatoes Soups and stews for hydration plus calories when appetite is low 4) Easier fats in smaller amounts Olive oil, avocado, nuts, nut butters in measured portions If fat worsens your nausea, use smaller servings and spread them out

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