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Lowest levels = worst symptoms Further analysis showed that the lowest levels occurred among participants whose symptoms were most severe, whose medical histories indicated they were resistant to previous treatments, or whose onset of the disorder occurred early in life

They need help with protein adequacy, GI side effects, constipation prevention, nausea strategies, muscle preservation, hydration, meal timing, food aversions, and long-term behavior change

However, the total number of attacks was decreased in intervention group (133)

The absence of blinding, randomisation and a control group prevents reliable separation of treatment effects from expectation, natural variation or other care

Artificial sweeteners like aspartame, sucralose, and sugar alcohols (sorbitol, xylitol) deserve caution too