what foods aggravate diverticulosis

This condition is called diverticulosis. What ten foods help you manage it? However, more recent research indicates these foods are not harmful and since they are high in fiber, they may help some patients. Foods to avoid with diverticulitis. If you start to notice your symptoms increasing, have a plan of action ready from your doctor that can reduce pain and discomfort and help you manage your condition. They are high in fiber and protein. Keep a written journal of how much water you drink every day to ensure you’re getting enough. Whether on a clear liquid diet or not, it’s generally helpful to drink at least 8 cups of fluid daily. This condition is swelling or inflammation in several of the diverticula. While you're recovering you should eat a very low-fibre diet to rest your digestive system. There are other symptoms too, some mild, some severe. Medicine. Do not eat highly acidic foods, as they may make the condition worse, such as citrus fruits like lemon and tomatoes. If it is trapped behind a narrowed diverticular colon, there may be cramps and bloating. Incidentally, this condition The diverticulitis diet is a nutritional therapy programme recommended by many doctors to those who have diverticula disease to prevent it developing into the more severe diverticulitis. Here's how to decide if surgery is right for you and how to…. All trademarks and service marks are the property of their respective owners. When the diverticula become inflamed or infected, this is called diverticulitis. These pouches are called diverticula. If you suffer from diverticulitis, your doctor may tell you to change your diet. This may happen if you eat foods that are low in fiber. FODMAPs are a type of carbohydrate. Finding the right foods for diverticulosis is important for those suffering from this condition. This area is called peritonitis. Diverticulosis is a disorder in which the covering of the colon comes out like small balls or bumps, which causes malaise and pain when eating certain kinds of food. Diverticulitis Diet Foods to Avoid #1: Certain Fruits. Studies suggest that low fiber diets can increase the risk of diverticulitis, along with high meat intake, low physical activity, and smoking. Because diverticulosis and diverticulitis sound similar, it’s easy to confuse their meanings. Diverticulitis is a medical condition that causes inflamed pouches in the intestine. By viewing, you agree to our, swelling or inflammation in several of the diverticula, Blood tests to rule out cancer, kidney disease or anemia. Diverticulosis, is a medical condition where one experiences a formation of small pouches within the lining of the colon, that is the large intestine and they occur around weak areas. Eating a high-fiber meal reduces your chances of getting heart disease, Type 2 diabetes, and certain cancers. DEAR MAYO CLINIC: After my last colonoscopy, I was told I have diverticulosis.Will this lead to diverticulitis? Last medically reviewed on August 12, 2020, Diverticulitis occurs when pouches in the wall of your colon become infected or inflamed. Eating a diet high in fiber is best to offset flare-ups. They are high in unhealthy trans fats that put you at risk for heart disease and obesity. For example, you may wonder if you’re able to eat your favorite foods or sip a latte. They are two different conditions that can show up in your large intestine, which is called your colon. However, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), experts no longer believe that you have to avoid certain foods when you have diverticulosis or diverticulitis. They are low-salt alternatives that give vegetables a whole new flavor profile. Caffeine is a widely consumed substance found in coffee, kola nuts, tea leaves, cocoa and chocolate. It stands for fermentable oligosaccharides, disaccharides, monosaccharides, and polyols. The first thing to do is find out how many grams of fiber per day you need to consume. Sugar is another common trigger food for diverticulitis. Please see our Privacy Policy | Terms of Service. These foods will not irritate your colon and are easy to digest. Some fruits even have a high sugar content, which might worsen your condition. A FODMAP is a type of carbohydrate that can cause digestive problems. what kind of nut/seed snack foods don't aggravate diverticulitis? The high fiber content is not suitable for the pain and inflamed intestines. Ice pops without bits of fruit or fruit pulp 5. Foods with little fiber can cause or make constipation (and therefore hemorrhoids) worse, so it's best to limit how much you eat of them. Diverticulosis may not cause symptoms for some people. There are other symptoms too, some mild, some severe. Your treatment may include the following: Your gastroenterologist will want to do some tests to confirm you have diverticulitis. Foods like ice cream, butter, and whole milk are high in fat may cause diverticulitis to flare up. This article explains everything you need to know about this diet. Don’t eat strong cheeses because they contain a large dose of casein, which is bad for Diverticulosis. Strawberries, blueberries, and raspberries are excellent sources of vitamin C and antioxidants. Eat low-fat yogurt, which is high in calcium and good bacteria for a healthier gut. Keep a bottle of water with you. Also, it depends on the individual, and some people find that avoiding certain food helps. Legumes are known to cause gas and bloating. They lose much of the nutritional value due to the over-processing during production. They are great, lean sources of protein. But, when suffering from diverticulitis, fruits are foods that you must avoid. foods that aggravate diverticulitis. All rights reserved. In diverticulosis, all the soluble fiber foods and supplements can be a healthy addition. This is known as diverticulitis. Diverticulitis Recipe Ideas Day 1. Breakfast: Quinoa Porridge with Berries and Cinnamon; Lunch: Tuna salad with baby spinach, rocket, tomato and cucumber dressed with olive oil … Diverticulitis is a condition that affects the digestive tract. You’ll also be less likely to gain weight. Some foods can increase or reduce the risk of flares from occurring. The chances of getting diverticulosis increases as you age. In the past, people with small pouches (diverticula) in the lining of the colon were told to avoid nuts, seeds and popcorn. A diverticulitis diet starts with only clear liquids for a few days. You can still enjoy dairy products but look for low-fat alternatives. Together with the esophagus, large intestine, and the stomach, it forms the…. Or choose almond milk or coconut milk products for a healthier, plant-based choice. This article takes a look at 11 foods to avoid if you have it. If any of these foods cause you a flare-up, you may want to eliminate them from your diet. Eating Actually, no specific foods are known to trigger diverticulitis attacks. Some research suggests that a low FODMAP diet could prevent high pressure in the colon, which, in theory, could help people avoid or correct diverticulitis. They often discover it only after a routine colonoscopy, or when it advances into diverticulitis, the inflammation or irritation of diverticula. In the past, doctors recommended that people with diverticulitis follow a low fiber diet, or a clear liquid diet. Diet for diverticulitis. If you have any questions about healthy eating, food, or nutrition, call 8-1-1 (or 7-1-1 for the deaf and hard of hearing) toll-free in B.C. Seek out a healthcare professional who has experience working with people who have diverticulitis if you can. Researchers aren’t entirely sure what puts you at risk for…, Doctor may recommend a low fiber diet to help treat certain digestive problems, or before or after surgery. They are also high in protein, making them good substitutes for low fiber meat and poultry. A standard Western diet high in fat and sugar and low in fiber may be linked with an increased incidence of diverticulitis. These foods can aggravate diverticulitis and prolong the healing period. Diverticulitis Diet Foods to Avoid #2: Fermented Foods Scientists have discovered that high FODMAP foods irritate the intestines of people who have diverticulitis and other intestinal conditions like irritable bowel syndrome. On the other hand, a diet high in fruits, vegetables, and whole grains is associated with a decreased risk. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). In fact, the NIDDK actually recommends eating high fiber foods to help prevent diverticulitis. Diverticulosis started showing up in the U.S. around the time white flour (which contains less fiber) and processed foods became popular. It’s most common in older adults. Fewer than 5% of people with diverticulosis will develop diverticulitis. Often, doctors prescribe certain foods to help treat the symptoms of the condition. If you suspect diverticulitis, talk to a doctor for treatment and for advice about food needs and restrictions. However, more recent … Once the symptoms have gone, you can return to a higher-fibre diet, aiming to eat about 30g of fibre a day. : The idea that folks with diverticular disease should avoid seeds, nuts, corn, popcorn has never had any data to support it, so unless a particular foo ... Read More. Choose hard, aged cheese rather than the softer cheeses. Avoid artificial sweeteners. Doctors and dietitians no longer recommend specific diets for diverticulitis. Contrary to popular belief, no specific foods are known to trigger diverticulitis attacks. Treat diverticulitis naturally and avoid surgery and antibiotics by following this regimen. Grilling, baking, or broiling is the best way to prepare meats. And no special diet has been proved to prevent attacks. This condition may not need special treatment but can lead to diverticulitis. That said, there are three main theories about what causes diverticulitis. If you have diverticulitis, foods to avoid include that are very refined. Diverticulosis becomes more common as you age, occurring in around 58% of Americans over age 60. Fruits are considered part of a healthy diet. If you have diverticulitis, you may at first have diarrhea, bloating, or constipation. Does a high fiber diet reduce risk of diverticulitis? The most common symptom of diverticulitis is a sharp cramp-like pain, usually on the left side of your lower abdomen. Diverticulosis is a condition of the colon. It’s important to discuss how food may heal or aggravate your condition. If you have diverticulitis, foods to avoid include that are very refined. https://www.powerofpositivity.com/foods-that-make-diverticulitis-worse As you age, the outer muscular wall of your colon thickens, causing theWaste stays Low-fat cheese and Greek yogurts are excellent for the gut. © 2009-2021 Power of Positivity. A good diverticulosis diet is one that is rich in fiber and provides plenty of fluids. Diverticulosis is a widespread digestive condition. They are in the same category as fast food in that they have no fiber and do more to irritate the lining of the stomach creating discomfort. Dr. Jan Rakinic answered 38 years experience Colon and Rectal Surgery High fiber! Brown rice is packed full of Vitamin B6, magnesium, selenium, and niacin. Eat whole-grain bread, rice, or quinoa instead of white rice or potatoes. Research also shows that gut bacteria play a role in diverticular disease. These include. I currently have no symptoms but wonder if I should do anything to prevent it from progressing. They cause gas and bloating for many people and, in general, aren’t a healthy choice if you suffer from diverticulitis. Examples of items allowed on a clear liquid diet include: 1. Read on to learn more about diverticulitis and drinking coffee. Some veggies cause gas, so you should avoid them. Also referred to as diverticular disease of the colon, this is the formation of a large number of tiny sacs or diverticuli in the walls of the digestive tract, generally in the large intestine. Healthy foods can be culprit in some certain diseases. After understanding the symptoms and knowing It’s a severe condition that requires medical attention. Left untreated, diverticulitis leads to more significant problems. These nuts are rich in minerals and vitamins. Diverticulosis is a condition that typically affects the lower portion of the large intestine (colon). Oatmeal is another whole grain that is rich in fiber and packed with vitamins. 38 years experience Colon and Rectal Surgery. In this diet, people avoid foods that are high in FODMAPS. Canned or cooked fruits without skin or seeds 2. Although these vegetables are high in fiber, they don’t get digested completely in your small intestine. Spicy foods can trigger your diverticulitis. The advice is to take these healthy fibers in small, but increasing amounts and see if symptoms develop. Prepare your veggies and meats with olive oil rather than cooking oils or vegetable oils that are loaded with trans fats. Engineers have recently devel... It’s essential to wash your hands to avoid getting sick or transferring germs to others. Diverticulosis develops when small pouches, diverticula, form in the lining of the intestine. During a diverticulitis flare, your doctor might recommend a clear liquid or low fiber diet until the symptoms ease up. Since fiber can soften your body’s waste material, softer stool passes through your intestines and colon more quickly and easily. What Foods Aggravate Diverticulosis is a normal item of concern due to the point that it is crucial to Diverticulitis Fever, Diverticulitis Fistula, and Diverticulitis Flare. As the disease progresses, you may feel nauseous and have a fever. Diverticulosis and Surgery If diverticles cause constant problems over the years, and diet does not help, a surgical removal of the affected part of the colon may help. Specifically, an individual can benefit from whole grains, fruits, vegetables and legumes. If you have diverticulosis or if you have had diverticulitis in the past, your doctor may recommend eating more foods that are high in fiber. • Age. Your doctor may prescribe it for a short period of time. Examples of low-fiber foods include: 1. When you have diverticulosis, or have had diverticulitis in the past, the diet recommendations are different compared with during a flare. In this article, we’ll get into what foods aggravate diverticulosis as well as the foods to avoid with diverticulosis.But before we Doctor answers on Symptoms, Diagnosis, Treatment, and More: Dr. Hammerstead on foods that aggravate diverticulitis: Nope. Read on to learn about foods to eat and…, Diverticulitis surgery is performed if your condition is severe or life-threatening. 71% are over the age of 80. High fiber! Avoid the likes of cabbage, broccoli, cauliflower, and Brussels sprouts. Find out what kinds of foods to avoid if you have this problem. The most common symptom of diverticulitis is a sharp cramp-like pain, usually on the left side of your lower abdomen. Find ways to use spices like ginger or cinnamon, which add a natural sweetness to dishes. Common symptoms of diverticulitis include pain in the lower left abdominal area, fever, nausea, vomiting and constipation or diarrhea. Research says that eating a high fiber diet can help prevent diverticulitis flares. Fried foods are unhealthy for everyone, but especially for those people who suffer from diverticulitis. Once symptoms improve, they may recommend moving on to a low fiber diet until the symptoms disappear, then building up to a high fiber diet. More recently, most doctors have moved away from this advice. Some fruits … For years, physicians have recommended that patients with diverticulosis avoid nuts and foods containing seeds. A high-fiber diet is usually recommended for patients with diverticulosis. Diverticulosis is a problem that usually occurs if there is not enough intake of fiber in the diet. - What Foods Are Good for a Diverticulitis Diet?A high-fiber diet is the mainstay of diverticulosis and diverticulitis prevention.Start a high-fiber diet because it will decrease the risk of complications and the accompanying symptoms; however, will not make the diverticula a person has go away. This article explains what FODMAPs are and who should avoid them. Most people with diverticulosis do not have, or go on to develop, diverticular disease Caffeine is also produced synthetically and added to carbonated drinks, energy drinks and over-the-counter medications such as cold medicines and pain relievers. Spice up your veggies with lemon juice, turmeric or ginger to add boost the flavor. If you want to include these cruciferous vegetables in your diet, eat small amounts, drizzled with olive oil and roasted in the oven. They are great sources of calcium and protein. Diet. Be sure to talk with your doctor before making any dramatic dietary changes. https://www.healthline.com/health/diverticulitis-diet-list-of-foods-to-avoid When adding fiber to your diet, be sure to drink plenty of water to avoid constipation. These fruits are high in fructose, a naturally occurring sugar in fruits. Eating oat cereals each day boosts your fiber intake for the day. We want to help our community find and shine their inner light - the truth of love, light, and positivity that is within us all! © 2005-2021 Healthline Media a Red Ventures Company. Diverticula are little pockets that show up on the wall of your colon, like tiny air bubbles pushing outward, weakening the walls of your colon. Although dried fruits are high in fiber, they’re also high in sugar and calories. If you have diverticulitis, a GP may recommend that you stick to a fluid-only diet for a few days until your symptoms improve. It is the best way to manage the condition according to gut-health charity Guts UK! If you ignore this severe condition, you could eventually need surgery to remove part of your colon and clean out the infection in your abdominal cavity. Fiber helps give your bowel movements more bulk so they are larger and easier to move through your colon. Examples of foods to avoid include: According to research, eating a diet high in red and processed meats could increase your risk for developing diverticulitis. One older study found that those who consumed at least 25 grams of fiber per day had a 41% lower risk for developing diverticular disease, compared with those who only consumed 14 grams. EVIDENCE-BASED ANSWER: A diet high in fiber (particularly fruit and vegetable fiber) and low in fat and red meat may help to decrease the risk of symptomatic diverticular disease (strength of recommendation [SOR]: C, case-control studies and a large prospective cohort study). ANSWER: Although the two conditions are related, and diverticulosis is a risk factor for diverticulitis, many people who have diverticulosis never go on to have diverticulitis. All About FODMAPs: Who Should Avoid Them and How? Common symptoms of diverticulitis include pain in the lower left abdominal area, fever, nausea For some people, diet can affect the symptoms of diverticulitis. Fish is high in Omega-3, which is vital for healthy skin, hair, and proper brain function. Foods to avoid on a full-liquid diet Until your health care provider recommends otherwise, avoid foods high in fiber, like nuts and seeds, whole fruits and vegetables, and high-fiber whole grains like cereal, brown rice, and whole Each patient is different and people may find certain foods aggravate diverticulosis symptoms. The following may increase your risk of diverticulosis: A history of In this article, we’ll get into what foods aggravate diverticulosis as well as the foods to avoid with diverticulosis. Sweat doesn’t just keep our bodies cool - it can also reveal underlying mental stress. Beans and legumes are high in fiber. Your doctor might recommend avoiding fiber during an acute flare. In comparison, diverticulitis (and its various complications) affects 4-15% of those who develop What foods should I eat during a diverticulitis flare? In addition to these, here is a list of some other foods to avoid with diverticulitis: Avoid sodas and sugary foods, as they may cause bloating and gas and aggravate the symptoms of diverticulitis. Symptoms vary from person to person, making it important for you to recognize the foods that aggravate your body. Summary. If you’ve been given a diagnosis of diverticulitis, talk with your doctor about your food needs and food restrictions. Vomiting, fever, and extreme abdominal pain are symptoms of peritonitis. This disease is a life-threatening condition, and if left unchecked, you could die. You may get a perforation that leaks infection into your colon, causing an abscess to grow in your abdominal cavity. However, the fat in it is another cause … Scientists think fiber deficiency is a major reason for the increase in diverticulitis over the last few decades. Nut, corn, and popcorn consumption and the incidence of diverticular disease. You can also find additional low FODMAP recipe ideas here. These foods could aggravate the stomach potentially, resulting in ulcers or triggering another diverticulitis episode. You’ll find lots of sugar in candy, baked goods, and table sugar. Broth 2. Read on for information about its symptoms, foods to avoid, and the diverticulosis diet. But there's no proof that these foods cause diverticulitis. Also, you should drink loads of water to maintain your hydration. an abscess, or an inflamed pocket of tissue, certain fruits, such as apples, pears, and plums, dairy foods, such as milk, yogurt, and ice cream, fermented foods, such as sauerkraut or kimchi, beans and legumes, such as navy beans, chickpeas, lentils, and kidney beans, whole grains, such as brown rice, quinoa, oats, amaranth, spelt, and bulgur, white rice, white bread, or white pasta, but avoid foods that contain gluten if you’re, processed fruits, such as applesauce or canned peaches, cooked animal proteins, such as fish, poultry, or eggs, yellow squash, zucchini, or pumpkin: peeled, seeds removed, and cooked, cooked spinach, beets, carrots, or asparagus, ice pops with frozen fruit purée or pieces of finely chopped fruit, tea or coffee without any creams, flavors, or sweeteners. Heredity and diet may play a part in getting diverticulitis, but doctors aren’t entirely sure. ...pful with easing diverticulitis symptoms? Eat a variety of food groups, including five or more servings of fruits and vegetables, three of whole grains and a serving of nuts or beans each day. All rights Reserved. A low-fiber diet is linked to causing diverticulosis and also linked to the onset of diverticulitis. Ice chips 4. The condition results from the weak sections of the intestines that bulge out under pressure. Your goal will be to cut back on the low fiber foods and increase the high fiber ones. These foods are also high FODMAP foods but for a different reason. Researchers say it affects approximately 35% of the United States’ young adult population up to age fifty. Yet, an abnormal fear of ge... You've taken your first steps to recover from depression and addiction. However, if too much is taken, then excessive colon gas can occur. Throw some into a salad to add a little crunch. Some fruits like apples and plums cause gas, so go easy eating too many of these. This diet may be prescribed as part of a treatment or as preparation for a…. Grill or oven bake your chicken or fish, adding olive oil or lemon for extra flavor. Some doctors still recommend a clear liquid diet during mild flares. The low-FODMAP diet can drastically improve digestive symptoms for many people. Diverticulosis, or diverticular disease, is a condition in which an area of the digestive tract (usually the colon) contains bulging sacs, or diverticula. Portion sizes of low FODMAP foods is extremely important for a diverticulitis diet, so please make sure you are not exceeding the recommendations. Even though doctors may recommend avoiding high fiber foods during a diverticulitis flare, research has shown that regularly consuming a high fiber diet with lots of vegetables, fruits, and whole grains may reduce the risk for acute diverticulitis. This condition takes place when the small pouches in your colon push through vulnerable spots in the wall of your colon. They contain lots of fiber, too, which is best to manage your diverticulitis. Diverticulitis has painful side effects. They contain iron, minerals, and vitamins to boost your overall health as well as your gut health. If you want to eat these, enjoy them in only small amounts. In the beginning, you may need to avoid whole-grain foods, fruits, and vegetables. The Dietary Reference Intake for fiber is: Dietary fiber can reduce the symptoms of diverticular disease and improve bowel function, according to research from 2018. This, in turn, reduces the pressure in your digestive system, which helps prevent the formation of diverticula, as well as the development of diverticulitis. Though the exact cause for it is not certain, some people develop sac-like outpocketings along the lining of the colon. Adult women should consume 25 grams a day, while men should consume 38 grams per day to maintain a healthy diet. Diverticulitis may lead to health problems or complications, including: Diverticulitis is a painful condition caused by inflammation in pouches in the intestine. “Diverticular disease may be common in Western societies because our diets are so low in fiber,” Taylor says. After you are better, your provider will suggest that you add more fiber to your diet and avoid certain foods. Diverticulitis occurs when small sacs called diverticula that protrude outward from the wall of the colon become inflamed. They’re also high in protein, and vitamin E. Chop them up to top your yogurt or baked fish. It causes inflamed pouches in the lining of the intestine. If you suffer from diverticulitis, it’s easy to get dehydrated. Everyone reacts differently to your condition. Everything You Need to Know About Diverticulitis, How to Eat (and Recover from) a Low Fiber Diet, A Beginner's Guide to the Low-FODMAP Diet. A clear liquid diet is a diet consisting of exclusively clear liquids. If you’re not already consuming high fiber foods, be sure to start slow when adding them to your diet. In addition to all of the things you’ve been eating as part of your full … Steam or oven roast your vegetables in olive oil with a dash of salt on top for flavor. A 37-year-old member asked: what kind of nut/seed snack foods don't aggravate diverticulitis? When these partially digested foods arrive in your large intestine where it is processed, they will cause lots of gas and bloating. Research suggests that avoiding the following foods may help prevent diverticulitis or reduce its symptoms: Doctors used to recommend avoiding nuts, popcorn, and most seeds, the theory being that the tiny particles from these foods might get lodged in the pouches and cause infection. They are in the same category as fast food in that they have no fiber and do more to irritate the lining of the stomach creating discomfort. Gelatin 6. Our website services, content, and products are for informational purposes only. Diverticulosis may turn into a severe condition called diverticulitis. Healthline Media does not provide medical advice, diagnosis, or treatment. Diverticulosis: You may have heard the term diverticulosis, which means the presence of diverticula, this is not the same as diverticular disease. White bread and bagels Milk, cheese, and other dairy High-fiber foods include fruits and vegetables, whole grains, and dried beans and lentils. Many people have this condition without knowing it. Certain fruits like apples, pears and plums should be avoided with diverticulitis. Power of Positivity uses cookies to help us improve our site. Instead, choose honey or agave syrup. For people without diverticular issues, eating a diet that’s rich in fiber helps promote a healthy digestive system. If you want to keep beans in your diet, eat small amounts at a time so your gut can digest them. The root of diverticulitis is unknown, therefore there is no specific list of foods to eat in order to ease symptoms. Dr. Jan Rakinic answered. Though more research is needed, future studies are likely to support the modulation of gut bacteria through a high fiber diet and probiotic supplementation. In addition to these, here is a list of some other foods to avoid with diverticulitis: Avoid sodas and sugary foods, as they may cause bloating and gas and aggravate the symptoms of diverticulitis. If you have diverticulitis you should avoid the following foods as they can aggravate your condition and impede on healing. It’s healthier than white rice because it contains more fiber plus antioxidants. The researchers say that this is because fiber can improve colon health by allowing better movement and stool bulk, helping to promote healthy bacteria in the gut, and helping limit body weight gain over time. Choose fish and lean meats, lots of vegetables, and fruits for your diet. There are no restrictions on your diet, but you may find that certain foods trigger the condition and will need to eliminate them. for topic: Foods That Aggravate Diverticulitis #1: Low-Fiber Diet. Water keeps your blood healthy, and your skin smoother plus keeps your body hydrated. Top your cup of yogurt with granola or nuts for added crunchy goodness. When this condition occurs without an infection or inflammation, it is known as Diverticulosis(1). The following sections look at the research behind different foods you might want to avoid with diverticulosis or diverticulitis. Diverticulitis occurs when small sacs called diverticula that protrude outward from the wall of the colon become inflamed. A high fiber diet is often one of the first things a doctor will recommend if you have diverticulosis or you’ve recovered from diverticulitis. By following a liquid diet as much as possible, with the occasional boiled or roasted vegetable and raw whole foods such as avocado and cucumber, you will get When you’re not currently having a flare-up, a high fiber diet can reduce the risk of diverticulitis flares and help keep the gut healthy.

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