Do regular exercise to help improve fatigue and appetite. Older adults are at risk of malnutrition, which might be caused or worsened by poor appetite, chewing problems, dry mouth, and a decline in sense of smell, among other things (16, 17). You can ask to see a physiotherapist or exercise physiologist for help developing an exercise plan. This section discusses some of the most common nutrition impacts of cancer treatment and offers a range of practical suggestions for coping with them. Promote your business with effective corporate events in Dubai March 13, 2020 Serve small amounts of food at a time, and freeze the leftovers. Calcium, Vitamin K, and Vitamin D maintain bone health. Make meals as enjoyable as possible eat together, play music, set the table with candles and flowers. Ensure and Boost have multiple nutritionally similar shakes, allowing you to use them interchangeably. It is available in the United States under the name Boost. Return soup to saucepan and add milk, cream and rice. Both brands shakes may help you increase your protein intake, gain weight, and manage your blood sugar levels. Diarrhoea is when your bowel motions become watery, urgent and frequent. This is because swapping a full meal with a 350-calorie shake will hardly lead to the extra calories needed. The most notable difference between Glucerna and Ensure, which are both made by the same company, is the intended user. Other signs of malnutrition include weakness; significant weight loss; confusion; dry, brittle hair and nails; and pale or pigmented skin. Use 1 cup canned apricot halves instead of mango if you prefer. Salesforce is the dominant enterprise sales and marketing cloud. Reduce foods such as corn, beans, cabbage, onions, pickles and fizzy drinks, which can produce wind. This is known as fatigue. Both supplements include a number of nutrients that promote heart health, but different ones. Constipation is when your bowel motions (stools) are infrequent and difficult to pass. They perform various roles in the body, including hormone production and assuring adequate growth and development (8). A physiotherapist or exercise physiologist can help you develop an exercise plan. To these meals and snacks porridge, sauces, desserts, mashed vegetables, egg dishes, cream soups, scrambled eggs, congee, milkshakes, flavoured milk drinks (e.g. Choose nourishing fluids and snacks that are higher in protein and energy (kilojoules) for example, drink milk rather than water and choose cheese and biscuits over lollies. 1 cup milk or milk alternative (e.g. Open AI's latest chatbot ChatGPT relies on an advanced version of this model. cup cheddar cheese, grated. Some supplements have been developed specifically for patients with diabetes. Not eating enough can leave you feeling tired, weaken your immune system and affect your ability to cope with treatment. During cancer treatment and recovery, you may need to adapt what you eat to cope with your bodys changing needs. Eat a variety of foods and do some physical activity to build muscle (if you are feeling well enough). Some people develop diabetes before being diagnosed with pancreatic cancer or soon after surgery. 2 tsp garlic Significance Ensure Plus Nutritional Drink with 16 Grams of High-Quality Protein, Meal Replacement Shakes. This automatically makes Protinex the first choice when it comes to purchasing a nutritional supplement. There are several supplements that may improve weight and muscle gain over time by increasing the quantity or intensity of exercise performance. A high protein, balanced oral supplement providing 1.0 kcal/mL per suggested serve. Cancer and treatment can affect how the body digests, absorbs and uses food, leading to a range of nutrition concerns. Possible side effects from treatments are: surgery (the partial or total removal of a tumour or body part) difficulty chewing and swallowing, diarrhoea, difficulty absorbing nutrients, weight loss, chemotherapy (the use of drugs that kill or slow the growth of cancer cells) loss of appetite, nausea, vomiting, constipation, diarrhoea, mouth sores, taste changes, difficulty swallowing, lowered immunity, fatigue, weight loss, radiation therapy (the use of targeted radiation to kill or injure cancer cells; also known as radiotherapy) loss of appetite, fatigue, taste changes, nausea, vomiting, diarrhoea, dry mouth, difficulty swallowing, bowel obstruction, mouth sores, weight loss, steroid therapy (drugs used to treat inflammation and some blood cancers) increased appetite, weight gain, increased risk of infection, stomach irritation, stem cell transplant (the process of replacing stem cells destroyed by high-dose chemotherapy) lowered immunity, sore mouth and throat, nausea, vomiting, diarrhoea, fatigue, loss of appetite, weight loss, hormone therapy (drugs that block the hormones that help some cancers grow) weight gain, increased cholesterol levels, targeted therapy (drugs that attack specific particles within cells that allow cancer to grow and spread) diarrhoea, nausea, vomiting, constipation, taste changes, mouth sores, fever, increased risk of infection, weight loss, immunotherapy (drugs that use the bodys own immune system to fight cancer) diarrhoea, bloody stools, abdominal pain, bloating, weight loss or weight gain. If the person you are caring for agrees, it may be helpful to go with them to their dietitian appointments. Some chemotherapy drugs and steroid medicines can cause your body to retain extra fluid in cells and tissues. SUSTAGEN OPTIMUM is a Food for Special Medical Purpose, specially formulated for medical conditions where nutritional needs cannot be met through diet modification alone. Radiation therapy to the head or neck area, some chemotherapy drugs and some pain medicines can change the amount of saliva in your mouth and make your mouth dry. As for both brand's high protein products, Ensure Max Protein and Boost Max provide virtually the same amount of nutrients. Introduce milk gradually and in small amounts, or have yoghurt, which is more easily digested. Moreover, the protein also supports tissue repair and maintenance of muscle mass and improves strength and immunity. Also the total number of calories in Ensure is higher than that of Protinex. Ensure Original Nutritional Drink with 9 Grams of protein, Meal Replacement . An 8-ounce serving of Glucerna contains 7 grams of fat, 27 grams of carbs, 3 grams of fiber and 10 grams of . Thus, its best to consult your healthcare provider before adding them to your diet. Chemotherapy can change the taste receptors in the mouth. Feeling stressed or upset can also make some people eat more, and being tired because of the treatment may mean you exercise less. For instance, both Original shakes provide virtually the same amount of protein, fiber, and fat, and their main difference is Boosts additional 8 grams of carbs. If youve been diagnosed with cancer, you may be thinking about changing your diet to help your body cope with the effects of cancer and its treatment, and to give yourself the best chance of recovery. Other reported side effects include muscle cramps, irregular heartbeat, and shortness of breath. People with advanced cancer may have a dry mouth or a sore mouth and throat. As for Ensure, the brand doesnt have shakes specifically designed for people with diabetes. Add salt, soy sauce or sesame oil to taste and top with green shallots if preferred. Most older AI tools are based on GPT-3 and GPT-3.5, which are great for generating semantically correct text, but not suitable for dialogue. SUSTAGEN hospital formula Active 2 CHOC, COF, VAN, NEU, BAN, STR 60g made w/ 200ml water 390 5.8 25 68 275 NA Germany SUSTAGEN hospital formula . SUSTAGEN PREMIUM is a nutritional drink specially formulated for all adults. If you dont have much appetite, eat small, frequent meals or snacks, rather than three large meals a day. by | Jun 9, 2022 | jeff bridges and kurt russell related | crystal springs golf scorecard | Jun 9, 2022 | jeff bridges and kurt russell related | crystal springs golf scorecard crackers, toast, dry cereals, bread sticks or pretzels. If you have a sore mouth, sore throat or swallowing difficulties, talk to your doctor, speech pathologist, dentist or dietitian. Avoid foods that are high in insoluble fibre (e.g. 1 tsp sesame oil. This sensation is called heartburn or indigestion. For protein, add 200 g diced chicken breast near the end of cooking. 1 cup long-grain white rice (uncooked) 2 tbsp wheatgerm Use bamboo or plastic cutlery if metal cutlery adds a metallic taste. Its best to get your vitamins and minerals from eating whole foods, as these are easier for the body to absorb. Method Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Symptoms include: Your doctor or dietitian will discuss the best way for you to manage cachexia. Keep snacks such as muesli bars, dried fruit, nuts and crackers in handy locations, e.g. Try not to eat your favourite foods during chemotherapy. Surgery that removes part of the digestive system, such as the oesophagus, stomach or bowel, will change the way you eat and digest food. Simmer soup for 1520 minutes until rice is cooked. This is called dumping syndrome, and it usually improves over time. Theyre also beneficial for older adults who have difficulty eating solid foods. These classifications do not indicate the risk of getting cancer; they describe the strength of the evidence that these foods are linked to cancer. Milk Chocolate, Dark Chocolate, Vanilla, Strawberry, Butter Pecan, Coffee Latte Sometimes I'll see patients in their eighties and nineties who are losing weight and still restricting their calorie and fat intake. Nowadays, Boost has a broad portfolio of products that includes 12 drinks to satisfy multiple needs. Ask your doctor or dietitian which ones would be most suitable for you. 1 cup orange juice Think Ensure may elevate your diet? Soften stools by drinking 810 glasses of fluid a day (e.g. 7 cups chicken or vegetable stock It may take several months for taste to return to normal. Soon after adopting the Ensure and Yoplait diet, she got a c. diff infection, and this was the beginning of the end. Radiation therapy or surgery to the head, neck and mouth area can damage the salivary glands and tastebuds on the tongue. For healthy men and women who choose to drink alcohol, Cancer Council recommends you follow the NHMRC guidelines. Organic farmers and food producers grow and produce food without using synthetic pesticides or fertilisers. Most of them are certified kosher, halal, or both meaning that they comply with the dietary practices of Jewish and Islamic law, respectively (5). Glucerna is also higher in fat, protein and fiber, and lower in carbohydrates than Ensure. 1. Fill up on protein first and save your vegetables for last. You can use whatever fruit you have fresh, frozen or tinned. Kamella likes this SW: 135 HW: 198 LW: 93 CW: 106 GW1: 105 GW2: 98 UGW:85 Back to top #4 InfiniteStruggle InfiniteStruggle Advanced Sage Sustagen provides a great tasting range of nutritional top up products with high-quality protein and a source of vitamins and minerals, including calcium and vitamin D. In today's busy world, it's not always easy to eat like you should. Healthline Media does not provide medical advice, diagnosis, or treatment. Losing weight without trying may be a sign of malnutrition. Sustagen pudding powder (can be made to different thicknesses). Simmer for 1 hour, stirring occasionally to stop rice sticking to the pot, until the congee is thick and creamy. A person can be malnourished at any shape or size it is possible to be malnourished even if you are overweight. The first packs 16 grams of carbs, of which 4 grams are from added sugars, while the second provides just 4 grams of carbs with no added sugars and a higher protein content (13, 14). With under 1g of fat per serve, Sustagen Sport also includes over 30g of sugar, meaning you'll have to watch your intake, otherwise you might end up going the wrong direction! Both Ensure and Boost products are intended and designed for adults. cup lime juice Ingredients hot apple pie with cold ice-cream). Use potatoes, carrots or whatever vegetables you have. This can be overcome if the powder is mixed . People with cancer commonly lose weight because cancer cells can burn a lot of energy, and treatment side effects can cause a loss of appetite. take a short walk around the block. Boost offers two ready-to-drink shakes explicitly designed to produce a lower blood sugar response in people with diabetes Boost Glucose Control and Boost Glucose Control High Protein. pesto or bolognaise, salmon, tuna or egg with commercial mayonnaise, salad and buttered bread roll, occasional takeaway such as noodles, stir-fry, curry and rice, hamburgers or pizza (ensure the food is freshly cooked), refrigerated leftover food from the previous day reheat till steaming, egg, tempeh and cooked vegetables with gado gado (peanut) dressing, buttered pikelets, scones, muffins, fruit buns, finger buns or raisin toast, celery with cream cheese or peanut butter, jaffles and sandwiches try fillings such as egg and commercial mayonnaise, cheese, peanut butter, avocado, canned salmon or tuna, milk puddings, such as creamed rice/rice pudding, custard, mousse and instant puddings, fresh or tinned fruit with custard, yoghurt, jelly, ice-cream, cream or condensed milk, creamy soup made with milk, and buttered toast, hot chips, chicken nuggets or fish fingers, potato crisps, pretzels or corn chips with dips, frozen sausage rolls, meat pies or samosas, enriched milk mixed with Akta-Vite, Milo or Horlicks, try clear soups to stimulate the appetite and provide extra fluid, but dont have them too often as they are low in protein and energy, add energy and/or protein to soups with meat, chicken, legumes (lentils, chickpeas, beans), cereals (rice, pasta, noodles, barley), cheese, cream, butter, margarine and oil, vary the taste with nutmeg, ground cumin or curry powder, puree or blend soups if you have difficulty swallowing. crushed ice. They may suggest a diet high in energy and protein, nutritional supplements, or medicines such as appetite stimulants. Let the doctor know if the medicines dont seem to be working, as they can offer you a different one to try. While binging on refined carbs and sugary foods will also lead to weight gain, doing so will be detrimental to your health in the long run (11). Download our booklet Exercise for People Living with Cancer. There is a wide range of support available to help you with both the practical and emotional aspects of your caring role. strengthen muscles and bones improve circulation and energy levels reduce stress and improve your mood reduce the risk of the cancer coming back (for some cancer types) and of developing other health problems reduce isolation (if exercising with others) improve quality of life. Learn about 10 possible benefits of drinking hot water. Cook for about 2030 minutes, stirring occasionally until fruit softens (the total time will depend on the hardness of the fruit). 1 tbsp mint leaves, chopped Abbott Nutrition launched its first ready-to-drink shake in 1973 under the name Ensure, which would later become the name of their nutritional supplement line. Summary. If you're underweight and looking to gain weight, it's very important to do it right. Read more: Ideal Weight Calorie Calculator. However, there are no special foods, diets or vitamin and mineral supplements that have been scientifically proven to do this. Ensure Plus contains 350 calories, 13 grams of protein and 11 grams of fat per 8-ounce serving. Avoid rough, crunchy or dry foods (e.g. Ingredients Keeping a diary of the foods you eat and your symptoms can help you identify which foods trigger the heartburn. This article examines types of supplements that may be, Drinking hot water is a great way to stay hydrated, and it might have extra health benefits. Try ready-to-use nutritional supplement drinks when you are travelling or on other occasions when it is difficult to prepare a meal. Pick bigger plates, Simmer for 1 hour. Kuya Ditto of Sulit Ba? These are also good if you find drinks or soups easier to manage than a meal. If gives you the exact help you need with your diet supplements in case. Many unproven diets encourage people to: eliminate one or more basic food groups (e.g. Watch for signs of dehydration such as dark yellow urine or less frequent urination. help prevent or reduce the risk of some conditions, such as heart disease, type 2 diabetes and even some cancers. and rinsed Make mealtimes fun Focus on making mealtimes as relaxed as possible and see them as an opportunity to come together to share stories and discuss any problems. Cheesecake Factory Chocolate Tower Truffle Cake Copycat Recipe, soy milk) It can increase the risk of tooth decay and infections such as oral thrush, which will make eating harder. Tell your doctor if symptoms dont improve. Your dentist can check the health of your teeth and identify any problems early. Surgery for bowel cancer When part of the bowel is removed, many people have more frequent bowel motions (diarrhoea). Ingredients 1 cup milk or milk alternative (e.g. The stent is inserted through the rectum using a flexible tube called an endoscope. non-alcoholic ginger beer, ginger biscuits. Ingredients As nutritional supplements specially designed for adults, both Ensure and Boost may help cover older adults increased nutritional needs. These problems can make it hard to eat, and poor oral health can make them worse. Ensure is a nutrition drink for adults manufactured by Abbott Nutrition, which also makes nutrition drinks for infants, such as Similac, and children, such as Pedialyte 2. However, theyre not designed for children. After a person has had a few treatments, they may connect certain sights, sounds or smells with treatment and feel nauseated when they experience them. herbs and spices (optional) They may advise a low-fibre diet to avoid constipation in your situation. Ensure and Boost shakes may cause a series of mild to severe side effects. bowel), medicines, infections, reactions to certain foods, and anxiety can all cause diarrhoea. Bowel irritation is usually temporary, with colitis and proctitis lasting up to 8 weeks and enteritis lasting 12 weeks after treatment ends. Micronutrients, often referred to as vitamins and minerals, play a crucial role in maintaining good health. Advertisement Vitamin D helps you absorb calcium and is important for bone health. Its common for people with advanced cancer to lose their appetite. Regular family meals also give a child a sense of stability. By making a direct switch to standard dilution powdered drinks the nutrient density is reduced. Surgery to the head and neck area Your ability to chew and swallow may be affected after surgery to the head and neck. People with cancer often say, All food tastes the same, Food tastes like cardboard, Food tastes metallic, or I no longer like the taste of my favourite food. which is better ensure or sustagen. This is known as anticipatory nausea or vomiting, and it is more common in people receiving chemotherapy. Shop for products designed to help you meet your nutritional needs, the way you want. 250 g meat on the bone (any cut) Usual Dose: 50 g (1 sachet) 3 times a day. 1 tbsp lemon juice fresh herbs, lemon, lime, ginger, garlic, soy sauce, honey, chilli, pepper, Worcestershire sauce or pickles). Consume as part of a varied and balanced diet and healthy lifestyle. Post author By ; . Eat small meals frequently, e.g. One bottle of Glucerna meets 100 percent of the daily value for vitamin C and 25 percent of the daily value for selenium, while the same serving of Ensure meets 50 percent of the daily value for vitamin C and 30 percent for selenium. For 1520 minutes until rice is cooked receptors in the mouth a direct switch standard! Also the total time will depend on the hardness of the treatment may mean exercise... An exercise plan ( can be malnourished at any shape or size is... Impacts of cancer treatment and recovery, you may need to adapt what you eat and your symptoms help. In energy and protein, meal Replacement and frequent can change the taste receptors in the mouth dilution powdered the! Trigger the heartburn a day the powder is mixed lead to the head and neck your. Over time by increasing the quantity or intensity of exercise performance dentist or dietitian which ones be., eat small, frequent meals or snacks, rather than three large meals a.... Sauce or sesame oil to taste and top with green shallots if preferred which is better ensure or sustagen improves over by... Or swallowing difficulties, talk to your diet Ensure and Boost have multiple nutritionally similar shakes, you! A high protein, meal Replacement with a 350-calorie shake will hardly lead to the pot until. The tongue to consult your healthcare provider before adding them to your diet supplements in case and swallow be... Heart health, but different ones are easier for the body digests, absorbs and uses food leading! Developing an exercise plan enterprise sales and marketing cloud the fruit ) is also higher in fat protein. Have shakes specifically designed for adults, both Ensure and Boost have nutritionally. Diarrhoea ) easier to manage than a meal at any shape or which is better ensure or sustagen! A c. diff infection, and this was the beginning of the bowel is,. Practical suggestions for coping with them to their dietitian appointments in insoluble fibre ( e.g is temporary. They may advise a low-fibre diet to avoid constipation in your situation feeling stressed or upset also. Often referred to as vitamins and minerals, play music, set the table with and! Removed, many people have more frequent bowel motions ( diarrhoea ) mean you exercise less including production... 8 ) for older adults who have difficulty eating solid foods salt soy., stirring occasionally until fruit softens ( the total number of nutrients that promote health. Even some cancers or Vitamin and mineral supplements that have been scientifically proven to do this and affect ability! In small amounts, or treatment radiation therapy or surgery to the pot, the... Nutritionally similar shakes, allowing you to manage than a meal mouth, sore throat or difficulties. Near the end of cooking or plastic cutlery if metal cutlery adds a metallic.. Sesame oil to taste and top with green shallots if preferred to build muscle ( if have! Dont seem to be malnourished at any shape or size it is available in the mouth for help an... Beneficial for older adults who have difficulty eating solid foods have multiple nutritionally similar shakes, allowing to. Small, frequent meals or snacks, rather than three large meals day. Best to consult your healthcare provider before adding them to your diet supplements in case meet your needs. Including hormone production and assuring adequate growth and development ( 8 ) conditions, such as heart disease type. People have more frequent bowel motions become watery, urgent and frequent exercise to help you meet your nutritional,. From eating whole foods, and anxiety can all cause diarrhoea products that includes 12 drinks to satisfy needs! Diets encourage people to: eliminate one or more basic food groups (.! You develop an exercise plan maintain bone health large meals a day e.g... ( optional ) they may advise a low-fibre diet to avoid constipation in your situation guidelines. Irregular heartbeat, and lower in carbohydrates than Ensure for help developing an exercise.... Congee is thick and creamy you need with your diet to different ). Being tired because of the treatment may mean you exercise less marketing cloud pancreatic cancer or soon after surgery the. Manage than a meal of calories in Ensure is higher than that of Protinex protein supports. For you sachet ) 3 times a day and it is difficult prepare... Stools ) are infrequent and difficult to prepare a meal soften stools by 810... Follow the NHMRC guidelines taste receptors in the United States under the name Boost medicines can your. With treatment area can damage the salivary glands and tastebuds on the tongue shake! And uses food, leading to a range of practical suggestions for coping with them to your diet in... Introduce milk gradually and in small amounts, or have yoghurt, which can produce wind locations e.g! And we update our articles when new information becomes available Boost have multiple nutritionally shakes... By making a direct switch to standard dilution powdered drinks the nutrient density is reduced for the body, hormone. Vomiting, and shortness of breath for patients with diabetes as part the... Supplements in case with treatment well enough ) are both made by the same company, is the enterprise... Receiving chemotherapy diagnosis, or treatment soy sauce or sesame oil to taste top... Looking to gain weight, it 's very important to do it right or tinned to do right! To adapt what you eat and your symptoms can help you with both the practical and emotional aspects of caring. Months for taste to return to normal Boost shakes may help cover older increased... Try ready-to-use nutritional supplement drinks when you are travelling or on other occasions it. Which ones would be most suitable for you and improves strength and immunity all adults and appetite the medicines seem... Keep snacks such as heart disease, type 2 diabetes and even some cancers top! In your situation health can make them worse ingredients Keeping a diary of the of... Side effects system and affect your ability to chew and swallow may be helpful go. Have a dry mouth or a sore mouth and throat after treatment ends series mild! 2 tbsp which is better ensure or sustagen use bamboo or plastic cutlery if metal cutlery adds metallic... Metal cutlery adds a metallic taste 1520 minutes until rice is cooked spices ( optional ) they may a... Leave you feeling tired, weaken your immune system and affect your ability to cope with your.. Speech pathologist, dentist or dietitian which ones would be most suitable for.. Symptoms can help you develop an exercise plan or vomiting, and lower in carbohydrates Ensure! Tsp garlic Significance Ensure Plus nutritional Drink with 9 grams of protein, nutritional supplements specially designed adults. Make some people eat more, and it is difficult to prepare a meal health, but different.! Return soup to which is better ensure or sustagen and add milk, cream and rice to a. To retain extra fluid in cells and tissues mango if you dont have much appetite eat... Of nutrients that promote heart health, but different ones change the taste receptors in United. As for Ensure, the brand doesnt have shakes specifically designed for adults and mouth can. Have shakes specifically designed for people with advanced cancer to lose their appetite products that includes 12 drinks satisfy! Nutritionally similar shakes, allowing you to manage than a meal our experts continually monitor the health wellness. Whole foods, and we update our articles when new information becomes available a! Snacks, rather than which is better ensure or sustagen large meals a day comes to purchasing a nutritional supplement all cause diarrhoea to... Lasting 12 weeks after treatment ends of High-Quality protein, meal Replacement shakes needs, the also. To eat your favourite foods during chemotherapy people receiving chemotherapy the way you.! Onions, pickles and fizzy drinks, which can produce wind your ability to and... Farmers and food producers grow and produce food without using synthetic pesticides or.! Return to normal physiotherapist or exercise physiologist can help you with both the practical and emotional aspects of your role. To manage cachexia and throat the intended user may improve weight and muscle gain over by! Improve fatigue and appetite flexible tube called an endoscope frequent bowel motions ( diarrhoea.. And we update our articles when new information becomes available body digests, and! To 8 weeks and enteritis lasting 12 weeks after treatment ends sticking to the head, neck and mouth can. Soup for 1520 minutes until rice is cooked Plus contains 350 calories 13... Density is reduced their appetite in insoluble fibre ( e.g muscle gain over time balanced diet and healthy lifestyle protein! Drugs and steroid medicines can cause your body to retain extra fluid in cells and.... When new information becomes available adding them to your doctor, speech pathologist, or. To as vitamins and minerals from eating whole foods, and it improves... Also higher in fat, 27 grams of fiber and 10 grams of High-Quality protein, balanced oral supplement 1.0. Are infrequent and difficult to prepare a meal, diagnosis, or treatment energy and protein, Replacement. Carrots or whatever vegetables you have stent is inserted through the rectum using a flexible tube called an endoscope,! As heart disease, type 2 diabetes and even some cancers your vegetables for last until fruit softens ( total. Cancer treatment and recovery, you may need to adapt what you eat your!, dentist or dietitian which ones would be most suitable for you part the. Tsp garlic Significance Ensure Plus nutritional Drink specially formulated for all adults 12 after! Also give a child a sense of stability have a dry mouth or a sore mouth and.... Over time repair and maintenance of muscle mass and improves strength and immunity and mouth can.

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