is ensure drink good for cancer patients

The information included on this page is intended for education, entertainment, and informational purposes only. Add herbs (such as rosemary, basil, oregano, and mint) to your food. Our scientists pursue every aspect of cancer researchfrom exploring the biology of genes and cells, to developing immune-based treatments, uncovering the causes of metastasis, and more. Their products are geared towards providing nutrients to patients suffering from disease-related malnutrition. Eat small, frequent meals. This can lead to increased loss of lean body mass (LBM) and sarcopenia, resulting in a higher risk of complications including mortality. Depending on your nutritional needs, it can be used as a full meal or snack. Juicing can be a good way to get the nutrients and phytochemicals your body needs to help lower your cancer risks. These drinks are: These drinks are available in vanilla, chocolate, strawberry, and other flavors, depending on the brand. Choose items in a glass or plastic jar or a box instead. It is one of the most calorie-dense meal replacement shakes available for patients. Call the Cancer . It causes food to pass quickly through your intestines. This may help distract you from your nausea. The caffeine content of REIZE is modest at 50 milligrams and it contains no sugar at all. While drugs do not cure any disease, it is scientifically proven that cancer patients would have a better outcome from the therapies if they knew and controlled what they eat during and after the treatment. It may even help you prevent or manage some side effects of treatment. Water, Corn Maltodextrin,Sugar, Milk Protein Concentrate,Canola Oil,Soy Protein Isolate,Corn Oil, Pea Protein Concentrate. Only do this if your mouth isnt sore. If this is the case, take advantage of those times and try to eat as much as you can. You can get all the nutrients you need from a well-balanced diet. Eat with friends or family. Despite a lot of research into cancer and food supplements, there is no good evidence to suggest that taking them can help treat cancer or stop it from coming back. For people dealing with cancer maintaining their daily intake of adequate nutrition can be immensely challenging due to their illness and sometimes their medication. Any MSK patient is welcome to make an appointment with one of our clinical dietitian nutritionists for medical nutrition therapy. This is because fruits and vegetables are low in calories but are filling. Each 8-ounce bottle of diabetic Ensure Original and Ensure Plus provides strength and energy, complete nutrition, valuable vitamins and minerals and great taste. In addition to brain disorders, the food seems to increase the risk for certain cancers. Cook For Your Lifewww.cookforyourlife.org Here is a simple recipe according to the above formula. Don't forget to drink at least six to eight glasses of water a day as well. Also, the disease or chemotherapy can cause swelling or inflammation of mouth and throat tissues, making it hard to swallow solid foods. Pumpkin seeds: It is an . A food diary is a record of the foods you eat, the time you ate them, and the setting in which you ate them. This will help you keep from feeling full too fast or feeling bloated. Constipation is a common problem that makes it hard to have bowel movements. When preparing smoothies initially, make it simple with only a few ingredients (i.e. Substitute cup of sweetened condensed milk or chocolate syrup for the other sweeteners in the standard shake recipe. Plain casseroles, mashed potatoes, macaroni and cheese, and scrambled eggs, Butter, sour cream, oils, and mild sauces (as tolerated) added to foods, Milkshakes, smoothies, yogurts, gelatin, custards, pudding, cottage cheese, and nutritional supplements like Ensure, Foods made with large amounts of spices, such as pepper or chili powder, Citrus fruit products (such as orange juice and lemonade), Tomato products (such as pasta sauce, tomato juice, or tomato soup). Rinse your mouth often. The contact information is listed below. Top your ice cream or unfrosted cakes with sweetened condensed milk. Its very important to stay hydrated (get enough liquids) during your cancer treatment. Try to drink at least 64 ounces (2 liters) of fluid a day, unless your doctor has directed you to limit your fluid intake. Why does Ensure need my birth date? According to the FDA, about 1 percent of people in the United States are sensitive to the compounds. Generally speaking, nutritional supplement drinks provide the following benefits to cancer patients; Liquid supplements are an effective solution for nutritional needs. You can try the above foods as well as snack on low acid juices . It also explains how different cancer treatments may affect your eating and what you can do to help manage common side effects. This helps encourage food to move through your digestive system. Open windows while cooking if the smell of foods cooking bothers you. If you are acancerpatient, survivor, or have a family member diagnosed with any form of malignant tumors, surely you know about Ensure and Boostliquid nutritional supplements. Lye is then added to the finish product to raise the pH back to neutral. What to Look for in Nutritional Protein Shakes Drinks For Cancer? It is a meal replacement supplement for people struggling with disease or age-related malnutrition. Change the temperature of your foods. Most are also lactose-free, which means you can have them even if youre lactose intolerant (have trouble digesting milk products). Supermarkets sell mixed fruit and frozen smoothie mixes. However, both drinks will provide a good amount of proteins, carbs, multivitamins, and minerals. This section describes some tips you can use to help you with: Tell your doctor or nurse if youre having any of the things above before following these tips. The most common changes are having bitter and metallic tastes in your mouth. Avoid very hot or cold, high-sugar, high-fat, and spicy foods. Experiment with different seasonings and food combinations, such as: Changing the temperature and texture of foods. Moerman CJ, et al. But in general, artificial Flavoring can lead to allergies, brain damage, seizures, depression, dizziness, chest pain, headaches, fatigue, and nausea. Genetically Modified Foods: Are They Safe? This will help keep your stool soft. It has a calorie count of 350 calories with 16 grams of high-quality protein. . Coming to other nutrients, it supplies 47 grams of carbs and only 11 grams of good fats (zero trans fats). During such a tenure, meal replacement shakes can help prevent and revert such a phase by providing all necessary nutrients. Do not add raw eggs to your shakes. These drinks are: These powders can be mixed with milk or water, depending on the brand. INGREDIENT #2 - SUGAR. Add butter, ghee, or oils to potatoes, rice, and pasta. Just remember to stay strong, keep trying, and do not compromise your nutrient intake. With cancer, where you get treated first matters. It isproduced by boiling soy in hydrochloric acid; the solution is then neutralized with sodium hydroxide. MSK Nutrition Websitewww.mskcc.org/nutrition Mix granola with yogurt or put it on top of ice cream or fruits. Let foods cool down before eating. You can find more information about herbal and other dietary supplements at www.mskcc.org/herbs. Use fresh apple, strawberries, banana or other soft fruit. You can also add it to baked or mashed potatoes, casseroles, and salads. When consider the devastating impact of the chemotherapy on the body, it is senseful to avoid any food that will enfeeble the immune system even more, sugar for instance. Add cream cheese or nut butters to toast or bagels or use it as a spread on vegetables. Eat foods rich in protein (such as chicken, fish, pork, beef, lamb, eggs, milk, cheese, beans, nuts or nut butters, and soy foods). Your care team may also recommend using an alcohol-free mouthwash (such as Biotene). After all, any cancer patient who tries to keep a good diet is contributing to his or her treatment as much as . You can use any of the ingredients below to change the flavor of and add more calories to your shakes. If you need to, ask others to cook for you. Energy Drinks. Marinate your meats or meat substitutes in salad dressings, fruit juices, or other sauces. (Possible Outcomes), link to Why Is PhenQ Not Working? According to one study published in the European Journal of Cancer Prevention, "There is evidence that wine consumption decreases the risk of cancer at several sites, including cancer of upper digestive tract, lung, colon, basal cell carcinoma, and non-Hodgkin lymphoma." Its a very common side effect of cancer treatment. These plant-derived compounds have anti-oxidative and anti-proliferative properties. Its important to remember that you will only be eating this way for a short while. In an article title 5 Reasons High Fructose Corn Syrup Will Kill You, Dr. Mark Hyman states Sugar in any form causes obesity and disease when consumed in pharmacologic dosesof 140 pounds per person per year. Remember this is for healthy individuals. Please consult a healthcare practitioner before making changes to your diet or taking supplements that may interfere with medications. Let your food cool down for a few minutes before eating. Carrot juice: Carrots have beta- carotene, which your body uses to make vitamin A. It's good for your eyesight, reduces your risk of certain cancers, and can offset some of the side effects of . However, opt for a supplement only after discussing it with your oncologist. Some of these foods may seem like less healthy choices. Besides energy, this drink also supplies structural amino acids for muscular recovery. Spread nut butters on apples, bananas, or celery. This meal replacement shake is a calorie-rich supplement and delivers 330 kcal energy with each serving. beef, lamb, pork, kangaroo, goat) per week - for example, you might have a 100 g serve 34 times per week. According toTheGenito Urinary Cancer Research Group, Cancer Research UK, The Omega-6 poly-unsaturated fatty acid, Arachidonic acid, has been shown to enhance the proliferation of malignant prostate epithelial cells and increase the risk of advancedprostate cancer. Use Double Milk or ready-to-drink nutritional supplements (such as Ensure) in hot or cold cereals. Experiment with other ingredients after you have tried the shake recipes in this resource. From diagnosis to treatment, our experts provide the care and support you need, when you need it. Eat every few hours. Zero-calorie sweetener erythritol, widely used in sugar replacement or reduced-sugar products, has been linked to an increased risk of cardiovascular events including heart attacks and strokes for . What is recommended is that any diet taken is nutritious, calorie and protein dense and one which provides a vast array of vitamins, minerals and antioxidants.Of course your appetite and ability to consume some foods may be altered and this is the challenge.We have put together some hints and tips for a good nutritious diet. You can also eat ready-made foods such as frozen dinners, whole cooked chickens, or take-out foods. These sample menus contain fewer than the 5 to 9 recommended daily servings of fruits and vegetables combined. Their taste buds are damaged. On the whole, it has 38 grams of carbohydrates and 12 grams of fats. MSK Integrative Medicine Servicewww.mskcc.org/integrativemedicine These are readily accessible, and you can consume them anytime you want. However, sugar may be indirectly involved in the development of cancer. Cancer cells drain the bodys energy quickly, gradually leading to muscle breakdown. Boost optimum also contains prebiotics and probiotics such as Lactobacillus paracasei. Drinking during your meals can make you feel full more quickly. Setting an alarm for yourself can be a helpful reminder. It yields a 338-calorie, yummy fruity smoothie. To help with muscular growth, it also supplies 18.5 grams of protein. Include different colors and textures of foods in your meals to make them more appealing. They are one of the best protein shakes available for cancer patients. Less than 0.5% of the Following: Natural &Artificial Flavor, Magnesium Phosphate, Potassium Citrate, Soy Lecithin, Sodium Citrate,Potassium Chloride, Calcium Phosphate, Calcium Carbonate, Salt, Choline Chloride. Check with your doctor before starting any new physical activity. When this happens, water and nutrients arent absorbed well by your body. And before you finalize any supplement, always discuss it with your doctor to ensure its safe for you. Examples are listed in the table below. Try hummus with pita bread. Snack on dried fruits, nuts, or dried seeds. Avoid foods that are dry or rough. Maintaining good oral hygiene (taking good care of your mouth) is very important to help with taste changes. American Institute for Cancer Researchwww.aicr.org800-843-8114 It provides 220 calories, 9g protein and 26 vitamins and minerals the same as Ensure Original. For example, eat breakfast foods (such as pancakes or omelets) for lunch or dinner. National Institutes of Health Office of Dietary Supplementshttp://ods.od.nih.gov301-435-2920 You may need to liberalize your diet (add different types of foods and drinks) to get the nutrition you need. Take Lactaid tablets or drops with other dairy foods, such as ice cream or soft cheeses. 300 kcal in each bottle makes this high-calorie supplement an excellent protein shake for cancer patients. The way you eat can make a difference. Try sour and tart foods. Vitamin supplementation also reduces the chances of second cancer among survivors. Give it a boost. Any statements made on this website have not been evaluated by the FDA and any information or products discussed are not intended to diagnose, cure, treat or prevent any disease or illness. If youre often nauseous during or after treatments, you may start to dislike these foods. Shakes are intended for oral consumption. 1-egg omelet with 1 ounce of grated cheese, 2 tablespoons of peanut butter and 1 tablespoon of jelly on 4 crackers, sandwich of grilled turkey and Swiss cheese on rye bread, 4 ounces of hot chocolate made with Double Milk and topped with whipped cream, cup of trail mix (mixed dried fruits and nuts), cup of broccoli with cream or cheese sauce, cup of super premium* vanilla ice cream topped with chopped nuts, maple syrup, and whipped cream, 2 small pancakes made with Double Milk or Half n Half with butter and syrup, cheeseburger with mayonnaise and ketchup, 4 ounces of chocolate milk made with Double Milk, 1 (2-inch square) portion of meat lasagna, cup of peas with onions and butter or cream sauce, cup of custard topped with whipped cream, 1 slice of French toast with cup chopped nuts, butter, and syrup, cup of macaroni and cheese with extra cheese grated on top, cup of cauliflower with breadcrumbs sauted in butter, cup of sauted green beans with slivered almonds, 1 (2-inch) slice of apple pie with 1 ounce of cheddar cheese, 1 egg, cheese and spinach omelet sauted in butter, of a tuna fish sandwich made with mayonnaise, 10 tortilla chips with nacho cheese dip or guacamole, cup of rice pudding topped with whipped cream, of a grilled cheese and tomato sandwich, 1 celery stalk filled with cream cheese or herb cheese spread, cup of mashed sweet potatoes made with butter, Graham cracker sandwich with 1 tablespoon of peanut butter and mini marshmallows, 1 blueberry pancake made with milk or Half n Half with butter and syrup, 1 slice of whole-grain bread topped with almond butter and honey, 2 tbsp hummus and 10 pita chips or pretzels, 1 cup of baked ziti made with whole-milk ricotta cheese and mozzarella, 4 ounces of sparkling water and a splash of juice, cup of super premium ice cream topped with chocolate syrup, nuts, and whipped cream, A small muffin with butter or cream cheese and jelly, 1 (3-inch) wedge of chicken and cheese quesadilla topped with sour cream and salsa and/or avocado, 2 ounces of fish baked in a red onion vinaigrette, 1 small baked potato topped with sour cream and chives, cup of green beans and carrots with butter, cup of strawberries in heavy cream or half and half and topped with sugar, cup of cooked oatmeal made with Milk, raisins, walnuts, brown sugar, and butter, of a peanut butter and jelly sandwich on whole-grain bread, 1 (2-inch) slice of broccoli and cheese quiche, 1 small salad with feta cheese, olives, olive oil, and vinegar, 4 tablespoons of hummus on of a toasted pita, of a veggie burger with on a bun with ranch dressing, pickle, and onion, cup of spinach sauted in garlic and oil, 1 small banana dipped in chocolate syrup and rolled in chopped peanuts, 1 slice of whole-grain bread with butter and raspberry jam, 4 ounces of vanilla Standard Yogurt Shake, of a falafel sandwich with extra tahini, 4 graham crackers with 2 tablespoons of peanut butter, cup of chilled asparagus tips with blue cheese dressing, 1 baked apple with cinnamon sugar, butter, and walnuts, cup of muesli with slices of fresh peach, cup of sauted spinach with roasted pine nuts, 1 (2-inch) slice of silken tofu cheese cake, 2 small pancakes made with soy milk, vegan butter, and maple syrup, 2 tablespoons hummus and 10 pita chips or pretzels, veggie burger with non-dairy cheese on a bun with vegan mayonnaise, ketchup, pickle, and onion, 4 ounces of dairy-free Vanilla Almond Shake, 1 cup of bean chili topped with soy cheese, 1 slice of dairy- and egg-free corn bread, cup of blueberries topped with sugar and non-dairy whipped topping. Try apple slices with cheese wedges and honey drizzled on top. While Ensure drinks contain 24 vitamins and minerals, they should not be drunk in lieu of meals among the elderly, according to Dr. Amy Ehrlich of Montefiore Medical Center's Geriatrics Division. Making larger portions of foods for yourself, if there are days you have more energy. Try ready-made foods (such as take-out foods or frozen dinners) to prevent nausea while you cook or make foods. Should Cancer Patients Take Nutritional Supplements? If this is the case, try following a meal schedule. To help you with this matter, I have researched various meal replacements, and protein shakes available in the market, and here are the best ones I found; Fortisip is a nutritional supplement business that creates its supplements under medical supervision. , puddings and custards, and milk-based desserts. If you have cancer, eating . (Possible Outcomes). If your mouth isnt sore, try tart foods (such as lemon wedges or citrus fruits) to stimulate taste. Diarrhea can be caused by: Check with your doctor before you use the suggestions below to manage your diarrhea. Mix jam with diced fruit and use it as a topping over ice cream or cake. Nutritional drinks that balance fats, carbohydrates and protein should also contain calcium, vitamins, nutrients and fiber. It comes as a ready-to-drink beverage, so, takes no time or effort to make and is convenient to carry along. Eat small meals often. Eat small, frequent meals. Talk with your clinical dietitian nutritionist for help including them in your diet. Increasing 5 grams of fiber in the daily diet lowers the risk of cancer advancement by up to 30%. Eating smaller, more frequent meals and snacks can be easier and help you get the calories and protein you need. Some go further to say they can do more harm than good to cancer patients due to certain ingredients they contain. Medicare Part D covers prescription drugs, but generally does not cover any over-the-counter vitamins, dietary supplements, or nutritional supplement drinks. This helps your body move the stool out of your body. Record any situations when you became nauseated. 4. Abbotts Ensure Plus is one of the best ready-to-drink shakes on the market, and doctors, dieticians, and cancer survivors endorse it. They are: Check your local market or drug store to see if they carry any of these nutritional supplements. Research shows that some physical activity can make it easier to do your usual daily activities, boost your energy level, increase your appetite, and improve your mood. You can also add it to pancake batter, sauces, gravies, soups, and casseroles. Obesity itself increases the risk for many cancers. Pour in some liquid. Rinse your mouth with this mouthwash every 2 hours. These calories fulfill the bodys energy needs and fuel up the machinery involved in muscle recovery and growth. Well-cooked, peeled and pured, or canned fruits and vegetables, Raw fruits and vegetables, whole nuts, and seeds (except those in the Foods to try column), Vegetables that can cause gas (such as broccoli, cauliflower, cabbage, beans, and onions), Refined white breads, cereals, rice, pasta, and farina, Boiled or mashed potatoes (without the skins), Breads, pastas, cereals, and brown rice with 3 or more grams of fiber, Fatty breads and pastries (such as croissants and doughnuts), Lean meats (such as chicken or turkey breast) without skin, Fatty meats (such as salami, pepperoni, or sausage), Salt (unless you must avoid it for other reasons), Foods or drinks with caffeine (such as chocolate, tea, or soda), Casseroles, bean dishes, macaroni and cheese, and scrambled eggs, Sauces, gravies, juices, clear broths, margarine, and sour cream added to foods, Breads, crackers, and other baked goods dipped in milk or tea, Milkshakes, smoothies, yogurts, gelatin, cottage cheese, and nutritional supplements (see the section Nutritional Supplements), Dry, coarse breads, crackers, pretzels, and cereals, Cook your foods until theyre soft and tender. Avoid low-calorie drinks (such as water, coffee, tea, and diet drinks). These changes usually go away after your treatment ends. But during your treatment and while youre healing, the most important thing is that you get enough calories and protein. Drink most liquids between your meals. These provide a necessary boost to your immunity, perfect for someone dealing with cancer. Also, these micronutrients can inhibit the cancer cells penetration into other body parts. Malnutrition often goes undiagnosed and untreated. Use pasteurized bone broth for soups and stews. Protein is an essential nutrient for healing, tissue maintenance and growth. Drink plenty of fluids throughout the day. Your body needs a balance of calories and protein to work best. Have someone else plate your food for you. Nausea is a feeling of stomach upset or queasiness. The male rats got inter-abdominal cancer. research advises against relying on green tea as a treatment for preexisting cancer. Corn syrup solid is obtained by dehydrating the liquid to 10 percent water. Add wheat germ, ground nuts, chia seeds, or ground flax seeds to cereals, casseroles, and yogurt. The most important thing is to make sure you get the calories and protein you need to keep your body strong during your treatment. A dry mouth may also cause cavities. Boost Optimum powder comes from the trusted name of Nestle. The vitamins and minerals provided by a serving of Ensure include vitamin A, vitamin C and calcium. Chocolate, coffee, and vanilla are the three wonderful flavors of the Komplete meal replacement shake. These foods dont smell as strong as hot foods. Adverse reactions to sulfites can be mild or life threatening; the problem is the fact the trigger for the sensitivity is not known to medical science as for today. Your sense of taste can be affected by chemotherapy, radiation therapy, and some medications. LEARN MORE Overnight Muesli Recipe Nutritional Supplement Drinks For Cancer Patients 5 Best Options, Homemade Protein Shakes For Cancer Patients, My Thoughts On Using Best Protein Shakes If You Have Cancer. Gatorade 4.2 2. Eating full meals can become even tough during chemotherapy and radiotherapy. Snack on tortilla chips with guacamole or sour cream dips. Add to regular milk and milk drinks, such as pasteurized eggnog and milkshakes. Review the Getting Calories and Protein section of this resource for ideas on ways to make sure youre getting the most from your meals and snacks. Indications for: ENSURE PLUS. So, you could try different homemade recipes to find out which ones make good meal replacement shakes for cancer patients. Use mayonnaise, creamy salad dressing, or aioli sauce in salads, sandwiches, and vegetable dips. Different clinical researches show that consuming vitamins C, D, and E improves immune functions, increasing tolerance to chemo and radiotherapies. Every can of Ensure provides the same nutrition. Use a straw to drink. If you dislike the taste of a particular shake, another could work for you. Make food that smells good (such as baking bread or frying bacon). If you have diabetes or high blood sugar, use products that are unsweetened or are made with sugar substitutes. . The recommendations for cancer survivors are no different from those for anyone who wants improved health: Exercise, eat a balanced diet, maintain a healthy weight, get good sleep, reduce stress, avoid tobacco and limit the amount of alcohol you drink. Good nutrition is very important for people with cancer. People with the highest level of the sugar substitute erythritol in their blood were shown to have twice the risk for stroke, blood clot or death compared with those with the lowest level. And among these enemies include refined sugar, which undoubtedly weakens the immune system. The Boost Optimum meal replacement powder is available in vanilla flavor for $35 per tub. Increased Protein Intake. Choose foods that have a moist, soft texture and are easy to swallow. Thus, cancer patients should take protein-rich meals to prevent muscle and weight loss. Drink most of your liquids before or after meals. Medically Reviewed by Melinda Ratini, MS, DO on December 08, 2021. Soy products are other good options that are safe for all cancer patients products include soy milk, tofu and edamame. Because nutrition is an important part of cancer treatment, eating the right kinds of foods before, during and after treatment can help you feel better and stay stronger. Ask your doctor or nurse if you need an antiemetic (medication to prevent or treat nausea and vomiting). Address: 800 NE Deerfield Beach, Florida 33064 USA. Ensure is a health drink which a patient can easily consume to supplement ones meal and allow one to get the required dietary nutrition that one needs. However, the supplement should be selected with the advice of an oncologist, as nutritional requirements are different for each patient. The patients weight significantly drops as cancer progresses because tumor cells lavishly utilize muscle proteins and minerals stored in bones. Add avocado to smoothies, soups, salads, omelets, and as a spread on toast. Our clinical dietitian nutritionists are available for appointments at multiple outpatient locations within Manhattan and the following regional site locations: To schedule an appointment with a clinical dietitian nutritionist at any of our locations, contact our nutrition scheduling office at 212-639-7312. But taking a low-dose multivitamin and mineral supplement can help if youre having trouble following a balanced diet. Add foods that are rich in calories and protein (for example, nonfat dry milk, wheat germ, nut butters, avocado, oils, butter) to your meals. Your sense of taste is made up of 5 main sensations: salty, sweet, savory, bitter, and sour. Have your favorite snack foods available at home, on the go, and at work. Drink Double Milk and use it in recipes that call for milk or water (such as instant pudding, cocoa, omelets, and pancake mixes). When cooking, open lids of pots and pans away from you so that the smell moves away from you, not towards you. She has knowledge of human physiology, psyche, and how they interact with one another to hinder or help the process of achieving your fitness goals. Oral hygiene (taking good care of your mouth) is very important if your mouth is dry. These may help stimulate your taste. The non-GMO meal replacement shake is high in phytonutrients. Ensure diabetic drinks are a great way to feed your cells, your brain and maintain lean muscle mass that will help you live your best life. You can also make your own mouthwash by mixing 1 teaspoon of baking soda and 1 teaspoon of salt in 1 quart (4 cups) or warm water. If you are on the go, the nutrition drink Ensure Max Protein has 30 grams of protein, 1 gram of sugar and 150 calories. Because of that, some of the information in this resource may seem very different from diet guidelines you usually follow. Fatigue can be caused by many other symptoms, such as: Managing these symptoms can also help with fatigue. Diet or taking supplements that may interfere with medications 33064 USA are made with sugar substitutes patients ; supplements! Texture and are easy to swallow of taste can be used as a topping ice. Them anytime you want shakes can help prevent and revert such a phase by providing necessary. Many other symptoms, such as Biotene ) cover any over-the-counter vitamins, dietary supplements, or aioli in. 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