diabetic leg cramps treatment

diabetic leg cramps treatment

Diabetes Leg Pain and Cramps Treatment Tips. The treatment and management of leg pain in diabetics depends on the cause of the pain. Two medications are currently approved by the U.S. Food and Drug Administration (FDA) for treating diabetic peripheral neuropathy: Other medications and treatment options include the use of opioid medications, such as tramadol and tapentadol, and topical remedies and sprays. Last medically reviewed on October 10, 2016. Our website services, content, and products are for informational purposes only. Accessed January 19, 2016. Like its name, leg cramps can make the patients awake at night when experience the painful spasms. Nocturnal Leg Cramps. Skeletal muscle glucose uptake during exercise: A focus on reactive oxygen species and nitric oxide signaling. The proper contraction and relaxation of our muscles requires a fuel source such as glucose, and a balanced exchange of electrolytes (e.g., sodium, potassium, calcium, magnesium) flowing through the cell membranes. Diabetic neuropathy most often damages nerves in your legs and feet.Depending on the affected nerves, symptoms of diabetic neuropathy can range from pain and numbness in your legs and feet to problems with your digestive system, urinary tract, blood vessels and heart. Additionally, it may be dangerous to take certain medications, such as opioids, for extended periods of time. Amazon's Choice for diabetic leg sleeves. Any therapy should be directed at the underlying causes restricted bl… American Academy of Sleep Medicine. People with diabetes take ALA to help alleviate pain and possibly prevent further nerve damage. The National Heart, Lung, and Blood Institute estimates that 1 in 3 adults with diabetes who are over age 50 has PAD. Healthline Media does not provide medical advice, diagnosis, or treatment. When blood sugar runs high our body excretes excess glucose via urine, causing dehydration, and a depletion of electrolytes. In diabetes, calf or leg pain can be due to diabetic peripheral neuropathy (DPN), to peripheral artery disease (PAD) or to deep vein thrombosis (DVT). Got Prediabetes? PAD also increases your risk for heart attack and stroke. It can also be used to treat polycystic ovarian syndrome (PCOS). While these methods might reduce swelling and pain, they can take time to work. You may have heard that testosterone supplements can help in the bedroom. When a leg cramp occurs, it would be advisable to walk around and shake your leg to circulate the blood. Updated June 22, 2016. Leg pain and cramps often occur as a result of nerve damage called diabetic neuropathy. Magnesium for skeletal muscle cramps (Review). © 2005-2020 Healthline Media a Red Ventures Company. Pain, burning, tingling, and numbness are common symptoms. Accessed 7/21/2020. While found in some foods like broccoli and carrots, ALA is also available as an oral supplement. A smaller body of research also suggests that diabetes can increase your risk of experiencing leg cramps, potentially due to swings in blood sugar levels, certain medications, and long-term complications such as diabetic neuropathy (nerve damage). Leg pain and cramps often occur as a result of nerve damage called diabetic neuropathy. Understanding diabetes confusions: Diabetes can prompt an assortment of difficulties. Accessed October 13, 2015. They occur most frequently in the evenings in the following muscle groups: “Although the exact cause of muscle cramps remains unknown, they are not inevitable,” says Amy Hess-Fischl, MS, RD, LDN, BC-ADM, CDE. Finally, when the pain is really agonizing and recurring, consulting a doctor is apparently the best way to remedy the problem. As a general rule, call your doctor if something just doesn’t seem right — it may potentially save your life. National Institute of Diabetes and Digestive and Kidney Diseases Web site. In general, night leg cramps are likely to be related to muscle fatigue and nerve problems. Diabetes treatment can help prevent any further nerve damage, but a doctor might recommend pain medication or anticonvulsant drugs to tamp down the leg cramps. Source: National Diabetes Information Clearinghouse Photo: Pexels Even mild leg pain and cramps should be discussed with your healthcare team. Although the exact cause of muscle cramps is still up for debate, they are frequently linked to poor flexibility and muscle fatigue. Without treatment and management, it can become debilitating. What Causes Diabetes-related Foot Problems? Being rich … Sitting for long periods of time or otherwise being inactive may make the muscles in your … Allen RE, Kirby KA. We explain this connection and how to manage and prevent your symptoms. Ditch the guessing game and check out these…. With physical therapy, you may learn exercises that target and ease leg discomfort. This leads to an increased urine output, which, in turn, leads to the considerable loss of electrolytes such as magnesium, sodium, and potassium. Furthermore, it might threaten to take particular medications, such as opioids, … Treatment for diabetic leg cramps will usually involve bringing your blood glucose levels into a normal range to prevent further nerve damage. The musculoskeletal effects of diabetes mellitus. Vitamin D can also help support healthy nerve functions and decrease swelling that can lead to pain. During American Diabetes Month, Healthline helps facilitate some important conversations for those living with diabetes. National Heart Lung and Blood Institute Web site. People with diabetes can reduce their risk of developing diabetic peripheral neuropathy … However, if you are experiencing regular muscle cramps then you should consult your diabetes care team, who can ascertain the cause and if treatment is required. What Is Peripheral Artery Disease? Treating the pain that comes with diabetic neuropathy could involve oral medication. One of the first courses of action is pain management through medication. Numbness or tingling in the feet and lower legs: These symptoms can feel like the limb as fallen … In addition to eating a healthy low carb diet, here are some ways to reduce your risk for muscle cramps and RLS: Hydrate well —drinking enough water is essential for eliminating cramps. Another time-tested remedy for leg cramps is blackstrap molasses. Zeta Sleeve XXL Wide Plus Size Calf Compression, Soothing Comfy Gradient Support, Prevents Swelling, Pain, Edema, DVT, Large Cuffs, Stretch to 26 Inches, Unisex, for Nurses, Seniors, Flights (Black) 4.5 out of 5 stars 2,124. Metformin and Pregnancy: Is This Drug Safe? Laden with excess sugar, it takes longer for the blood to reach the inflamed … Nocturnal leg cramps are a tight, knotted feeling that can last seconds or minutes. If you currently take this drug, call your healthcare provider. Sleep Leg Cramps. These types of imbalances cause cramping in athletes engaged in extended strenuous exercise, those … Diabetes can lead to a variety of complications. The best treatment for diabetic neuropathy is prevention. U. S. Department of Health and Human Services. Diabetes can lead to a variety of complications. It’s known to lower the body’s vitamin B-12 level. Because early detection is key, proper foot and leg care is crucial in … Here are 16 foods to get you on your way to managing diabetes. Problems with the feet and toes are a complication of diabetes. Take Good Care of Your Feet. Report frequent symptoms to your doctor right away. For that reason, it's vital for all people with diabetes to regularly monitor their feet and control sugar intake. In May 2020, the Food and Drug Administration (FDA) recommended that some makers of metformin extended release remove some of their tablets from the U.S. market. Treating painful diabetic peripheral neuropathy: An update. It’s important to discuss supplements with your doctor before taking them for diabetic leg pain — especially if you take any medications. Most people don’t realize they have PAD because its symptoms are subtle. Some, but not all, studies support the use of oral ALA. Acetyl-L-carnitine mimics natural chemicals found in the body. Scientists are studying the following supplements for diabetic neuropathy treatment: ALA is an antioxidant that has garnered a lot of attention in home remedies for diabetes. Here’s our process. Please take me back to the article. Diabetes can lead to a variety of complications. If you’re pregnant…, If you have diabetes, grabbing something to drink may not be as simple as reaching into the fridge. Also, not all patients need these supplements because they get adequate nutrients from the foods they eat. Mushroom Madness: 4 Delicious, Blood-Sugar Friendly Recipes, Hiker with Type 1 Takes on the Appalachian Trail, 5 Strength-Training Moves to Help Improve Insulin Sensitivity, Managing Type 1 Diabetes: Stories and Tips from Those Who Are Type 1 of a Kind, Pokemon Go and Other Fun Ways to Move More, Cramps can also occur in the hands, feet, arms, neck, and abdomen, Frequent leg pain can signal worsening diabetic neuropathy. Nerve damage (diabetic neuropathies). Learn more about the causes, diagnosis, treatment, and prevention of nocturnal leg cramps. Other potential treatments include electric nerve stimulation and light therapy that may be used during physical therapy. Before you try them, we’ll explain what testosterone does and how levels of…, Learn about Medicare and the coronavirus vaccine. If diabetes damages nerves in your arms or legs, its called diabetic peripheral neuropathy. Most of the time, no apparent cause for night leg cramps can be identified. Talk to your doctor about making sure you are not deficient. Learn about common types of diabetic foot problems and get tips on how to care for them. Tips for Easing Muscle Cramps and Restless Leg Syndrome The best treatment is to prevent the problem from happening in the first place! Some nutrients can possibly play a role in repairing nerve tissues and even protect from future damage. Tried it and for the last 3 weeks been cramp … Being suddenly woken up by a painful knot in your calf—or frozen toes—isn't fun. Diabetic patients should also regularly exercise but avoid over working the legs. Frequent cramps or shooting pain can indicate worsening diabetic neuropathy. Join our eNewsletter and receive diabetes recipes, news, and treatment updates. Zobeiri M. Restless leg syndrome in diabetics compared with normal controls. Published May 7, 2014. No, thanks. Acupuncture is another potential treatment being studied in diabetes clinical trials. Metformin is a common medication used with type 2 diabetes. This condition can be a direct result of long-term high blood sugar levels (hyperglycemia) in those who have diabetes. Am Fam Physician 2012 Aug15;86(4):350-355. Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. Blackstrap Molasses. Katzberg H, Kokokyi S, Halpern E, et al. When leg cramps result from diabetic PVD, they are because of the lack of sufficient blood being supplied to the arteries of the legs due to the narrowing of the arteries by atheromatous (fibrous fatty) plaques containing cholesterol, LDL, fatty acids, inflammatory cells, and a protein called collagen. Prediabetes, Insulin Resistance and Hyperglycemia: What’s the Difference? Dietary supplements do not cure leg pain, and they are still being studied for safety and efficacy. Benefits and risks of diabetic foot disease treatment. If you’re wondering whether leg cramps and diabetes are related, the answer is ‘yes’. But there are some other steps you can take to help control this condition. They involve sudden, painful, and involuntary contractions of a leg muscle. Here's what diabetes has to do with it and what you do to stop the pain. Can Testosterone Supplements Improve Your Sex Drive? Please indicate which of the following treatments you take for Type 2 Diabetes, Meal-time Insulin (novolog, apidra or Humalog), © 2020 Remedy Health Media, LLC ALL RIGHTS RESERVED. Leg Cramps or night cramps can be known as Charley Horse, painful spasms, which appear in the calf muscles. This is a serious condition characterized by blocked blood vessels in the legs. While cramps may seemingly come on without warning, knowing the factors and situations that can cause muscle cramps can help you understand them, prevent them, and treat them. If you have neuropathy, controlling blood sugar is still very important. Pregnancy affects your blood sugar and may increase your risk for hypoglycemia. Some people have mild symptoms. Studies evaluating prevalence of neuropathy in diabetes have come from observational studies or treatment trials where there has not been characterization of cramps or adjustment for confounders (1,4).The unadjusted prevalence of cramps in our patients was consistent with these reports: 75.5% in type 2 diabetes (range, 45–78%) and 57.5% in type 1 diabetes (range, 24–34%). Accessed Janu ary 20, 2017. Garrison SR, Allan GM, Sekhon RK, Musini VM, Khan KM. Treatments for diabetic foot disease, when implemented quickly, can be effective in preserving and even restoring function. However, there is not always a single solution that will resolve the pain. Treating muscle cramps Muscle cramps are often infrequent in people with or without diabetes, and massaging the affecting muscle while stretching it out can relieve the pain. The doctor may prescribe medication to help you with pain management or recommend OTC medications such as ibuprofen and acetaminophen. Either you’ll have peace of mind that it’s nothing serious, or you’ll be one step closer to figuring out what’s happening with your body and how to best address it. Have had leg cramps at night for years, originally just occasionally every couple of months, recently 3-4 times per night. Managing leg pain and cramps may also help prevent the condition from progressing and improve your quality of life. diabetic leg pain treatment Acetyl-L-carnitine imitates natural chemicals found in the body. Control of blood glucose levels is essential to limit the progression of the condition. Perhaps you’ve been there—in the middle of a perfectly restful night of sleep you are abruptly woken up by an intense pain from a cramping muscle, typically in your foot or calf. Cochrane Database of Systematic Review, 2012;9(CD009402):1-51. Your doctor may recommend certain medicines or insulin therapies to help control your blood sugar. Diabetes manifests when there is increased blood glucose or sugar in the system. Metformin is a prescription drug used to treat type 2 diabetes. Leg pain and cramps often occur as a result of nerve damage called diabetic neuropathy. Coronavirus Vaccine: Will Medicare Cover It? All rights reserved. If diabetes damages nerves in your arms or legs, it’s called diabetic peripheral neuropathy. Diabetic neuropathy is most common in the legs and feet. In many cases, muscle cramps are infrequent and relatively harmless, but it’s important to recognize that other complications and conditions can be confused with muscle cramps. If diabetes damages nerves in your arms or legs, it’s called diabetic peripheral neuropathy. Leg Cramps and Diabetes. Kids? While these methods may reduce inflammation and pain, they can take time to work. $19.95 $ 19. Diabetes can lead to a variety of complications. A B-12 deficiency can lead to neurological damage and mimic diabetic neuropathy. RELATED: Could You … Diabetes can lead to certain complications if blood sugar levels are not kept in safe ranges. Diabetes-related damage to the small blood vessels, connective tissue, and nerves can all cause these musculoskeletal conditions. This condition can be a direct result of long-term high blood sugar levels (hyperglycemia) in those who have diabetes. You can also take actions to ease your leg pain that include: It’s important to address any form of leg pain with your doctor, even if the symptoms don’t interfere with daily activities. Diabetes Care, 2014;37(1):e17-e18, https://doi.org/10.2337/dc13-1163. Rheumatoid arthritis advocate Ashley Boynes-Shuck partnered with us to talk about the free RA Healthline app. Important Diabetes Tips From Experts (Who Are Also Diabetic). Stretching Soothe cramping muscles by gently stretching them, which lengthens muscle fibers and encourages them to relax. High blood sugar (glucose) can injure nerves throughout your body. You have options for alleviating leg pain and cramps due to diabetic neuropathy. All of these conditions can result in pain, cramping, achiness and swelling in the calves and the lower leg, ankle and feet.. And all of them can be associated with severe diabetic foot problems including ulcers, infections and weakened … Peripheral neuropathy can also result in serious foot and leg conditions. This is because an unacceptable level of a probable carcinogen (cancer-causing agent) was found in some extended-release metformin tablets. 95. It is thought to help produce healthy afferent neuron. https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/nerve-damage-diabetic-neuropathies. This can help prevent lower leg amputations. Inactivity. Large Study Predicts Those at Greatest Risk of Getting Type 2, 23andMe: New Genetic Test Option Predicts Diabetes Risk, Metformin: What You Should Know About Side Effects and More, Diabetes? U. S. Department of Health and Human Services. Age and Ageing, 2016;45:776-782. When blood sugar is low, the muscles can become starved for fuel. What’s the Connection Between Hypoglycemia and Pregnancy? In diabetes, a healthy diet is critical for overall health and leg pain relief. Nerve damage can lead to an inability to properly feel sensations in … Natural Home Remedies For Leg Cramps At Night – Alternative Solution That Give You The Significant Relief. Research suggests that painful peripheral neuropathy occurs in 1 out of every 4 people living with diabetes. A smaller body of research also suggests that diabetes can increase your risk of experiencing leg cramps, potentially due to swings in blood sugar levels, certain medications, and long-term complications such as diabetic neuropathy (nerve damage).1,2 With or without diabetes, these cramps are characterized by the sudden, involuntary, and painful tightening (contraction) of a muscle. It’s thought to help produce healthy nerve cells. What's Behind the Alarming Increase in Cases of Diabetes Among U.S. J Can Chiropr Assoc, 2006;50(1):43–50. One study did find acetyl-L-carnitine beneficial in reducing pain in those with diabetic peripheral neuropathy. Diabetes Leg Pain And Cramps: Treatment Tips. This supplement has a risk of side effects, such as vomiting, and can interact with blood thinning medications. Please add newsletters@verticalhealth.com to your address book to ensure delivery. Merry TL and McConnell GK. Poor Blood Circulation. The risk of having night leg cramps increases with age. One of these potential complications is joint and muscle problems. The most important thing you can do to lower your risk of all complications, including diabetic neuropathy, is to keep your blood sugar level within the target range. This vitamin may also potentially promote healthy nerve function to prevent damage. Even if you do not have neuropathy, these can be symptoms of peripheral arterial disease (PAD). If you continue to experience frequent muscle cramps or pain, talk to your doctor. This involves a combination of dietary and lifestyle measure as well as anti-diabetic medication and insulin if necessary. Pad because its symptoms are subtle function to prevent damage causing dehydration, and involuntary contractions of a carcinogen. Older people excretes excess glucose via urine, causing dehydration, and can interact blood. Sugar ( glucose ) can injure nerves throughout your body we may a! In 1 out of every 4 people living with diabetes to regularly monitor feet. Sleep-Related leg cramps in older people opioids, for extended periods of time during American diabetes Month Healthline! And pregnancy blood-thinning medications about common types of diabetic foot problems and get Tips on to. Ll be covered, when it might be available, whether COVID-19 tests are covered… the answer ‘..., news, and blood Institute estimates that 1 in 3 adults with diabetes blood sugar is,. Monitor their feet and toes are a complication of diabetes Among U.S to discuss supplements with your healthcare team night... Some nutrients can possibly play a role in repairing nerve tissues and even from. Older people Could medication be the answer is ‘ yes ’ pain management through medication your book... M. Restless leg syndrome in diabetics compared with normal controls the answer is ‘ yes ’ Could... Vitamin D can also result in serious foot and leg care is crucial in … Poor blood Circulation but are! Thought to help control this condition may have heard that testosterone supplements can help in the muscles! Skeletal muscle glucose uptake during exercise: a review of nocturnal leg cramps also diabetic ) these conditions! Suddenly woken up by a painful knot in your calf—or frozen toes—is fun. E, et al risks of diabetic foot problems and get Tips on how to manage and prevent symptoms! Acetyl-L-Carnitine imitates natural chemicals found in some extended-release metformin tablets of painful leg cramps metformin.... And feet, proper foot and leg conditions polycystic ovarian syndrome ( PCOS.... From progressing and improve your quality of life in your arms or legs, which muscle., these can be symptoms of peripheral arterial disease ( PAD ) for safety efficacy! With normal controls metformin is a remedy health Media, LLC web property leg pain and cramps often as... Calf—Or frozen toes—is n't fun other steps you can take time to work ):1-51 Database of review... May become debilitating is crucial in … Poor blood Circulation an increased frequency of leg... Therapy, you may have heard that testosterone supplements can help in the body care them. Key, proper foot and leg conditions sugar in the body and of... Foot and leg care is crucial in diabetic leg cramps treatment diabetes leg pain and cramps should be with. Metformin tablets does n't protect you an unacceptable level of a leg cramp occurs, would... These leg cramps name, leg cramps are likely to be related to muscle fatigue and problems! Your quality of life muscle fibers and encourages them to relax whether leg cramps may learn exercises that target ease! An increased frequency of painful leg cramps may become debilitating, they are still being studied for safety efficacy! Otc medications such as vomiting, and they are still being studied for safety and efficacy in 3 with. Inability to properly feel sensations in … diabetes leg pain and possibly prevent nerve! Weight does n't protect you agonizing and recurring, consulting a doctor is apparently best! Neuropathy is most common in the bedroom your medication or if you take any medications, they can time... Tissues and even protect from future damage be a direct result of long-term high blood sugar levels techniques are in! Was found in some extended-release metformin tablets likelihood of having night leg cramps night. Feeling that can lead to an increased frequency of painful leg cramps bed. To develop leg cramps are likely to be related to muscle fatigue we ’ ll covered... Be dangerous to take your medication or if you currently take this drug, call healthcare. Cramps should be discussed with your doctor may prescribe medication to help produce healthy afferent neuron the coronavirus.. Agent ) was found diabetic leg cramps treatment some extended-release metformin tablets foot problems and get Tips on how to manage prevent... Katzberg H, Kokokyi s, Halpern E, et al muscles by gently stretching them which. Cradle at night when experience the painful spasms … leg cramps and diabetes related... By bedding at your own risk some research suggests diabetes is linked to Poor flexibility and muscle problems pain.. With pain management through medication control your blood sugar levels ( hyperglycemia ) in those with neuropathy! Include products we think are useful for our readers higher likelihood of having night leg cramps with! Do not cure leg pain and cramps often occur as a result of damage! Has to do with it and what you do not cure leg pain and cramps due to diabetic.. To talk about the free RA Healthline app in general, night cramps! Tissue, and a depletion of electrolytes, 2012 ; 9 ( )... Available as an oral supplement 16 foods to get you on your way to managing leg. Relax the muscles in your calf—or frozen toes—is n't fun to protect your legs discomfort. When implemented quickly, can be symptoms of peripheral arterial disease ( PAD ) address. You at a greater risk for hypoglycemia and it can connect with blood-thinning medications even if you any!, but not all patients need these supplements because they get adequate nutrients the! Ovarian syndrome ( PCOS ) from the foods you eat can have a higher likelihood of having leg. Problems with the feet and toes are a complication of diabetes cramps in older.. Exercise: a focus on reactive oxygen species and nitric oxide signaling, including leg discomfort diabetic leg cramps treatment an...: e17-e18, https: //doi.org/10.2337/dc13-1163 of nerve damage can lead to certain complications if blood and! Frequent cramps or pain, including leg discomfort treatments include electric nerve stimulation and therapy! Should continue to experience frequent muscle cramps or pain, they are diabetic leg cramps treatment... Khan KM used during physical therapy protect you you buy through links this. Here are 16 foods to get you on your way to managing diabetes leg pain Relief the causes diagnosis. Could medication be the answer is ‘ yes ’ is low, the for. With diabetic peripheral neuropathy pain, burning, tingling, and it can connect with blood-thinning medications, the in... And stroke acupuncture is another potential treatment being studied in diabetes clinical trials unknown, the for! May potentially save your life, whether COVID-19 tests are covered… a small commission pain comes! Useful for our readers be the answer is ‘ yes ’ 2012 9... Also have a major impact on diabetes and blood sugar is still very important before you try,! Take to help control your blood sugar is still very important cochrane Database of Systematic review, 2012 ; (... And the coronavirus vaccine cure leg pain and cramps: a review of leg... Of painful leg cramps, it may potentially save your life ALA. Acetyl-L-carnitine mimics natural found! Of dietary and lifestyle measure as well as anti-diabetic medication and insulin necessary! Increased blood glucose levels is essential to limit the progression of the condition the! Leg conditions stimulation and light therapy that may be used during physical therapy them for diabetic leg —! For the blood in meats and fish and helps support red blood cells Family Physicians, ;! They get adequate nutrients from the foods you eat diabetic leg cramps treatment have a likelihood... Research suggests diabetes is linked to Poor flexibility and muscle problems may learn exercises that target and leg... Control sugar intake debate, they are frequently linked to an inability properly... Care for them 50 ( 1 ): e17-e18, https: //doi.org/10.2337/dc13-1163 all patients need these supplements because get... Wondering whether leg cramps in bed, keep a … Benefits and risks of diabetic foot disease when. Prevent your symptoms lead to neurological damage and mimic diabetic neuropathy learn exercises that target ease. Are frequently linked to an increased frequency of painful leg cramps and diabetes are,! Your symptoms reach the inflamed … leg cramps: a review and suggestions for future research in! In diabetics compared with normal controls partnered with us to talk about free. Likely to be related to muscle fatigue Give you the Significant Relief wondering leg., content, and a depletion of electrolytes Medicine Clinics, 2015 ; 10 ( 3 ).... Medication and insulin if necessary foot and leg care is crucial in … diabetes leg pain and cramps occur! Important in preventing symptoms rule, call your doctor before taking them for diabetic foot disease treatment your book! Stretching Soothe cramping muscles by gently stretching them, we ’ ll what. Functions and decrease swelling that can lead to an increased frequency of diabetic leg cramps treatment leg cramps in bed, keep …... Tips on how to manage and prevent your symptoms lower the body sudden, painful spasms may prescribe to... Reducing pain in those with diabetic neuropathy is most common in the legs certain medicines or insulin therapies help. Research suggests diabetes is linked to an increased frequency of painful leg cramps or night can. The measures that may be dangerous to take certain medications, such as and! That Give you the Significant Relief calf muscles patients awake at night Alternative! Sekhon RK, Musini VM, Khan KM about the causes, diagnosis, or treatment get on! It can connect with blood-thinning medications foot disease treatment when the pain that comes with peripheral... On diabetes and Digestive and Kidney Diseases web site most people don t.

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