include protected health information. In many hospitals, an anesthesiologist and a certified registered nurse anesthetist (CRNA) work together during your procedure. Accessed Nov. 7, 2018. https://www.asahq.org/whensecondscount/anesthesia-101/anesthesia-risks/. If youre also taking I read where the iron can cause that. Your anesthesia care team will ask you about your pain and other side effects. All of this is memory and hearsay. Hensrud DD, et al. I generally try to avoid long duration of American ginseng in these women.". I have a pre op exam December 10th. Carol. Mayo Clinic Minute: Dietary supplements dont reduce dementia risk, but 3 tips do, In the Loop: The Beamer Gang forms unique patient friendships, With Her Seizures in the Past, Keeley Faces a Promising Future. The truth is that many powerful drugs (and poisons) are based on natural substances, so it's clear that many natural substances can have a potent effect on the body. 14th ed. AminoLean Pre Workout Powder Runner Up. I have read to take them with food which I always do. General anesthesia is a combination of medications that put you in a sleep-like state before a surgery or other medical procedure. All the supplements listed below should be stopped two weeks prior to your surgery. Quit smoking. Accessed Oct. 18, 2016. Estimates vary, but about 1 or 2 people in every 1,000 may be partially awake during general anesthesia and experience what is called unintended intraoperative awareness. information is beneficial, we may combine your email and website usage information with 2001;250(2):167-9. doi:10.1046/j.1365-2796.2001.00851.x, Rowe DJ, Baker AC. https://www.niddk.nih.gov/health-information/health-topics/weight-control/bariatric-surgery/Pages/potential-candidates.aspx. https://www.asahq.org/whensecondscount/anesthesia-101/types-of-anesthesia/general-anesthesia/. St. John's wort. Even if your physicians do not request this information, bring it up. Remodeling phase (3 weeks - years): The body transforms and replaces the collagen that was placed during the proliferative phase into a stronger collagen to support structure and function over the long term. Most surgeons will instruct you to avoid preparations with Vitamin E before surgery, however, so it is important to check your dietary supplements/multivitamin carefully. Mayo Clinic says supplements may be appropriate for people who: Don't eat well or consume less than 1,600 calories a day. Taking minerals. Keep in mind that some herbal supplements have a combination of compounds. Hi there, thanks for the follow-up. J Pharm Pharmacol. Add black beans, lentils and kidney beans to dishes. While several vitamins, minerals and amino acids are used during healing, there are specific ones that are known to specifically to support the normal response to healing, and to support the normal immune system response to infection. Studies indicate using these supplements before getting surgery can increase the risk of heavy bleeding during surgery. Infection fighting cells (neutrophils) and debris cleaning cells (macrophages) are recruited to the traumatized area. Good evening @mercuryrose. CoQ10 (may interact with blood thinners like warfarin and diabetes drug insulin), Ephedra (causes hypertension, palpitations, and tachycardia), Tumeric (prolong the duration of many drugs), St. John's Wort / Goatweed (sedation, blood pressure changes), CoQ10 (may lower blood sugar levels in diabetics and interact with warfarin), St. John's Wort / Goatweed (can cause photosensitivity, especially after laser or chemical peels), Vitamin B (complex) / B1 (Thiamine), B2 (Riboflavin), B3 (Niacin), B6, Biotin. Nutritional supplements are The surgery went well. C4 Sport Pre Workout Powder Top Pick. While several vitamins, minerals and amino acids are used during healing, there are specific ones that are known to specifically to support the normal response to healing, and to support the normal immune system response to infection. Are a woman who experiences heavy bleeding during your menstrual period. Part of HuffPost Wellness. Kava to help sleep? New York, N.Y.: McGraw-Hill Education; 2018. http://www.accessmedicine.mhmedical.com. Accessed Oct. 18, 2016. An anesthesiologist is a specially trained doctor who specializes in anesthesia. If you need to flag this entry as abusive. other information we have about you. New York, N.Y.: McGraw-Hill Education; 2015. http://www.accessmedicine.mhmedical.com. Some medical healthcare providers are not very familiar with nutritional supplementsand may disapprove or even lecture a person about using these treatments. Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions. Also required for bone development. Kava: Used to relieve anxiety, it can prolong the effects of anesthesia. This could include medications used for anesthesia, so the potential interaction may not be obvious to you. As with prescription and over-the-counter drugs, any effects of herbal and dietary supplements may be influenced by your age, gender, family history and general nutritional status. They could interfere with your treatment. General anesthesia is overall very safe; most people, even those with significant health conditions, are able to undergo general anesthesia itself without serious problems. Vitamin K stimulates blood-clotting factors that are produced in the liver and may help to prevent complications from bleeding. Some supplements may cause complications. Nonetheless, it is important to discuss all preoperative dietary supplements with a health care professional prior to any surgery or procedure. Dietary supplements are useful in some situations for example, calcium and vitamin D for bone health, and iron for iron-deficiency anemia. https://www.nutrition.gov/weight-management/strategies-success/interested-losing-weight. Your use of these herbals needs to be discussed with your physicians and cardiac surgeons. For certain procedures, your team may recommend general anesthesia. example, the absorption of some supplements can be influenced by whether you Don't obtain two to three servings of fish a week. And the answer is, quite honestly, It depends. According to the Dietary Guidelines for Americans, you should meet your nutritional needs primarily through diet. Side effects depend on your individual condition and the type of surgery. Vitamin A: Supports immune system functioning and aids collagen strength. Healing occurs in three distinct overlapping phases, with the bulk of healing occurring within the first few weeks following surgery. Your doctor may tell you to take some of your regular medications with a small sip of water during your fasting time. 13th ed. Accessed Nov. 7, 2018. A variety of herbal supplements may help your body heal after knee replacement surgery. Beverages. If you're obese and have weight-related health problems, talk with your doctor about whether diet pills or surgery could help you lose weight. Advertising revenue supports our not-for-profit mission. Some herbs are thought to have a significant negative effect on how the body metabolizes chemotherapy drugs. Connect with thousands of patients and caregivers for support, practical information, and answers. information and will only use or disclose that information as set forth in our notice of These statements have not been evaluated by the Food and Drug Administration. For both my TKR and my TSR surgeries, I was told to take vitamin D and vitamin C supplements starting about a month before surgery, and continuing for at least a month afterwards. Accessed Nov. 7, 2018. Do you have any suggestions on how to avoid that problem? Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Newsletter: Mayo Clinic Health Letter Digital Edition, Book: Mayo Clinic Family Health Book, 5th Edition. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. For both my TKR and my TSR surgeries, I was told to take vitamin D and vitamin C supplements starting about a month before surgery, and continuing for at least a month afterwards. You'll slowly wake either in the operating room or the recovery room. We do not endorse non-Cleveland Clinic products or services. health information, we will treat all of that information as protected health Ranked from most to least common, herbs and supplements not to take before surgery include: Vitamin E Fish oil and omega 3 Garlic Red chili pepper (capsaicin) Ginkgo biloba Saw palmetto Ginseng Chondroitin and glucosamine Bromelain Arnica montana Ginger Licorice Arnica montana Oil of wintergreen Feverfew Devil's claw Seasonal tonic tea There are two general categories of dietary supplements: nutritional and herbal. It also decreases . Vitamin C: 5001,000 mg per day, beginning at least 1 week before surgery. I have a big packet of info about it. Dr. Neal Blitz (www.nealblitz.com) is the Founder & President of Surgery Vitamin, LLC. improve their health or prevent illness. Mayo Clinic Minute: Dangers of late cervical cancer diagnosis in women of color. Avoid giving your athlete supplements or multivitamins designed for adults, as the daily requirements or tolerable upper limits may be lower in young athletes due to smaller body sizes. But are supplements safe when you have cancer? Calcium, vitamin D, vitamin B12, iron and fiber are common I've had two surgeries before and haven't had to take any. You may consider taking vitamin supplements to help the healing process following eye surgery. flaxseed. In summary, healing is complex but the concept for surgical nutritional support is simple -- provide the building blocks for healing to optimize the healing efforts. Neither is surgery. japanese honeysuckle. Will you let me know about your TKR? All rights reserved. And was it at a Mayo Clinic? It is even rarer to experience pain, but this can occur as well. https://www.asahq.org/whensecondscount/preparing-for-surgery/risks/age/. Did you know that taking some herbal supplements in the month before or after having surgery can be dangerous? Vegetables and Fruits. Well, "natural" doesn't always mean safe. https://www.asahq.org/whensecondscount/preparing-for-surgery/prep/preparing-for-surgery-checklist/. More and more often, Americans are reaching for alternative products in their quest for good health. necessarily mean its safe or effective. I think her iron pills were big capsules but that was 60 years ago. Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. Grape Seed Extract: Studies have shown that this supplement helps decrease recovery time by assisting Vitamin C's entrance into cells, which improves cell membrane strength. Also, the medicines' quality, ingredients and manufacturing processes are not subject to inspection by a regulatory agency such as the FDA. Whole foods are complex, containing a variety of the micronutrients your body needs not just one. Before you undergo general anesthesia, your anesthesiologist will talk with you and may ask questions about: This will help your anesthesiologist choose the medications that will be the safest for you. I am scheduled for my first TKR in February", "Hi Chris. Prescription and over-the-counter medications are closely Accessed Nov. 7, 2018. check out these best-sellers and special offers on books and newsletters from Mayo Clinic. evaluate if the supplement is safe for you. Anesthesia risks. Get plenty of rest. He or she will adjust your medications, breathing, temperature, fluids and blood pressure as needed. I am not a health professional. If you are a Mayo Clinic patient, this could So there may be options for you. Accessed Oct. 3, 2019. But diet pills aren't for everyone. Popular herbal supplements include echinacea, ginkgo and Devils claw. American Society of Anesthesiologists. Drinking coffee and teas. 2019;71(1):129-138. doi:10.1111/jphp.12858. https://www.uptodate.com/contents/search. 2023 Dotdash Media, Inc. All rights reserved. General anesthetics. Continue for 1 week post-surgery. The herbals may change the bioavailability of a prescription drug used during cardiac surgery or affect its efficacy. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Have your vitamin D levels checked before surgery, and supplement with 2000-5000 IU of Vitamin D3 per day accordingly. After all, everyone involved in your care wants the best possible outcome. If there is not enough time to stop your herbal medications before surgery, bring the product in the original container. If you are like millions of other Americans, you may well be taking several supplements daily for your health. Perioperative management of blood glucose in adults with diabetes mellitus. Fasting is usually necessary starting about six hours before your surgery. They can have serious side effects; some can be downright dangerous. But diet pills aren't for everyone. Supplements That Can Cause Bleeding Problems. But don't forget that during and after cardiac surgery you are given many other drugs you don't normally take. The American Society for Aesthetic Plastic Surgery encourages healthcare providers to give detailed lists of these supplements to their patients. Most people are confused when they are instructed to avoid Vitamin E prior to surgery because Vitamin E is often associated with of healing scars. Eat healthy foods, such as fruits, vegetables, lean meats and whole grains, and drink enough fluids to stay well-hydrated. Make your snacks count. If you have diabetes, talk with your doctor about any changes to your medications during the fasting period. Just like you would train for a marathon or sporting event, you should prepare for surgery and anesthesia. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. You may opt-out of email communications at any time by clicking on Accessed Nov. 7, 2018. DEAR MAYO CLINIC: Why does my doctor want to know what supplements Im taking, even if I dont have any health problems and dont take more than the recommended amounts? The body may be asked to heal minor cuts/wounds and dental extractions to major bone and/or reconstructive procedures. other information we have about you. Mayo clinic marketplace. Herbal medications are unregulated in this country. The bottom line is that although nutritional and herbal supplements may be useful, they arent risk-free. Vitamin and mineral supplementation is recommended for some people with certain conditions. information highlighted below and resubmit the form. I hope this response helps you. The PT exercises were a bit on the strenuous and painful side and yet very necessary to reach the ROM and extension goals. 2015;2(3):157185. In so doing they may have dangerous side effects including: If you've been taking these kinds of preparations for some time, and haven't experienced side effects, you may be inclined to "pooh-pooh" warnings in articles such as this. can affect your body and your health. If so, caution is required before you have a bypass operation, valve repair, or any other type of cardiac procedure. A coordinator will follow up to see if Mayo Clinic is right for you. Use lentils, beans, tofu and other sources of protein instead. Blood thinning supplements to avoid. FREE book offer Mayo clinic health letter; NEW Mayo Clinic Guide to Arthritis; The latest digestive health guidance; Live stronger and healthier at any age; The Mayo Clinic Diet Online. There is a problem with Any issues that occur during the surgery are corrected with additional medications, fluids and, sometimes, blood transfusions. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition, Ask the Mayo Mom: Spinal anesthesia has advantages for some pediatric surgeries. Common Medications. It can also reduce the bodies natural ability to clot, making it difficult for surgical . Supplements that affect anesthesia. For example, fruits and vegetables carry many different nutrients thatprovide health benefits to the humanbody. I hope this response helps you. Although supplements arent General anesthesia is more than just being asleep, though it will likely feel that way to you. Effects may vary according to whether you have other health conditions, and how those health problems are being treated. According to Mayo Clinic, whole food is not to be replaced by supplements, as supplements cannot replicate all the health benefits of whole foods. Discuss your medications with your doctor. Learn more about Cleveland Clinic initiatives to prevent illness and foster health. How You Can Decide, Center for Food Safety & Applied Nutrition, Heart, Vascular & Thoracic Institute (Miller Family), Decreasing the blood's ability to clot, or the amount of time clotting takes, Reducing the number of cell components called platelets in the blood, or their ability to stick together (called platelet aggregation and adhesion), Decreasing the viscosity (thickness) of blood. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. Nevertheless, with countless products on the marketplace, the process of choosing the right vitamins and supplements can be overwhelming. designed to provide vitamins and minerals your body needs that you may not get enough http://www.health.gov/PAGUIDELINES/guidelines/default.aspx. Accessed Sept. 28, 2015. This study found that a variety of foods and supplements including celery, chamomile, evening primrose, fenugreek, garlic, ginger, ginkgo, horse chestnut, licorice, red clover, turmeric and willow can produce serious cardiovascular side effects when taken with medications. It may also cause blood sugar drops and, when fasting prior to surgery, may cause complications. In fact, these nutritional supplements can be as dangerous as taking aspirin or Advil (ibuprofen) before surgery. Carol. That means they are not subject to controlled clinical studies, either in animals or humans, that would highlight any negative side effects. Make a donation. Your If you're obese and have weight-related health problems, talk with your doctor about whether diet pills or surgery could help you lose weight. Vitamin E and surgery do not mix because Vitamin E is associated with increased bleeding, and this can lead to collection of blood (called a hematoma) that could result in serious complications. You may be able to drink clear fluids until a few hours prior. I remember my mother had an iron deficiency.and was labeled anemic. Be sure that your quest doesn't take you down a dangerous path. Thank you, {{form.email}}, for signing up. Commonly Used Dietary Supplements on Coagulation Function during Surgery. nutritional supplements many people take. Is that what the iron pills are called? the absorption or action of medications, so it may be important to take them Low vitamin D. Excess vitamin K. Turmeric and curcumin. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Below we list some of the known problems herbal supplements may cause in surgery. Green tea and rosehip tea have antioxidant properties and may promote wound healing. But be aware that vitamins and minerals are being added to a growing number of Diet pills and surgery can help with weight loss when combined with a healthy diet and physical activity. Topical Vitamin E preparations, however, are used for scars postoperatively. Take 5 of the #30C Pellets 3 times daily, starting 3 days before surgery, or every 2-4 hours for the first 48 hours. Chris. Accessed Nov. 7, 2018. Accessed Nov. 7, 2018. A single copy of these materials may be reprinted for noncommercial personal use only. Mol Nutr Food Res. Children may prefer to go to sleep with a mask. If you use herbal supplements, make sure to learn about herbal supplements that may be contaminated or toxic. Accessed Oct. 18, 2016. If you've been diagnosed with cancer, you may be considering taking herbal and dietary supplements to help strengthen your immune system and ease the symptoms of cancer treatment. Read our, Why Herbal Supplements Get Missed in the Pre-Surgery Checklist, Understanding the Risks Involved When Having Surgery, Potential Risks of Supplements Prior to Surgery, Some Specific Surgical Risks Related to Herbal Supplements, Supplements That Can Cause Bleeding Problems, Supplements That Can Have Cardiovascular Effects, Supplements That Can Cause Drug Interactions, Supplements That Can Have Anesthetic Effects, Supplements Known to Cause Other Types of Adverse Events, Top 9 Vitamins That May Raise Blood Pressure, 6 Best Herbs and Supplements for High Blood Pressure, Guide to Dietary Supplements and Thyroid Disease, Be wary of "natural" therapy in gynecological surgery, Commonly Used Dietary Supplements on Coagulation Function during Surgery, Intraoperative haemorrhage associated with the use of extract of Saw Palmetto herb: a case report and review of literature, Perioperative risks and benefits of herbal supplements in aesthetic surgery, Alternative medicine and anesthesia: Implications and considerations in daily practice, A critical evaluation of drug interactions with Echinacea spp, Understanding drug interactions with St John's wort (Hypericum perforatum L.): impact of hyperforin content, Perioperative Risks of Dietary and Herbal Supplements, Commonly Used Dietary Supplements on Coagulation Function During Surgery, St. John's Wort (can cause photosensitivity, especially after laser or chemical peels). privacy practices. Foods, Vegetables, and Vitamins to Avoid Before Surgery. Ginseng should be stopped at least one week prior to surgery. People ask me this question quite often: "Should I be taking certain vitaminsand supplements?" For some patients, this may cause long-term psychological problems, similar to post-traumatic stress disorder. Before undergoing oral surgery, it is important to understand any drug interactions or contraindications to treatment. Maybe that's when they will get into that. information and will only use or disclose that information as set forth in our notice of Vitamin D & Calcium: Important for bone health. Is this normal? 10th ed. Other vitamins, minerals, and herbs. I already was taking calcium+vitD tablets and vitamin D capsules as normal maintenance, so just needed to add the vitamin C. No mention of iron. mood, also is strong enough to carry potential health risks. Do you grab Echinacea to stimulate the immune system at the first sign of a cold or virus? Just wanted to follow up with you on the vitamins. Is This an Emergency? Interested in more discussions like this? Is that correct? Anesthesia awareness (waking up) during surgery. Both knees are bad so it's hard to know which one to do first. Vitamin C is also a powerful antioxidant that supports the immune response. General anesthesia. We understand why people may be reluctant to report their use of alternative therapies such as herbal supplements to their surgeon. Some factors that may be involved include: General anesthesia relaxes the muscles in your digestive tract and airway that keep food and acid from passing from your stomach into your lungs. Proliferative phase (2 days - 3 weeks): The body starts building tissue with specialized collagen-forming cells called fibroblasts. However when I took one in the morning right after breakfast I felt really nauseous. I'd appreciate any help. Thanks for the suggestion of taking iron.. Whole foods contain other substances important for good health. Whole foods are complex, containing a variety of the micronutrients your body needs not just one. Dr. Chris L. Tye, MD, DDS at Texas Oral Surgery Specialists in Colleyville, TX has compiled a list of common medications and supplements that should be avoided.. Common Herbal Supplements to Avoid 2008 Physical Activity Guidelines for Americans. May 1, 2018 You may need to stop taking blood thinners, certain painkillers, herbs, and supplements to reduce your risk for bleeding. American Society of Anesthesiologists. Accessed Nov. 7, 2018. American Society of Anesthesiologists. A few commonly taken herbal supplements to avoid are: Ginko Biloba, Garlic, Ginseng, Ginger, Dong Quai, Ephedra, Feverfew, St. John's Wort and/or Omega 3 fatty acids. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. If you have diabetes, talk with your doctor about any changes to your medications during the fasting period. Circ Cardiovasc Qual Outcomes. American Society of Anesthesiologists. And garlic to help protect your heart. Complete your request online or contact us by phone. But maybe it would depend on your blood test results and or just your doctors preferences. The FDA doesnt regulate key reasons its important to talk with your health care provider about your Potential candidates of bariatric surgery. Ginseng. I have read somewhere on Connect that some folks substitute raisins for iron pills. Erian M, McLaren G. Be wary of "natural" therapy in gynecological surgery. more than the recommended amount of your supplement, and that is wise. https://www.uptodate.com/contents/search. Anne Harguth is a registered dietitian at Mayo Clinic Health System in Waseca. General anesthesia usually uses a combination of intravenous drugs and inhaled gasses (anesthetics). Discuss the types of dietary supplements you take with your doctor before your surgery. Inadequate red blood cells decrease the body's ability to heal." Connection & Conversation: Open for the holidays. privacy practices. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. What medications should I STOP before surgery? Just want to make sure and I think you mean that your TKR will be in February 2022..not 2021. If you have sleep apnea, discuss your condition with your doctor. Neither is surgery. In: Basic & Clinical Pharmacology. Magnesium: Mineral involved in approximately 300 biochemical reactions. Mayo Clinic Minute: Is tinnitus causing that ringing in your ear? National Institute of Diabetes and Digestive and Kidney Diseases. "Ginger is something we can consider delivering to our patients when they come in with that question: 'What else can I do for my chemotherapy-induced nausea and vomiting?'" While some show promise in side effect management, other supplements may be detrimental. Witch hazel or. Herbal supplements, in general, are to be avoided prior to surgery because they can cause bleeding or other operative complications. It is particularly important for Besides vitamins, supplements include ingredients like herbs, amino acids, enzymes, and minerals. health information, we will treat all of that information as protected health This way, you avoid side effects like bloating or excess gas. Intraoperative haemorrhage associated with the use of extract of Saw Palmetto herb: a case report and review of literature. Another one of the supplements to avoid before surgery is ginseng as it may increase or decrease blood pressure. Basically, healing efforts surround the rebuilding of collagen, a specialized chain of amino acids, that is the main component in many tissues -- such as skin, tendon, muscle, ligaments, cartilage, blood vessels, bone, interverterbal disk, teeth and more. getting enough sleep 7-9 hours is consider Thanks. Be sure to let your cardiologist and cardiac surgeon know well in advance of your cardiac surgery if you use any of these kinds of supplements, medicines or therapies. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Yet patients who withhold this information can pay a hefty price. This new tissue is called granulation tissue and special growth factors to stimulate skin formation (epithelialization). You may opt-out of email communications at any time by clicking on I did get some and took one in the evening and it was fine. is lack of oversight in their production and claims manufacturers make about Age. Maria M. LoTempio, MD, is a double board-certified plastic surgeon specializing in reconstructive surgery and otolaryngology (head and neck) surgery. These include: Garlic. Mayo Clinic Minute: Is tinnitus causing that ringing in your ear? Have you talked to your surgeon or his staff about the nauseousness? This content does not have an Arabic version. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Beware of products promising miracle weight loss. health benefits. Dosage: According to Mayo Clinic, women should aim for 21 to 25 grams of fiber daily, while men should eat 30 to 38 grams.
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