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Each meal should contain no more than 45 grams of carbohydrates (accounting for 40% of total calories), which should be evenly distributed across the three meals to prevent excessive fluctuations in blood glucose and increased oxidative stress (153)

Although some people with MS report that vitamin supplements help them feel better, its important to know the risks of taking vitamins, which may cause side effects or interact poorly with medications that help slow the progression of MS

To prevent pernicious anemia, it is important to avoid foods that can interfere with the absorption of vitamin B12

Full-text review was subsequently performed, with approximately 20 to 35 studies informing the final narrative synthesis