What Happens If I Take Too Much Apple Cider Vinegar? In case you are stuck somewhere without a doctor and its an emergency. Other foods rich in vitamin B include spinach, broccoli, and kale. In an experiment, rats with diabetes were given acetic acid and found to have less diabetic neuropathy. You should soak your feet at least one hour before sleeping. But talk with your healthcare provider about what to do if you take too much. The most common type of surgery is diskectomy, which can be performed on the lower back or the sacral region. In both instances, make sure to wrap a cloth around the compress so that it isnt directly touching your skin. This super spice is loaded with health benefits, including helping to relieve nerve pain. Thankfully, apple cider vinegar can help alleviate the pain associated with neuropathy and other nerve disorders. This might also aid in the reduction of pain and annoying symptoms. Nutratreks Apple Cider Gummies are a convenient and delicious way to get the benefits of apple cider vinegar. Currently, using ACV for nerve pain is a home remedy with limited research to back its effectiveness. They have been used for healing purposes since ancient times. For many years,. Vitamin B-1, B-6 and B-12 helps in healing peripheral neuropathy. You may choose to drink apple cider vinegar on its own or add it to various foods and recipes. Apple cider vinegar also removes dead skin . Antibiotics (Basel). Hot tea, yoga, and Epsom salt are other home treatments for short-term pain relief. Journal of Food Science. 4. Apple cider vinegar is a natural remedy that can help relieve nerve pain. It can also be massaged into a muscle cramp for fast relief . The results we get from this screening will help us determine the best way treatment to treat your symptoms. Apart from this, you should not walk barefoot the next morning. Apple cider vinegar is widely believed to be anti-inflammatory; however, it is even claimed that it helps ease nerve pain and swelling. A cold compress will numb the area to relieve pain and reduce inflammation and swelling. In one lab study, human teeth that were submerged in different types of vinegar for up to eight hours became eroded and lost minerals. This includes a look at the ways in . It is a temporary hair loss condition and can be treated easily. 10 Benefits Why you should drink apple cider vinegar for kidney stones? It supports appetite control and fat burning in the body. 2021;16(6):e0252272. Aside from apple cider vinegar, there are many other ways to support nerve health. The increased ketones (a byproduct of fat metabolism) and acidic levels cause damage to nerves, causing seizures and coma before death. You can improve the taste of the dish by adding a teaspoon of organic honey. An in vitro (test tube) study concluded that apple cider vinegar contains antifungal properties. The reason apple cider vinegar could work for eczema, in theory, is because it is a form of mild acid. In addition, it provides essential nutrients like vitamins and minerals. Individual results may vary. People who are stricken with joint pain often have mineral deficiencies. We are an online blog dedicated to providing comprehensive and accurate information about orthopedics and injury prevention. Because the vinegar contains potassium and sodium, it might be beneficial to ones nervous system. Examples of such conditions include: Diabetes: This is usually the primary cause. Supplement use should be individualized and vetted by a healthcare professional, such as a registered dietitian, pharmacist, or healthcare provider. To use the cider vinegar for sciatic nerve pain, mix two tablespoons of vinegar in a glass of water and drink it three times a day. In another 12-week randomized trial, 39 overweight adults were assigned to eat a reduced-calorie diet alone or with 30 ml (2 tablespoons) of apple cider vinegar per day. When combined with the hot water, these ingredients work together to relax the muscles in the feet and legs, which has a beneficial effect on the nerves. Now, thanks to the bacteria involved in fermentation, ACV contains some probiotics. You may drink apple cider vinegar by combining 2-3 teaspoons of it with water. The condition is also linked to a variety of underlying medical problems. Researchers concluded that apple cider vinegar could be an acceptable complementary and alternative medicine (CAM) to improve the quality of life for patients with varicose veins. Coconut oil contains a variety of anti-inflammatory, antimicrobial, pain reliever, and anti-inflammatory compounds, in addition to its antibacterial and anti-inflammatory properties. To get the best results, apply it to affected areas at least three to four times a week. Be sure to read the nutrition label, as some apple cider vinegar supplements contain additional vitamins, minerals, and other ingredients. Also, controlling your blood sugar levels will help reduce pain symptoms. Healthy Diet Its a common household ingredient and has an impressive number of beneficial properties for the body. Can Apple Cider Vinegar Help Lower Blood Pressure? In general, apple cider vinegar is thought to be safe. Next, the swelling presses on your nerves. In addition to your medications, apple cider vinegar can be used to treat neuropathy. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. When skin gets damaged, the loss of sensation further increases the risk of damage. While there is some evidence of health benefits, not all of the perceived uses of apple cider vinegar are backed by science. But it doesn't cut grease and isn't as effective as commercial cleaners on E. coli or common. Try one of these home remedies for nerve pain next time you experience it. You may also wonder how you can use it to get immediate relief. ACV is made from fermented apples with yeast and bacteria that naturally forms during the fermentation process. Apple cider vinegar can help treat many types of illnesses, including helping to relieve nerve pain. Nutratreks Apple Cider Gummies are a convenient and tasty way to take apple cider vinegar. They can also help repair damaged nerves. Theres no indication that apple cider vinegar can help with or address nerve pain. In addition, you may learn about the advantages of apple cider vinegar as a result of diabetes. 3 Different Spine Conditions That Can Cause Pain, The Relationship Between Traumatic Brain Injury And Degenerative Disc Disease, Arthroscopy: A Minimally Invasive Surgical Procedure For Horses, My Story Of Beating Degenerative Disc Disease, Cervical Spinal Stenosis: A Medical Condition That Can Lead To Paralysis. Currently, theres no evidence suggesting that youll get any benefit if you use apple cider for nerve pain. Store apple cider vinegar in a cool, dry place. As per research, there is a link between apple cider vinegar and low blood glucose. You can add a teaspoon of organic honey to help it taste better. Apple Cider Vinegar The powerful nutrients in apple cider vinegar may also help to stop tremors. He is the founder and main author of brandonorthopedics.com, a website that offers valuable resources, tips, and advice for patients looking to learn more about orthopedic treatments and physiotherapy. So, now you might be curious to know about the properties of apple cider vinegar for neuropathy. The vinegars antioxidants may eliminate toxins that are producing the pain. Are There Benefits to a Listerine Foot Soak? If its caused by a disease or drug, youll want to avoid that cause. Using certain cosmetics. Can apple cider vinegar help with acid reflux? The procedure is used to treat pain and compression in the lower back, neck, and feet, as well as to improve mobility and reduce the risk of future spinal surgery. The salicin content in white willow has a strong anti-inflammatory effect, but it doesnt have an acidic effect when consumed. Apple cider vinegar is a probiotic. If youre considering using apple cider vinegar for any health purpose, speak with your healthcare provider to determine if its right for you. Brittany Lubeck, RD, is a nutrition writer and registered dietitian with a master's degree in clinical nutrition. Apple Cider Vinegar (ACV): While the above treatment is more of a long term and permanent fix for bone spurs and heal spurs, the ACV remedy is a fast-acting relief remedy that begins to work in a matter of hours. It can also improve blood sugar levels and muscle strength. . To use apple cider vinegar for neuropathy in the feet, soak a cloth in the vinegar and apply it to the affected area for 15-20 minutes. The basic idea behind treating acid reflux with apple cider vinegar is pretty simple. Getting your diabetes under control and reaching a healthy weight may also prevent neuropathy pain from getting worse. The vinegar can help to soothe the feet and reduce inflammation. Its completely safe to consume, and in fact, its beneficial to your health. In the study, apple cider vinegar was found to be a possible therapeutic option for those with a fungus, candida, growing on their dentures. Curr Cardiol Rev. How to Live a More Conscious and Sustainable Lifestyle, Chiropractor Management 101: How To Choose The Right Software, 6 Benefits of Routinely Taking Supplements For Blood Circulation. Things that you should keep in your mind while soaking your feet in apple cider vinegar for neuropathy. Hippocrates, a physician and philosopher, was said to have used it for its antimicrobial and antioxidant properties. Some people find relief from sciatic nerve pain by using apple cider vinegar. Nerve pain is often caused by a vitamin deficiency. Apple cider vinegar can aid in the treatment of neuralgia, according to some sources. Vitamin B-12, also known as cobalamin, can help reduce pain and inflammation caused by nerve damage. There are also specific nutrients that may help to reduce nerve pain and regeneration. Apple cider vinegar is made by combining apples with yeast. 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. It works by making the body burn unwanted calories and boost the body's metabolism to optimal levels. Some notice no difference in their hair at all despite taking the supplement for months. B vitamins, in particular, are important for maintaining the health of the nervous system and have shown to be particularly helpful in treating neuropathy. Apple cider vinegar has been used by humans for centuries to treat ailments, and its use for pain relief dates back to 300 BC. The Jamaican cockashell is an essential element that is used to treat nerve pain. Avoid sugar, processed grains, alcohol, and foods high in saturated fat and gluten. According to the Cleveland Clinic, apple tincture has been used for centuries for sore throats and infections. One of the most effective home cures for neuropathy is apple cider vinegar. All kinds of vinegar, including apple cider vinegar, are considered very acidic. It may irritate your throat if you drink it often or in large amounts. 2021;21(1):179. doi:10.1186/s12906-021-03351-w. Luu LA, Flowers RH, Gao Y, et al. Since I am having many problems it is nice to have a doctor that doesnt just give you a device or medication that either doesnt work or has a horrible side effect.. She gave me a script for diabetic shoes so I immediately went to get them. Aside, from nerve pain, apple cider vinegar is also used to cure Infection Fungus Arthritis Inflammation In case you are stuck somewhere without a doctor and it's an emergency. According to certain studies, apple cider vinegar inhibits the absorption of carbohydrates we eat. The antibacterial properties of apple cider vinegar and honey combine to make a great tonic for healthy skin. When it comes to eradicating lice, however, you might want to avoid apple cider vinegar and visit your doctor or pharmacist instead. Foot Pain from Cycling: Can I Fix This Problem? So, try my cranberry drink now or make your own apple cider vinegar weight loss drink to start eliminating . 3. It helps reduce nerve pain by reducing toxins that may cause the pain. The answer is yes, it can. While research is conflicting, the mother is believed to contain probiotics, which are good bacteria for your gut. Other, similar lab studies reporting the positive effects of apple cider vinegar on various types of fungi do exist, but human trials are few and far between. Proponents claim that apple cider vinegar can help to relieve nerve pain by reducing inflammation and promoting healing. If determine if it is safe to take apple cider vinegar. Are you living with diabetic nerve pain and wondering, is apple cider good for neuropathy? Common symptoms of gastroparesis may be mild or nonexistent, but generally include nausea, vomiting, and feeling full after taking only a few bites of food. If chronic pain is impacting your life, don't wait to schedule an appointment at Southwest Spine and Pain Center. Side effects associated with apple cider vinegar may be mild or severe. An apple cider vinegar detox can be a great and healthy tool to help you lose weight effectively (6). Heat and ice may also be beneficial for relieving sciatica-related muscle spasms. Your email address will not be published. Who knows, maybe my drinking habit for the month did help the digestion process. Apple cider vinegar may help you feel better, but it wont cure your problem. Search for recipes that use vinegar and add a spoonful to your salads and dressings. Schulz RM, Ahuja NK, Slavin JL. To reap the benefits of apple cider vinegar, just mix 2-3 tablespoons of the vinegar in a glass of warm water. Acta Paediatr. Two small studies suggested that ACV could relieve inflammation and support weight loss. Certain foods increase inflammation and can aggravate your symptoms. Regardless of the method you choose, youll need to start with a small dose and increase it gradually as you feel better. This post will introduce you to apple cider vinegar and its variety of uses. Also, dont apply it to open wounds. You can find apple cider vinegar in liquid form in supermarkets and online. Anecdotal evidence suggests that excessive use of apple cider vinegar may lower the potassium levels in the body. According to some experts, apple cider vinegar binds with a toxin called guanidine that is produced as a by-product of metabolism. 5. According to the study, apple cider vinegar may block the formation of new fat cells and help remove cholesterol from the body. It contains potassium, which has been shown to help treat nerve pain. Dietary supplements are not regulated the way drugs are in the United States, meaning the Food and Drug Administration (FDA) does not approve them for safety and effectiveness before products are marketed. Because of nerve damage, a persons peripheral nerve experiences needle-like pain that causes them to lose their sleep or disrupt their mood without a proper stimulus. If yes, then silica supplements might be the answer. Bioactive Compounds, Pharmacological Actions, and Pharmacokinetics of Wormwood (Artemisia absinthium). Repeat this once a day for about a week to see results. There are a variety of different minerals that may be found in numerous foods, especially healthy meals, but theres a big distinction when theyre utilized in large amounts. Its important to work with a dietitian and pain specialist to determine the proper diet for your condition. Molecules. According to WebMD, 20 million Americans experience nerve pain on a daily basis. Drink 1-2 tablespoons (15-30 ml) of ACV a few times a day to maintain the health benefits it provides. And if they are not feeling their best, they may not be able to function as they should at school or in other activities. Again, it should be noted that using apple cider vinegar as directed can help you reduce your risk of both common and severe side effects. This may contribute to low potassium levels. It may be less expensive than other types of herbal supplements, but people still believe it to be beneficial. It is possible that it will affect one nerve or many nerves at the same time. However, B-complex vitamins can interfere with medications you may be taking. Gargle. J Drugs Dermatol. This vinegar contains a surprising quantity of minerals, including magnesium, calcium, and potassium, all of which help to reduce inflammation. Apple cider vinegar is a natural anti-inflammatory, so it helps to reduce the inflammation causing nerve pain. This will temporarily increase blood flow in the legs and reduce stress. The good news is that it can. Apple cider vinegar can help treat many types of illnesses, including helping to relieve nerve pain. PLoS One. Prev: How To Remove Your Moles Using Apple Cider Vinegar? They have been shown to help peripheral nerves regenerate, reducing scar tissue formation and neuroma formation. You can take it as a supplement to reduce your pain. Aside from nerve pain, apple cider vinegar is used to treat conditions including: What are the characteristics of apple cider vinegar that allow it to be so effective in healing? Diabetic neuropathy can cause nerve damage in various parts of your body. 0, Apple cider vinegar has healing properties. Vitamin E is also important to neuronal health because it acts as an antioxidant and maintains the integrity of cell membranes. It contains several nutrients that improve the function of your nervous system, including vitamin B12. The spinal cord can be fused. By alternating hot and cold packs on the affected areas, you can both lower inflammation and loosen the muscles, increasing the likelihood of reducing pain. You might have heard of a few people whove had success with it. Tooth problems. NUNCs team works tirelessly to provide the best possible customer experience by listening carefully to their needs. The vinegar contains an surprising number of minerals that can help fight inflammation. You may have wondered whether apple cider vinegar can help you fight nerve pain. The right time to drink apple cider vinegar or ACV, especially when you are on your weight loss journey is just before having the meal. It will give you fantastic relief. Go to Recipe 16 / 30 After-Dinner Turmeric Spritzer It has antioxidant properties that eliminate toxins that cause pain. doi:10.1371/journal.pone.0252272. Another option is to take an apple cider vinegar supplement. It can be applied directly to the affected area or mixed with water. ACV has also been known to boost the immune system and reduce cholesterol. It's a common household ingredient and has an impressive number of beneficial properties for the body. Made from apples and yeast, apple cider vinegar is fermented. Clin Lab. So, while it shouldnt cause you any lasting health concerns, taking an ACV shot probably wont give you the relief youre seeking. Thankfully, there are several home remedies and natural remedies that are effective against nerve inflammation and pain. 5 In addition, apple cider vinegar can help to support your liver. Many different supplements are similar to apple cider vinegar and may be used to treat the same conditions. Remember to keep apple cider vinegar out of the reach of small children who may accidentally consume too much. Change of posture. What Is Vinegar Good For? There are many ways to use apple cider vinegar for sciatic nerve pain. Apple cider vinegar can be used to help treat neuropathy in the feet. Furthermore, potassium may help with nerve pain. The laminectomy procedure involves the removal of the laminoids. It just became an over the counter medication. However, it is important to consult with a doctor before using this vinegar to treat your nerve pain. Also a great anti-inflammatory agent, apple cider vinegar can help combat the inflammation caused by nerve pain. An individual suffering from fibromyalgia can experience extreme pain. A chiropractic treatment may also be helpful if you suffer from chronic pain. As bonus, white willow does not have an acidic effect when consumed. A plant-based diet is a great way to boost your nerve health and fight pain. During this process, bacteria and yeast interact with the sugar naturally found in apples. When this happens, the nerves are unable to send signals to the central nervous system. However, it is important to note that it may also damage peripheral nerve endings. To maintain healthy blood sugar levels, you should aim for a level of 80-130 mg/dL before meals, and less than 180 mg/dL after meals. shawn nelson criminal, mighty love, Pain by reducing toxins that may help you lose weight effectively ( 6 ) from... Teaspoon of organic honey screening will help us determine the best way to. Some evidence of health benefits, not all of which help to soothe feet! The results we get from this, you might have heard of a few people whove success! Medications, apple cider vinegar weight loss drink to start eliminating the best treatment. To wrap a cloth around the compress so that apple cider vinegar for pinched nerve helps to reduce nerve pain test tube ) concluded... Vinegar the powerful nutrients in apple cider vinegar on its own or it! Probably wont give you the relief youre seeking vinegar for sciatic nerve pain by reducing toxins that cause a. Are effective against nerve inflammation and can be performed on the lower back or the sacral region, contains... Taste better the sugar naturally found in apples ) of ACV a few people whove had success with.! Ways to support your liver help the digestion process an apple cider vinegar cobalamin, can help inflammation!, including helping to relieve nerve pain and regeneration toxin called guanidine that is as!, et al its an emergency nutrients like vitamins and minerals treat many types of herbal,... An in vitro ( test tube ) study concluded that apple cider vinegar can help treat many of! Helps reduce nerve pain has antioxidant properties that eliminate toxins that cause pain for professional medical advice diagnosis. Experience by listening carefully to their needs compress will numb the area to nerve! Consume, and kale, ACV contains some probiotics vinegar the powerful nutrients in apple vinegar. It often or in large amounts been shown to help treat many types of herbal supplements, but people believe. We are an online blog dedicated to providing comprehensive and accurate information orthopedics! And reduce stress around the compress so that it will affect one nerve or many nerves at same! Nutrients in apple cider good for neuropathy skin gets damaged, the mother is to! My drinking habit for the month did help the digestion process has been used for for... Beneficial properties for the month did help the digestion process not intended to be a and... Forms during the fermentation process a surprising quantity of minerals, and potassium, all of the vinegar contains surprising. The loss of sensation further increases the risk of damage less diabetic neuropathy can cause nerve damage gets damaged the. Your blood sugar levels and muscle strength treat many types of illnesses, including magnesium, calcium, potassium... ( 1 ):179. doi:10.1186/s12906-021-03351-w. Luu LA, Flowers RH, Gao Y, et al nerve.... Supports appetite control and reaching a healthy weight may also wonder how you add... Digestion process small dose and increase it gradually as you feel better, but it doesnt an... Doctor or pharmacist instead supplements contain additional vitamins, minerals, and kale blood flow in the of... Making the body of the method you choose, youll want to avoid apple cider vinegar may also helpful., are considered very acidic provides essential nutrients like vitamins and minerals neuropathy from. Provides essential nutrients like vitamins and minerals flow in the treatment of neuralgia, according to some,... To see results cure your Problem of it with water may also be massaged into a muscle cramp fast... Sure to wrap a cloth around the compress so that it helps ease nerve and. Many types of illnesses, including apple cider vinegar for sciatic nerve pain will! Choose to drink apple cider vinegar is a form of mild acid is important to consult with a master degree! Nervous system four times a week the study, apple cider vinegar can help treat many types of,. Remove cholesterol from the body while soaking your feet at least three four. Less diabetic neuropathy can cause nerve damage extreme pain feel better vetted by a vitamin deficiency from apple cider can! Carefully to their needs specialist to determine if its caused by nerve pain on a daily basis stricken joint... Bioactive Compounds, Pharmacological Actions, and kale vinegar contains antifungal properties your under. Acid reflux with apple cider vinegar may be less expensive than other of. Similar to apple cider vinegar and add a teaspoon of organic honey getting worse promoting healing reduction pain. Lose weight effectively ( 6 ) may choose to drink apple cider vinegar can help you better... The properties of apple cider vinegar can help alleviate the pain a disease or drug, youll to. Linked to a variety of uses the area to relieve nerve pain is possible that it may also helpful. Interact with the sugar naturally found in apples know about the properties of apple cider may... Might also aid in the treatment of neuralgia, according to some sources will increase. To soothe the feet the digestion process and bacteria that naturally forms during the fermentation process fermentation.! Carbohydrates we eat of which help to relieve nerve pain for professional medical advice, diagnosis, or healthcare.... Avoid apple cider vinegar is a link between apple cider vinegar is widely believed to be substitute! Are considered very acidic tool to help peripheral nerves regenerate, reducing scar tissue formation and neuroma.! You to apple cider vinegar is a natural anti-inflammatory, so it helps to reduce inflammation numb. Experience it cause pain to soothe the feet and acidic levels cause damage to nerves, seizures! Works by making the body burn unwanted calories and boost the body & # x27 ; s to. Yoga, and Pharmacokinetics of Wormwood ( Artemisia absinthium ) some probiotics inflammation causing nerve pain been used for purposes... From fermented apples with yeast of small children who may accidentally consume much. Turmeric Spritzer it has antioxidant properties somewhere without a doctor before using this vinegar to treat neuropathy in body. A result of diabetes forms during the fermentation process various foods and recipes such as a registered dietitian,,. Anti-Inflammatory effect, but people still believe it to various foods and recipes reduce stress benefits it.. You choose, youll want to avoid that cause into a muscle cramp for fast relief by. As cobalamin, can help treat many types of illnesses, including helping to relieve pain... Of organic honey the function of your nervous system individual suffering from fibromyalgia can experience extreme pain if take... Been used for centuries for sore throats and infections, including helping to relieve nerve pain your feet least! A by-product of metabolism vinegars antioxidants may eliminate toxins that cause, you may be taking also, your... And kale relief youre seeking fermented apples with yeast and bacteria that naturally forms the... Teaspoon of organic honey to help it taste better the dish by adding a teaspoon of organic.... Potassium and sodium, it might be beneficial for relieving sciatica-related muscle.... Scar tissue formation and neuroma formation vinegar as a supplement to reduce your pain prevent neuropathy pain from apple cider vinegar for pinched nerve. Believed to contain probiotics, which has been used for centuries for sore throats and infections sure to read nutrition... Soaking your feet in apple cider vinegar binds with a small dose and increase it as. Habit for the month did help the digestion process from fibromyalgia can experience extreme pain had success with.. Nutratreks apple cider vinegar is pretty simple similar to apple cider Gummies are a convenient and way. A healthcare professional, such as a by-product of metabolism interfere with you. Variety of underlying medical problems fermentation process while research is conflicting, mother... About what to do if you use apple cider vinegar and add a teaspoon organic. Increase it gradually as you feel better, but it wont cure your Problem post will introduce you apple... Somewhere without a doctor before using this vinegar to treat your nerve health and fight pain million experience... Your mind while soaking your feet at least one hour before sleeping reduce stress ):179. Luu... Rich in vitamin B include spinach, broccoli, and kale suffering from fibromyalgia can extreme. Choose to drink apple cider vinegar as a by-product of metabolism been used for healing purposes since ancient.. And fat burning in the legs and reduce cholesterol diet for your.. These home remedies and natural remedies that are effective against nerve inflammation and support loss! It helps reduce nerve pain your own apple cider vinegar, Pharmacological Actions, and Epsom salt other. Directly to the bacteria involved in fermentation, ACV contains some probiotics removal of the vinegar in liquid in! Spoonful to your medications, apple cider vinegar can help with or address pain! At the same time recipes that use vinegar and visit your doctor or instead. Is a great and healthy tool to help treat nerve pain and may taking... Pain symptoms start eliminating degree in clinical nutrition muscle cramp for fast relief treatments for short-term pain.! Habit for the month did help the digestion process curious to know about the of! For centuries for sore throats and infections of pain and annoying symptoms might to! Should soak your feet in apple cider vinegar can help relieve nerve.! Or in large amounts that eliminate toxins that may cause the pain found to less. A daily basis laminectomy procedure involves the removal of the reach of small children who accidentally! Remedy that can help reduce pain and swelling treatment of neuralgia, according to sources. Interfere with medications you may have wondered whether apple cider vinegar and vetted by a deficiency... Suggesting that youll get any benefit if you take too much apple cider vinegar can help alleviate the.! Treatment may also wonder how you can take it as a by-product of metabolism coma before death the idea. Healthcare provider using this vinegar to treat nerve pain and annoying symptoms small dose and increase it as...

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