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Trimethylamine and trimethylamine N-Oxide, a Flavin-Containing Monooxygenase 3 (FMO3)-mediated host-microbiome metabolic axis implicated in health and disease

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For patients with Wilsons disease or suspected Wilsons disease, any copper-containing therapy is contraindicated

Choose protein rich liquids at least 1 litre (2 pints) each day to help your body recover such as: Skimmed or semi-skimmed milk (try adding dried skimmed milk powder or protein powder) High protein shakes Slimfast Low-fat natural or plain yoghurt drinks Complan soup Meritene soup Protein Water Other fluids you can have: Still water Marmite, Bovril, consomm, bouillon Clear soups Herbal or fruit teas Tea and coffee (use sweeteners, not sugar) No added sugar/sugar free squash Sugar free jelly Diluted vegetable juice (no bits) Fluids to avoid: Fruit juices, malt drinks and fruit smoothies Fizzy drinks (including fizzy water) as the gases may cause bloating, pain and can increase your stomach size All alcohol Sample meal plan Breakfast: High protein shake Snack: 200ml glass of skimmed milk (add 1-2 tsp of skimmed milk powder) Lunch: Slimfast Snack: Meritine soup (1 sachet) Evening meal: High protein shake Snack: 200ml glass of skimmed milk (add 1-2 tsp of skimmed milk powder) How much and when

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