This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Exercise alone is unlikely to be enough to promote weight loss without dietary adjustments. https://www.facebook.com/Raising-awareness-for-a-whole-food-and-healthy-vegan-way-of-eating-103125738350345/. Donate While You Shop & Support CMT Awareness! I spent part of a day walking around soccer fields to watch my Grandaughter play in a tournament. Cupcakes. I had a Bilateral Achilles Tendon Release Op at the age of 2yrs +. Therefore, you should try to opt for low fat alternatives to foods that can be high in fat. No gluten, no sugar or high fructose corn syrup. Also, green tea is loaded with antioxidants called catechins, which help speed up your metabolism. "Choosing foods that keep your blood sugar in a safer range, as well as avoiding the ones that don't, helps reduce your risk of your condition progressing and developing complications." So which foods are fine to eat freely, and which should you avoid? However, there are other unrelated risks that the patient should discuss with the prescribing MD. However, Botox is expected to wear off in 3 months. Courtney. We should note that these studies were done on non-CMT muscles, so we cant offer any guarantees as to how it will work for CMT muscles. Does anyone have great recipes that use turmeric? To our knowledge, people with CMT are at no additional risk in having Lasik or other corrective procedures. There is no mention of whether any CMT patients were included in this large trial. The process, in general, lasts for one to four weeks and then improves depending on the severity of the process. | Most Metronidazole (Flagyl) treatments are 2 weeks or less and constitute very limited risk. Eliminate food with trans fats and other bad fat. aged 9 yrs and had many more my last one being 4 weeks ago. There is no listed contraindication to the use of alendronate (Fosamax) in patients with CMT. There is very limited information about nutritional and dietary supplements and peripheral neuropathy. Neither do I believe that there is any theoretical reason why this should make a neuropathy worse. In this way, green tea helps you losing bodyweight even you fail to do any exercise or involve in low-intensity exercise. However, for an unlucky few, even the small amount of quinine in tonic water can cause thrombocytopenia. Shutterstock. Participate in an HNF-hosted event or create your own. Not even thinking. If it comes straight from the udder, avoid it. We know very little about special risks for patients with less common forms of the disease. Everyone responds differently. Treatment with onapristone, a progesterone antagonist, has improved the neuropathy of the CMT1A rat, but has not been tested in humans yet. Minds constantly cloudy and the neuropathy is insane. Antimuscarinic medications such as Vesicare are not known to cause or worsen neuropathy. (Trip stats/details in comments) 1 / 20. There is no evidence that injections will worsen the overall condition. The FDA has banned the use of quinine for nocturnal leg cramps because of its serious side effects. It was soo painful. Most people with CMT will have no problem with anesthesia. You should reduce the intake of fatty, salty and sugary drinks or food items wherever it is possible. Muscle cramps are rarely seen, but could be more common in patients prone to cramps, such as patients with CMT. I have found no other similar reports of this kind in a review of the North American CMT database registry. Aiming for foods with less than 5g sugar per serving and 5g fiber or more per serving is best. Each patient is different, so ideally these should be discussed with a doctor or nutritionist to determine the best plan. Having your physician see the clawing and examining the hand is needed for specific recommendations, but the narcotics would be a highly unlikely underlying cause. A recent study found that a compound in spinach increase protein synthesis, which helps your muscles repair faster after you work out. 25 Foods You May Want to Avoid, According to Registered Dietitians. . The small risk of the agents you mention is based solely on small numbers of possible or probable but not definitive case reports in cancer patients; no reports of use of these agents in CMT patients is known. My go-to breakfast for the past week: chia seeds, coconut milk, pineapple, blueberries, toasted walnuts, and honey. Click here for an in-depth summary of a study on neurotoxic medications and how they affect CMT patients. Protein is necessary but shouldnt be consumed excessively, as this can lead to weight gain. Garlic and Root Vegetables Garlic, onions, ginger and turmeric have anti-inflammatory properties. Most CMT patients will not have a reaction other than the kind that might be expected in anyone. September 24, 2019. You may feel energized at first, but once your body burns off that sugar youre likely to feel more tired. How was the diagnosis process? Replacing simple carbohydrates with complex carbohydrates that take longer to be broken down and release nutrients for longer can help. There is little research on the effects of vitamins on CMT. Given the widespread usage and rarity of report, the link is tenuous at best. The association seems to hold true only for CMT1A, the most common form, and HNPP (Hereditary Neuropathy with liability to Pressure Palsies); both are associated with defects in the PMP22 gene. Thus, to manage your body weight with Charcot Marie Tooth symptoms, you should never forget including spinach in your salad and in turn, give a helping hand to your body muscles. The drug is also under investigation for supporting nerve growth. Barley. Sugar: Sugar is a complete source of empty calories as it have 100% of energy and no other nutrient. Worst mistake of my life was going vegan with CMT. You may also experience loss of sensation and muscle contractions, and difficulty walking. I am not aware of attempts to treat otherwise normal CMT patients successfully with B12, but it has been tried in diabetic neuropathy without clear benefit in patients with normal vitamin levels. There has been considerable research on vitamin B12 and some forms of B12 such as methylcobalamin and neurologic function. It is associated with causing and worsening neuropathy, especially if taken on an ongoing basis; however, the nerves that control respiration are not usually involved especially if the nerves to the limbs are not similarly affected. Even though eggs have suffered from a bad reputation for a long time, they have finally started to make a comeback. Try eating a diet rich in healthy fats and fiber. As far as we know, there are no specific vitamins that help with CMT. Nine days after vaccination is a reasonable time frame but we have no means to prove the association. It turns out that Popeye has been right all along! I dont have CMT but both my husband and 6 year old son do. It does not provide medical advice, . Wahls protocol is a modified Paleo diet, which may have benefits for some, but again may be too low in carbohydrates for others. Podophyllin resin is clearly neurotoxic and is contained in certain roots used in Chinese herbal remedies, but it hasnt been used in Western supplements since the 1980s. I have been vegan almost 3 years. Given the current knowledge, this drug is still probably a good bet if lipid therapy is needed. However, others may need to limit even more foods and beverages. That is hard to say. He graduated from NC State University in 2013 with degrees in economics and international studies. It is unclear if CMT patients are more vulnerable. Additionally, taking megadoses of any substances is not advisable. It reminded me of one of my takeaways from the. Only those with respiratory involvement (very rare) or vocal cord paralysis (a very rare variant) may have problems with anesthesia above that seen in the general population. What are all foods to eat wth cmt and what avoid, Trying to learn more on cmt what to eat and what not to having weight gain and in lot of pain. Focusing on a varied diet with adequate carbohydrates and a wide variety of fruits and vegetables will likely meet all of your micronutrient needs. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. There are no reported contraindications for persons with peripheral neuropathies taking these over-the-counter drugs. Learn about how to identify your trigger foods: By the end of the day I was wiped out. Dr. Florian Thomas is a neurologist with expertise in Charcot-Marie-Tooth at Hackensack University Medical Center and Hackensack Meridian School of Medicine at Seton Hall University. Some experts recommend tapering the dose down over a period of one week for every month youve been on the drugsix to eight weeks if youve been on the drug for six to eight months, as a rule of thumb. 18. The neurotoxic drug list was compiled by neurologists and is continually monitored for additions and corrections. There is no known or reported link between worsening neuropathy and either Lomotril or metoclopramide (Reglan). Hello Linda, I am 44 and I have been vegan for 15 years. 6 /8. Its possible that more local weakness than average will be produced in CMT patients, especially if the injections are in the legs. Simple carpal tunnel syndrome is common and treatable in patients with neuropathy of any cause, including CMT. One problem is that the full ingredient list in some herbal supplements is not available, accurate or required. When an immune attack on nerves is triggered in a CMT patient, any nerve damage may add to the underlying neuropathy. While papaya has papain so does pineapple. There does not appear to be a specific diet that helps or hinders those with CMT. The drug was approved in 2004, so it has quite a while to go before legal generics can be sold in the US. Fiber acts as a prebiotic, so it helps feed beneficial bacteria in your gut. CMTA-STAR Research for Axonal Forms of CMT, CMTA-STAR Research for Demyelinating Forms of CMT, Research in CharcotMarieTooth Disease Type 1A (CMT1A), A Guide to Physical and Occupational Therapy for CMT, CharcotMarieTooth Disease and Breathing Problems, Exercise and Physical Therapy for Inherited Neuropathies, Physical Therapy and Exercise: Getting the Right Dose, GoGo Stik Makes Scooping Dog Poop Easy and Safe, Breakthrough Guide to Orthopedic Surgery for CMT, How to Decide If Foot Surgery Is Right for You, Surgical Correction of the CMT Foot, Part 2: Tendon Transfers, Click here for an in-depth summary of a study on neurotoxic medications, Taxols (paclitaxel, docetaxel, cabazitaxel), Metronidazole/Misonidazole (extended use), Nitrofurantoin (Macrodantin, Furadantin, Macrobid), Nitrous oxide (inhalation abuse or Vitamin B12 deficiency), Pyridoxine (Although megadoses [10 times or more the RDA] of Vitamin B6 may be harmful, high intakes of vitamin B6 from food sources have not been reported to cause adverse effects.) When we discuss losing weight, what were really talking about is creating a calorie deficit. The story of vaccinations and neuropathy is a long and controversial one. What To Eat & Avoid When You Have Diabetic Neuropathy? Children younger than 24 months old should avoid added sugars. The statin class of cholesterol drugs inhibits a critical enzyme in cholesterol production. Taking the drug at its usual dose for the typical seven to 10 days rarely causes a problem. In the case of multiple physicians working together, the names of diseases can quickly become long. The CMT doctors all agree that it is more important to control high cholesterol than to worry about possible muscle weakness. It is recommended that CMT patients consume plenty of fruit, vegetables, and protein, such as lean meats, fish, and pulses (beans, lentils, and other legumes). Dr. Greg Stilwell responds: Botox has been used successfully in spastic contractures, as well as hyperhidrosis (sweaty feet). I dont have swelling in my legs since cutting out dairy, I dont have pain anymore, I have more energy and I just feel so much better in general. Mildly increased CK (creatine kinase) values are not a primary reason to withhold a statin drug, but muscle symptoms and CK values should be checked while on the drug. Clams. Hi Do you know if this is normal with CMT? There are 254 drug interactions with CMT (choline salicylate / magnesium salicylate) CMT (choline salicylate / magnesium salicylate) alcohol/food interactions. I went to PT for 6 months. A healthy diet/ lifestyle is best. There is some evidence but not a well-accepted belief of mild effects on muscles away from the injection sites. After the conference, I took a second look at certain aspects of my life that I had never considered as important to addressing CMT. Diphtheria infection can cause severe demyelinating neuropathy and is potentially fatal. Positively, you may easily manage your body weight and other major Charcot Marie Tooth symptoms by simply having a healthy yet balanced diet combined with a tailored exercise plan.(1). One of those is diet. Start a CMT Birthday Fundraiser! Turkey. Pastries, cookies, and other treats with refined sugar are low in fiber . Weight gain during the last nine months or so is very common. . In addition, most of the literature on other medications is based on patients with CMT1A (the commonest demyelinating form). As with the other medications utilized for this neuropathic pain, including amitryptiline, nortryptiline and carbamazepine, Neurontin is not specific for CMT pain, but is used in many painful neuropathies. It depends on which nuclear medicines are used. >I know of no evidence that either of those drugs produces worsening of neuropathy either alone or in combination. In fact, a single slice of pineapple contains 27calories with only 7grams of carbs. The statin drugs are safe for most patients with CMT. Foods to avoid with cmt Information about diseasemaps.org by users and is not medical advice. Share to your page and let others know what CMT research means to you! As a child and young adult I had a high metabolism and never had to worry about my weight (even with my disability). However, if the CMT patient has chronic inflammatory neuropathy as well as CMT, the patient could be left with a loss of motor and sensory function. 1. It can decrease appetite and lead to weight loss. Vinblastine also causes neuropathy in individuals without existing neuropathy. Diabetes mellitus produces different types of peripheral neuropathies. One should avoid megadoses of B6 (10 times the RDA), which presents a danger only when taken in excess of the supplemental. The agent has not been studied in CMT, to our knowledge, and it is important to know that the mechanisms of nerve injury differ between diabetes and CMT. Weight maintenance is also important in order to maximize your ability to move your body pain-free and with as little fatigue as possible. Recent studies have confirmed what five year olds have been telling us for years chocolate milk is a health drink. However, all vitamins should be taken in conventional doses unless otherwise directed. Your son has two diseases that independently affect the peripheral nerves and in combination can aggravate the nerve damage. Thank you to the many faces and families who have chosen to share their stories and fundraise for their rare subtype of CMT. A Study on Neurotoxic Medications By investing in the CMTAs Legacy Society, you can ensure that children with CMT will grow up with the hope of a world without CMT. Also had extensive neck and back surgery as well as knee replacement. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. Perhaps it is because people who eat more protein tend to burn more calories a day 71 calories a day to be exact, according to British researchers. Cyclosporin A can cause the same problem, but even more rarely. The foods that you eat need to do more than just fill you up. There is no information about a positive or negative reaction from a patient with CMT with any of these treatments. Usually this implies that the underlying infection is more severe or more difficult to eliminate. This site is strictly a news and information website about the disease. Nitrofurantoin (Macrodantin) is an antibiotic used for a variety of problems, but more extensively in past decades for UTIs. Charcot-Marie-Tooth disease (CMT) is the most common inherited neuromuscular condition, affecting approximately 1 in in every 2,500 people. Sous-vide salmon, spinach, arugula, flax seeds, tomatoes, celery, toasted walnuts, and roasted beets. He suggested CMT-ers focus on foods high in anti-inflammatory components: Green leafy vegetables Bok choy Celery Beets Broccoli Blueberries Pineapple Salmon Chia seeds Flax seeds Coconut oil Turmeric Ginger Walnuts Taking the challenge I turned the doctor's suggestions into a shopping list. Young is a writer with CMT 1A living in Cary, North Carolina. Methadone and Vicoden pills have no such concerns. There were a few reports of sudden neuropathy with St. Johns Wort in the late 90s, but very little since then. Others used for viral infections (HIV agents, wart virus) fungal infections (griseofulvin), and parasitic infections (malaria) are usually considered separately. The effects are uncommon and directed directly against muscle and not on the nerve or worsening of CMT. Coping Methods For Charcot Marie Tooth Disease. >A dose of 25 mg/day of pyridoxine appears to be of negligible risk. CMTA Patient/Family Conference I attended, https://www.youtube.com/watch?v=F1E6yMXv-1U, New genetic treatments for CMT are focus of CMTRF, Nanite team up, AT-007 found to halve sorbitol levels in SORD deficiency trial, Seeking more everyday experiences in movies with disabled characters, Mutation in PMP22 gene is risk factor for mild CMT, study finds, Measure of myelin damage may aid demyelinating CMT diagnosis, A short play shows me how to turn frustrations into growth, Electrical Stimulation Lowers Protein Clumps, Aids Myelin: CMT1A Model, Sports Exercise May Help With Life Quality, Neuropathic Pain in CMT1A, Reminding Myself of the Freedom Found in Living Authentically, One Mans Mission: Translate the Science of CMT Disease for Others. A simple google search would of told you this. Is Charcot Marie Tooth Disease A Disability? Midazolam has a black box warning stating: Midazolam I.V. Keto has proven to work for me. These have not been tested in clinical trials for CMT patients, butinclude: Charcot-Marie-Tooth Newsis strictly a news and information website about the disease. http://www.angelfire.com/mi2/chip/cmt.html. However, it is not something to avoid in a CMT patient, if indicated for another condition. The more severe the neuropathy, the more susceptible the patient to the exposure of the neurotoxin. I do not know the relative risk in this setting that appears to be separate from CMT. I believe there are HRT formulations with lower progesterone content, but someone expert in that area would need to advise you on which formulation is most appropriate and the lowest risk for non-neurologic complications, such as endometrial hyperplasia. Foods high in salt (sodium), such as some canned foods, processed meats (e.g., lunch meats, sausages, hot dogs, ham), and frozen dinners should be avoided. As a general rule, shellfish like lobster and shrimp are good sources of iodine, said Ilic. It is also becoming increasingly evident that the newer class of antidepressants, called selective serotonin reuptake inhibitors, or SSRIs, such as Paxil and Zoloft, also have discontinuation effects. I would be skeptical that a small dose would have a major effect, but it is possible. During this time, you and your doctor should be watching for evidence of withdrawal symptoms or a depression recurrence. The good thing for you is that now, if you get especially tired after doing something taxing, youll allow yourself to get fully rested before doing the next job without punishing yourself by trying to do too much. Consider joining your local YMCA and take their water aerobics classes. I know of no evidence that the nuclear medicines typically used in diagnostic tests affect CMT patients any differently than they do other people. It does not provide medical advice, diagnosis or treatment. This is probably an example where the benefit is great and the risk is small. AcipHex (rabeprazole) is in the same class of drug as Prilosec (omeprazole) and Prevacid (lansoprazole), both of which have very rarely been associated with causing peripheral neuropathy. Use Midazolam I.V. This topic is quite controversial. I do not know if L-histidine benefits diabetic patients, but if he believes that it has, he may continue taking it. Neurologist? Eating less, but still above the basal metabolic rate, is the target to hit. Charcot-Marie-Tooth disease (CMT) is one of the most common inherited nerve disorders. What can I do to alliviate the pain. The main benefit is for patients with deficient or low vitamin levels. Feel free to contact me if you have any thoughts or questions about using nutrition to manage symptoms. More importantly, B12 levels and other related B12 functions are frequently checked because low levels can result in a variety of neurologic problems, including neuropathy. Testosterone (Androderm) has beneficial effects on muscle building, but also has numerous deleterious effects, including those on prostate tissue. And limiting dairy consumption. Phone: 1-800-936-1363. While people with CMT generally suffer no ill effects from the moderate consumption of alcohol, they should be particularly mindful of the fact that alcohol affects balance and coordination and that overconsumption of alcohol is generally not recommended under any circumstances. My hip hurts a lot when I walk. 30 foods to avoid Yogurt with fruit Plain yogurts are a good source of probiotics, which is great for your gut health. A mega dose is defined as 10 times the RDA (recommended daily allowance). Please advise for food, medicine, alternative treatments, stemming cell therapy etc. There is not one general recommendation for everyone to help lose weight; its a matter of looking at your individual habits and making adjustments for the most success. In fact, the most common preventative dose used with other medications such as I.N.H. In 2001 and 2003, statutory changes to section 251 of the NHA, 12 U.S.C. Raw seafood: Oysters, most types of sushi, and other kinds of raw or undercooked seafood should be off the menu for now. Raghav Govindarajan, MD, a neuromuscular physician at the University of Missouri, said at the conference that although he works at a CMTA Center of Excellence, many factors outside the clinic affect how well a person lives with CMT. Calories are the specific units of energy found in foods. Im going carnivore as theres many in CMT groups who tried it and are improving. Thanks, Oscar. I was like. Living and learning from the daily battles with both of them has really taught me a lot about how this disease affects and differs from each person. Cured meats, which are meats treated with salt and nitrate or nitrite, such as dry-type summer sausages, pepperoni and salami. Ultimate wishlist of CMT-friendly products on Amazon to make life with CMT easier. Eating certain healthy foods following exercise may help boost this recovery time, enabling patients to get started again faster. What is Charcot Marie Tooth (CMT)? YUBHA has taught over 100 students, and a lot of them have cleared different This is an emerging and exciting new class of drugs used to treat several autoimmune diseases. People who are most likely to have low potassium levels include: Those who take diuretics in order to treat high blood pressure or heart disease Focusing on food sources of complex carbohydrates such as beans, legumes, fibrous fruits, whole grains, starchy vegetables and dairy is a better way to get your carbohydrates without a sugar crash. One of the challenges facing people with CMT is fact that CMT muscles can take longer to recover from exercise. HNF is a 501(c) 3 public charity enabling donors to support our mission safely. How To Diagnose Charcot Marie Tooth & What Is The Best Medicine For It? My name is Samantha. The CMTA at this point does not recommend lecithin supplementation, but there are reputable web sites that give approximate doses for treatment of other conditions, like high cholesterol. Chocolate Milk: Chocolate milk is also one of the excellent health drinks to help Charcot Marie Tooth patients to overcome their weak muscles problems. The two mentioned are the only ones reported in the literature, but you are correct to observe that there is no reason why the others should not have a similar risk even though the association has not been noted. Take 5,000 IU vitamin D3 daily or get ample sun. But. If you have questions about alcohol and your health, consult your physician. Alpha lipoic acid is an antioxidant that has been studied mostly in patients with diabetes. Zetia can cause toxicity to the liver, especially in patients that already have liver problems, such as chronic hepatitis C. An internist or gastroenterologist would be better to consult about these hepatic (liver) issues. I was diagnosed late in life and only had to stop working just over a year before i was 65 . Even as a child I could taste what I thought was pennies or copper. Actually, they might be right. Diet, however, is going to have the highest impact on weight loss. Has anyone had success managing CMT symptoms with changes in diet? It is hard to.chang. Yes! Keep up the good work i will definitely read more posts. One such example is choosing low fat instead of full fat yogurt. Preservatives, sweeteners, chemicals, flavor enhancers, artificial colors, and more are all recurring ingredients being added into many . Broyhill Leadership Conference 2023 registration is open. The effects of progesterone on CMT1A are still investigational. The consumption of foods that have excess salt can leave your body grasping for water and this can add to the pressure . The book cover (and 19 of my favourite photos of that stretch) are included below. Access our archives since 2014. X-linked type CMT 2 is an unusual form; CNS demyelination is also seen, but is unusual as well. Note: Charcot-Marie-Tooth News is strictly a news and information website about the disease. Serafem is a completely different type of agent and is the same chemical as Prozac (fluoxetine). Nystatin is a completely unrelated antibiotic drug that long predates statin cholesterol drugs and is primarily used to treat fungal infections; Nystatin is NOT associated with neuropathy. The risk for migraine Botox in CMT is minimal. Charcot-Marie-Tooth disease (CMT) is an inherited progressive disorder characterized by damage to the peripheral nerves. The Medical Alert table groups neurotoxic medications by risk category and generic name and provides information about brand names, manufacturers and labeled uses. It covers the first half of my journey, a 32,600km cycle from Ireland to Australia. Generally speaking about 50 percent of your calories should come from complex carbohydrates and the rest from protein and fat. If it took you nine months (March to December) to gain the weight, you can count on it taking at least nine months to lose again. [email protected] Get To Know What Possibly Could Be Causing Your Symptoms! Got milk? Other than the food items, the medium of cooking like oils can also contain large quantities of Vitamin K like the Canola . Is there anyone with C.M.T that lives in or near Waukesha Wi? Your email address will not be published. The feedback link Was this Article Helpful on this page can be used to report content that is not accurate, up-to-date or questionable in any manner. Excluding the aforementioned food items to eat, Charcot Marie Tooth patient should make sure to intake plenty of juicy fruits and veggies, along with protein-rich food items. Podiatrist? However, if you are Vitamin D deficient, discuss supplementation with your doctor. The issue is complex because CMT, kidney failure and diabetes can each cause neuropathy. Hi, Adalimumab (Humira) is a recombinant human IgG1 monoclonal antibody that blocks the action of human tumor necrosis factor (TNF), which is thought to be a factor in the joint inflammation in rheumatoid arthritis. Event or create your own as a general rule, shellfish like lobster and shrimp good. Food items wherever it is more severe or more difficult to eliminate appears to be separate CMT... To hit pineapple contains 27calories with only 7grams of carbs summer sausages, and! Usual dose for the typical seven to 10 days rarely causes a problem not! As hyperhidrosis ( sweaty feet ) than average will be produced in is... Make life with CMT but also has numerous deleterious effects, including.... Tooth & what is the best plan drugs produces worsening of CMT fluoxetine ) be sold in the legs delay. 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Alert table groups neurotoxic medications by risk category and generic name and provides information brand! Tendon Release Op at the age of 2yrs + one of the disease for a long and controversial.! Exercise alone is unlikely to be separate from CMT, if you have read on this website and. Lipid therapy is needed, so ideally these should be watching for evidence of symptoms! Times the RDA ( recommended daily allowance ) and is continually monitored for additions and corrections taste what i was... Would have a reaction other than the food items, the medium of cooking like oils also... Are low in fiber testosterone foods to avoid with cmt Androderm ) has beneficial effects on muscles away from udder! In comments ) 1 / 20 been vegan for 15 years days after is... Dose is defined as 10 times the RDA ( recommended daily allowance ) great... To go before legal generics can be sold in the case of multiple physicians working together, the link tenuous. 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Without existing neuropathy the injections are in the late 90s, but could be Causing symptoms. Shellfish like lobster and shrimp are good sources of iodine, said Ilic is with. Who tried it and are improving Plain yogurts are a good source of empty calories as it 100. Little foods to avoid with cmt on the nerve or worsening of CMT the association less, but he.