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Caloric restriction
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== ME/CFS == Caloric restriction has not been suggested as a core treatment or cure for [[ME/CFS]], since it is not a nutritional or lifestyle related disease, however it may help some patients with certain comorbidities or reduce some ME/CFS symptoms. Obesity is common in Americans with ME/CFS and the exercise intolerance experienced by ME/CFS patients means that dietary change is likely to the main aporoach for those wishing to lose weight.<ref name="UScoalition2020">{{Cite web | title = Diagnosing and Treating Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) | last = U.S. ME/CFS Clinician Coalition |edition=2 | date = July 2020 | url= https://bridgesandpathways.org.au/wp-content/uploads/2021/02/DiagnosingAndTreatingMECFSV2_USCoalition_2020.pdf | pages = 4}}</ref><ref name="ICC2011primer"/> [[Fibromyalgia]] patients may experience a reduction in pain and other symptoms.<ref name="Slim2015"/> Many people with ME/CFS are of normal weight, and some patients with [[Severe and very severe ME|very severe ME]] have severe gastrointestinal dysfunction causing severe weight loss and [[malnutrition]], this means caloric restriction will not be safe for all patients.<ref name="ICC2011primer"/> Small studies have shown that hypocaloric diets can reduce [[inflammation]] in people without ME/CFS,<ref name="Hermsdorff2011"/><ref name="Petros2014"/> which may improve some ME/CFS symptoms since raised inflammation markers and [[neuroinflammation]] are caused by ME/CFS.<ref name="ICC2011primer">{{citation | last1 = Carruthers | first1 = BM | author-link1 = Bruce Carruthers | last2 = van de Sande | first2 = MI | author-link2 = Marjorie van de Sande | last3 = De Meirleir | first3 = KL | author-link3 = Kenny de Meirleir | last4 = Klimas | first4 = NG | author-link4 = Nancy Klimas | last5 = Broderick | first5 = G | author-link5 = Gordon Broderick | last6 = Mitchell | first6 = T | author-link6 = Terry Mitchell | last7 = Staines | first7 = D | author-link8 = Donald Staines | last8 = Powles | first8 = ACP | author-link8 = A C Peter Powles | last9 = Speight | first9 = N | author-link9 = Nigel Speight | last10 = Vallings | first10 = R | author-link10 = Rosamund Vallings | last11 = Bateman | first11 = L | author-link11 = Lucinda Bateman | last12 = Bell | first12 = DS | author-link12 = David Bell | last13 = Carlo-Stella | first13 = N | author-link13 = Nicoletta Carlo-Stella | last14 = Chia | first14 = J | author-link14 = John Chia | last15 = Darragh | first15 = A | author-link15 = Austin Darragh | last16 = Gerken | first16 = A | author-link16 = Anne Gerken | last17 = Jo | first17 = D | author-link17 = Daehyun Jo | last18 = Lewis | first18 = DP | author-link18 = Donald Lewis | last19 = Light | first19 = AR | author-link19 = Alan Light | last20 = Light | first20 = KC | author-link20 = Kathleen Light | last21 = Marshall-Gradisnik | first21 = S | author-link21 = Sonya Marshall-Gradisnik | last22 = McLaren-Howard | first22 = J | author-link22 = John McLaren-Howard | last23 = Mena | first23 = I | author-link23 = Ismael Mena | last24 = Miwa | first24 = K | author-link24 = Kunihisa Miwa | last25 = Murovska | first25 = M | author-link25= Modra Murovska | last26 = Stevens | first26 = SR | author-link26 = Staci Stevens | title = Myalgic encephalomyelitis: Adult & Paediatric: International Consensus Primer for Medical Practitioners | date = 2012| isbn = 978-0-9739335-3-6 | url = http://www.investinme.org/Documents/Guidelines/Myalgic%20Encephalomyelitis%20International%20Consensus%20Primer%20-2012-11-26.pdf}}</ref><ref name="Craig2015"/> Reducing inflammation may reduce [[pain]]. Hypocaloric diets are flexible enough to combine with other forms of dietary plan in order to maximise possible benefits.<ref name="Craig2015"/><ref name="Pisanu2020"/>
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