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patient to bear a more varied diet had been tested. In these cases, improvement, and decided improvement came promptly upon the use of the remedy. In regard to the diet, sugar and food containing it, and vegetables rich in starch were forbidden. Bread was allowed only in the most moderate quantities. Patients are always desirous of explicit directions in regard to diet, and I have found it convenient and useful to give them a written or pantagraphic copy of the following : Bread, cake, pastrydoi:10.1001/jama.1886.04250050041004 fatcat:jwmcijnipnfepit4wefq64flly