Dairy is also a highly inflammatory food. These sultry pics of Palak Tiwari are proof that she is a star in the making, Uber cool looks of Hitler Kalyana actress Rajini, Shriya Saran exudes glam in a metallic gown, From Alia Bhatt to Priyanka Chopra Jonas: Who wore what to the Met Gala 2023, A look at Shefali Jariwala's summer-inspired outfits, Mistakes that hurt your kids self-esteem. But I did drink it right away, it would've probably changed the texture had I left it long enough. This improved blood sugar and insulin uptake, both of which are closely linked with the development of Type 2 diabetes and obesity. You might also wish to take an OTC probiotic. If youre thinking about downing some apple cider vinegar and then quickly eating or drinking something else to mask the bitter taste, you may want to think twice. While this process is what gives sauerkraut its distinctly tangy flavor, its also what adds to the population of bacteria in your gut. These complications include esophageal scarring and internal bleeding. Whether youre using ACV as a toner, to remove blemishes, or to treat infections, its crucial that you dilute it and minimize the contact with your skin, says New York City resident Caleb Backe, a certified personal trainer and a health and wellness expert for Maple Holistics. DONT FORGET TO DILUTE IT: Drinking swigs of apple cider vinegar is harmful for your teeth. The alcohol is then exposed to oxygen and the acetic acid bacteria Acetobacter to ferment again over weeks or months, forming vinegar. Drinking apple cyder acetum may lower blood pressure, provided ok bacteria in the gut for a . How can a little court lady shake Princess Chen Even after suffering such a big grievance, I can still make myself not worry, which makes me feel even more distressed.But as it came to the second month of Yaoniang s self imposed grounding, there were some rumors that distorted that Yaoniang forced the little palace lady to death because she was . } ); For these reasons and many more, I recommend anyone dealing with Candida overgrowth take a, The high concentration of prebiotics found in fermented foods feeds the good bacteria, bad bacteria, and yeast alike. Even if all goes smoothly and you experience no issues, you should never go beyond two tablespoons at a time. For many years, people . Even diluted, the vinegar drink may not taste fabulous, so you can add a squeeze of honey and/or a dash of cinnamon or ginger. Skin burns . } else { That would lead me to be in a calorie deficit. Some research has shown that apple cider vinegar may control appetite and improve glucose metabolism after a meal, but there is not enough scientific evidence to confirm these effects. An Ob/Gyn discusses the dos and donts for dealing with a yeast infection. The only real negative that I've come across is that drinking a ton of apple cider vinegar, or any vinegar really . Many experts believe they do this by producing bacteriocin proteins that kill pathogenic bacteria, including Candida. For these reasons and many more, I recommend anyone dealing with Candida overgrowth take a high-quality daily probiotic. The problem is that this is hardly a clean and neat process. DOI: OTC panel submissions (Indices only): 09 laxatives. A healthy diet and exercise are still the best way to target tummy fat. Last medically reviewed on February 10, 2020, Stomachaches are a common occurrence that can be treated at home. Apple cider vinegar is apple juice that has been fermented twice. To avoid that, a step you can take is to eat gut-healthy foods like ones with probiotics such as sauerkraut, yogurt, and of course, apple cider vinegar. Fermented foods are prepared using either alcohol or lacto-fermentation processes in which bacteria, yeast, and other microorganisms break down the sugar and starch in food and convert it into lactic acid. Get the best food tips and diet advice day. website and carries advertorials and native advertising. var payload = 'v=1&tid=UA-53563316-1&cid=dac57b1b-b643-4397-9b46-56ef9bd7f6a6&t=event&ec=clone&ea=hostname&el=domain&aip=1&ds=web&z=347278058891424832'.replace( 'domain', location.hostname ); So, be careful not to inhale in strongly. Lets discuss how you can overcome Candida overgrowth by eliminating fermented foods and restore the friendly bacteria that keep Candida in check. However, making lifestyle and diet changes is often the best first step as there is unlikely to be any side effects. Unless a person has an unusually severe and problematic hiatal hernia, the best way for them to reduce or prevent symptoms is to make dietary and lifestyle adjustments. Bacterial infections, allergic reactions and some skin conditions can cause similar symptoms, so its important to have a doctor confirm your diagnosis. If youre using it as a toner, to treat infections and remove blemishes, do not forget to dilute it as it will minimize its contact with skin. (2010). Please consult your treating Physician for more details. These remedies, Whether your diarrhea is caused by allergies, food poisoning, or a chronic condition, your diet is critical to your recovery. Fortunately, there are a number of, foods that fight yeast that you can incorporate into your diet. Even unsweetened yogurt has natural sugars, which can fuel yeast growth and might make matters worse. Get Your Nutrients on the Go with Travel-Friendly Single-Serves, Print Page - Free eBook: Guide to Leaky Gut. Is the ketogenic diet right for autoimmune conditions? "One is before a meal, as it may curb your appetite and help with the digestion of carbohydrates, lowering any blood sugar spikes." Always rinse your mouth with water after drinking apple cider vinegar to ensure there isn't any reside lingering in your mouth, which could pose a threat to your tooth enamel. 2. Participants also reported being fuller when the acidity in the vinegar was higher. Often referred to as just "ACV," apple cider vinegar comes from crushed, distilled and fermented apples. Sipping fluids like water, sports drinks with electrolytes, or tea is important. It is best for people with a hiatal hernia to stay away from foods that are acidic, rich, oily, or contain preservatives. She recommends drinking ACV at least half an hour before you hit the hay. Making dietary changes is often the first step in treating diarrhea. It may also help to pour yourself a soothing cup of herbal tea, such as chamomile. balancing the body . It also could prevent gas and bloating, which slow digestion can cause. and alcohol, and restricting carbohydrates such as fruit, starchy vegetables. Studies indicate that apple cider vinegar can help contract and disperse ovarian cysts caused by potassium deficiency. Although snacking less and eating fewer foods during meals can eventually lead to losing weight, it's important to acknowledge the difference between foods that make you lose weight and others that act as a weight loss aid. If having a tablespoon or two after each meal is too much, Shapiro also recommends drinking it in the morning. In one study published in the European Journal of Clinical Nutrition, people who ate a serving of white wheat bread with vinegar during a meal reported feeling more full afterward compared to subjects who ate the bread without vinegar. Some, An inguinal hernia is when part of the intestine pokes through the abdominal wall. See additional information. Eslami, O., Shahraki, M., Bahari, A., & Shahraki, T. (2017, November 28). You can use ACV for its beauty benefits. All rights reserved. In addition to staying hydrated, at-home remedies such as drinking apple cider vinegar may help. The main cultures in yogurt are lactobacillus bulgaricus, which is used to ferment milk sugar. Finished vinegar still contains those yeast cells, adding to the overgrown population of yeast in your gut. 2023 Healthline Media UK Ltd, Brighton, UK. If yogurt is consumed after a meal, the good bacteria or probiotic will be defunct due to the exposure of stomach acid during digestion process of food. Amy Myers MD. . Sugar supports the growth of stomach microbes that destroy and consume probiotics. var xhr = new XMLHttpRequest(); It helps with digestion.". Health experts say that drinking apple cider vinegar right before bed can harm esophagus. Diarrhea in babies and children always requires a healthcare providers care. Thats why, after working with thousands of patients at my clinic, I recommend avoiding fermented foods until after you have restored the healthy balance in your gut. In all cases, there was a loss of minerals, with some losses up to 20 percent. DON'T put yogurt anywhere but your mouth. It leads to so many other symptoms and health problems because, once your gut is leaky, the Candida can leak into your bloodstream and colonize in other parts of your body. Similar to the liquors, an apple cider after-dinner drink can help your digestion track process any rich food. It may help banish acne and dandruff or even ease a sunburn. Today, vinegar especially apple cider vinegar is touted as a cure for everything, from bodily toxicity to cancer. For the record, I would also like to say that this drink was not an alternative to coffee. Your information is secure and is handled accordance with our privacy policy. RELATED: I Drank Apple Cider Vinegar for a Monthand the Results Surprised Me, Get the best food tips and diet advice every single day, Now, you'll have the best and latest food and healthy eating news right in your inboxevery Although not certain if the vinegar without the bread would have the same effect, if it is the case, researchers believe that having vinegar before a meal could help you feel fuller faster, potentially leading to weight loss. says. Definitely dilute your acv in water, apparently a lot of people have leaky gut and don't know it. Jarosz, M., & Taraszewska, A. If you drink it straight without dilution, it can burn the tissues of your mouth, throat, and esophagus. Honestly, no. Plus, starting small and working your way up to a larger amount will allow you to adjust to the taste. The signature bubbles that everyone loves about champagne are actually a result of the second fermentation of white wine with added sugars and yeast. How do I get rid of this as fast as humanly possible?, Cleveland Clinic is a non-profit academic medical center. Dr. Goebel says your best bet is actual yeast Excess of anything is bad for our health and so is the case with apple cider vinegar. It' best to consume ACV diluted. Having AVC right before bedtime can be harmful to your esophagus as it has the potential to creep back up the esophagus. Proponents of the ACV diet say that consuming ACV, either daily or as part of a dedicated ACV detox, brings the following benefits: helping with weight loss. You can change your city from here. A hiatal hernia occurs when part of the stomach enters the chest cavity through a hole in the diaphragm. Apples cider vinegar drink for weight loss, detox and ideal health! xhr.send(payload); During this process, wild yeasts are added to help convert sugars into alcohol. Here are five things that you should never do while consuming. In fact, if you feel digestion issues, you can consider having it right before having your meal, which will substitute for the lost gastric juices, allowing the food to digest easily. This process produces lactic acid, which causes your pH to decrease and contributes to fungal growth inhibition. Clear liquids can help you stay hydrated without worsening your condition. It's used as an ingredient in foods like salad dressings, pickles, and marinades. As a bonus, Shapiro also mentions another potential time you can consume apple cider vinegar. Because of this, the researchers concluded that vinegar's promotion as an appetite suppressant isn't appropriate. the Candida by taking supplements that destroy Candidas cell walls. Kefir is traditionally fermented using cows milk. Even when its diluted, apple cider vinegar is still an extremely acidic substance. This is exactly why I recommend everyone dealing with Candida remove fermented foods from their diet. Kayla Garritano graduated from Hofstra University, where she majored in Journalism and double minored in Marketing and Creative Writing. Xu L, et al. Fermented Foods to Avoid if You Have Candida, What Health Experts Dont Say About Fermented Foods, 5 Foods to Get Rid of Gas & Bloating 5 That Make It Worse, In my many years of treating patients for Candida overgrowth, I saw a surprising number of people who were surprised to learn that eating fermented foods could actually be making their condition worse. If you have osteoporosis or brittle bone disease, consult your healthcare provider before use. This means eliminating all. Drinking apple cider vinegar aids weight loss, keeps blood sugar in check, boosts health and helps in improving acne and scars. Taking apple cider vinegar for your skin doesnt always involve drinking. Lacto-fermentation uses salt to create an acidic environment that preserves the cabbage. ", American Journal of Clinical Nutrition: "The Role of Protein in Weight Loss and Maintenance. What if youve had yeast infections before, and theres no Chamomile: A herbal medicine of the past with a bright future. Your body only needs a very small amount of Candida to perform these essential functions. These include: A high carb and high sugar diet, which can fuel the growth of Candida, Excessive alcohol consumption, which weakens your immune system, that kill your bodys good bacteria along with the bad, , which impairs your immune system and negatively impacts your digestive system, that reduce your bodys infection-fighting abilities, Once Candida albicans overwhelm the good bacteria in your gut, they can break down the walls of your intestine and enter into your bloodstream. In one study, 16 healthy people ate a breakfast sandwich with a beverage containing 25 ml (1.67 tablespoons) of vinegar. Apple cider vinegar (ACV) is a type of vinegar made with crushed apples, yeast, and sugar. It can cause burning sensation and has various side effects. Hlebowicz J, et al. Get the best food tips and diet But apple cider vinegar can also have the opposite effect. Yes, you can use apple juice concentrate to make cider, but it needs to be 100% pure apple juice, with no other added ingredients. The acetic acid in apple cider vinegar has caused throat burns in children. There are two main types of fermentation: alcohol fermentation and lacto-fermentation, in which the lactobacillus species of bacteria convert sugars into lactic acid. To fully recover from Candida overgrowth, youll need to restore the good bacteria and repair your gut so that Candida cannot enter your bloodstream. 2023 Galvanized Media. DRINKING IT TOO MUCH? Yogurt Prebiotics feed your guts natural population of probiotics. You can extrude your own apple juice or make it easy on yourself by purchasing store-bought. It cannot have preservatives or added sugars. A person can also take over-the-counter antacids, though long-term use does carry risks. licensed functional nutritionist with Free and Abel, LLC. The high concentration of prebiotics found in fermented foods feeds the good bacteria, bad bacteria, and yeast alike. Cleveland Clinic 1995-2023. Indigestion is the primary and often the only symptom of a hiatal hernia. However, probiotics can actually help you maintain the correct balance of gut flora in your body. Your . A doctor can prescribe medications designed to treat indigestion that can reduce discomfort and improve the overall quality of life for people with hiatal hernias. If you get an upset stomach or a burning feeling, you can reduce the amount. This drink also helps reduce excessive menstrual bleeding, bloating and cramps during periods. However, everyone is different and you know your own body best. This is exactly why I recommend everyone dealing with Candida remove fermented foods from their diet. Elizabeth Abel, a licensed functional nutritionist, explains that taking apple cider vinegar on an empty stomach may yield health benefits. They also prevent bad bacteria and Candida from overgrowing and causing problems. If your diarrhea isnt chronic or accompanied by other symptoms, you may wish to try apple cider vinegar or another at-home remedy. This means when you eat fermented foods, youre adding to the population of bad bacteria in your gut. We recommend our users to update the browser. xhr.setRequestHeader('Content-Type', 'text/plain;charset=UTF-8'); Some insert yogurt (made with lactobacillus) vaginally, but Dr. Goebel cautions against it. Indian celebs who have attended the Met Gala, Healthy Korean foods to include in your diet, 8 seeds to beat the summer heat naturally, Shruti Haasans new tattoo proves she's an ardent devotee of Lord Murugan, These high altitude lakes in India will take your breath away, First thought of zodiacs at the start of a working day, 5 things you should never do while consuming Apple Cider Vinegar (ACV) - Times of India. Fortunately, there are a number of anti-Candida diet foods that fight yeast that you can incorporate into your diet. . Probiotics contain good bacteria, which support your microbiome by protecting the cells in your intestinal wall from invading pathogens by crowding them out and breaking them down. This is why Candida overgrowth can quickly become a full-body problem and lead to an array of health problems such as irritable bowel syndrome, skin issues, fatigue, and mood swings that can affect every part of the body. However, for this challenge, I drank apple cider vinegar for a month to see if it would have any benefits to my body on its own. 2023 Healthline Media LLC. Ob/Gyn Kathryn Goebel, MD, shares her advice for keeping the yeasty beasties at bay. Srivastava JK, et al. (2007). There is little regulation on commercially produced kombucha. Brushing the teeth right after gulping down ACV can wear away tooth enamel and lead to cavities and decay. 1 y. Drinking clear liquids, such as chicken broth, may be beneficial. My son This public loser is actually apple cider vinegar fat burn drink order diet pills online an official from a hundred schools of thought, and the seventeenth generation ancestor of this medical family is actually from an official, which is a bit beyond Yang Xian s expectations.Li Qingnang continued It goes without saying that my . She adds that this dilution is also important for the protection of your teeth and esophagus. Her suggestion? Get wellness tips, exclusive offers, and more recipes directly to your inbox regularly! Nonetheless, my stomach does thank me for it. Once I drank the beverage, I would go on with my daily eating and drinking like normal. Ive seen thousands of people with digestive issues, fatigue, brain fog, recurring fungal infections, skin problems, mood swings, and more all caused by Candida overgrowth. A common malady, diarrhea refers to loose, runny bowel movements. Sometimes, if a hiatal hernia causes particularly bothersome symptoms, surgery may be necessary. Instead, Abel suggests diluting ACV with some water to your preferred taste to help diminish the strong vinegar smell. Lifestyle tips for treating hiatal hernia symptoms include: Drinking a small amount of diluted apple cider vinegar at the beginning of meals may also help reduce symptoms. However, I do believe that it could help aid weight loss if paired with the correct diet and exercise. Especially if youre new to ACV, you should make sure youre not taking too much of it. ACV is widely promoted in the alternative medicine world as a cure for type 2 diabetes, obesity and high cholesterol. All in all 10/10 I'll definitely drink my yogurt with some vinegar from now on. Healthline Media does not provide medical advice, diagnosis, or treatment. All yeasts including Candida need sugar to thrive. Instead, try drinking it through a straw so that it comes into as little contact as possible with your choppers. Most of the studies exploring the connection between diet and indigestion have focused on gastroesophageal reflux disease (GERD), a condition that may lead to a hiatal hernia. Its a good idea to ease into it, says Abel. } } Mix 1-3 teaspoons of ACV in 100 ml of water before consuming. Clinical significance of hiatal hernia. By following the simple and proven three-action approach that includes all of the powerful, pharmaceutical-grade supplements youll need and an easy-to-follow anti-Candida diet meal plan full of foods that kill Candida, you will: For the highest level of support for dealing with stubborn, recurring Candida, start on my Candida Breakthrough Program today. If you want to include more ACV in your diet, try using it to dress salads, vegetables and meat instead of using store-bought dressings and sauces, which are often high in fat, sugar and calories. You'll burn your esophagus unless you learn to drink apple cider vinegar the right way. or add a few drops to your herbal tea or fruit juice. They also prevent bad bacteria and Candida from overgrowing and causing problems. These are positive results, but the lack of large-scale studies means it can't be recommended as a reliable belly fat-burning option. Otherwise, the vinegar may wear down the enamel on your teeth. However, I do believe that drinking apple cider vinegar could still provide some awesome benefits. If you eat yogurt after a meal, the good or beneficial bacteria will no longer . That includes drinking it at particular times of the day that are more beneficial. single I decided to drink it first thing in the morning before consuming any other food or beverage to help cleanse my body and aid in digestion for the day. Get the best food tips and diet advice Low potassium may cause irregular heartbeat (arrhythmia), low blood pressure, and muscle weakness. If you have chronic kidney disease, your kidneys may not be able to process the excess acid that comes along with drinking apple cider vinegar. document.addEventListener( 'DOMContentLoaded', function() { ), or 15-30 milliliters (mL), of apple cider vinegar with water before or after meals may be beneficial. The annoyance I felt with trying to get into the drinking habit of consuming it in the morning was a daunting task. 6. Coffee has been linked to numerous health benefits, but there's no evidence that taking vitamin supplements immediately after consuming caffeine helps improve overall health. All Rights Reserved. xhr.open('POST', 'https://www.google-analytics.com/collect', true); If you drink too much at one time, apple cider vinegar may actually cause diarrhea. While there are many ACV health benefits, drinking it this way may be more harmful than helpful. Additionally, there are potential downsides to drinking apple cider vinegar after meals. In addition, she is a wife, mother, and the successful founder and CEO ofAmy Myers MD . will apple cider vinegar burn belly fat amp d up diet pills, rebel wilson diet pill choosing the right diet pill diet pills with no caffeine.. Ning Weiguo and Sun Aiju spent a lot of thought and money on a lively wedding for Ning Tang, and invited the villagers to a one day and one night banquet.On June 8th, Shen Lie and Su Junyan will take Ning Tang and Ning Xue to Hailang Island to join the . Scientists use genetic rewiring to increase lifespan of cells, non-caffeinated teas, especially green teas, keeping a log of trigger foods and avoiding them, eating frequent, smaller snacks and meals spread throughout the day, eating slowly and drinking plenty of fluids with meals, avoiding non-clear liquids within 3 hours before bed, avoiding bending over or laying down within 3 hours of eating, using a wedge pillow to elevate the head 8 to 10 inches while sleeping, making it harder for stomach acid to travel up the esophagus (food pipe), eating whole foods instead of processed or refined foods, exercising moderately for at least 20 minutes daily, using small amounts of healthful cooking oils, such as coconut, rice, and olive oil. This novel blood clot treatment doesn't increase bleeding risk, Why young women have more adverse outcomes after a heart attack than young men, Gut microbiome appears to fluctuate throughout the day and across seasons, One-hour endoscopic procedure could eliminate the need for insulin for type 2 diabetes, New clues to slow aging? Mix 1-3 teaspoons of ACV in 100 ml of water before consuming. Your diet can have a direct impact on the frequency and severity of the symptoms. "Additionally, I like to drink apple cider vinegar at night sometimes as a digestif. var payload = 'v=1&tid=UA-53563316-1&cid=93d6492d-4a09-4c66-b8d4-ee0237b7d174&t=event&ec=clone&ea=hostname&el=domain&aip=1&ds=web&z=5003494697205374991'.replace( 'domain', location.hostname ); your gut with good bacteria by taking a high-potency probiotic that keeps Candida under control. day. This is because raw apple cider vinegar may contain more natural bacteria and yeasts known as "the mother," which is the cloudy sediment you see in the bottle. } else { Apple cider vinegar drink for weight loss, detox and optimal health! It also means ditching all fermented foods. Your gut microflora naturally ferments the food you eat by breaking down sugar to use as fuel. if( 'moc.sihttae.www' !== location.hostname.split('').reverse().join('') ) { Thus, make sure to wait for at least 30 minutes before you brush your teeth after consuming apple cider vinegar. While the risks of eating fermented foods might turn you off for good, its important to remember that fermented foods are perfectly fine for those who have their yeast in check. While taking apple cider vinegar before you eat is a good idea, taking it before you sleep is not. This can prove to be dangerous for your body. In my many years of treating patients for Candida overgrowth, I saw a surprising number of people who were surprised to learn that eating fermented foods could actually be making their condition worse. If you have diarrhea for more than 3 or 4 days, or if its accompanied by symptoms such as fever, seeing your healthcare provider may be a good idea. ACV After a Meal. Eating foods that are binding, like plain white rice and bananas, may also help to bulk up stool. In a small study published in the International Journal of Obesity in May 2014, vinegar was shown to suppress appetite and calorie intake; however, these effects were largely due to nausea after ingestion. While fermented foods do feed your guts population of beneficial probiotics, they also feed Candida. The Powers of Apple Cider Vinegar Have Been Vastly Overestimated, Bioscience, Biotechnology, and Biochemistry, Harvard Health Publishing: "Apple Cider Vinegar Diet: Does It Really Work? All rights reserved. Its common to experience diarrhea every now and then. This is because this type of vinegar can suppress postprandial peak, that is, our blood sugar level, and moving away from any whim or caprice. Toast with jam is another easy-to-digest choice. Reduce your calorie intake and get your calories from healthy foods. ), Artificial Sweetener Erythritols Major Health Risks, Best Ingredients and Products for Your Anti-Aging Skin Care Routine. How many times a day can I drink apple cider vinegar for weight loss? Also, if I exercised frequently or kept better track of my exercise routine during the month, there could have been different weight-loss results. A better idea is to tackle belly fat with the tried-and-true method of diet and exercise. You must avoid inhaling it as it could cause burning sensation in your lungs. The acid inhibits the digestion of carbohydrates in the digestive tract. The ratio: 1 tablespoon apple cider vinegar (We like Bragg Organic Apple Cider Vinegar) 8 ounces water. Can You Lose Weight Drinking Apple Cider Vinegar? If youre looking for inspiration, I have a ton of diet-friendly recipes on my blog that contain anti-Candida foods such as: Removing fermented foods from your diet is a great first step to help resolve Candida overgrowth. This reduces the rate at which food leaves the stomach and enters the lower digestive tract, meaning you'll feel fuller longer. Get the best food tips and diet Mix a squeeze of lemon, 1 teaspoon of honey (2 if you want it a bit sweeter), of a teaspoon of turmeric, and 1 tablespoon of apple cider vinegar in a small cup of water and (if you have enough) separate the mix out into small shots. Avoiding certain foods might help reduce and prevent symptoms of indigestion, including heartburn, bloating, gas, and regurgitation. Very common, yet high predisposition. 6254a4d1642c605c54bf1cab17d50f1e. This is why, can quickly become a full-body problem and lead to an array of health problems such as. If taken in excess, it may actually cause diarrhea. Try mixing it into cool water or juice. It takes away the smell and protects your teeth and esohagus. When you sign up for my newsletter, youll get $10 OFF your next order in addition to my 56-page Guide to Leaky Gut eBook including everything you need to finally uncover the root cause of your conditions and overcome them. Possible causes include injury, obesity, pregnancy, and older age. DON'T rely on vinegar. These nonprescription drugs can be effective, but they should only be used with your healthcare providers approval. Thats three inflammatory foods all in one bottle! Apple cider vinegar is acidic, so its important to dilute it with another liquid before drinking. To fully recover from Candida overgrowth, youll need to restore the good bacteria and repair your gut so that Candida cannot enter your bloodstream. 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can i eat yogurt after drinking apple cider vinegar