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Prior to being diagnosed, I was a healthy lacto-ovo-vegetarian. But my neurologist convinced me to increase my protein, which I did – – and added animal protein to my daily meals. I believe that change helped my body maintain strength … and, it was a lot easier for my husband-caregiver. Four years into ALS, I began to have trouble swallowing thin liquids. So, I’ve been adding a thickening powder (Thick-it) to all my beverages. No other changes to my diet since then.