Lifestyle and dietary advice

Simple advice on lifestyle changes to avoid recognized triggering factors can be helpful and should be given to all patients. In all patients with periodic paralysis excessive exertion, particularly when followed by a long period of rest, such as sleep overnight, should be avoided. During an attack gentle physical activity can be helpful in aborting symptoms. Many patients benefit from "warming down" after exercise. Dietary advice includes regular meals (to prevent fasting) and avoidance of potassium-rich foods (banana, melon and a number of other fruits) in hyperPP. Ingestion of carbohydrate-containing drinks or snacks may abort attacks in hyperPP while patients with hypoPP should avoid large carbohydrate-rich meals, particularly late in the evening.

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