They’re having trouble keeping up with the Truth in Labeling Campaign

From the time they began revving up their propaganda until Kate Bratskeir’s article appeared in GoodRx (June 23, 2021), the Glutes had proclaimed that the glutamate in MSG was identical to the glutamate in plants, animals, and the human body. It’s one of their favorite things to say.

But now we find that the story has changed.  Indeed, Kate Bratskeir informed us that “The glutamate in MSG is chemically different from glutamate present in food proteins.”  And that, she said was “according to the FDA.”

This reminds me of the Glutes’ mantra about MSG having been safely used in food for over 2,000 years.  That changed shortly after The Truth in Labeling Campaign began pointing out, repeatedly, that MSG was invented in 1908.  Looks like now someone in one of Ajinomoto’s public relations firms read ‘Seven lines of evidence leading to the conclusion that manufactured free glutamate, no matter where it is found, is excitotoxic,’ or read one of Adrienne Samuels’ Citizen Petitions providing data to support the request that the GRAS (generally recognized as safe) status of monosodium glutamate be revoked.

You may not be paying a great deal of attention to the warnings of the Truth in Labeling Campaign but the Glutes certainly are.  They seem to be extremely careful about being caught in a lie.  And while one way to avoid that is to cautiously not respond to allegations (just like they never responded when it was pointed out that the placebos used in their double-blind studies cause reactions identical to those caused by MSG), a second way is to change out the lie they’ve been telling for a lie less likely to be discovered.

In this case, the Glutes have moved their emphasis from “the glutamate in MSG is identical to the glutamate in plants, animals, and the human body,” to “Our bodies metabolize both [the glutamate in MSG and the glutamate present in food proteins] in the same way.”

Why bother?  What’s the big deal?  The big deal is that while the Glutes have insisted that the two glutamates are identical, Adrienne Samuels has explained how the two forms of glutamate differ.  And rather than take the chance that some media source slips out from behind the veil of silence that the Glutes have had in place since the 1991 60 Minutes program on MSG, and actually broadcasts the truth about the toxicity of MSG, they’ll change out one lie for another one that won’t be as easily invalidated.

The fallback to the metabolism of glutamate is a no-brainer, for there’s no research on the subject.  Certainly there are studies of the metabolism of glutamic acid (on November 28, 2021, 8,223 such studies were cited on  But there’s been no study of the metabolism of MSG. While “metabolism” of MSG has been mentioned many times, often by Glutes saying that the metabolism of the glutamate in MSG and the metabolism of glutamate from plant and animal proteins do not differ, there has been no study of the metabolism of MSG.

Another way to avoid being caught in a lie about the safety of MSG would be to simply stop lying about the safety of MSG.


Seven lines of evidence leading to the conclusion that manufactured free glutamate, no matter where it is found, is excitotoxic. and

Citizen Petition #1

Citizen Petition #2

Citizen Petition #3

Genuine? Wait, what?

(Author’s note: When I came upon Colleen Christensen’s November 12th blog, the first thing I noticed was this caveat at the top: “This post was developed in a sponsored partnership with Ajinomoto however, as always, all opinions are genuine.”)

I’m betting that Colleen Christensen Nutrition is not the least bit interested in publishing my comments to her blog, “MSG (MONOSODIUM GLUTAMATE): OK TO EAT.”

I’ll apologize to her if I’ve misjudged, but years of reading glutamate-industry propaganda tell me that she’s just another bird in the glutamate-industry’s nest of journalists-for-hire – and that’s not a wild guess, either. Not only does the blog start out by saying that it comes from a “sponsored partnership with Ajinomoto,” but it contains links to official glutamate industry disinformation.

Colleen ended her blog with the following paragraph:

Despite much of the negativity we see associated with MSG, the ingredient is safe to consume and offers real taste and nutrition benefits (like sodium reduction.) Many of the misperceptions around this ingredient are rooted in racism, misinformation, and flawed studies.”

Here’s my response:


You’re probably not interested in the fact that ingestion of free glutamate in processed food, snacks, protein powders and protein drinks, protein substitutes, dietary supplements, enteral care products, infant formula and pharmaceuticals may contribute to accumulation of free glutamate that causes brain damage and adverse reactions such as heart irregularities, fibromyalgia, chronic pain, depression, and seizures as well as abnormalities such as obesity, reproductive dysfunction, multiple sclerosis and neurodegenerative disease.  But just in case I’ve misjudged, I’ll share information with you here that I have shared with others.


1. Seven lines of evidence leading to the conclusion that manufactured free glutamate, no matter where it is found, is excitotoxic:

2. Adverse reactions known to be caused by MSG:

3. Names of the 40+ ingredients that contain Manufactured free Glutamate (MfG):

4. It Wasn’t Alzheimer’s It Was MSG – a true story, Samuels A. (2003).

5. Samuels A. The toxicity/safety of processed free glutamic acid (MSG): a study in suppression of information. Account Res. 1999;6(4):259-310.
doi: 10.1080/08989629908573933. PMID: 11657840.

6. Samuels A. (2020) Dose dependent toxicity of glutamic acid: a review, International Journal of Food Properties, 23:1, 412-419, DOI: 10.1080/10942912.2020.1733016

7. Truth in Labeling Campaign website:

8. Seven lines of evidence leading to the conclusion that manufactured free glutamate, no matter where it is found, is excitotoxic, website:

9. Glutamate-induced – on

Note: It is only since 1957 that there has been sufficient free glutamate available to cause it to be excitotoxic


Saturday’s Secrets have been moved!

Saturday’s Secrets have been moved from the pages of the Truth in Labeling Campaign to its own website:

There you’ll discover a new secret each Saturday, giving you time to absorb each one and carefully consider the damage that excessive use of free glutamate is doing to human health.

Should you want to lean more immediately, however, below are seven links to evidence of the toxicity of free glutamate that is accumulated from consumption of processed foods, snacks, protein powders and protein drinks, protein substitutes, dietary supplements, enteral care products, infant formula and pharmaceuticals.

1. Seven lines of evidence leading to the conclusion that manufactured free glutamate, no matter where it is found, is excitotoxic:

2. It Wasn’t Alzheimer’s It Was MSG – a true story
Samuels A. (2003):

3. The toxicity/safety of processed free glutamic acid (MSG): a study in suppression of information: Samuels A. Account Res. 1999;6(4):259-310.  doi: 10.1080/08989629908573933. PMID: 11657840.

4. Dose dependent toxicity of glutamic acid: A review
Samuels A. (2020) International Journal of Food Properties, 23:1, 412-419, DOI: 10.1080/10942912.2020.1733016     

5. Adverse reactions known to be caused by MSG:

6. Names of the 40+ ingredients that contain Manufactured free Glutamate (MfG):

7. Seven lines of evidence leading to the conclusion that manufactured free glutamate, no matter where it is found, is excitotoxic, website:

Also, see the Truth in Labeling Campaign website:

Note: It is only since 1957 that there has been sufficient free glutamate available to cause it to be excitotoxic

Excitotoxic free glutamate: The ultimate trade secret

Everyone loves a secret.  Some like to keep them all to themselves.  Kids love to share them with their best friends.

Trade secrets are a very special type of secret that describe practices or processes of a company generally not known outside of the company. They are often products of internal research and development.

Moreover, to be legally considered a trade secret in the United States, a company must make a reasonable effort to conceal the information from the public, the secret must intrinsically have economic value, and the trade secret must contain information.

Trade secrets of the glutamate industry are unique in that they obscure the toxic nature of their products, concealed from public view by a well-coordinated effort that involves both government and private industries.

Glutamate industry fabrications spring from the basic falsehood that monosodium glutamate (MSG) is a harmless, or even beneficial, food additive. They go on to twist the facts of MSG’s chemical structure, lie about the permeability of the blood-brain barrier, fail to define terms and/or define terms to meet their needs, parade half-truths before the public (leaving out anything that might contradict their story), take materials out of context and convert them to their own advantage, cite studies that support their story while ignoring others, recite the history of production and use of MSG (leaving out significant aspects of that story), rig the research presented as evidence that MSG is harmless, and maintain a close working relationship with the FDA.

The Truth in Labeling Campaign has written volumes about the toxic effects of MSG and its free glutamic acid component. With our new blog, Saturday’s Secrets, we’re reducing years or research to simple sound bites, focusing on the multitude of secrets that the glutamate industry doesn’t want you to know.

We invite you to join us for the launch of Saturday’s Secrets on Nov. 20th. Stay tuned for details.

FDA panel approves Pfizer’s COVID vaccine … but there’s no FDA panel that ever said that MSG is ‘safe’

According to an article by Jackie Salo in the November 1, 2021 New York Post, the FDA has a panel that approves food and drugs submitted to them.   At least that’s what I took from her article, “FDA panel approves Pfizer’s COVID vaccine for kids ages 5-11.”

I was truly impressed. Although the article didn’t name the panel members, I thought there might be some real people from the FDA involved. And there might even be records in the Federal Register of past meetings held by panel members, and maybe even discussion of the data they had considered before making their recommendation.

But here’s the rub.  If you ask the FDA about the safety of monosodium glutamate or the free glutamic acid in it, the FDA will respond with the statement that MSG is “safe.”  And most often they will offer as evidence an allegedly “independent” review done by the Federation of American Societies for Experimental Biology, or FASEB, for the FDA by persons with serious conflicts of interest – an “independent” review that was rejected by the FDA and sent back to FASEB for an additional year’s study.  Or they will offer something called “Questions and Answers on MSG” that contains no evidence/data but instead reads like an excerpt from the glutamate-industry propaganda that is widely circulated by the U.S. manufacturer of MSG.

So, I decided to ask the FDA for the evidence – the data – behind making the assertion that MSG is “safe,” and spent the whole day Monday searching for someone who could answer that question – or even someone who could tell me how to ask that question. And before FDA closing time on Monday, I had filed the following Freedom of Information Act (FOIA) request:

“Requested are copies of data used by the FDA for determining to give GRAS (generally recognized as safe) status to free glutamic acid used in food.   Requested also are copies of data used by the FDA for determining to give GRAS (generally recognized as safe) status to monosodium glutamate (MSG) and other ingredients that contain free glutamic acid.  

“Also requested are copies of the scientific procedures used to produce those data.

According to its U.S. manufacturer, the free glutamic acid produced by genetically modified bacteria for use in monosodium glutamate (MSG) was first used in food in 1957.  Since neither it nor its ensuant MSG had been used in food prior to that time, the newly developed MSG and manufactured free glutamate (MfG) could not have been found to be safe by reason of a history of safe use.  It is not possible for MSG produced in this manner to have been found safe by reason of a history of safe use.

“According to the Federal Food, Drug, and Cosmetic Act and the FDA Code of Federal Regulations, the use of a food substance may be GRAS only through scientific procedures or, for a substance used in food before 1958, through experience based on common use. I am not familiar with any data gathered through scientific procedures that demonstrate that free glutamic acid – which neuroscientists recognize as an excitatory – brain damaging – amino acid, is “safe.”  It is for that reason that I ask you to please send me all data, complete with the scientific procedures used to produce those data, that establish that free glutamic acid, MSG, or any other free-glutamate-containing food ingredient has met the requirements established by the FDA for establishment of GRAS status. I don’t believe that such data exist.”

The FOI request was submitted electronically.  Turnaround time should be 2-3 days, unless, of course, the FDA is short-staffed as they usually are when the Truth in Labeling Campaign asks for information.

In the meantime, I spent the evening anticipating just how the FDA would respond to a question about the safety of an excitotoxic – brain damaging – amino acid.  They’ve had fifty years’ experience fronting for the glutamate industry (1), and having chosen to ignore three Citizen Petitions filed with the FDA requesting that the FDA strip GRAS status from free glutamic acid, MSG and the other ingredients that contain free glutamic acid (2), I would expect them to be extremely creative.

They will of course offer the paper titled “Questions and Answers on Monosodium glutamate (MSG)that is posted on the FDA website. It has the requisite number of MSG-is-safe statements and talks about reviews by authoritative bodies (all of whom did no reviews of data, but reviewed material brought to them by the FDA or other agents of the glutamate industry).  They will undoubtedly refer to the many negative studies that failed to conclude that MSG is harmful, without mentioning that in their double-blind studies, their agent in charge of glutamate-industry research supplied his researchers with placebos containing aspartic acid, an excitotoxic amino acid that produces both brain damage and reactions identical to those cause by the excitotoxic glutamic acid in MSG.

We’ll keep you posted.

Adrienne Samuels


Industry’s FDA

Webpage petition post summaries

Week 2

Ajinomoto is the Japanese brand name for monosodium glutamate (MSG).  It is also the name of the unimaginably rich and powerful company behind the campaign to convince unsuspecting consumers that MSG (and the excitotoxic free glutamate in it) — both manufactured by Ajinomoto — are harmless “safe” food ingredients. They also want you to believe that MSG (which contains relatively little sodium) should be used as a salt substitute.

Beware of using additive-filled processed foods as Thanksgiving dinner shortcuts

However you’ll be celebrating Thanksgiving this year, chances are good that it will involve cooking up a special meal. And that’s when things can easily go off the rails, even for those who carefully select what they eat and serve their families during the rest of the year.

Fresh fruits can give way to canned cranberry sauce, forgotten stuffing ingredients may be replaced with boxed seasoned bread, and additive-filled processed foods are often used in a pinch.

What was once a Thanksgiving joke – the Tofurky – has morphed into numerous, hot-selling plant-based “protein” substitutes, many dressed up for the Thanksgiving table. Just remember before you reach for one of those chemical concoctions in the grocery store that the tasty meat or turkey-like flavor comes from excitotoxic – brain damaging – amino acids. (See “reminders” below).

Now is not the time to let your guard down where your health is concerned. That’s why we’re making this list available again to help you avoid not only foods that contain MSG, but also those that contain MfG, which stands for manufactured free glutamate.

The glutamate industry would prefer that you just keep reading labels for MSG, and not realize that the same toxic chemical that causes brain damage, endocrine disorders and the same adverse reactions as MSG is also found in more than 40 other food ingredients containing MfG — things such as autolyzed yeast, soy protein and yeast extract. Processed vegan and vegetarian foods are especially prone to be contaminated with these toxic additives.

The list below is in three parts: ingredients that always contain MfG, ingredients that often contain or produce MfG during processing, and ingredients that contain enough MfG to cause a reaction in highly sensitive people.

Knowing the truth about what is in your food has never been more important.

Reminders: Ingredient Names Used to Hide Manufactured free Glutamate (MfG)

MSG has been used as an acronym for “monosodium glutamate” for years, with people who reacted to it referring to their “MSG reactions.” So, it isn’t surprising that over time, consumers started using the acronym “MSG” to stand for the ingredients that trigger what they identified as “MSG reactions.” Largely because those in the glutamate industry have built on the confusion caused by using “MSG” incorrectly, we thought it time that there be a proper acronym for consumers to use when talking about what’s contained in monosodium glutamate that causes their pain and suffering – distinguishing between the product called “monosodium glutamate” and the toxic ingredient contained in it.

We propose to use MSG just as the Glutes do, to stand for the flavor enhancer, “monosodium glutamate,” but will now refer to the amino acid in monosodium glutamate that causes brain damage, endocrine disorders and adverse reactions, by its more factual name – Manufactured free Glutamate or MfG.

Names of ingredients that always contain manufactured free glutamate: *1

Glutamic acid (E 620) *2 
Glutamate (E 620)
Monosodium glutamate (E 621)
Monopotassium glutamate (E 622)
Calcium glutamate (E 623)
Monoammonium glutamate (E 624)
Magnesium glutamate (E 625)
Natrium glutamate
anything “Hydrolyzed”
any “Hydrolyzed protein”
Calcium caseinate, Sodium caseinate
Yeast extract, Torula yeast
Yeast food, Yeast nutrient, Nutritional yeast 
Autolyzed yeast, Brewer’s yeast
Textured protein
Whey protein
Whey protein concentrate
Whey protein isolate
Soy protein 
Soy protein concentrate
Soy protein isolate
anything “Protein”
anything “Protein fortified”
anything “Protein concentrate”
anything “Protein isolate”
Zinc proteninate
anything “Proteninate”
Soy sauce
Soy sauce extract
anything “Enzyme modified”
anything containing “Enzymes”
anything “Fermented”

Names of ingredients that often contain or produce free glutamate during processing:

Carrageenan (E 407)
Bouillon and broth
any “Flavors” or “flavoring”
Natural flavor
Citric acid, Citrate (E 330)
anything “Ultra-pasteurized”
Barley malt
Malted barley
Pectin (E 440)
Malt extract
Soy milk

The following are ingredients suspected of containing or creating sufficient processed free glutamic acid to serve as reaction triggers in HIGHLY SENSITIVE people:

Corn starch  
Corn syrup  
Modified food starch 
Lipolyzed butter fat  
Rice syrup
Brown rice syrup  
Milk powder 
Reduced fat milk (skim; 1%; 2%) 
most things “Low fat” or “No fat”  
anything “Enriched”
anything “Vitamin enriched” 
anything “Pasteurized”
Balsamic vinegar
certain Amino Acid Chelates (Citrate, Aspartate, and Glutamate are used as chelating agents with mineral supplements.)

The following work synergistically with the ingredient monosodium glutamate (MSG) to enhance flavor. If they are present for flavoring, so is MSG:

Disodium 5’-guanylate (E 627) / Disodium 5’-inosinate (E-631) / Disodium 5′-ribonucleotides (E 635)

*1 Glutamic acid found in unadulterated protein does not cause adverse reactions. To cause adverse reactions, the glutamic acid must have been processed/manufactured, released from protein during processing, or come from protein that has been fermented.

*2 E numbers are use in Europe in place of food additive names.


Things called “plant-based” proteins (such as the Impossible Burger, Beyond Meat and Just EGG) are made with excitotoxic – brain damaging – free glutamic acid.  Free glutamate made from plants such as soy or mung beans causes brain damage and adverse reaction just like any other source of free glutamate.

Low fat and no fat milk products often contain milk solids that contain manufactured free glutamate (MfG) and many dairy products contain carrageenan, guar gum, and/or locust bean gum. Low fat and no fat ice cream and cheese may not be as obvious as yogurt, milk, cream, cream cheese, cottage cheese, etc., but they are not exceptions.

Protein powders contain glutamic acid, which, invariably, will be Manufactured free Glutamate (MfG). Individual amino acids are not always listed on labels of protein powders. If you see the word “protein” in an ingredient label, the product contains MfG.

At present there may be an FDA requirement to include the protein source when listing hydrolyzed protein products on labels of processed foods. Examples are hydrolyzed soy protein, hydrolyzed wheat protein, hydrolyzed pea protein, hydrolyzed whey protein, hydrolyzed, corn protein. If a tomato, for example, were whole, it would be identified as a tomato. Calling an ingredient tomato protein indicates that the tomato has been hydrolyzed, at least in part, and that Manufactured free Glutamate (MfG) is present.

Disodium guanylate and disodium inosinate are relatively expensive food additives that work synergistically with inexpensive MSG. Their use suggests that the product has MSG in it. They would probably not be used as food additives if there were no MSG present.

Reactions have been reported from soaps, shampoos, hair conditioners, and cosmetics, where MfG is hidden in ingredients with names that include the words “hydrolyzed,” “amino acids,” and/or “protein.” Most sunblock creams and insect repellents also contain MfG.

Drinks, candy, and chewing gum are potential sources of hidden MfG and/or aspartame, neotame. and AminoSweet (a relatively new name for aspartame). Aspartic acid, found in neotame, aspartame (NutraSweet), and AminoSweet, ordinarily causes reactions in MfG sensitive people. (It would appear that calling aspartame “AminoSweet” is industry’s method of choice for hiding aspartame.) We have not seen Neotame used widely in the United States. 

Aspartame will be found in some medications, including children’s medications. For questions about the ingredients in pharmaceuticals, check with your pharmacist and/or read the product inserts for the names of “other” or “inert” ingredients.

Binders and fillers for medications, nutrients, and supplements, both prescription and non-prescription, enteral feeding materials, and some fluids administered intravenously in hospitals, may contain MfG.

According to the manufacturer, Varivax–Merck chicken pox vaccine (Varicella Virus Live), contains (or contained) L-monosodium glutamate and hydrolyzed gelatin, both of which contain Manufactured free Glutamate (MfG) which causes brain lesions in young laboratory animals, and causes endocrine disturbances like OBESITY and REPRODUCTIVE disorders later in life. It would appear that most, if not all, live virus vaccines contain some ingredient(s) that contains MfG.

According to the CDC, as listed in its Vaccine Excipient & Media Summary (Appendix B of the “Pink Book”), there are more than 35 vaccines presently in use that obviously contain ingredients that contain MfG.  

When ingested, reactions to MfG are dose related, i.e., some people react to even very small amounts. MfG-induced reactions may occur immediately after ingestion or after as much as 48 hours. The time lapse between ingestion and reaction is typically the same each time for a particular individual who ingests an amount of MfG that exceeds his or her individual tolerance level.

Remember: By food industry definition, all MfG is “naturally occurring.” “Natural” doesn’t mean “safe.” “Natural” only means that the ingredient started out in nature like arsenic and hydrochloric acid.

FDA/industry collusion: here’s how it works

The fiction about the safety of monosodium glutamate (MSG) is written by the U.S. manufacturer of MSG and distributed throughout the world by its many “outlets,” described in part in “Meet the Glutes:”

A large part of the Glutes’ post-1957 success in marketing MSG has been due to the close cooperation of the Food and Drug Administration (FDA) – the Glutes official mouthpiece for the “safety” of MSG. They’ve been partners since 1968 when the toxicity of MSG was first recognized. (

The Glutes rely heavily on repeating the statement that the FDA finds MSG to be GRAS (generally recognized as safe). The fact that in assigning GRAS status to MSG the FDA has violated its own rules is just one of many examples of the FDA’s allegiance to the glutamate industry (

The story of FDA/glutamate-industry collusion is told in the pages of “Industry’s FDA” which can be accessed at    

It details:

  • Blatant lies told about the safety of MSG, lies originating with the glutamate industry and repeated by the FDA,
  • Dispensing positive information about MSG while withholding information that might be considered negative,
  • Officially approving study protocols for MSG-is-safe studies that used placebos known to cause the same adverse reactions as those caused by MSG test material,
  • Refusing to collect reports of reactions to MSG “because we know that no one reacts to MSG,” and
  • Withholding key information from dietitians, nutritionists, consumers, and the medical community.

The most recent FDA contribution to the Glutes’ marketing plan has been the FDA’s failure to post my scathing response to the Glutes’ attack on my Citizen Petition FDA-2021-P-0267. Suppression of information such as that is often used by the glutamate-industry to promote their product.

My Citizen Petition FDA-2021-P-0267 was posted by the FDA on February 28, 2021. The Glutes sent in a condemnation of the Petition, received on August 15 and posted on August 19 (a four-day delay in posting).  In turn, I submitted a comment in which I tore apart the Glutes’ criticism, pointing out that platitudes but no data made up the body of their retort. My comment was marked received by the FDA on October 20, but as of November 3 it had not been posted (14 days without posting).

My guess (based on past glutamate-industry behavior) is that my critique of the glutamate-industry response would never have been posted had I not had the temerity to search out a way to contact Docket’s Management and disputed the omission.

“Oh” was what I heard from the person who picked up the phone when I finally got connected. “It must have been because it was so large that it got overlooked. Just give me half an hour to 45 minutes, and you’ll be able to see it posted.” (And in an hour, it was posted.)

More on suppression of information can be found in The toxicity/safety of processed free glutamic acid (MSG): a study in suppression of information. Account Res. 1999;6(4):259-310. doi: 10.1080/08989629908573933. PMID: 11657840.

We invite you to learn more about the FDA at where you can get a feel for how your tax dollars are being spent for the benefit of the glutamate industry.


Saturday’s secrets — Best kept secrets of the glutamate industry

It’s not a secret anymore

If your mother was pregnant with you after 1960 and she ate a fair amount of processed food and drank diet soda, chances are that today you’re overweight, and have found that diet and exercise don’t help. That’s because the flavor enhancers in processed food and the aspartic acid in aspartame are excitotoxins that kill/destroy the brain cells that would have controlled satiety, appetite, and food intake had they not been obliterated by flavor-enhancers like MSG, and aspartic acid-containing sweeteners such as aspartame, equal, and others found in low-cal and diet foods and beverages.

Yes, there’s science that says so:

Samuels A. (2020) Dose dependent toxicity of glutamic acid: a review, International Journal of Food Properties, 23:1, 412-419, DOI: 10.1080/10942912.2020.1733016:


Without pregnant women passing excitotoxic – brain damaging – free glutamic acid to fetuses and neonates, there would be no obesity epidemic.

So now that you understand that you’re not lazy, unmotivated or whatever else people are blaming you for, stand tall and be proud of the person you are.  Once you’ve accepted the fact that you have a disability and are not to blame for being overweight, you can work to minimize your disability without beating yourself up for something over which you had no control. Whatever you and your doctors or counselors design for your future can now be based on realistic expectations. Yes, if you choose to modify your weight, there will be limits imposed on you by the brain damage done to you in utero. So, make sure the doctors and counselors you choose are tuned in to help you.