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In terms of nutrition, Miley’s approach has evolved over time. She was a committed vegan for several years, motivated by both ethical and health considerations. However, in 2020, she announced that she had shifted to a pescatarian diet after facing issues like brain fog and joint pain. She found that reintroducing fish helped her feel more balanced, particularly by providing essential omega-3 fatty acids that are crucial for brain and joint health. While she is no longer strictly vegan, her diet remains largely plant-based and focused on whole, unprocessed foods. In earlier years, she also eliminated gluten and dairy due to sensitivities, which she believes improved her skin and energy levels.

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What sets Miley apart from many celebrities is her mindfulness about how her diet and fitness choices make her feel. She does not chase trends or follow restrictive fads; instead, she listens to her body and adjusts her habits as needed. This thoughtful, adaptive approach has helped her stay consistent and avoid burnout. Rather than obsessing over calorie counts or appearance, she prioritizes how she feels—both physically and emotionally—which makes her routine more sustainable and authentic.

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Miley’s awareness of her health became even more focused after she underwent vocal cord surgery in 2019. She was diagnosed with Reinke’s edema, a condition that can affect the voice, and had to take time off to recover. Her rehabilitation involved vocal therapy and physical training that included exercises like wall squats while singing, which helped support her breathing and vocal control. This combination of physical and vocal fitness underscores how interconnected the body and voice are for performers. Miley treats her voice as an instrument and her body as its support system, training both with purpose and care.

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