miso: a thick paste made from fermented soybeans and barley or rice malt; used in Japanese cooking to make soups or sauces
spread: a tasty mixture to be spread on bread or crackers or used in preparing other dishes
distal muscular dystrophy: a form of muscular dystrophy that sets in between 40 and 60 years of age and is characterized by weakness and wasting of the muscles of the hands and forearms and lower legs; inheritance is autosomal dominant