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Unfortunately, once the classic symptoms appear and a definitive diagnosis is made, the very symptoms we look for have often become irreversible. Entry into epidural space: via contiguous infected tissue (vertebral body, psoas muscle), hematogenous spread (skin, soft-tissue, urinary, and respiratory tract infections), or iatrogenic inoculation (epidural analgesia, paraspinal steroid injection, lumbar puncture, surgery, nerve block). Damage to spinal cord caused by: direct compression, thrombosis, and thrombophlebitis of nearby veins, interruption of arterial blood supply, bacterial toxins, inflammatory mediators. Spinal instrumentation, contiguous bony or soft tissue infection, bacteremia secondary to distant infection, diabetes mellitus, HIV, trauma, IV drug abuse, immunosuppressive therapy, cancer, renal failure, alcoholism, tattooing.
Surgery: Most cases call for surgical decompression by laminectomy, hemilaminectomy, or interlaminar fenestration. CT-guided needle aspiration combined with antibiotics: for patients with posterior SEA, no neurological deficit, high surgical risk, and who do not respond to antibiotics alone. Against Pseudomonas if IV drug use, Coag-negative Staph if implanted device such as epidural catheters. Classic triad present in only 10-15% of cases at first physician contact in Davis et al.’s study. For Davis et al., mean duration was 5 and 9 days, respectively, with median number of ED visits before admission being 2. Final outcome (after up to 1 year) strongly correlates with severity (Stage III, IV) and duration (>24-36 hours) of neurological deficits before surgery.
Mortality rates (2-20%) usually due to severe sepsis and in patients with multiple co-morbidities.
Perform full neurological exam including: reflexes, sensory and motor function, anal sphincter tone, ability to completely void—especially if patient is bed-bound or with other comorbidities. Consider ESR as screening tool in patients with spinal pain and a risk factor but without neurological deficits. Consider urgent MRI for high-risk patients with: neurological deficit and focal back pain, deficit and unexplained fever, deficit and elevated ESR, severe focal back pain and fever, severe focal back pain with markedly elevated ESR, unexplained extremely severe focal back pain. VICTIMS of heart attack who later develop heart failure stand a far greater chance of being stuck down with cancer, research suggests.
Scientists believe that replacing just one sugary drink a day with unsweetened alternatives such as tea or coffee could help curb an epidemic of type 2 diabetes (file picture)Researchers found that for each five per cent increase in peoplea€™s total energy intake from sugar-sweetened drinks, the risk of them developing the disease increased by 18 per cent.A But swapping only one a day for water, unsweetened tea or coffee could cut the incidence of diabetes by up to 25 per cent.
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The global in vitro diagnostics (IVD) market size was estimated at USD 51,674.4 million in 2013. In vitro diagnostics market is expected to witness growth owing to advancements and innovations in the IVD technologies, which has resulted in the introduction of novel diagnostics test applications.
Rising geriatric population base and demand for diagnostic testing is expected to spur the in vitro diagnostics industry. Increasing recognition of the diagnostics role in patient care and rapidly changing healthcare environment, with growing awareness about the diseases, are expected to promote the in vitro diagnostics market over the next six years.
Growing demand for the point-of-care identification and detection of various infectious diseases such as viruses and bacteria causing lower and upper respiratory tract infections, including influenza, RSV, pneumonia, and Legionnaires’ disease, coupled with pathogens causing malaria and filariasis is one of the major drivers for the industry.
Professional diagnostic IVD products were the largest segment with revenues of USD 36,117.3 million in 2013. Tissue diagnostics is expected to grow at a CAGR of 10.2% from 2014 to 2020 on account of increasing incidence rates of cancer and growing demand for lab automation. North America was the largest region owing to growing prevalence of chronic disorders such as cancer and respiratory diseases in this region.
The in vitro diagnostics market contributes to the well-being and health of the European Economy. Siemens Healthcare, Johnson and Johnson, Becton Dickinson, Abbott Laboratories, Roche Diagnostics, and Beckman Coulter Inc. In April 2015, Sekisui and Abbott announced an agreement to provide coagulation testing solutions for the laboratories around the globe. In December 2014, Roche expanded CE-IVD for testing of human organ and tissue for next-generation blood screening assays.
What will be the market growth till 2024 and what will be the resultant market forecast in the year? How will the market drivers, retraints and future opportunieties affect the market dynamics and a subsequent analysis of the associated trends? Get your queries resolved from an industry expert. Request for a free product review before report purchase.
Dietary salt intake reduction can delay or prevent the incidence of antihypertensive therapy, can facilitate blood pressure reduction in hypertensive patients receiving medical therapy, and may represent a simple cost-saving mediator to reduce cardiovascular morbidity and mortality. In numerous epidemiologic, clinical, and experimental studies, dietary sodium intake has been linked to blood pressure, and a reduction in dietary salt intake has been documented to lower blood pressure. This article originally appeared in the May 2012 issue of the The American Journal of Medicine. In your bestseller The China Study you described a relationship between the consumption of animal products and the incidence of diseases such as cancer (breast, prostate, rectum), diabetes, cardiovascular disease, obesity, autoimmune disease, osteoporosis and degenerative brain diseases. I don’t accept the premise that during the course of evolution we developed as carnivores. Even if we allow that significant amounts of animal based foods were consumed by some groups in ancient times, humans over long periods of time show considerable adaptation, thus present day humans should reflect histories of say, the last 10 to 20 or so thousand years. I hope your health and vigor continue, but I'd recommend you try to reduce your animal protein consumption down to at least the 10% level to minimize your risk of many common cancers.
The USDA also publishes a database giving the nutritional content of all basic food stuffs plus many packaged foods that includes a complete breakdown of the essential amino acid content of each food. Even things like carrots, which I doubt anybody thinks of as a protein source, contains all of the EAAs. And of course none of these foods are eating exclusively to provide all foods for a given day. As you can see that just by eating simple plant foods, I more than meet my protein needs and as well my EAA needs. Fast forward 500,000 years,and Homo Habiis and his cousins (Ergaster, Rudophensis) evolve into our direct ancestor Homo Erectus, with an initial brain size of about 800-900 cc.
In addition there is increasing evidence that man played a major role in the extinction of the large herbivores at the end of the ice age. Increased plant food consumption only occurred after the farming revolution (10,000 years ago), and until farming had advanced enough to provide an adequate diet, we became smaller and shorter (signs of nutritional stress). Sorry but eating meat and other animal protein is not just an integral part of us, but an integral part of how we became us. Somewhere around 1 to 1.5 million years ago hominids (likely homo erectus) learned to control fire. There is one obligate carnivore with a large brain, the dolphin.The following is a very interesting paper on how domestic cats and dolphins (both obligate carnivores) handle a high protein diet. So obviously we can eat meat, but our anatomy and enzyme systems clearly say that since we came down out of the trees and long before that meat has never served as the foundation of our diet. Melissa Tuomi:April 22, 2015 at 11:12 pmSo you are saying our fruit and shoot eating primate cousins are dumb? That said, B12 is made by all animals (humans are animals too) from a bacteria found in the soil (that's how cows get it). The clinical presentation and impact of diagnostic delays on emergency department patients with spinal epidural abscess. Increasing incidence rate of gastrointestinal and sexually transmitted diseases coupled with growing demand for large-scale population screening, especially for cancer and to identify whether a specific treatment or medicine would work on a patient is expected to propel industry growth over the forecast period. It is found in virtually each stage of the patient care pathway and almost every healthcare setting.
Growing prevalence of diabetes has increased the IVD demand as patients suffering from diabetes regularly use IVDs to monitor the blood glucose.
For instance, BIVDA is an association of companies with high interest and involvement and represents distributors and manufacturers functioning in the UK. The presence of high unmet medical needs such as in infectious disease category and its potential to provide rapid and reliable diagnostic results is expected to drive professional diagnostics growth.
According to the National Cancer Institute, the most common cancers in 2015 are anticipated to be lung and bronchus cancer, colon and rectum cancer, melanoma of the skin, breast cancer, prostate cancer, and others. Europe IVD market was valued at over USD 15,755.0 million in 2013 and is projected to rise due to increasing incidence rate of pneumonia, cancer, and tuberculosis in future. Government initiatives, increasing clinical research activities with respect to advanced diagnostics, and growing per capita healthcare expenditure are expected to promote growth over the forecast period.
There are around 40,000 IVD products available, assisting patients and specialists on a wide range of conditions. In young subjects, salt intake has a programming effect in that blood pressure remains elevated even after a high salt intake has been reduced. After years of research and studies you came to the conclusion that it would be healthier for people, if they would only eat vegan without meat and animal products. I accept the evidence showing that some animal based foods have been consumed for a long time but I am not convinced that it was very much.

There are countless reactions that, in principle, are reversible or at a minimum have optional pathways that lead to disease or health events. To top off this interpretation, new findings now show that virtually all people when submitted to a whole food, plant-based (WFPB) diet greatly improve their health. Whole foods that are plant based eliminate these sources of at least one, arguably more, of the top killers in America.
Autopsies on heart disease victims have shown that plaque build up in the arteries is mostly composed of trans fats such as shortening and margarine and polymerized oils from fried foods. And being a registered dietitian means you are a member of an organization I view as highly conflicted with it's stated interests. I like your holistic approach (although I suspect we may disagree on what constitutes holistic as well). However, I'm glad they are keeping you, your family, and your clients healthy and athletic. You seem devoted to your art, but in my opinion science has outpaced your positions regarding protein.
There is really no practical way to equate killing an animal at an age that represents a fraction of its natural life with treating it humanely. Every plant food contains every essential amino acid and in amounts sufficient to insure that if adequate calories of whole unprocessed plant foods are consumed you will have consumed more than the amount of each of the essential amino acids (EAA) you required. What is important is that for a given percentage of my total calories, does a given food bring with it at least as high a percentage of each EAA. A cup of cooked carrots supplies 2% of my daily calories but meets between 4% (Valine) and 20% (Threonine) of all of my daily EAA requirements. They naturally combine in a meal without any special effort or thought to provide much higher percentage of your EAAs than a given meal provides in calories. So your argument to that we need to eat meat and other animal derived foods to meet our daily needs for essential amino acids falls completely apart when it is tested against reality. Archeological and paleontological evidence shows a clear connection between increased meat eating and rapid brain growth. Homo Erectus sites show large evidence of more advanced tools, including hunting tools such as spear heads, and of animal remains that show signs of having being killed, evidence of increased hunting skill, which means meat was a major component of their diet. I am not saying eat meat every day, but I am saying removing it entirely from our diet is contrary to who we are and how we became us. It was really only at this point that we could have been able to eat a significant amounts of meat since we don't have the strong stomach acids carnivores do that allows them to digest significant amounts of raw meat and especially to kill off the bacteria on the raw meat. Neanderthals have been found with starch grains from grain sources in their dental plaques, so it is likely that grain eating extended back to at least our common ancestor 350,000 to 400,000 years ago.
Dolphins are unique in that they also have very large brains as a percent of body weight which requires a large amount of glucose.
As an experienced analyst and investigator I look at the available evidence, and develp a working hypothesis based on it.
The USDA actually adds it as a supplement to meat and cereals, so you are all being supplemented, you just are not aware of it.
In: Infections of the Central Nervous System, 2nd Ed, Scheld WM, Whitley RJ, Durack DT (Eds), Lippincott-Raven Publishers, Philadelphia 1997.
However, many of these tests are remotely performed making their presence and use unnoticed. Moreover, approximately 1,658,370 new cases of cancer are expected to be diagnosed in the U.S. The market players are providing various solutions in the form of reagents, services, and instruments.
Elderly subjects, African Americans, and obese patients are more sensitive to the blood pressure-lowering effects of a decreased salt intake.
You can read the accompanying article in the August 2016 issue of the American Journal of Medicine.
I fail to see how the archeological and anthropological evidence could have documented the consumption of plant-based foods that would have left little or no evidence. It is abundantly clear to me that these reactions when proceeding in the direction of health are catalyzed by plant-based components, not animal based components.
How can they respond in this way if their bodies were meant to consume an animal-based diet?
His legacy, the China Project, has been acknowledged as the most comprehensive study of health and nutrition ever conducted. But it still could have had a detrimental effect on the longevity of individuals, especially if the effect on lifespan of a diet with a substantial animal component was after childbearing years.
This means the body's demands for a full complement of the eight essential amino acids must be present or else any number of biological processes requiring specific amino acids can come to a grinding halt. Cholesterol actually is required to help dissolve plaques, provided however that enough raw plant foods are eaten along side of animal proteins to control LDLs, because the essential oils, phytonutrients, enzymes, antioxidant vitamins and minerals and polyunsaturated fats keep cholesterol from solidifying in the arteries and forming clots. Although I completed all courses in dietetics, I rejected their old school premises and attended a holistic college in addition. Organically grown animals are good sources of omega 3 fatty acids as well as other types fats if their diets are rich in the omega 3s and are mineral rich. I regret the suffering of animals that you believe are a requirement to those outcomes, but I too ate animal products for decades before coming to a greater awareness of the suffering I was creating.
It's an ugly, stomach wrenching business, even when done organically and outside factory farms. I advocate humane treatment of animals, whether we raise them for food or if we would ever need to hunt them for food to stay alive. And most animals raised for food endure horrific living conditions and treatment as I'm fairly sure you know.
The only requirement your body has is that you eat enough of each of the essential amino acids.
For example a meal of a cup of brown rice, a cup of black beans, a cup of carrots, 6 cups romaine lettuce (I like really big salads), and a large apple contains 26% of my daily calories while meeting 38% of my total protein needs and between 61% (Leucine) and 100% (Phenylaline+Tyrosine) of my daily amount of each EAA. That's quite a bit of homework and quite a bit of empirical data that agrees with much of the scientific research.
The earliest hominids, such as Australopithecus (Afarensis, Africanus) and Kenyanthropus, who were herbivores had a brain size equal to modern chimps (350-400 cc) .
As such they would have been very valuable food source when other more ephemeral foods sources like ripe fruit were not available. But fire would have also allowed early humans to cook tubers, which greatly increased their digestibility.
Archeological data shows that sorghum was processed on stone tools more than 100,000 years ago.
Dolphins have a very efficient system for gluconeogenesis (the making of glucose from dietary protein) to feed that big brain using meat. Any strategist (business, military, diplomatic) will tell you that most decisions have to be made with about 70% of the facts, if you wait for more, by the time you get them the situation has changed, and you've missed the boat. To acquire the share and gain sustainability, the companies are involved in extensive R&D activities to develop new products catering to the segments with increasing future growth rates such as tissue and molecular diagnostics. Depending on the baseline blood pressure and degree of salt intake reduction, systolic blood pressure can be lowered by 4 to 8 mm Hg. I also have seen some remarkably convincing arguments that we evolved mostly as herbivores, based on a consideration of anatomical and morphological evidence.
This phenomenon has been given almost no attention as far as I can tell, by anthropologists.
With chronically missing or imbalanced proportions of essential-to-life amino acids, the body is forced to disassemble its own body protein to repurpose and provide fuel for the brain and muscles or assemble another molecule needed for a high priority process.
Additionally, besides being 70-80% water, the body is composed mostly of protein, and lesser amounts of glucose and glycogen. Eating from a limited types of plants foods usually leaves one nutrient deficient in one way or another.
This site advocates eliminating animal products from the diet for health reasons and there are a multitude of peer reviewed studies confirming the efficacy of that position. There are not enough resources on planet Earth to provide for a few years of humane existence intended to fatten an animal before being prematurely slaughtered.
The USDA gives these amounts in mg per kg of body weight, so each person can figure out their own needs. For example a cup of black beans provides me 23% of my recommended amount of protein, with EAA amounts between 60% (Phenylaline+Tyrosine) and 31% (Methionine+Cysteine) while only providing 8.9% of my calories.
I'm curious also, do you salivate when you spot a little bunny, and fight to control your impusle to pounce on it and rip out it's little throat and relish the anticipation of devouring it on the spot, all bloody and still warm, like actual meat eaters do?
One of these evolved into the earliest Homo specimen, Homo Habilis, characterized by greater manual dexterity and a slightly bigger brain (425-450cc), enabling earliest tool manufacture.
If meat is essential to brain size, why is it that many people function well and even thrive on plant based food.
The bottom line is that if we developed our large brain because we started eating a large amount of meat, we would have a metabolism much closer to dolphins and we don't.

Based on what we have, which is probably unlikely to change significantly any time soon, what I said is not conjecture, but the analysis that best fits the evidence we have. Carnivores are smarter Herbivores spend way too many hours grazing and digesting low caloric foods to develop higher brain functions.
That is not a fact, its not even a hypothesis, its a random conjecture that has no basis on fact, or even casual observation.
A greater decrease in blood pressure is achieved when a reduced salt intake is combined with other lifestyle interventions, such as adherence to Dietary Approaches to Stop Hypertension. Campbell is the Jacob Gould Schurman Professor Emeritus of Nutritional Biochemistry at Cornell University. Habitually consuming plant-only based meals with incomplete or inadequate amounts of amino acids contributes to degenerative rather than replenishing, rebuilding conditions. I have helped clients heal their health conditions from all manner of ailments, including leaky gut, cancers, and a great variety of others for over thirty-five years.
Same with dairy cows killed at 5 years after being repeated impregnated and having their calves summarily taken from them and either destroyed, chained their entire lives, or fattened for slaughter, but animal rights are more controversial than the biology of animal protein consumption, so I'll leave it there.
I'm also curious why you post so much here if your views are contrary to the primary position of the site creators regarding protein?
Having studied the physiology of nutrition for over three decades, which by no means equals the base of knowledge science has acquired so far, I realize science has much to learn about how it functions, although the biological sciences have acquired a vast pool of knowledge the average health conscious person rarely, if ever, accesses. What consolation is it to have lived a life as a food animal in a somewhat natural environment if you still have to face an unnaturally early death during your formative years after waiting in line behind your fellow animals and hearing, seeing, and smelling their atrocious death, mutilation, and dismemberment. I invite you to read more on this sight, if you've read anything at all, and perhaps post less.
This in turn enabled them to scavenge meat from remains of lion and other big cat kills, and possibly to hunt small animals as well.
If man was strictly a herbivore, we would have never evolved past the boisei that just sat around the African savannah all day chewing on reeds.
A high salt intake has been shown to increase not only blood pressure but also the risk of stroke, left ventricular hypertrophy, and proteinuria. He is also the founder of the highly acclaimed, Plant-Based Nutrition Certificate and serves as the Chairman of the Board for the T. This allows us to contemplate any conceivable eating pattern we want in the search for one that maximizes our individual longevity.
Wasting away of one's own valuable body tissues, including blood, bone, muscle and cartilage along with organ tissues and in fact all body systems is prevented with eating foods containing all eight essential amino acids. Various kinds of exercise stimulate the body to store glycogen in the muscles for future physical challenges, though is converted back to glucose as needed. Are you trying to convince everyone who comes here who agrees with that position of your own position, as you appear to be doing in this post?
Having researched and produced effective nutritional healing protocols and written two books on this very subject, having worked with athletes and with clients with all manner of health ailments, teaching them how to restore their health with a holistic approach to nutrition, fitness and environmental and toxic consumer product awareness, I could say with some conviction that I am holistically minded.
If you do not understand after experiencing such things first hand, perhaps just watching a few YouTube videos on animal abuse, then my words will continue to fall upon deaf ears. I doubt you will convince anyone around here that your positions on protein consumption are still valid, despite your conviction that we are being somehow being misled. Being 80% vegan and 20% carnivore is a well known optimal nutritional balance for those who engage in heavy physical fitness activities. Beans aren't just a source of complete protein, they are a source of super complete protein. This change in diet generated a rapid spurt in brain size, within 100,000-200,000 years (nothing by evolutionary standards, brain size had increased to 550-600 cc.
Adverse effects associated with salt intake reduction, unless excessive, seem to be minimal. Much data indicates that that diet is one that is dominantly if not exclusively one based on whole plant foods with little or no food of animal origin. The foods best suited for provided all eight in optimal amounts come from animal-derived foods. However, repair and regeneration of every single cell in the body requires the eight essential amino acids; nine essential amino acids for infants, as they cannot manufacture histidine until they are older.
And if I still have your attention, how do you explain the statement released by the American Academy of Sciences (arguably the most unbiased group around) regarding the consumption of meat?
If enslaving, murdering, and consuming frightened animals were necessary for human survival I'd continue to roll up my sleeves and do what was needed as I have done in the past, but it it not necessary to consume dead animal carcasses for optimal human health and I am glad for that. Many people here have been where you are regarding animal protein consumption, but now avoid or severely limit its consumption because of the information contained on this site or written by authors referenced on this site.
I repeat, it had taken at least 1.5 million years for the herbivore hominids to increase their brain size by 50-100cc. However, data linking a decreased salt intake to a decrease in morbidity and mortality in hypertensive patients are not unanimous. Unfortunately, when one eats only animal derived foods, anaerobic microbials and their toxic byproducts can infest the gut and create gastric disturbances and can lead to cancer.
The constant manufacture of hormones, enzymes, immune calls, all tissues, organs and bone structures and the trillions of biochemical processes require these eight amino acids to be present. Eating so-called incomplete proteins are likely safer for your body and more easily assimilated because you don't need to first break down a so-called complete protein with digestive enzymes before reassembling the amino acids into other proteins needed by the body so there is less chance of molecular mimicry causing autoimmune issues in the presence of leaky gut, perforation, or other lack of intestinal integrity. Paraphrasing, they state that ALL meat contains trans-fat and that no amount of trans-fat consumption is safe. Further, ALL meat contains trans-fat, thus eating meat is eating trans-fat and NO amount of trans-fat is considered acceptable by the National Academy of Sciences, the least biased organization around. Following the change of diet characterized by an increased meat intake, brain capacity almost doubled within a much shorter time space.
The human body can utilize the all important amino acids most effectively when combining the cleansing, detoxifying, anti-microbial properties of plant foods rich in enzymes, phytonutrients, vitamins and minerals, and contain hydrating water, all in the same meal.
If even one amino acid is missing or there are shortages, any one of these processes comes to a halt.
Recent research shows that vegans and vegetarians get more than the RDA of protein, so not to worry.
Since you stated above that most arterial plaques are composed of trans-fats, why consume them in the first place? The main problem with vegan diets is that it is very difficult to obtain comparable amounts of amino acids and in similar balance as contained in animal-derived foods without consuming an excess in carbohydrates and insoluble fiber, which can create gastric upsets. If you look up the amino acid content of plant foods versus animal-derived foods, you'll find that plant foods always come up short.
It's okay to change your position in the presence of new information as it comes to light.
That's like taking a toxic substance simply because you plan to follow it with the antidote. Saturated fats are deleterious to health regardless of what a few biased doctors and researchers purport or what your limited experience suggests. In addition,being easier to digest, a meat diet enables the stomach to become smaller, reducing its energy requirements (digestion is energy intensive), enabling the body to allocate more energy to the brain.
Eating more carbs to try to meet those amino acid requirements results in eating too much sugar and insoluble fiber, at least I found this to be true with many of my clients in my nutritional practice. Trans fats are linked to heart disease and cancer and endocrine disruptions, cell mutations and inflammation. Your anecdotal experiences fly in the face of a growing world population experiencing ever greater levels atherosclerosis, heart disease, diabetes, and other chronic illness that seems more and more obviously related to animal product consumption, the likely culprit as demonstrated by developing countries when their people become more affluent and are able to afford to eat a greater percentage of calories from animal products like Americans and Europeans. Since we are installed with various types of teeth for both grinding and tearing, it appears humans are meant to eat both. We humans certainly don't have the large canine teeth of large predators, but we do have them. Along with a balance of plant-derived oils, the body can use the animal fats for many essential biological processes, including preventing the overproduction of cholesterol, which, btw, has been given a bad rap, and given the right conditions (eating plenty of raw organic foods, exercise, for instance), animal fats are part of a full range nutrient diet, including omega 3's.
There is a correlation in these developing countries between increased animal product consumption and increased heart disease, diabetes, and other illness. Combined with a holistic approach to exercise and minding how food is grown and how it is stored and prepared, it all adds up to one very strong and healthy individual.
This has been my personal experience as a very health-conscious and strong and fit, fifty-nine year young omnivore with zero health issues, and also the experience of my clients I have observed in my consultation practice as a holistic nutritional physiologist for over thirty-five years. I make a sincere effort to help people improve their health, and with years of research, experience to back up what I assert, and advocating a holistic approach to health management along with informed choices, I aim to help others first transform their health, then go on to become influential consumers toward improving the environment and supporting the organic and permaculture production of nutrient-rich foods through those personal food choices, just as my clients, family, friends, and students have. At age 59 and an 80% vegan, 20% animal derived organic food advocate, multi-disciplined athlete still going strong since age twenty when I first discovered real health, I have no health problems, as I have always practiced what I teach and share.

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    Are plenty of healthy foods and meal combinations anxious.


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    If you're on a excessive protein, low carb food.



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