Obesity and Health
Under-nourishment and over-eating, both have harmful consequences on the health of the individual”
Ditta B. Sambou, Belfort State Clinic
State of the World 2000, published by World watch Institute, reports that the number of people who are overfed and undernourished (a staggering 1.2 billion) now equals the number of those who are starving from from lack of food.
Obese people are at greater risk for serious conditions like diabetes and heart disease—not to mention the social stigma associated with being larger than their peers.
While most people believe that they gain weight due to heredity, eating too much, or because of aging, the major reasons people gain weight include:
- High Fructose Corn Syrup – Obesity in America is at epidemic proportions, with 75% of the population expected to be overweight by 2015. Studies have shown that the obesity rates in the US exactly follow the trend and time line of the introduction of High Fructose Corn Syrup (HFCS) into our diet. Between 1970 and 1990 consumption increased by more than 1000% mostly due to the sot drink manufaturers switching to HFCS as their sweetnener.
A 2004 report showed that Americans eat 132 calories of HFCS every day with the figure closer to 300 calories for the top 20 of people. HFCS is chemically altered corn starch that is in just about everything we eat. It is added to food for two reasons: one, to lower the cost, and the other to bulk up the food so the consumer thinks he is getting more for his money. However, the body doesn’t recognize chemically altered products and either flushes them out of the body or stores them as fat.
HFCS also blocks the absorption of nutrients from the food it is in. HFCS is banned in Great Britain and is soon to be banned in Europe. Unlike other carbohydrates, the main sweetener in beverages — high-fructose corn syrup — does not spur production of insulin to make the body “process” calories. It also does not spur leptin, a substance that helps moderate appetite. For these reasons, beverages are not as satisfying as foods containing similar amounts of calories and fly under the radar of the body’s normal weight-regulating mechanisms. According to New York University biologist Marion Nestle, an expert on nutrition and food policy, “If I were advising someone to lose weight, I’d start with soft drinks and juice drinks. Get rid of them.”
The reason behind that recommendation is soft drinks and juice drinks contain HFCS. Dr. Terrill Bravender concurs. According to Dr. Bravender, pediatric obesity specialist at Duke University, Durham, NC, “The average person gets 10% of their total calories from sugared beverages, with 7.5 % from sodas. By cutting out sodas, the average person would lose two pounds a month.”
Nutrient deficiency – Most people eat too much cooked, processed and nutrient deficient food. In fact, we Americans are the most overfed and under-nourished people in the world! According to one pharmacist, “I see a lot of overweight people who are all malnourished”. When you eat nutrient-deficient food, your stomach may be full, but your body continues to send out the ‘I’m hungry’ signal. This leads to overeating and weight gain.
According to their BMIs, two-thirds of adult American women fall into the overweight or obese category. A 2007 report from the Centers for Disease Control found that the prevalence of obesity among U.S. adults doubled between 1980 and 2004. Compared to women of a generation ago, we’re 24 pounds heavier on average, and there’s been an especially alarming increase in those at the upper end of the scale (not just obese, defined as a BMI of 30 or higher, but significantly obese, with a BMI above 35). High BMIs are associated with increased risk of diabetes, high blood pressure, some cancers and heart problems. According to Nancy Snyderman, MD, medical consultant for NBC, more people will die from obesity by mid century than from all cancers combined.
Dr. Walter C. Willett of the Harvard School of Public Health, stated at the annual meeting of the American Association for the Advancement of Science,being obese is currently associated with about 14 percent of cancer deaths in men and 20 percent in women, compared with about 30 percent each for smoking. He continued saying research is producing increasing evidence associating obesity with a variety of cancers, including breast, colorectal, liver, pancreas and gallbladder.
Recently researchers analyzed a variety of published medical reports on obesity from 1980 to 2005 plus World Health Organization data, and concluded that the prevalence of childhood obesity increased in almost all the countries for which data was available; a trend fueled by among other factors, more sedentary lives and the increasing availability of junk food.
According to Dr. Richard, Carmona, former US surgeon general and currently chairing the Strategies to Overcome and Prevent Obesity Alliance, “the rise in childhood obesity coincides with the rise in related conditions such as type 2 diabetes and high blood pressure”. He continued, “these are middle aged diseases, and we are seeing them in elementary children”.
The public health consequences of the trend alarm experts, says Dr. Phillip Thomas, a surgeon who works with obese patients. Because obese children tend to carry the problem into adulthood, Thomas and other doctors say they will be sicker as they get older, suffering from degenerative diseases such as heart disease, stroke, and other ailments stemming from their weight. Dr. Thomas continued, “This is going to be the first generation that’s going to have a shorter life expectancy than their parents”
Skin Health
In 2004, consumers spent $44.6 billion on anti-aging products and services, with that amount expected to nearly double by 2009. Skin care products dominate the anti-aging retail market, controlling 52% of retail sales. The force behind this anti-aging boom is the routine of applying and reapplying topical agents. However, these topical remedies for sagging skin are not permanent as the skin regenerates itself every 28 days, requiring continued use of topical agents to maintain their effectiveness.
A more natural way to support skin health, without the dermabrasion and chemical peels of topical agents, is with Cytokinins. Cytokinins are plant hormones that promote cellular growth and delay the aging process. Cytokinins stimulate cell division, delay the aging and destruction of tissues, protect against cell oxidation, and postpone cell death. Studies are now showing that the potent, protective, anti-aging effects of Cytokinins work the same way in human skin. When the diet includes these plant nutrients, the body as a whole can fight aging, starting at the cellular level. The most potent Cytokinin is Zeatin.
A study conducted the University of Aarhus, Denmark, in 2004 evaluated the effects of Zeatin on cultured human skin fibroblasts over their life span in lab culture. The results showed that not only does Zeatin not interfere to with the genetic control of cellular life span of a cell, but that it also helps promote small cell size, a key component to more youthful skin. Zeatin also helps with the structural and functional integrity of the cell, and prevents accumulation of macromolecular damage in the cell. The study also found that Zeatin increases the activity of some antioxidant enzymes counteracting the free radical-induced oxidative damage incurred during cell aging.
Dr. Monica Marcu, Pharm. PhD, concurs, “Cytokinins have proven to delay biochemical modifications associated with aging in culture human cells. Zeatin protects the skin. When human skin cells are nourished with Zeatin, they retain their functions longer and are more resistant to environmental stresses.”
Found in most plants, Zeatin is more abundant in one plant than any other, Moringa Oleifera. Moringa Oleifera not only contains thousands of times more Zeatin than any other known plant, it is also the most nutritious plant discovered to date with over 90 nutritional compounds, including 46 antioxidants and 36 anti-inflammatories.
Dr. Lydia Marero, of the Food and Nutrition Research Institute (FNRI), also believes Moringa could be the new anti-aging alternative. Dr. Marero says, “Because of its high content of vitamins A, C, and E, which are very potent antioxidants, Moringa is a very good quencher of unstable free radicals that can react with the damage of molecules that cause aging”.
Aging of the skin is not the only result of skin damage. Skin cancer rates and deaths are increasing dramatically around the world. One in five Americans will develop skin cancer during their lifetime, and one American dies from it every hour.
This may be in part due to ozone depletion which seems to be leaving us more vulnerable to damage from ultraviolet (UV) radiation. This radiation causes formation of highly reactive “free radicals” within our bodies, damaging our cells in ways that increase the chance for cancer to develop. The best defense against the free radical damage of oxidation is a diet rich in antioxidant vitamins and minerals (and plenty of water!). Research suggests that certain antioxidants—vitamin C, vitamin E, selenium, and vitamin A (in the form of beta carotene rich foods)—nourish and protect skin to extend its youthful appearance. According to Karen Collins, RD, along with sun protection, a healthy diet may help. She further stated, “In theory, antioxidants like beta-carotene and other carotenoids might stabilize free radicals and end the damaging chain reactions they start.“
Underneath aging and age-related disease is low-grade inflammation, according to dermatologist Nicholas V. Perricone, MD. He continues, “The skin is always getting inflamed by sun, weather, pollution, and products because it is our interface between
the environment and our body. So the best ways to decrease disease risk and slow the aging process is to take nutrients with powerful anti-inflammatory activity on a regular basis. Through a three-tier approach involving diet, supplements, and creams, we can control the rate at which we age”. Combining a good diet with the right dietary supplement will not only help keep your skin healthy, but also looking years younger.
While the skin is the largest system of the body and requires proper nourishment to delay the visible signs of aging, aging isn’t just skin deep. Every system, that is every cell of the body, ages every minute of every day. There is no magic fountain of youth. However, by providing proper nourishment, along with antioxidants with anti-aging compounds at the cellular level, anti-aging of all systems of the body can be slowed; minimizing the visible signs of aging skin and lowering the risk of degenerative (age related) diseases
Pain Relief
COX-2 Inhibitors
COX-2 is short for cyclooxygenase-2, one of the key enzymes that helps the body produce the inflammatory hormonelike compounds prostaglandins and cytokines. COX-2 is activated by injury and inflammation and is essential for fighting infections and healing injuries, but when the body produces too much, the result is chronic inflammation and pain.
Recent news of synthetic COX-2 inhibitors (ie Celebrex, Vioxx) and non-steroidal anti-inflammatory drugs (NSAIDS) has not been good news for consumers. In 2005, the Food and Drug Administration (FDA) advisory panel concluded that some well-known COX-2 inhibitor drugs significantly raise the risk of heart attack and stroke. The FDA issued safety concerns and additionally noted that little is known about the long-term safety of many other synthetic drugs taken for arthritis, pain and inflammation.
There have also been new warnings about the short-term use of over-the-counter ibuprofen, aspirin and acetaminophen pain and anti-inflammatory drugs, because users run a greater risk of gastro-intestinal bleeding, liver and kidney damage and peptic ulcers. While synthetic COX-2 inhibitors and NSAIDS offer some relief, their benefits may be countered by dangerous side effects. “There are many problems that a simple pill can’t or won’t fix”, says Sara Walker, Professor of Internal Medicine at the University of Missouri. Synthetic medicines need to be handled with care, especially when considering whether the risks outweigh the pain relief they provide.
When properly nourished, the human body is able to counter many of the daily aches and pains that life, exercise and age routinely bring. The Moringa Oleifera plant contains tremendous phytonutrients that directly support the body’s efforts to inhibit and modulate enzymes that manifest joint pain and age or exercise induced aches and pains. The United States Department of Agriculture has studied and identified natural COX-2 inhibitors such as caffeoylquinic acid, kaempherol and quercetin, all abundantly, placed by Mother Nature, in the Moringa plant.
These natural compounds within the Moringa plant support a healthy, active lifestyle that enhance the body’s ability to relieve pain, inflammation and many other health concerns affecting the body’s various systems. Moringa’s natural COX-2 inhibitors assist the body to selectively block the COX-2 enzyme, impeding the production of the chemical messengers (prostaglandins) that cause pain and swelling.
Along with these natural COX-2 inhibitors and thanks to Mother Nature’s wisdom, Moringa also provides the body additional documented pain-relieving nutrients that include: arginine, beta-sitosterol, calcium, chlorophyll, copper, cystine, omega 3, omega 6, omega 9, fiber, glutathione, histidine, indole acetic acid, isoleucine, leucine, magnesium, oleic-acid, phenylalanine, potassium, rutin, selenium, stigmasterol, sulfur, thiamin, tryptophan, tyrosine, vitamin A, vitamin C, vitamin E (alpha-tocopherol, delta-tocopherol, gamma-tocopherol), zeatin, and zinc. In addition, Moringa’s abundantly bio-active compounds, such as carotenoids, flavonoids and polyphenols have been researched regarding their ability to naturally reduce inflammation, promote joint and bone health and they have been found to be both effective and fast-acting.
This proper nourishment provided by the Moringa plant contributes to a healthy and happy life, especially when complemented by weight management through exercise and diet that also significantly reduces pressure on weight-bearing joints. According to
Dr. John Klippel, president of the Arthritis Foundation, “Supplements continue to be an important option for some people. We’re reminding people there are lots of choices that people need to make and supplements are one of them.”
Product Testimonies
- Ron Golz, Dallas, TX
My name is Sheri Shaton Culbreath of Sunrise, Fl. I was involved in an automobile accident on July 4th 2007, with very significant injuries to my back & neck, pressing against my spinal chord. I was administered a shot in route to the emergency room for pain that caused my blood pressure to rise to 186 over 101 (stroke range). Upon release to my private physician, which knows my history of non-tolerance to medications and being a anemic, she prescribed a very low dose blood pressure medicine & bed rest x 1 month. Every 3 hours my pressure was to be taken and I was not to leave my home or she would hospitalize me immediately. My pressure was not dropping fast enough upon my visit back in 2 days 180/100 (I begged not to be hospitalized) knowing and believing of the miracle results that ZIJA was providing, so I began to pray & drink 3 cans of ZIJA a day for the next 10 days being checked by my Dr. every 2 days. On day 6 my blood pressure registered in at 100/70 and she thought the med’s was working except for one small factor, she had only provided me a sample bottle of 7 pills when I was released from the hospital. I reminded her of the video & literature on moringa that I had given her previously and with great posture stated this is what I’ve been doing along w/prayer. My pressure is monitored every three weeks and I’m proud to report 100/70 is my number & my motto is
“ZIJA – HEALTH HEAVEN’s WAY!!!!!!!”
- Sheri Shaton Culbreath, Sunrise, FL
My name is Allan Chrenek from Calgary, Alberta and I’ve been involved with the Zija opportunity since Feb 2007. I was already taking supplements as part of my daily routine and I could appreciate the convenience of a liquid. The results were noticeable right away. Zija has helped by with my sleep, sinuses, mental clarity, sense of well being; I have a new appreciation for wellness. I made my investment back almost immediately and continue to enjoy some great passive income. My goal is to be one of the 300 millionaires the Diamond Network will create by 2012.
- Allan Chrenek, Calgary Alberta
My name is Dr. Johnnie Green and my background is in Chiropractic. As a former collegiate athlete, I participated in every event from the 400 meter dash to the 10,000 meter run as well as some field events. Although, I was able to have a successful 4 year track & field career, I suffered from 5 stress fractures during that time frame and pain had become a norm. The results–I had severe tendonitis after graduation. In April 2007, I was introduced to the opportunity by Mr. Mike Sims. After taking two cans of the product per day for 4 days, the tendonitis had diminished. In addition to that, before I only ate breakfast about twice a week, and I was never a \”morning person.\” Although, breakfast is the most important meal of the day, I was constantly missing out and my energy levels were always down. However, I have witnessed a significant increase in my energy levels, and I am now more focus than ever. I am sleeping better at night, my metabolism has altered, and my diet is so much healthier. I can now wear the shoes that I like, and I am in the best shape of my life. The product is powerful and the opportunity
has been a blessing in disguise, so come on board and Drink Life In!
- Dr. Johnnie Green, Beattyville, KY
My name is Cindy Chrenek from Calgary, Alberta. I was first introduced to Zija back in March by my husband, Allan Chrenek. I’ll admit I was very sceptical at first, but after I experienced real results from the product I jumped on board the opportunity. Zija has done incredible things for me. I have suffered from chronic back pain for the last nine years. I have used celebrex, viox and was taking daily pain meds. Now after drinking Zija I am completely pain and drug free. I have slept unbelievably and my well being is very positive and I find that I deal with stress much differently. I would say that my mental clarity allows me to think things through. The Zija Opportunity and the leadership of The Diamond Network have made this experience incredible. We get all of the support, tools and knowledge to be successful. Our “mailbox” money grows each month. I can see we will achieve our goal of time and financial freedom.
- Cindy Chrenek, Calgary Alberta
My name is Myra Savransky, Along with my financial security Zija has helped me physically. I have been on anti-depressants for over 10 to 15 years. I can proudly say that as of today
Dec.2, 2007 I have cut them back my 1/2! No more jitters and dizziness as I cut
back. Zija has taken those side effects away. Another way Zija has helped me with my health is thru natural energy. I am no longer a coffee drinker! I used to drink 2 to 3 shots of espresso every morning, and then by 3pm I would crash and have to drink another couple of shots. I no longer
need coffee to get me thru my day. One can of Zija in the morning gives me all the natural energy I need for the entire day! How many of us can say that we get all our daily needs naturally? In just one drink? I can! I can with a great deal of pride.
- Myra Savransky, Virginia
My two sons had severe allergies that would trigger drastic asthma attacks, which resulted in several 911 calls, and in one case hospitalization for five days. Since they began drinking Zija in October, they have not needed any allergy or asthma medicine and have not had any asthma attacks!!
- Oleyetta Priester, Hartford, CT
For me, Zija was a God send. Years of stressful, long hours on a job had taken their toll on my body. Suddenly facing severe anemia, 6.36 RBC, and a blood transfusion, I was thrust into a life of multiple tests, prescription drugs, daily dosages of ferrous sulfate; along with my fair share of liver and onions. After two years of my red blood cells not regenerating at the pace our bodies demand, it was revealed that my body was depleted of B Vitamins, zinc, folic acid, magnesium, etc., etc. Drinking two cans of Zija daily, without anything else, I am maintaining a 13.0 RBC. Its great taste, convenient packaging, and 100% natural ingredients are everything I need to have a healthy life; and the additional income sure makes life less stressful.
- Gwendolyn A. Hudson, Sunrise, FL
I have had severe arthritis for many years and was taking several prescription medicines, which were adversely harming my health. I was getting progressively WORSE, only in my 30’s in age. My intestines were tied up in knots (slowed motility) from bad side effects with drugs like Celebrex. I refused to take other big pharmaceutical drugs that had been prescribed and are now recalled and banned by the FDA. I was also on large dosages of pain killers. I went on three cans of Zija per day for six weeks, and lost 20 pounds (I needed to lose, while maintaining the weight loss to this day), and my arthritis remains in complete remission, as long as I continue to take at least one can of Zija per day for maintenance. I am off the pain killers and now able to swim daily, which would have been impossible prior to Zija.
- Elisa Bianchi
In 1999, I was involved in a car accident, in which I injured my lower back. I had seen every specialist you could name to try to help me manage the pain. I met with an orthopedic surgeon, who of course recommended back surgery. After praying about the situation, I decided against back surgery; that meant that I would have to live with the pain, which is what I did for 7 years. I started drinking Zija (2 cans a day), and on the third day my pain was gone. I am truly a believer in the product and urge others to experience it for themselves.
- Tamiko Lucy, Atlanta, GA
My blood pressure is at 120 over 80 for the first time in ten years, and I am down to one med. My cholesterol, (good), went from 148 to 89 after ten days of using Zija on a daily basis. I am 52 years old and struggled to get up and move around in the morning with aging pains. Now I hop out of bed like I’m 16 years old. I went out and bought a home gym after 20 days of use and am ready to get back out on the basketball court with my kids. This product is flat out age defying, because feeling this good has no other rhyme or reason; it is the only difference in my daily routine. I am drinking life in, having the time of my life, and it doesn’t get any better than that!
- Mike Armstrong, Columbus Ohio
I used to have three naps a day because of depression, and I lived on Tylenol and Excedrin every day to deal w/my fibromyalgia pain. Within 20 days of starting Zija, I noticed my brain was ticking (as in, thinking again) my brain-fog was going away, and now since taking Zija for over a year I don’t have to live on Tylenol or Excedrin , (no more 10 pills a day) in over a year I have probably taken 20 pills in that whole time! That’s amazing, and I don’t have to take three naps a day anymore; my mood swings from the depression are about three a month instead of three a day. I love Zija and I hope to NEVER have to stop drinking it. My wish is to tell as many people as I can so they start to feel better like me!
- Sandy Bennett, American Fork, UT
My 12 year old daughter was diagnosed with diabetes in October of 2005; in November of 2006 she was told that she would have to go on diabetic medicine. We said no to the medicine and immediately started her on two cans of Zija a day. In January 2007 we took her back to the endocrinologist for additional blood work. The test results came back stating that she was no longer diabetic!!
- Oleyetta Priester, CT
My mother has used Zija for 4 months and is a diabetic. Her sugar levels are great, and Zija has curbed her appetite and given her more energy. She has also lost 17 pounds and is looking great.
- Oriel Butterfield, BERMUDA
Zija has helped me with my digestion, and I also have a great sense of well being within………..My body is not craving sugar, no longer drink soft drinks……….a miracle. I am excited about drinking life in!
- Joyce Price, MI
I have been using Zija for 4 months, and I love it. I have energy, and I sleep very well at night. I have a great sense of wellness! Using Zija as part of my daily nutritional routine, I have maintained my fitness levels and weight.
- Dr. Dena Lister, Bermuda
As with anything new, I like to use the product and see what its benefits are before I share it with other people. That was the case with Zija, and having been using it for three months I can say without a doubt that my energy levels are higher than they have been in years. I used to be a drinker of Red Bull and had short blasts of energy. Now I have energy all the time. I know that other aspects of my health have improved as well.
I look forward to sharing this with as many people as I can. I really think with all the benefits of this product, everyone should be drinking it. I hope to help New Mexico improve their well being by drinking Zija.
- Charles E. Veilleux III Santa Fe NM
I suffered from a major lack of energy. My nutritionist told me that I was severely deficient in vitamins and minerals. I found her diagnosis strange since I was taking a multi-vitamin on a daily basis. She informed me that our bodies only absorb 10% to 20% of multi-vitamins when taken in tablet form. At her suggestion, I went out and bought separate bottles of everything in liquid form, vitamins, minerals, amino acids, omegas, etc. I have been anxiously waiting for something to come to market that could supply me with the nutrients I need to function normally and get through my day without being exhausted by mid afternoon. Then I found Zija. Zija has changed my life. I noticed within three days of taking the product my energy level had increased significantly, my skin cleared considerably, and I feel so much better. I have shared the product with my mother, my aunts, my brother, and 2 year old nephew- all of whom have had major improvements in their overall health from the product. Zija has become a product essential in my household. Trust me, once you try Zija, it will become a product essential in your household as well. DRINK LIFE IN!!
- Keisha Hutchinson, Atlanta, GA
Zija has changed our lives in such a beautiful way. My daughter Nasirah, was born with hypoplastic left heart syndrome and one lung in 2002. She had a heart transplant 1 ½ months later, which was successful. We thought everything was going well until we found out that the doctors had been calling Protective Services on us. They were trying to get Nasirah taken away from us, saying that we were starving her because she was not gaining enough weight. It was devastating because we were doing everything they had told us to do. Nasirah stopped growing at the age of two (25lbs), and since then, we have been taking her back and forth to different specialists to see what’s wrong with her. To this day, they still do not know what WAS causing her growth to stop. Not only did her weight stop, but her height as well. Well, we got introduced to Zija at the beginning of January, and Nasirah now weighs 30lbs; the doctors are now telling us to keep doing what we’re doing. We will continue to drink life in, and we’ll see you at the top!
- Mr. & Mrs. McQuitty, MICHIGAN
A friend of mine gave me a case of Zija, and I have been drinking it since the end of December. Prior to my drinking it, I had blood work done in preparation for a new medicine that I was to soon begin. My first blood test in mid December showed that my liver enzymes were elevated a couple of points higher than they should have been. I had a blood test five days ago, and the results are now normal. Because the new medication that I just started after my last blood test tends to elevate the liver enzymes slightly, it was important that they not be elevated prior to beginning the new therapy. I believe that the Zija helps regulate my body so that it can function better. I must admit that I was a skeptic at first, but upon seeing it in black and white I am a firm believer. It does what they say it does, all of it. It curbed my appetite, stopped my cravings for sweets, gave me energy, improved my mood, and now I have proof that it also helped regulate my body.
- Sarcoid, PAH patient in Philadelphia, PA
I had knee surgery October 20, 2006. When I went back to the surgeon in January for a check-up, I told him that I knew he knew what he was doing and that he had done a lot of work on my knee, but I was worried because it felt the same way it did before my surgery. He said I didn’t realize how serious my surgery was and that it would take eight months for the holes he drilled to heal. That same week, I received the Zija you sent me. I started taking two cans a day, and within a week my knee felt 80% better. I was amazed! My husband has Kennedy’s disease. It is very rare, and there is nothing they can do for it. It affects your muscles. He has a massage done every week and his massage therapist says she has noticed a big difference in his muscles since he started drinking Zija. We will keep drinking Zija!
- Vicky Kauffman, Kansas
In addition, I am in awe (and I rarely use the word awe) of the benefits I am witnessing with clients of all ages who suffer from a wide range of ailments. I see changes in everything from constipation to depression, ADHD, acne, chronic fatigue, fertility challenges blood pressure, cholesterol all the way to cancer patients under going chemo therapy. At this point, I know of no other product that addresses so many different diseases and disorders.
Awareness of the health benefits of this extraordinary product keep growing in subtle, quiet ways. Oddly it is a highly profound experience at the same time. A growing knowledge confirms that Zija measures up to each and every benefit and more. Thus, I am proud to share this product with my family, friends, clients and anyone who is truly seeking a richer, happier and more peaceful existence
- Gerrit Hale, Bethesda, MD
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