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Eat Less, Live Longer?

April 1, 2009 – 7:09 pm | by admin

Mary Crowell and Clive McCoy of Cornell University got the ball rolling on the link between dietary energy reduction and longer lifespan in 1934. They fed lab rats a severely calorie-reduced but otherwise nutritious regime and found their subjects lived up to twice normal lifespans.

Studies in 1986 by Walford and Weindruch shed light on possible parallels in humans. A small group of participants in a Washington University of St Louis project eating 10-25% less than the regular diet lowered their cholesterol, fasting blood glucose (used to predict diabetes) and blood pressure.

BMI went from an average of 24 to 19.5 over three to 15 years, though most BMI reduction took place in the first year of dieting. The most startling results were for blood tryglycerides (fats) which dropped  as low as the lowest 5% of Americans in their twenties.

No long-term studies of significant dietary reduction in humans have taken place because of our long lifespans, so it’s too early to know for sure if the longevity enhancement seen in fruit flies and roundworms applies to us. However, a 2002 Washington University study showed dietary restriction greatly improved blood pressure. Arteries harden with age and blood pressure normally climbs with advancing years but this group with a mean age of 55 got theirs back to a youthful level.

There may be something in caloric reduction for a longer, healthier lifespan but it’s a fine line. Go too far and negative consequences like anemia, muscle wasting, gallstones and depression may derail a potential fountain of youth (March 2007 Journal of American Medical Association). Reducing your energy intake to 20 or 25 less than your requirements while maintaining adequate nutrients is risky, and quite frankly, a grind. Who wants to live longer if it means living on less than 2000 calories a day?

It seems plenty do, though academic research seems mainly aimed at understanding the nature of human metabolism and longevity. The Salk Institute for Biological Sciences identified the gene responsible (PHA-H) for the trick of living longer while eating less in animals and expect similar results for humans in the future. 

At this stage, much of the debate is theoretical but (Mito)homesis leads the pack in explaining how energy-deprived rats live longer than their healthy counterparts on normal diets. Even obese rats put on calorie restriction live longer than normal rats, and calorie-restricted rats doing no exercise live longer than normally-fed rats that run on treadmills.

Where is the logic in this? It seems (Mito)homesis provides the best explanation in that calorie restriction creates a low-level biological stress that provokes a defense response via longevity genes.

It may be good old Darwinian medicine at work here. During famine, it’s likely that animals( small ones, anyway) avoid reproduction and upgrade their protective and repair mechanisms in order to outlive food shortages and to ensure reproductive capacity in the future.

Now this is all fine for yeast, rats, mice, fruit flies and chenorhabditis elegans (a 1 mm nematode) but it’s a big leap of faith to assume positive results in humans and adopt a semi-starvation regime. Muscle-wasting is not pleasant, and remember the heart is muscle.

Ray Walford, the prime 80s researcher in the field died of the disease calorie restriction is contra-indicated for - Amyotrophic Lateral Sclerosis (ALS) - sometimes called Lou Gehrig’s disease after the New York Yankees star who was diagnosed with it in 1939 at the peak of his career and died of it two years later. ALS is a neurodegenerative disease that affects the motor neurons; nerve cells that control voluntary movement. Perhaps Walford had been a long-term practitioner of his own research, with tragic results.

Reducing food energy intake in order to reduce excess bodyfat can reap a variety of health rewards that may in fact lead to a longer life but once  a healthy weight is reached the risk of maintaining restricted calories for possible longevity improvement is just too great.

We need a wide variety and fair volume of foods to get all our required nutrients. Even weight-loss regimes that eliminate vital food groups like carbohydrates are potentially dangerous. Likewise, diets that vilify many healthy plant foods are of little use in the long term and may harm longevity.

I promised an overview of the GI Diet and will start with the American Diabetics Association’s view. They question the usefulness of GI for diabetics and reccomend the total amount and not the source of carbohydrate be given priority.

The Glycaemic Index(GI) goes something like this: Not all carbohydrate in all food acts alike when digested. Some is converted to glucose (blood sugar) more rapidly and a scale measuring the rate at which carbohydrate raises blood sugar compared to a mean of 50g of glucose is used. This gives foods a rating of one to 100. If a food raises blood glucose twice as high as 50g of glucose it ranks 100 on the GI, like potatoes. Not all potaoes - sweet potato, ironically rates lower than regular potatoes. Getting confused?

Ice Cream rates as a low GI food, probably because the fat in it delays glucose absorption. Ordinary table sugar rates moderately, almost smack bang in the middle at 55. The idea is to eliminate high GI foods in order to prevent a “rush” of insulin which may lead to declining insulin sensitivity and a pre-disposition to diabetes and overweight.

The GI ignores the real world and measures the effect of one food at a time, in standard amounts of carbohydrate. Remember, it’s how that food stacks up against 50g of glucose. Well, carrots are low in sugar and it would take several kilos of them to equate to 50g of glucose.

White rice is high GI, Basmati rice is not. Come on. The Glycaemic Index is complex and contradictory and not a realistic guide on how to eat. The sugar industry was an enthusiastic funder of early studies because white sugar performs well on the Index. Australian authorities and food companies are right behind GI as a means of attacking our obesity and diabetes problem but other countries aren’t so sure.

I don’t like reductivist science that scares people away from healthy, everyday foods like potatoes that have served humanity so well for so long. No potatoes, no Incas. The many varieties of “lumpers” eaten in huge quantities by the 18th and 19th century Irish made them the most energetic and sought-after labourers in the British Isles. An adult male ate 6 to 8 kilos a day (and little else) and their insulin and bodyfat levels were no doubt fine.

Professor Jenny Brand-Miller of Sydney University is a leading researcher, author and advocate of GI eating and was awarded the Clunies-Ross medal for services to Sugar, er Science and has based a succesful career on demonising one of humanity’s most nourishing foods. She and her colleagues have their knives out for potatoes; not to eat them but to destroy their reputation.

Eat a wide variety of plant foods regardless of how they rate against each other in the lab and the imaginations of reductivist scientists, and exercise and keep bodyfat levels down in order to live a longer healthy life.

Constipated Nation

February 4, 2009 – 2:35 pm | by admin

“…If you pass small stools, you have to have large hospitals.”

Dennis Burkitt(1911-1993) Surgeon, medical researcher, and missionary

Burkitt knew a lot about stools, especially African ones. The tenacious Irishman, who lost an eye aged 11 did not let obstacles keep him from his goals. One of those goals was to take his Presbytarian missionary zeal to Africa where he treated hundreds of thousands in mission hospitals and discovered the geographically-specific lymphoma that bears his name.

It was bowel habits that concerned him most, and he must have observed many motions to conclude that the East African stool was larger, softer, and passed with no discomfort compared to the mean Western stool.

This led him to publish his 1979 bestseller - “Don’t Forget Fibre In Your Diet”   and focus Western attention on the link between dietary fibre and reduced risk of bowel cancer.

Colorectal cancer, as we call it today is a pernicious killer.

According to the latest available Australian figures of 2001, Colorectal cancer is the most commonly reported and is responsible for 13% of all cancer deaths. Only lung cancer causes more deaths from cancer(19%).

Each year there are 12,600 new cases and 4,700 deaths. 1 in 21 Australians develop Colorectal cancer (CRC) over a lifetime and it’s estimated that 29,058 life-years are lost from premature deaths under 75 years of age.

It’s a disease whose risk rises after age 40 and rises sharply after age 50. 1 in 10 men and 1 in 15 women develop it by age 85.

Burkitt did not see a single case of it in his decades in Africa and also reported that ”In 20 years of surgery in Africa I had to remove exactly one gallstone.”

He concluded that the African diet was the key to preventing CRC and this has been borne out by later studies that show Africans who move to the West and adopt Western diets suffer CRC at rates expected in Western populations.

Africans are not protected by genes but by diet.

Burkitt surmised that fibre in the African diet was the key and kicked off the whole fibre obsession that gripped us in the 70s, 80s and 90s. Certainly fibre is important but it turns out African diets are not especially high in fibre after all and another fibre-like substance is the key.

“Western diets are so low on bulk and so dense in calories that our intestines just don’t pass enough volume to remain healthy” DB

Nevertheless, he was onto something and that something is known today as Resistant Starch (RS) Medico-nutrition pundits had been aware of the 10 % residue in the starch we eat that reaches the colon undigested but had dismissed it as “empty calories” and “useless.”

They couldn’t have been more wrong.

In the 80s, serious research began on it that continues today and elevates RS to a status alongside fibre as a key in CRC prevention.

Starch is carbohydrate, in long chains of sugars. Some is easily digested, like a highly-refined slice of white bread. Other types are usually less processed and locked up in nature’s packaging like the kibbled wholegrains in multi-grain bread.

After being churned into tiny particles in the stomach, food is broken down by chemical digestion in the small intestine. Some foods, however, resist this process and reach the large intestine (colon) intact and are broken down by bacterial decomposition. Bacteria in the colon cause fermentation and several by products of this process fuel the body and the cells that line the colon walls.

One of these short chain fatty acids is butyrate - a substance that has researchers very excited due to its anti- inflammatory and anti-carcinogenic properties. Butyrate applied to cancer cells in a dish stops them in their tracks.

RS also reduces glycemic impact of foods as we age - that is it smooths out the fluctuations of energy we get from eating, and increases insulin sensitivity.

RS promotes the growth of healthy colonic bacteria and the short-chain fatty acids it produces are absorbed into the bloodstream where they lower cholesterol.

Where do we get Resistant Starch?

There are four sources:

  • Seeds, legumes and unprocessed whole grains
  • The naturally granular, high-amylose form in a firm banana and other unripened fruit (eg green papaya salad)
  • Starch cooked and allowed to cool - e.g. cold potato, pasta and rice dishes.
  • Starch chemically modified to resist digestion.

Potatoes, pasta, beans - these don’t sound like unattainable foods yet a 12-nation study mentioned on ABC Radio National’s Health Report established a strong link between low RS intake and colon cancer. Unfortunately Australians rated as one of the lowest RS intakes and correspondingly one of the highest incidences of CRC.

One of the comments I hear a lot is that people don’t eat carbohydrates after 12, or 3pm, or 6pm or whenever because “they make me feel so bloated”. What they really mean is “they fill me up” with starch and fibre and that turns out to be a very good thing in preventing CRC.

Many researchers now feel RS should be categorised as fibre and the US National Academy of Sciences’ Institute of Medicine recommend we get 38g and 25g per day for men and women respectively.

The CSIRO says we should get at least 20g of RS per day. Australians currently consume only 5-7g per day.

“The only way we are going to reduce disease is to go backwards to the diets and lifestyles of our ancestors.” DB

Talking of bulky starch in the intestines reminds me of a stay I had in a traditional village on Buka Island, near Bougainville in the 1970s. Amongst other occurences like having water poured on me to protect me until I returned, and being woken every dawn by the noisy pigs who slept under my hut, one thing stands out, and that was breakfast.

The first morning I was brought an enamelled tin dish piled high with boiled, peeled kaukau, or sweet potato. I counted 8 or 10 of these purplish door-stoppers and sat watching them steam. My host came in and asked when I would eat my breakfast. I’d been waiting politely for the others because who eats this many spuds on their own?

It turns out my lean, muscular and fit hosts did -every day. Dennis Burkett never got to examine their stools but I’m sure he would conclude they were more than adequate to prevent cancer.

Legumes (beans, peas and lentils) top the RS lists. One half-cup of cooked beans (equivalent to a serve of baked beans) yields 9.8g of RS. A firm banana has 4.7g and an average cold, cooked potato dishes up 3.2g.

Cooking and cooling rice, potato and pasta subjects it to a process called “retrogradation” which converts some of the gelatinised starch into a crystalline form that resists digestion.

John Burn is the Professor of Clinical Genetics at Newcastle University in the UK and he told ABC’s Health Report of his disappointment in trials that fed subjects fibre that didn’t work to reduce CRC. The same thing happened when they were fed RS but rats fed both produced high butyrate levels. He concluded that more fibre pushes more RS through the gut and reaches more cells with its anti-carcinogenic properties.

Natural foods from the plant kingdom supply both in tasty packages and are clearly the way for us to go. It would be folly to wait until chemists perfect the high RS grains and other food products they are currently working on.

It would be an equal folly to adhere to diets like low-carbohydrate and GI-based diets that scare us away from the starchy foods essential to prevent cancer. Look for a fairly savage critique of the whole GI “system” in my next post.

Oh, and if you are worried about the gas caused by fermentation of RS in the colon, don’t. Your system and intestinal flora will adjust to African overload after a while and your gut will be happier and healthier.

UPDATE: The Indian manufacturer of my “Ayurvedic” “natural” toothpaste did eventually respond to my query as to why they put suspected carcinogens in their product, and supplied reams of studies to support their harmlessness, but too late. I now use charcoal tablets crushed and mixed with soda bicarb for a cheap, effective and pleasant tooth scrub. It’s messy but it works and no nasties!

Pharmaceuticals: The egg and the hammer?

January 7, 2009 – 3:11 pm | by admin

If you are aged 65 years or older, then it’s highly likely you are taking a medication to treat an ageing-related condition, for 90 per cent of your peers do so. 40 per cent of you take five or more medications simultaneously and likely have been doing so for an extended time, perhaps years.

Sometimes your doctor is not fully aware of your medication program as medications are “stacked” following visits to doctors and specialists for new ailments.

Are these medications, taken dutifully at set times really doing you good and what would happen if you discontinued their use?

I’m sure many of you have a sneaking suspicion that the medications you take have waned in effectiveness and are creating problems of their own but are fearful of challenging their efficacy and the weight of medical opinion behind them.

A very well credentialled study  published recently in the journal Drugs and Aging and reported in the Sydney Morning Herald suggests that not only do many drugs prescribed to the elderly contribute to hospital admissions and deaths but withdrawal from them can improve health.

Professor David le Couture, a geriatrician at Concord Hospital in Sydney and Director of the Centre for Education and Research on Ageing is a brave man intent on spotlighting the chasm between the results of drug company-sponsored medicine trials and the actual effect of these medications on the elderly.

His University of Sydney study of all previous research into medication withdrawal in older people concluded that the elderly receive no benefit from long term use of many common medicines and, shockingly, that their health may improve with discontinuation of their use.

I would imagine Professor Couture has been scratched off the Christmas list of major drug companies.

Time to withdraw?

His study found coming off drugs that affect the brain and nervous system, like sleeping pills and anti-depressants improves mental abilities and reduces the risk of falls - responsible for high rates of hospitalization and deaths in the elderly.

Blood pressure for up to 85 per cent of those 65 years or older remained stable for 6 months to 5 years after withdrawal of medication for that purpose and there was no increase in the death rate.

A typical methodology of studies reviewed by Professor le Couture was in a New Zealand study which divided those on sedatives or anti-depressants into two groups. One group continued the medication, the other group took a placebo identical in appearance. After a year the placebo group were found 66 per cent less likely to have a fall and there was no increase in the death rate.

What’s going on here? Why is futile and possibly dangerous polypharmacy the norm for nearly half the elderly?

Clearly it is in the interests of drug companies to promote the widespread and continued use of their medications but surely one’s doctor evaluates their effectiveness?

It appears that doctors are sometimes confused about which medications their patients are on and are not authoritative enough to challenge the wisdom of their intial prescription by a specialist.

To make matters worse, the elderly are not generally recruited to trial the drugs they will be prescribed and the effects of taking multiple drugs is not studied. 

Clearly, it’s not in the intersts of the pharmaceutical industry to fund trials that might conclude that loading up the elderly on possibly contra-indicated drugs could be bad for them, or that weaning them off long-term use of many drugs might actually be beneficial and not make a condition worse.

Knowledge is power

By now, you have picked up that I favour a preventative approach to health in ageing but I do acknowledge that modern pharmacology is a useful tool in prolonging life in those who have developed ageing-related conditions. However, with the resources of the Net at everyone’s disposal it is time the patient empowered him or herself with information about the medicines doctors prescribe.

In a recent, and admittedly petty example, I took the trouble to research several of the ingredients in my “natural”, “Ayurvedic” herbal Indian toothpaste. I love it’s chalky, cleansing texture and  myriad aromatic herbs, from Asian Holy Oak to Catechu. But Sodium Laurel Sarcosinate, Sodium Saccharin and Methyl Hydroxy Benzoate Sodium? Where do these scary-sounding ingredients fit into the “natural” spectrum?

It turns out SLS is a foaming agent frowned upon by some researchers and Saccharin is an artificial sweetner banned for decades in most Western countries due to studies linking it to cancer in rats. Nice. And MHBS? A toxic preservative also banned in many countries.

I’ve been dipping my “natural” toothpaste into soda bicarb for extra cleaning power and when the current tube runs out I’ll be using it exclusively to brush my teeth, maybe adding a few drops of peppermint oil.

I emailed the company in India asking them to reconcile their “natural” claims with the undesirable characteristics of these industrial ingredients but they chose not to reply.

My point is - do not trust companies with a profit motive to care for your health without empowering yourself with information first. In the case of medication I recommend you find a sympathetic doctor who will consider monitoring you as you withdraw from some or all of the medications you currently take.

At least until elements of the pharmaceutical/medical industry take a more analytical and sympathetic approach to prescribing drugs to the elderly. Currently it appears the use of some medications can only be likened to using a hammer to crack an egg.

Help from the human genome

Recent developments that marry human genomics to pharmaceutical prescription may improve or fix the problem.

The Australian Government is considering funding tests to target drugs at the right patients, reduce harmful side effects,  and promote the saving of billions of dollars in the process.

Pharmacogenomics aims to use individualised tests for patient biomarkers to test effects of drugs on patients. Individuals respond differently to drugs. You either respond as predicted or you wind up in hospital with  severe side effects.

Some drugs identified in the study are those prescribed to the elderly for colorectal cancer, anti-coagulant stroke prevention, cholesterol-lowering and anti-depression.

Let’s hope the elderly will be included in studies and trials this time. 

Anti-Ageing Secrets of the Mediterranean

June 15, 2008 – 7:44 pm | by admin

““With the ancient is wisdom; and in the length of days understanding”
Job 12;12

PyramidsWhat Did the Pyramid-Builders Eat?

Monument-builders, empire-makers, and hard-working farmers: the energetic members of ancient Mediterranean civilizations were relentless in their achievements and their legacy is a diet we can harness today to slow the ageing process.

Historians, engineers and scientists argue passionately about how Egypt’s pyramids were built. These architectural marvels were built with copper tools, machinery unknown and a workforce of many thousands. What we do know today is that this workforce was not in slavery. The building of the pyramids was one of the city-dwelling world’s most enduring experiments in social engineering. It was a project of immense, energetic scale harnessing meticulous organization of building materials, work teams and food supplies.
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Does sugar rule your life?

November 21, 2007 – 6:45 pm | by admin

“’Tis too much prov’d - that with devotion’s visage
And pious action, we do sugar o’er
The devil himself.“
William Shakespeare, Hamlet

SugarI went shopping the other day, reading labels as I went, and hit a wall of frustration in the cereal section of the supermarket.

I couldn’t find any brand of muesli that did not have added sugar. Even the brand I had stuck to for years had been overtaken by a giant food conglomerate and had succumbed to the sugar avalanche that engulfs our lives.

I have since found a single brand that has no sugar but it’s too late for my allegiance. I have fallen off the commercial muesli wagon and now make my own. (See my recipe at the end.)

Why get one’s knickers in a twist about sugar? Isn’t most of what we eat broken down into sugar eventually?

Yes, it’s true that glucose fuels our cells after digestion and metabolism have converted much of our food into this ready supply of energy. However sugar is meant to be fed to our cells at the end of this process, not at the beginning. Especially not in the quantities a typical industrialised diet provides.

Next time you shop, go on the sugar alert. Read the labels of every processed food you buy and identify sugar in the ingredients list. It may be called fructose, glucose, dextrose, sucrose, or maltose. You’ll be surprised to find that every thing from peanut butter to the bread you spread it on has sugar added. The food industry is as hooked on it as we are.
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Grow stronger as you age

October 23, 2007 – 8:51 am | by admin

“For what utterance can be more pitiful than that of Milo of Crotona?
After he was already an old man and was watching the athletes training in the race-course, it is related that, as he looked upon his shrunken muscles, he wept and said:
“Yes, but they are now dead.”

Cicero (4BC-65AD), De Senectute 9.27

Poor Milo. If only he had continued his training regime, he might have enjoyed a more robust old age.Milo, called by ancient Greek geographer Strabo “the most illustrious of athletes” was a pretty amazing character who transcended both fact and fiction.

He first competed as a wrestler at the Olympic Games in 540BC where he won the boy’s division. He returned eight years later and commenced a winning streak that did not cease until his sixth Olympiad in 512BC. That’s five titles in a row, a feat unmatched by any modern Olympian. The Games were held, as now, at four year intervals so Milo must have been over 40 when he triumphed at the 67th Olympiad. That’s an astonishing achievement by today’s standards and almost unbelievable considering athletes of the ancient world had short careers and were rarely competitive past their prime.
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Why Don Medea’s Robe?

October 15, 2007 – 8:55 am | by admin

“Alas! The bride had died in horrible agony, for no sooner had she put on Medea’s gifts than a devouring poison consumed her limbs as with fire…“

The messenger in Medea, a Greek tragedy by Euripides 431BC

In Greek mythology Medea was a sorceress infuriated at being replaced in her husband Jason’s affections. Yes, he of Golden Fleece fame. She gave his new bride a robe with special powers. That special power was instant death to the person who put it on.

Our modern world is awash with dangerous chemicals that, while not administering instant death, can accumulate in body tissues over time and cause premature ageing and eventual disease and death.

Prior to World War 2, insecticides were inorganic: based on naturally occurring mineral and plant sources like arsenic, copper, lead and pyrethrum derived from the chrysanthemum flower. Nicotine sulphate was derived from relatives of tobacco and rotenone from an Asian legume.
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Stretching: The first and best step

September 24, 2007 – 7:06 pm | by admin

“Our own physical body possesses a wisdom which we who inhabit the body lack”

Henry Miller 1891-1980

All of us realize the importance of exercise to the maintenance of our bodies and to the prevention of ageing.

For what is ageing but the slowing of our body’s machinery as it loses efficiency and begins to seize up?

It’s relatively easy to ignore this process given the effortless ease with which our lives are lived. But every now and then we get a painful reminder that our bodies need regular exercise and without it we cannot perform required or desired tasks with pleasure and competence.

Maybe for you it is when you run around with your kids or grandchildren and find yourself breathless and exhausted very quickly. Perhaps it is when you are confronted with a flight of stairs and dread the task of climbing them.
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Young in spirit, young in body

September 10, 2007 – 6:52 pm | by admin

“Keep true to the dreams of thy youth”

Herman Melville 1819-1891

A tiny clipping of the above quote was found glued to the inside of the desk on which the Moby Dick author wrote his final work. The unfinished draft of Billy Budd, Sailor sat atop it, and was dutifully packed away by his widow, to be rediscovered and published in 1924.

This discovery helped ensure Melville’s literary immortality; the adage he treasured helps us kindle the spark of our own youthful passions and in turn keeps us young.

How many of you know some amazing elderly person who defies ageing as they indulge in ballroom dancing, bushwalking or even marathon running, like the oldest finisher ever in the notoriously tough Hawaiian Iron Man?
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Growth Hormone: Fountain of Youth?

September 1, 2007 – 7:31 am | by admin

“Among the islands on the north side of Hispaniola…in which there is a continual spring of running water, of such marvellous virtue that the water thereof being drunk, perhaps with some diet, maketh old men young again.”

Pietro Martire d’Anghiera
1472-1528
Italian geographer and historian
(In a letter to Pope Leo X in 1513)

When Sylvester Stallone came to Australia recently to promote his movie “Rocky Balboa“, about an ageing ex-champ miraculously turning back the clock in the ring, he was detained by Customs due to the presence in his luggage of a large number of mysterious vials. He told the press it was a storm in a teacup and that the substance in the vials was harmless and something he had been taking for years to improve his health and appearance.

He certainly looked great for a man approaching 60.

When his lawyers were obliged to fly to Australia later to attend court, it was revealed that the mysterious elixir was human growth hormone, something his fellow aspirants to youth and good looks have been injecting for years, generating billions of dollars for the doctors who skate around US laws and attract the ire of the FDA as they prescribe it in staggering amounts.
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