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June newsletter: the campaign against corn syrup

Taken from Kate’s newsletter – click here to subscribe.

This month’s topic is something a little different. For a long time now I’ve been aware of corn syrup in our diet, but recently it’s hit the media in a big way, particularly after the documentary film, Food Inc. This deadly stuff is infiltrating its way into our foods and the only way to try and stop its production is to read food labels and avoid the obvious foods that contain it. There is a huge campaign in the U.S. and now murmurings in the U.K. to ban it completely, and I’m sure it can be done (perhaps not this week, but give it a few years of public demand and small miracles can happen!).

We are told over and over again that fat is bad, fat makes people fat and butter should be banned. However it is sugar and refined foods that are one of the main causes of the obesity epidemic. What makes matters worse is that the corn (used to make the corn syrup) is subsidised by the U.S. government, so one could argue that they are causing the problem in the first place – how about that for getting your eyes open! Concentrating on exercise is all very well (and of course it is a vital component for shifting fat), but weight loss will only come if people stop eating addictive junk food. Those of you who saw Morgan Spurlock’s documentary Supersize Me may also remember how, about halfway through the challenge, he started craving the food that was making him ill, and it seemed by that stage he had become addicted. Being ‘addicted’ to food is a relatively new concept, but we now need to look at this seriously as one of the reasons why people eat too much of the wrong foods. What it is in the food that makes people continue to eat in this way? I call it the Hobnob theory. Why is it when you buy a packet of biscuits you have to eat the whole packet? What’s going on here? Is it just greed or is there something more sinister going on?

So what is corn syrup?

In the U.K., corn syrup or high-fructose corn syrup is also known as isoglucose, maize syrup, and glucose-fructose syrup. It includes any corn syrup groups that have undergone processing to convert glucose to fructose and then mixed with corn syrup (100% glucose) to produce sweetness.

In the U.S. foods and products containing HFCS (high-fructose corn syrup) are typically using it as a sugar substitute and it is found in processed foods and beverages, soft drinks, yogurt, bread, biscuits, soups, salad dressing, and soup. This HFCS has replaced table sugar thanks to the U.S. government’s subsidy on corn and an import tariff on sugar from overseas. This has raised the price of sucrose so high that HFCS is extremely cost-efficient. Since the mid 1990s, the United States federal government has subsidized corn growers. The cheapness of the corn syrup is why you can get a large junk meal in the U.S. for 99 cents. It’s so cheap that it makes poorer families so much more vulnerable. You can barely get a couple of sticks of broccoli for 99 cents. As you can see, this is a ludicrous way to run a country. Fruit and vegetables should be cheap – not junk food – it makes no sense whatsoever. It makes me mad and hopefully it makes you mad as well!

There is at present an internal argument going on – one side saying that this HFCS is contributing to obesity and the other side saying it’s no more harmful than regular sugar. Studies by The American Medical Association suggest “it appears unlikely that HFCS contributes more to obesity or other conditions than sucrose” but calls for further independent research on the subject. You will hear similar statements from the fizzy drinks industry (no surprise there then!), and remember if the U.S. government is subsidising HFCS – which essentially they are – how are they going to do the massive U-turn that is needed? The easiest way is not at all, just keep sending out statements that it doesn’t effect health when they know it does.

Back to the Hobnob theory (or any other biscuit that contains HFCS…) Purposefully buy a product with glucose fructose syrup in – e.g. a packet of biscuits and eat a couple. Not everyone, but most people, will either have a steep rise in blood sugar (8 mmo/l or higher) or will have that ‘I need to eat the whole packet’ scenario. If you have either of those – welcome to the world of addictive corn syrup! Start your day with cornflakes and feel how starving you are three hours later (yes…cornflakes contain HFCS).

Those who oppose HFCS call it as addictive as crack cocaine and heroin, and unless you checked labels you wouldn’t really notice it entering the food system. Unless you researched it yourself I suspect you wouldn’t even know what it was. In the UK, it is now being widely used instead of beet and cane sugar (sucrose), as it’s cheaper to produce and easier to blend into foodstuffs. It contains around the same number of calories as sugar, but it is thought that the body does not metabolise the syrup in the same way as sugar and that this can lead to weight gain.

What foods contain high fructose corn syrup?

Here are some products that contain HFCS or, as its called in the UK, glucose fructose syrup:

Kellogg’s Cornflakes
Kellogg’s All Bran
Kellogg’s Rice Crispies
Ribena
Ocean Spray cranberry juice (a real shocker as so many women buy this to help with cystitis)
Mullerice apple & Mullerice caramel
Yoplait Petits Filous (marketed at children)
Fromage Frais
McVities HobNobs
McVities Jaffa Cakes
Carte D’Or ice cream
Weightwatchers vanilla and fruit fromage frais (this is worrying as this is so called ‘diet’ food)
Frubes
Mr Kipling Bakewell slices
Lucozade
Yop yoghurt strawberry

Going round the supermarket the other day the number of products with this has risen greatly, and sadly there are just too many to list. Do particularly look out for it in yoghurts.

Returning to the Hobnob theory, HFCS may trick the brain into thinking you need more food. Why so often is it hard to stop eating just one biscuit, how does a spoon of ice cream become a whole tub? So often I read that getting fat is down to personal responsibility and it is greed that makes people fat. What if that wasn’t necessarily always true – what if people were actually addicted to the very food that was making them ill? How do people get to be 40 stone?

HFCS has been labelled ‘the Devil’s Candy’ and may trigger the growth of fat cells around the liver, heart and other vital organs and even cause diabetes and heart disease. The fructose part may be to blame for artificially boosting appetite and sending confused messages to our brains regarding our satiety. As you may be aware, when you eat sugar your body produces insulin, which tells the brain that we’ve had enough to eat and high insulin levels dampen appetite. However, fructose does not trigger as much insulin as regular sugar so the brain will get the message that you are not full up and want to keep on eating. Certainly previous studies have linked fructose with high blood levels of triglycerides (a fat which, in excess, can increase the risk of heart disease).

A study at Colorado University in the U.S. looked at more than 4,500 people with no history of hypertension, and found that those who ate or drank more than 74 grams a day of fructose (the same as two-and-a-half sugary drinks) increased their risk of high blood pressure by up to 87 per cent.

I’m confused? Does this mean we shouldn’t eat fruit?

In moderation fruit is fine, particularly low GI fruits – but perhaps avoid huge bunches of grapes, and high amounts of bananas and dates etc. Also be careful not to drink too much fruit juice – it’s a concentrated form of fructose and can contain quite a few calories – dilute it half and half with water. Fruit sugar per se is not bad, it’s how it is changed and combined that is the problem.

HFCS is cheap and also keeps foods moist, which boosts a product’s shelf life. It also helps to provide texture to food such as cereal bars and biscuits, making them chewy, and thickens up ice cream and yoghurt drinks. It’s not just used in obviously sweet foods – glucose fructose syrup is also found in lots of products you wouldn’t necessarily imagine contain it, such as cereal and batteries. Often it appears in product ingredients lists as ‘glucose-fructose syrup’, ‘high fructose corn syrup’, or ‘HFCS’, which is the name used by some manufacturers.

Has it been proven to affect our metabolism?

Scientists have indeed proved that HFCS can damage human metabolism and may well be fuelling the obesity crisis. Fructose, a sweetener derived from corn, can cause dangerous growths of fat cells around vital organs and is able to trigger the early stages of diabetes and heart disease. Fructose bypasses the digestive process that breaks down other forms of sugar. It arrives intact in the liver where it causes a variety of abnormal reactions, including the disruption of mechanisms that instruct the body whether to burn or store fat. Kimber Stanhope, a molecular biologist who led the study, says “This is the first evidence we have that fructose increases diabetes and heart disease independently from causing simple weight gain.” “We didn’t see any of these changes in the people eating glucose.”

High-fructose corn syrup, or glucose-fructose syrup, is listed as an ingredient in many food and drink products in Britain, although it is virtually impossible for consumers to know the quantity and ratio of fructose used. Barry Popkin, professor of Nutrition at the University of North Carolina, and a US government adviser on health policy, said: “Historically, we never consumed much sugar. We’re not built to process it.” The Food and Drink Federation, a UK industry trade group, have said: “It makes no sense to highlight one single ingredient as a cause of obesity.”

Whatever you choose to believe, this week a new report is expected to claim that about one in 10 children in England will be obese by 2015. Grim news indeed, and our genes cannot change that fast – something else is happening.

Interesting facts

Between 1967 and 2000 the consumption of HFCS increased by over 1000%, far exceeding the changes in intake of any other food group.

HFCS represents over 40% of sweeteners added to foods and drinks.

A conservative estimate of the daily consumption of HFCS in the US is 132 kcal, while the top 20% of consumers eating HFCS ingest 316 daily. The daily average is 318 kcal. Over a year, that would equate to 115,752 calories.

The evidence for and against is conflicting, as with most studies, depending on who is doing the trial. However, if you look at the data (and I have done) on trends in obesity and HFCS availability the evidence to me seems overwhelming. Whilst not the only issue in the rise in obesity it can certainly be one of the major causes, and until more research is done, I would eat it in extreme moderation if at all. If you go to www.sweetsurprise.com you will see the case for but do remember why it is in foods – its subsidised and its cheap – I’ll let you make your own minds up.

Drinks containing HFCS tend to have higher levels of reactive carbonyls, which are linked to tissue and cell damage that may lead to diabetes.

Don’t forget the corn from which the HFCS is derived may be GM.

Food and drink can be labelled natural and have HFCS in them – only foods labelled 100% organic can be assumed to be HFCS free, however even then HFCS may be in the food if it is not GM and grown organically – tricky!

There is one small food chain in Seattle that no longer carries products containing HFCS.

WANT TO KNOW MORE? WATCH SUGAR: THE BITTER TRUTH – ON YOUTUBE HERE.

If you would like to get more involved join The Ban of High Fructose Corn Syrup on Facebook or Google about it, get talking about it with friends, and start reading. Do not be hoodwinked, this stuff is economically evil and damaging to your health.

In-season recipe: Broad Beans

I love broad beans simply boiled, buttered and served with the Sunday roast. They’re also wonderful when partnered with bacon or pancetta.

HISTORY
Broad beans are thought to have originated in the Mediterranean. Archaeological findings at Iron Age and Bronze Age settlements in various parts of Europe show that they have been an important staple food for millennia. Today broad beans grow in temperate regions across the globe. They are known as fava beans in America where they haven’t reached the same level of popularity as in Europe. They are enjoyed across northern China and are crucial to Egyptian cuisine as a key ingredient in the national dish, Ful medames, and in falafels.

BIOLOGY
Broad beans are a type of vetch with the Latin name Vicia faba. Vetches, which include peas and alfalfa, are nitrogen-fixing plants that enrich the soil in which they are planted. Commonly cultivated broad beans mainly fall into two classes. Longpod beans feature eight beans per pod and are more durable to different climatic conditions. Windsor varieties have four or five beans per pod and are considered by some to have a finer flavour.

NUTRITION
Broad beans are good sources of protein, fibre, vitamins A and C, potassium and iron. They also contain levodopa (L-dopa), a chemical the body uses to produce dopamine (the neurotransmitter associated with the brain’s reward and motivation system).

Broad Bean Risotto

Ingredients

450g broad beans, shelled
3 tablespoon olive oil
1 onion, peeled and chopped finely
2 cloves garlic, peeled and chopped
500g risotto rice
1.7 litres hot vegetable Stock (or chicken stock if you prefer)
1 tablespoon fresh thyme sprigs
Salt and pepper
Fresh parmesan shavings

Gently heat the 2 tablespoons of oil in a saucepan. Cook the onion until it has softened but do not let it brown. Add broad beans and the garlic and cook for about 2 minutes. Stir in the rice and continue to cook until the grains have become translucent and glossy. Turn the heat down and add the stock, one ladle at a time. All the liquid must be absorbed before adding more. Stir all of the time. This will take no less than 20-25 minutes. Add half the thyme with the last ladle of liquid. Season with salt and pepper to taste. Take the pan off the heat, cover and leave of stand. Serve hot on warmed plates and sprinkle with the last of the thyme and shavings of Parmesan. Serve with a delicious salad and garlic bread.

Want to help friends and family?

Refer a friend or family member and get £15 as a thank you.

Vouchers for birthdays/presents available as well. For more details please call me on 01323 737814.

Marketing Assistant

I’m looking for a marketing assistant to start working for me this year. An interest in health and nutrition is vital. A small amount of training will be necessary. This is a commission only job so won’t suit everyone – possibly someone who wants to earn some extra money part time. For more details please call me on 01323 737814 for a job description or email at katenut@aol.com and send me your CV.

The ingredients in McVities HobNobs

I’m not at war with United Biscuits and having gone onto their nutrition website I see that they were the first biscuit company to lead the way to reduce trans fats, hydrogonated oil, artificial colours and use less salt. That’s fantastic and they should be congratulated.

I don’t want to be a killjoy, there is nothing like a good biscuit and hobnobs are very popular. Are they however bold enough to remove the glucose fructose syrup as well – thats the potentially addictive ingredient that can make you eat the whole packet.  A good source of fibre and full of oaty wholemeal goodness does not sway with me until this stuff is removed.  Then they might have a biscuit of which to be proud.

Here are the ingredients:

Ingredients

  • Rolled oat (38%), Wholemeal Wheat Flour (23%), Sugar, Vegetable Oil, Glucose-Fructose Syrup, Raising Agents (Sodium Bicarbonate, Ammonium Bicarbonate), Salt

Feedback

Any thoughts or feedback regarding this blog – please let me know and dont forget to join my facebook page (kate arnold nutrition) for up to date info and support on all aspects of diet and nutrition or simply feel free to ask a question or pass on your own info!

Sugar: The Bitter Truth

Great YouTube video by Dr Robert Lustig: link below – learn and enjoy I would be really interested in your comments. I will be commenting on this in my June newsletter.

Special K mini breaks

I’m sitting here reading the ingredients of a Special K mini break and here they are:

Cereals (Rice, Wheat Flour, Whole Oats, Wholewheat, Rice Flour), Sugar, Vegetable Oil, Chocolate (5%)(Sugar, Cocoa Mass, Cocoa Powder), Wheat Gluten, Glucose Syrup, Defatted Wheatgerm, Dried Skimmed Milk, Partially Inverted Sugar Syrup, Salt, Oat Fibre, Barley Malt Flavouring, Raising Agents (E500, E450a), Flavourings, Emulsifier (Soy Lecithin), Antioxidant (E320), Vitamin C, Niacin, Iron, Vitamin B6, Riboflavin (B2), Thiamin (B1), Folic Acid, Vitamin B12.

At 99 calories a bar you’d think you’d be on to a winner but think again and ignore the vitamins which have probably been added to give a false impression of health. What you have is a bar of sugar, inverted sugar syrup and glucose syrup (see this months newsletter out next week regarding this ingredient and its addictive nature) with wheat gluten, defatted wheatgerm and wholewheat. Is that enough wheat and sugar for you to be getting on with? To be honest I’m not sure this is actually any healthier than a Mars Bar- at least that does what it says on the tin ie its a high sugar energy chocolate bar.

No wonder people aren’t losing weight with a product like this being marketed at them. Stop counting the calories and start eating good food!

Back from holidays!

I’m back after a ten day break and feeling full of beans. Will be up blogging again later today.  Look out for my June newsletter- out next week on the fascinating subject of high fructose corn syrup!

The effects of lack of sleep

A great article today in the Times by John-Paul Flintoff on the election and lack of sleep:

“It was the election that didn’t sleep. David Cameron campaigned throughout the night. Gordon Brown was so addled that he forgot that he was wearing a microphone. And Nick Clegg revealed that all his mother ever says after watching him on telly is: “You look so tired, dear.”… Read the rest here.

Sleep was the topic of my latest newsletter, which I’ve pasted below – sign up for monthly updates here.

Although we are now firmly into spring, sleep is still vitally important all year round and often people find it harder to sleep in the summer due to the excess light and noise. This month’s newsletter is all about sleep: how much you need, sleep disorders and tips on how to get a good night’s sleep.

You may have noticed a few changes to my website – please do get involved on facebook or twitter, and any thoughts you would like to share, go to my blog. Someone asked me for a list of all farmers markets in East Sussex, which you can also find on my blog. Finally, again a huge thank you to those referring your friends and family to me – it is an honour to treat those who are taking responsibility for their health.

Sleep disorders
Failure to get an entire night’s sleep on most nights over a one month period can be considered chronic insomnia. It affects approximately 1 in 10 of us here in the UK and approximately 30% of those over 60 years old. Insomnia can take the form of being unable to fall asleep when you first go to bed, or waking during the night and being unable to go back to sleep. While insomnia can be very frustrating it is hardly dangerous and is usually only a temporary annoyance; although in some cases, sleep-related problems can last for months or even years.

Insomnia
Chronic insomnia can be a symptom of a serious underlying medical disorder. Fifty percent of insomnia cases can be attributed to depression and psychological disorders such as anxiety, stress or grief. Insomnia can result from a wide variety of causes, including arthritis, asthma, breathing problems, hypoglycaemia, hyperthyroidism, indigestion, kidney or heart disease, muscle aches, Parkinson’s disease or physical pain. Quite a bit to keep you up at night! In addition, caffeine consumption, jetlag, the use of certain drugs like antidepressants, seizure medications, beta blockers and thyroid hormone replacement drugs can cause problems with sleep. Also, a lack of the nutrients calcium and magnesium can cause you to wake up after a few hours and not be able to return to sleep. A sedentary lifestyle can also be a major cause of sleep disorders.

While one or two sleepless nights can cause irritability and daytime sleepiness, with decreased ability to perform creative or repetitive tasks, most people can adapt to short-term periods of sleep deprivation. After more than three days, however, sleep deprivation begins to cause a more serious deterioration in overall performance and can even result in mild personality changes. If chronic, inadequate sleep compromises productivity, creates problems in relationships and can contribute to health problems.

There are no hard and fast rules about how much sleep is enough because everyone is different. Some people can function on as little as five hours sleep while others need ten hours. Most adults need about eight hours sleep in order to feel refreshed and operate at peak efficiency during the day. Children need much more. It is not uncommon for people to sleep less as they get older, especially after the age of 60 yrs old.

Restless legs syndrome
Millions of people have trouble getting to sleep due to RLS. For reasons unknown, when these people are in bed, their legs jerk, twitch, and kick involuntarily. RLS has also been linked to night-time cramps. A deficiency in magnesium and anaemia can play a role in this syndrome.

Sleep apnoea
Sleep apnoea is a serious sleep disorder. This problem is commonly associated with snoring and extremely irregular breathing through the night. In sleep apnoea, breathing actually stops for as long as two minutes at a time whilst the individual is asleep. While breathing stops, the levels of oxygen in the blood drop, resulting in oxygen deprivation. The person then wakes startled and gasping and can often wake up to 200 times a night. People with sleep apnoea tend to have higher than normal blood pressure and are more likely to have a stroke and face an increase risk of heart disease. People with sleep apnoea also seem to have a higher than normal incidence of emotional and psychotic disorders. Experts attribute this to what they call dream deficit – a lack of adequate REM sleep, the stage of sleep in which dreaming occurs.
A person with sleep apnoea often cannot settle into REM sleep for even the eight to twelve seconds it takes to have a normal healthy dream.

Often, lack of sleep is due to raised cortisol levels at night caused by stress. Our natural rhythm should be higher cortisol levels in the morning and lower at night. If you can start to unwind and destress it is possible to lower levels of night-time cortisol. Fundamentally, restorative sleep is one of the most valuable tools that we have to prevent ageing and disease.

Tips for a good night’s sleep

1,500-2,000mg calcium and 500mg-1,000mg magnesium has a calming effect on the nervous system, particularly if taken a few hours before bed.

Melatonin – start with 1.5mg daily taken 2 hours or less before bedtime. If this is not effective gradually increase the dosage until an effective level is reached (up to 5mg daily can be used). This is a natural hormone that promotes sound sleep but should not be used in children.

Vitamin B complex helps to promote a restful state and enhances REM sleep, and niacin promotes serotonin production. Take this during the day rather than just before bed.

In the evening eat bananas, dates, figs, milk, nut butter, tuna, turkey, whole grain crackers or yoghurt. These foods are high in tryptophan, which promotes sleep.

Avoid alcohol – a small amount can help induce sleep initially but large amounts disrupt the sleep cycle.

Avoid smoking – nicotine is actually a neurostimulant and can cause sleep problems.

Avoid stimulants that contain caffeine.

Avoid heavy meals from three hours before bedtime.

Avoid bacon, cheese, chocolate, ham, potatoes, sugar, sausage, spinach, tomatoes and wine close to bedtime. These foods contain tyramine, which increases the release of nor epinephrine, a brain stimulant.

Avoid taking nasal decongestants and other cold medication late in the day, as although the ingredients in these preparations are known to cause drowsiness, they can have the opposite effect on some people.

Establish a set of habits and stick to them.

Got to bed only when you are tired.

Do not stay in bed if you are not sleepy. Get up and move to another room and read or watch TV.

Use the bedroom for sleep and sex, not for reading, working, eating or watching TV.

Set an alarm clock and get out of bed at the same time every morning, no matter how much sleep you had the night before.

Do not nap during the day if this not normal for you to do. However, if you find a cat nap/siesta suits your rhythm then that is fine.

Exercise regularly in the late afternoon or early evening but not right before bedtime.

Take a hot bath an hour before bedtime.

Keep the bedroom comfortable and quiet.

Learn to put worries out of your mind.

A few sleep myths

Eating cheese does not give you nightmares. However, a high fat meal before going to bed may be difficult to digest and therefore lead to interrupted sleep.

Sleep is not just rest. It’s an essential time for your body to perform routine maintenance and repair.

Losing an hour’s sleep is a big deal. If you get less sleep than you need, your ability to do certain cognitive and physical tasks is decreased. If the sleep loss builds over time, it can interfere with hormones that monitor appetite and increase your risk of chronic illness.

You don’t adjust to sleep changes as easily as you think. When you travel across many time zones or work night shifts, you confuse the body’s sense of time, making sleep difficult and inhibiting some necessary sleep functions. For every one- to two-hour time change, it takes your body 1 day to adjust. That means it could take your body 6 to 12 days to adjust to a trip from New York to China.

Older people don’t need less sleep. Older people need the same amount of sleep as everyone else, 7 to 9 hours per night. There is a cultural belief that as you age, you need less sleep. Unfortunately, because of this myth, many older people do not seek help for their sleep problems. Often, older people sleep less than they need to because of illness.

Extra sleep does not necessarily help fatigue. Many people assume that if they feel tired during the day, then they should sleep longer at night. This is not necessarily true. If a person is getting 7 to 9 hours of sleep each night, then he or she should seek another source for their fatigue. Some sleep disorders decrease sleep quality, even though the person is getting enough sleep. Many medical conditions can cause fatigue. If you are sleeping long enough but are still tired, try some exercise and daylight exposure during the day. If that doesn’t help, see your doctor.

Naps are not a waste of time. Naps can be a great way to catch up on lost sleep. After taking naps, people function better and do certain cognitive tasks quicker. Napping can also help you train yourself to fall asleep quicker. However, napping longer than an hour or after 3pm may make it more difficult for you to fall asleep at night.

Alcohol won’t help you sleep better. Alcohol interferes with the normal sleep cycle, especially the back end of the cycle. Four hours into sleep, alcohol wears off and leaves you in an excitable state. You will sleep lighter, wake more easily, and be hungover when you do wake. Being a muscle relaxant as well as sedative, alcohol can even create sleep apnoea symptoms in snorers who don’t otherwise have the condition.

Drugs

If things get too bad, you may need to stop the cycle and take drugs. Tranquilisers like benzodiazepines and similar medication might be suggested by your GP short term. Don’t feel guilty about taking them – it is important to stop the cycle of sleep deprivation as quickly as possible. However, this is never the answer long term and the underlying reason will need to be addressed.

Judging people’s health by their looks

Following on from a recent article in the Daily Mail, it is fair to say that we judge people to be healthy if they look good on the outside. However the outer beauty whether faked or real rarely hides or makes up for what is really going on inside the body.

An example of this arrived at my door last year – a family of four all came to me for a complete health MOT – a few basic blood tests, cholesterol, thyroid, full blood count, diet etc. On sight they were the healthiest four people I had seen in a long time – very good looking, great skin, good hair, sparkling eyes, great BMI’s, all with no health problems. Alarmingly the parents blood tests came back and all was not well. The father had dangerously raised cholesterol, triglycerides, blood pressure and his homocysteine was the highest I had seen for a while – it seemed he was a walking time bomb. The mother came back as having an underactive thyroid, low B12 and anaemia and also raised cholesterol. What was concerning was that they displayed no symptoms whatsoever. Even with anaemia the mother looked well. This just goes to show that you just cannot judge the inside by the outside.

I think it’s even more relevant today with botox, hair extensions, whitened teeth, fake tan – its not difficult to make ourselves look better but do remember that it is fake, and will never reflect the rising liver damage or hardened arteries inside us!

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