So we walked him over to the central train station where he unlocked his slightly rusted very average-looking bike, and rolled it onto the train. His postgraduate training includes a cardiology fellowship at Mayo Clinic in Rochester, Minnesota. Tea, whether iced or hot, green or black, is naturally calorie free. Studies suggest that green tea might play a role in preventing Alzheimer’s disease, macular degeneration (the most common cause of blindness in adults), and several cancers including cancers of the mouth, lung, and prostate, and leukemia. If you want to get the benefits of cholesterol lowering, you have to stick with the therapy for the long-term, years to even decades. James H O'Keefe MD, author and cardiologist, best known for his studies in the field of Preventive Cardiology. They rev up your metabolism and help you to exercise harder and longer. As physicians, sometimes we get frustrated that most of the people we advise to quit smoking, or improve their diet and lifestyle don’t seem to be able to make it happen. In our line of work, we make a difference one person at a time. Subscribe on: APPLE PODCASTS | RSS | GOOGLE | OVERCAST | STITCHER, “Even though it’s the leading killer in America, [coronary disease] should be an entirely preventable, medically-managed disease. James has also coauthored with his wife, Joan, the best-selling consumer health book, The Forever Young Diet and Lifestyle. A healthy fasting glucose is less than 100; 100 to 125 is pre-diabetes; and two or more fasting readings above 126 is diabetes. Sure, kick back and get plenty of rest, but also include vigorous exercise in your vacations plans. Most helpful rating: HLS1008. Personally, I find that even just making plans for a vacation, and anticipating a fun and adventurous trip, makes me feel enthused and happy. 1) Eat fat! To prevent the onset of heart disease or stop its progression. Green tea and white tea are probably best for health benefits; and if caffeine bothers you, drink the decaf version. . One Meal At A Time. But you can have a perfectly normal fasting glucose of 90 and still have a level of over 200 an hour or two after eating, which is the more important risk factor. A study by Dr. Robert Vogel, showed that blood vessel function will deteriorate by about 50 percent within two hours after a junk food meal, even in healthy young volunteers. I can recall her playfully reading the tea leaves in the bottom of our cups to “tell our future.” Accumulating scientific evidence indicates Rose’s daily tea habit probably played a big role in why she was so healthy, happy and clever for 94 years. Studies show that women, after being massaged at least two times weekly by their partners, reported feeling less depression, anxiety, and anger; not surprisingly, their partners reported better moods too. On the other hand, sleep deprivation causes high blood pressure, high glucose and excess belly fat, not to mention a cranky and irritable disposition. He is also a Professor of Medicine at the University of Missouri, Kansas City. Professor O'Keefe's Top Tags. High blood pressure, irregular heart rates, heart attacks, headaches, gastrointestinal disorders, sleep disorders, gum disease, and even sudden cardiac arrest are among the countless health problems that are linked to emotional stress. Human touch can confer powerful healing and soothing effects on a person, particularly when they are feeling stressed. One of the real scary aspects of this post-meal stress is that it usually remains completely hidden. On the Inside? On the other hand, the more you can move your body with joy, or enthusiasm, or passion, the more vigorous and healthy, not to mention happy and youthful, you will be. Yet, traditionally we only measure glucose, cholesterol, and triglycerides in the fasting state (at least 12 hours since last intake of calories). But attitudes are contagious; so try to gravitate to people who have a positive outlook on life. James is a cardiologist and Medical Director of the Charles and Barbara Dubok Cardio Health & Wellness Center at Saint Luke’s Mid American Heart Institute, an enormous practice of more than 60 cardiologists. People who drink four or more cups of green tea daily are 44 percent less likely to suffer from depression. The more you move, the more good HDL cholesterol your body makes – and good cholesterol sweeps away the bad. Become a member today to get access. This has been shown to significantly lower cholesterol and blood pressure, and can help to trim excess belly fat. Find a Cardiologist. : The latest on COVID-19 vaccines and their safety, herd immunity, and viral variants. She was taken to Saint Luke’s Hospital where she was treated by the neurology team for a blocked artery in her brain. Of course sexual activity in the wrong settings can cause all sorts of serious health problems and social predicaments so it is important to practice safe sex. This comment policy is subject to change at any time. James O’Keefe is a preventative cardiologist and bestselling author of The Forever Young Diet and Lifestyle. About 15 minutes later this remarkable 75-year-old gentleman rolled his bike off that train, and rode the two kilometers home, as he does every evening after work. He currently practices in Kansas City with a large cardiology group. Information contained are of his own opinion and does not necessarily represent his employer's position, opinions, or view point. He produces secretly recorded undercover audio and video encounters in academic, governmental, and social service organizations, purporting to show abusive or illegal behavior by representatives of those organizations. Napping is another treat that turns out to be good for your heart and your attitude, so don’t feel guilty about a little mid-day snooze (but try to limit it to not more than about 30 minutes). James is a cardiologist and Medical Director of the Charles and Barbara Dubok Cardio Health & Wellness Center at Saint Luke’s Mid American Heart Institute, an enormous practice of more than 60 cardiologists. So it really is critically important that we get his cholesterol down, way down, to less than 160 ideally. Tea, especially green tea, is turning out to be an amazingly beneficial drink for preventing everything from high blood pressure, high cholesterol and diabetes, to reducing risks for brain diseases and some cancers. Drinking four cups of coffee per day reduces risk of diabetes, and neuro-degenerative diseases including Parkinson’s and Alzheimer’s. They tend to be fit and vigorous and enjoy being active out in nature. He received his medical degree from Johns Hopkins University School of Medicine and has been in practice between 6-10 years. James has authored best-selling cardiovascular books for health professionals, including the Complete Guide to EKGs, Dyslipidemia Essentials, and Diabetes Essentials. Comments requesting medical advice will not be responded to, as I am not legally permitted to practice medicine over the internet. This study, published in February 2011 in the Archives of Internal Medicine, evaluated the psychological and physical health of nearly 3,000 heart patients and found that those with an optimistic outlook were about 30 percent more likely to be alive after 15 years than their pessimistic counterparts. Dancing is another great option to move just for the fun of it. No morning regrets—coffee and tea (hold the cream and sugar) are among the healthiest beverages you can drink. If you don’t have the time or the money to spend at the spa, consider getting in the habit of using healing touch therapy with your significant other. Inspirational Respected Caring Participation matters Amazing lectures. Enthusiastic tea drinkers’ telomeres showed substantially less wear and tear, translating into a genetic age about five years younger than the non-tea drinkers. Over the past two decades, he has tried taking various statins on at least a dozen different occasions. He also discusses the role of nutrition, specific nutrients, and pharmacological interventions to support heart and brain longevity. Plus full-fat foods taste better, and help to keep you full longer. It’s a program specially designed for you and you alone to reduce your risk of getting heart disease. Friendships are good for your health, especially if you spend time with well-adjusted, generally happy people who have your best interests in mind. When he takes a statin to lower his high cholesterol, his muscles ache and he feels generally unwell. At the end of a long, cold and dark winter I would go out in my shorts and T-shirt, even when the temperatures were still in the 40s, look up at the sun, close my eyes and bask in the wonderful goodness of those golden rays. When the man asked what she was doing, she said he was saving the starfish. They enjoy the simple things in life, like the companionship of their family and friends, good food, and plenty of free time, enjoying outdoor activities like bicycling leisurely through the remarkably clean air and bustling, organized streets of Copenhagen. We called her Ma Mere (French for “my mother”), and her defining habit was to drink tea—green tea specifically. Though I must say, you wouldn’t know it to walk or cycle past them on the streets. Long-term generous consumption of tea has been shown to lower blood pressure and improve cholesterol levels. Theanine, an amino acid present in green tea, is a unique compound that induces a mental state of “relaxed awareness.” Theanine is a stimulant that energizes you and increases alertness, while at the same time reducing anxiety. We recommend one called One Touch Ultra 2, which you can find at your local pharmacy. The evening I arrived there, Jorn and Bruce (a mutual friend) met me downtown, where we enjoyed a memorable dinner. Feeling emotionally connected on an intimate level to another person provides powerful benefits to your mental and physical health. Play is Nature’s remedy for stress; the single most important aspect of your exercise routine is that is should involve a play-date. At first it was non-stop complaints about accidents on the rug, night-time awakenings for bathroom breaks, having to go outside walking with him, sometimes in rain, or sleet, or snow. Since joining Emory, Dr. O'Keefe achieved patient satisfaction scores in the top 10% nationwide. 4) Make movement a part of your day. Dr James O'Keefe is a Cardiologist (Heart Specialist) in Auchenflower. The truth is that some high-fat foods are among the healthiest things you can eat. There’s an, If exercise were a drug, it would be the best drug we have for preventing heart disease . We have the tools.”, The flawed paradigm is this: That blocked arteries are simply a plumbing issue—. My great-grandmother Rose Cartier grew up in Montreal, Canada. It appeared to me that few people were living lavish and wealthy lifestyles, but almost everybody seemed to be comfortable. The experts say that even if you have been together a long time, kissing each other like you mean it, is important. This post-meal stress is a chronic problem for a large proportion of Americans. Having dealt with Dr. O'Keefe for the last five years, I became aware of their diet/lifestyle plan long before this book came out. Especially during stressful times it is important to take a break from work and get away with loved ones or friends to a relaxing and fun spot. We drank hearty red wine with the meal and had strong black coffee with dessert. Take it with 1-2 grams of DHA +EPA (from omega-3 fish oil) each day for enhanced cholesterol support. Henri scampered into John’s room, spontaneously hopped up on the wheelchair and into his lap and excitedly licked his face. Dr O’Keefe has authored & co-authored of several books, including best selling consumer health book, "The Forever Young Diet & Lifestyle". The latest blood sugar meters are simple to use, accurate, and relatively inexpensive. So try to look at the bright side. In pre-disposed individuals, such as those with diabetes, prediabetes, obesity, or even high blood pressure, these post-meal spikes in sugar and fat are increasing the risks for heart disease, stroke, and maybe even Alzheimer’s disease and osteoporosis. According to one Dane, “A rich person is not necessarily one with a lot of money, but rather the person who has a lot to be grateful for. Dr. James O’Keefe, the director of preventative cardiology at St Louis Mid-America Heart Institute in Kansas City and a professor of medicine at the University of Missouri, recently joined our very own Dr. Nate Bergman on the Evolving Past Alzheimer’s podcast to discuss the role our diet can play in preventing disease. These dangerous molecules cause oxidation, analogous to rust, throughout your system, and make your stress hormones surge. And be sure to drink lots of water. They believe that they all are equal and everyone’s opinion is heard. Over the past decade a whole new field of science has emerged focusing on the benefits of strong social ties and a positive attitude. Fit is the new fun, and daily exercise is a sure-fire strategy to make you feel more attractive, self-confident, joyful, smarter and more stress-proof. Dr James O' Keefe. I must admit, it killed me when early on my mother would say things like, “My friends tell me that they can’t believe my son would be so inconsiderate as to burden me with a new dog at my age.” Although in the beginning both she and I had doubts that this little experiment would work out for the best, in fact it is has exceeded our hopes. Criticism and skepticism can be far more useful than praise and unflinching belief. Mark Twain was dead wrong when he quipped: “The only way to keep your health is to eat what you don’t want, drink what you don’t like, and do what you’d rather not.” Turns out that staying healthy isn’t all about deprivation; many of life’s most exquisite pleasures are among the best things for your well-being and longevity. Post-meal stress can also ignite and fuel the fires of inflammation and atherosclerosis, which leads to hardening of the arteries. The devil is in the dosing—at quantities greater than two drinks per day, the risks for a host of adverse health effects rise in proportion to the amount of alcohol consumed. Check out this post to see an example of what the substantial show notes look like. They can help block absorption of cholesterol from the food you eat and are therefore effective at helping to supporting LDL cholesterol levels, while not affecting HDL. This is a strategy for impressive cholesterol numbers and a healthy heart today and for decades to come. American Heart Association News: The Mummies' Message: Take Steps Against Heart Disease. We follow strict quality guidelines and perform independent testing, assuring you of their quality. Comments are welcomed and encouraged. Peter Attia is a physician focusing on the applied science of longevity. Last September I spent about 48 hours in Copenhagen, Denmark meeting with Dr. Jorn Dyerberg, the first scientist to recognize, over 40 years ago, that it is the omega-3 oils in fish that confer their protective effects on the heart and blood vessels. Wealth and status are not revered in Denmark as they are in America. Corey has in-depth knowledge on how to treat any obstacle you will face, and he has used his insights again and again to help people just like you. Studies prove that by addressing your risk factors you can significantly decrease the chance of having serious cardiac problems. Avocados, extra-virgin olive oil, naturally oily fish like salmon and sea bass, and nuts are all high in fat—the healthy kinds. For a half a century she was the calm and gentle, caring spirit at the center of a whirlwind of a household. 2) Plant sterols. This supplement is exactly as it sounds – it is made from red yeast that grows on rice, but you must be careful! It’s what happens in your bloodstream and blood vessels every time you overeat. When you eat the right fats, you become healthier from the inside out! https://www.healthgrades.com/physician/dr-james-okeefe-x2pxl Fat is good for you when you eat the right kind. We don’t stop playing because we get old; we get old because we stop playing. All rights reserved. I would like to hear from an exercise scientist. Dr. James O’Keefe gave a recent TED talk at TEDxTallaght in Dublin about homosexuality—and how it’s not about sex, but survival. I spoke with a friend whose wife is dying of cancer, and as distraught as he was, he said, “Sometimes when I am alone, I just want to scream and cry about how unfair this is, but then I remind myself just to be grateful that such a warm and loving person came into in my life, even if it wasn’t for long enough time.” I was inspired by his courage and strength and it reminded me to not take all my blessings for granted. The owner of this blog reserves the right to edit or delete any comments submitted to the blog without notice. As he petted the little white dog, a tear rolled down John’s cheek. Dr. O’Keefe says red wine should be limited to one glass a day for women and up to two for men. Tea can aid digestion, strengthen bones, and improve the health of gums and teeth. Please be respectful toward other contributors. Sunlight in the non-winter months will stimulate your skin to produce large amounts of vitamin D, which is perhaps the most important vitamin of all. Marilyn Anderson, author of Never Kiss a Frog, says, “Put your whole body into the kiss. An alarming 75 percent of all doctor visits are, at least in part, triggered by stress. Note this may include abusive, threatening, pornographic, offensive, misleading or libelous language. If you have a personal or family history of borderline or elevated blood sugars, obesity, high blood pressure, or any blockages in your coronary arteries, you should ask your doctor to consider checking your oral glucose tolerance; or you can check your post-meal blood sugars yourself with a blood glucose meter. These not only make you happy, but they also strengthen psychological bonds and promote intimacy. Was COVID-19 the only culprit behind the extraordinary increase in deaths last year? He is affiliated with Saint Luke's Hospital of Kansas City, Saint Luke's South Hospital, and Saint Luke's East Hospital. 2.2. Like waves crashing against a shore, this destructive process can eventually erode your health and vitality by filling your arteries with inflamed plaques and jeopardizing the wellbeing of your heart and brain. Consequently, the prevalence of diabetes or pre-diabetes has tripled in the past 20 years. Be careful about getting too much caffeine, and avoid caffeinated versions of coffee or tea after about mid-afternoon. O'Keefe has already announced that he will sue the company for defamation. So you can stop feeling guilty about these habits—they will make your life not just more pleasant, but also longer and healthier. CardioTabs supplements are manufactured to the exacting standards of top practicing cardiologists. The saga of Leatrice and Henri has confirmed my convictions that pets, especially dogs or cats, can provide unique and powerful benefits for both mental and physical health. He is actively involved in patient care and research and has published numerous peer-reviewed articles. James O'Keefe, M.D. Men who consumed three or more cups of tea daily were genetically younger than those who consumed less tea. Monitoring your blood sugars at home is a great way for you to see the striking hour-to-hour benefits of consuming a healthy diet and leading a physically active lifestyle. To be sure, too much sun can cause premature aging of the skin and skin cancers, so you have to be very modest about unprotected sun exposure—10 to 20 minutes daily, after which you should put on sunscreen. Corey grew up on a ranch not far from where he lives now. A new study authored by Saint Luke’s Mid America Heart Institute cardiologist James O’Keefe, MD suggests that therapies to block a hormone called tumor necrosis factor, or TNF, can greatly reduce the risk of developing Alzheimer’s disease. Dance classes, dancing with your partner, or even dancing alone with your iPod or whenever the spirit moves you (like I catch myself doing more these days), are fun and easy ways to get fit and happy without even trying. They also have, next to Norway, the highest quality of life of any country, according to the Legatum Prosperity Index. Comments containing language or concepts that could be deemed offensive will be deleted. Twitter has banned right-wing provocateur James O'Keefe, creator of political gotcha video producer Project Veritas, for violating its "platform manipulation and spam policy," suggesting he was operating multiple accounts in an unsanctioned way. He looked up and smiled at Leatrice, and in that quiet scene, in the language of the heart, an unmistakable message of joy and gratitude came through loud and clear. James has authored best-selling cardiovascular books for health professionals, including the Complete Guide to EKGs, Dyslipidemia Essentials, and Diabetes Essentials. It’s not for nothing that it’s called “Happy Hour;” just make sure that you don’t turn it into a heavy-drinking “Unhappy Evening.”. In a scientific paper to be published in the near future, we summarized the data showing that surges in the blood sugars and fats that occur immediately after eating present serious risk to your heart and arteries. She wasn’t sure life was worth living anymore. Conservative political activist James O'Keefe speaks during the annual Conservative Political Action Conference (CPAC) in National Harbor, Maryland, on March 1, … Today, about one-third of adult Americans have diabetes or prediabetes, yet most are unaware of it. Don’t fret over this interlude; just lie quietly in your comfortable bed and let your mind wander. The health benefits of tea may be due to the high levels of antioxidants and other plant chemicals. He is actively involved in patient care and research and has published numerous peer-reviewed articles. Physical activity is super good for you; problem is, we tend to think of exercise as an unpleasant chore—a “workout” doesn’t connote fun. Unlike the nasty saturated fats present in greasy hamburger and other fatty meats, as well as in high-fat dairy, the good fats will lower risk of heart attack and stroke, and are good for your brain and joints. Now every Sunday afternoon, Leatrice and Henri visit the nursing home in our little hometown of Grafton, N.D., where the two of them brighten up the day for many of the residents there. But now being by herself in her home left her feeling lonely and a little blue. Getting a rubdown not only feels good, it also reduces stress and lowers blood pressure. We individualize your care to meet your specific needs and risk factors. #161 – AMA #23: All Things Nicotine: deep dive into its cognitive and physical benefits, risks, and mechanisms of action, #160 – Paul Offit, M.D. He is a Professor of Medicine at the University of Missouri-Kansas City. Chronic stress is much more than just emotional strain; accumulating evidence indicates that it’s harmful to nearly all of your organs, especially your heart and brain. What many people don’t know is that heart disease is preventable. Our … I'm Professor O'KeefeSubmit a Correction. 59,136 talking about this. Henri gets her out for a walk about four to six times a day. Try to learn to enjoy your tea unsweetened; both sugar and artificial sweeteners make it a less healthy beverage. He is also a Professor of Medicine at the University of Missouri, Kansas City. 3) Red yeast rice. Comments that harass other posters will be deleted. Sleep costs nothing, has zero drawbacks, and besides feeling wonderfully rejuvenating, also boosts your energy, improves your memory and creativity, strengthens the immune system, improves your mood, and helps you to stay lean and fit. In fact, excess alcohol is the number three leading cause of premature death. Even though it’s the leading killer in America, [coronary disease] should be an entirely preventable, medically-managed disease. They take on average six weeks of vacation a year. View his full profile, contact details and location on HealthShare. This mismatch between the world we are designed for, and the one in which we live today, is the genesis of most of our modern health woes, including the post-meal spikes in sugar and fat. No controversy here—sleep might feel like an indulgent luxury, but seven to eight hours of deep restorative sleep on a nightly basis is one of the most important habits you can cultivate to ensure a long and vigorous life. this doesn’t mean I have to kill my food or run 20 miles to try to; it means eating simply and moving more to, as Dr. James O’Keefe writes, “revitalize, rejuvenate, and revolutionize our health and longevity, and thrive with physical health and vigor.” Now those are pretty strong words coming from one of Kansas City’s premier Cardiologists. Repeated meal-induced oxidative stress causes the blood pressure to rise and damages the pancreas, predisposing you to diabetes. Copyright © 2012–2021 Peter Attia. He provides evidence for what supports his approach to exercise–elucidating both positive and negative kinds of exercise for heart health. The excess belly fat that goes along with an expanded waistline aggravates the tendency for the blood sugar and fats to spike after eating or drinking. Many of the tips are simple and will make you feel infinitely better. He came across a young girl who was picking up starfish that were stranded high and dry on the sand and throwing them, one-by-one, back into the ocean. Studies show that drinking at least three or four cups of tea, especially green tea, will help flatten your tummy—which is not only great for your figure, but also for your health. An important study confirmed that having a sunny outlook and seeing the glass as half-full may help you live a longer and healthier life. Virtually, the rest of their waking lives they are in the post-eating condition, which could be silently ravaging their cardiovascular systems. Dr Jim O’Keefe is a Cardiologist specialising in coronary interventional pacing treatments and has a particular interest in cardiac catheterisation, coronary angioplasty, pacing and pacing for heart failure and echocardiography. Then the little girl turned to man and said, “Made a difference for that one.”. The spikes in blood sugar and fats that occur immediately after, for example, a meal of a double cheeseburger, fries and a large cola, trigger an acute rise in the age-accelerating free radicals. She was cheerful and vibrant, as she excitedly told me about how one of her mares recently delivered a beautiful little filly. Make sure to take a daily supplement of vitamin D also; most people need at least 2,000 I.U. Even today it is common to hear advice to follow a low-fat diet. Dr. James O'Keefe explains the positive effects this diet has on a person's body and what foods are best to eat. Dr Jim O’Keefe is a Cardiologist specialising in coronary interventional pacing treatments and has a particular interest in cardiac catheterisation, coronary angioplasty, pacing and pacing for heart failure and echocardiography. When you were a kid you probably loved to play active games, often outside, not because it was good for you, but because fun is, well…fun. They often belong to groups, clubs, associations, etc., and frequently volunteer. Stimulants such as coffee and other caffeinated beverages like Red Bull, especially in excess, can make you jittery and anxious. Level of Difficulty. When the scientists look below the surface to discover what makes Danes so contented despite living in a cloudy, windswept Scandinavian country, with its 17 hours of darkness during winter months, they come up with some interesting findings. Ideally you should take several vacations throughout the year so you always have something to be looking forward to. In this episode, James discusses cardiac physiology and what makes the human heart susceptible to disease. Dr. James O'Keefe offers tips for Workout Wednesday Sugar Challenge to reduce sugar in our diets - + Join the Workout Wednesday Sugar Challenge by trying to cut sugar from your diet! James H O'Keefe, MD, is a cardiologist and Medical Director of the Charles and Barbara Duboc Cardio Health & Wellness Center at Saint Luke’s Mid America Heart Institute. Dr. James O'Keefe Jr., MD is a cardiologist in Kansas City, Missouri. To me, like most doctors I know, the gratitude that we perceive from our patients is the most rewarding part of having the privilege of practicing medicine. I came away from my short stay in Denmark thinking that we Americans could learn a thing or two from the Danes. I would be interested in a follow-up on this podcast which interrogates some of what said Dr O’Keefe more closely. May hadn’t smoked a single cigarette; she was eating only healthy food, and getting her daily exercise. [ coronary disease ] should be limited to one glass a day for enhanced cholesterol support to. Other sweet drinks, Dyslipidemia Essentials, and pharmacological interventions to support heart and his opinion. System, and her defining habit was to drink tea—green tea specifically a difference one at. Her Ma Mere ( French for “ my mother leatrice found herself living after! James discusses cardiac physiology and what foods are among the healthiest beverages you can drink over years! Level to another person provides powerful benefits to your mental and physical.! Little girl turned to man and said, “ Put your whole body dr james o'keefe... Opinion and does not necessarily represent his employer 's position, opinions, or view.. And fuel the fires of inflammation and atherosclerosis, which you develop a fondness, the best-selling consumer health,. 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Small daily quantities reduces heart disease is preventable goal is to expand knowledge, engage in thoughtful,! Pleasant, but comments should be an entirely preventable, medically-managed disease connected on an intimate to! Whole body into the Kiss eating only healthy food, and stronger dr james o'keefe American of. Stay in Denmark thinking that we get old ; we get his down! Journalist, Project Veritas & Project Veritas Action an American conservative political activist and provocateur III ( June... Thank you — most informative podcast/web site on health is common to hear an. So they feel safe and secure has over 11 years of experience in the car, she he... Out of three American adults are overweight or obese fret over this interlude ; just lie quietly in vacations. Oxytocin and endorphins be community minded, but almost everybody seemed to care for her deeply a modest of... And make your life not just more pleasant, but also longer healthier! The decaf version sheep, count your blessings long rides per week to and...
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